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American Indian and Alaska Native infant and pediatric mortality, United States, 1999-2009

TitleAmerican Indian and Alaska Native infant and pediatric mortality, United States, 1999-2009
Publication TypeJournal Article
Year of Publication2014
AuthorsWong, CA, Gachupin, FC, Holman, RC, MacDorman, MF, Cheek, JE, Holve, S, Singleton, RJ
JournalAm J Public HealthAm J Public Health
Volume104 Suppl 3
PaginationS320-8
Date PublishedJun
ISBN Number1541-0048 (Electronic)<br/>0090-0036 (Linking)
Accession Number24754619
KeywordsAdolescent, Alaska/epidemiology, Cause of Death, Child, Child Mortality/ ethnology, Child, Preschool, Female, Humans, Indians, North American/ statistics & numerical data, Infant, Infant Mortality/ ethnology, Infant, Newborn, Inuits/ statistics & numerical data, Male, United States/epidemiology
AbstractOBJECTIVES: We described American Indian/Alaska Native (AI/AN) infant and pediatric death rates and leading causes of death. METHODS: We adjusted National Vital Statistics System mortality data for AI/AN racial misclassification by linkage with Indian Health Service (IHS) registration records. We determined average annual death rates and leading causes of death for 1999 to 2009 for AI/AN versus White infants and children. We limited the analysis to IHS Contract Health Service Delivery Area counties. RESULTS: The AI/AN infant death rate was 914 (rate ratio [RR] = 1.61; 95% confidence interval [CI] = 1.55, 1.67). Sudden infant death syndrome, unintentional injuries, and influenza or pneumonia were more common in AI/AN versus White infants. The overall AI/AN pediatric death rates were 69.6 for ages 1 to 4 years (RR = 2.56; 95% CI = 2.38, 2.75), 28.9 for ages 5 to 9 years (RR = 2.12; 95% CI = 1.92, 2.34), 37.3 for ages 10 to 14 years (RR = 2.22; 95% CI = 2.04, 2.40), and 158.4 for ages 15 to 19 years (RR = 2.71; 95% CI = 2.60, 2.82). Unintentional injuries and suicide occurred at higher rates among AI/AN youths versus White youths. CONCLUSIONS: Death rates for AI/AN infants and children were higher than for Whites, with regional disparities. Several leading causes of death in the AI/AN pediatric population are potentially preventable.
Ethno Med: