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Infectious disease mortality among American Indians and Alaska Natives, 1999-2009

TitleInfectious disease mortality among American Indians and Alaska Natives, 1999-2009
Publication TypeJournal Article
Year of Publication2014
AuthorsCheek, JE, Holman, RC, Redd, JT, Haberling, D, Hennessy, TW
JournalAm J Public HealthAm J Public Health
Volume104 Suppl 3
PaginationS446-52
Date PublishedJun
ISBN Number1541-0048 (Electronic)<br/>0090-0036 (Linking)
Accession Number24754622
KeywordsAdult, Aged, Aged, 80 and Over, Alaska/epidemiology/ethnology, Cause of Death, Communicable Diseases/ ethnology/ mortality, Death Certificates, European Continental Ancestry Group/statistics & numerical data, Female, Humans, Indians, North American/ statistics & numerical data, Inuits/ statistics & numerical data, Male, Middle Aged, Population Surveillance, Registries, United States/epidemiology
AbstractOBJECTIVES: We described death rates and leading causes of death caused by infectious diseases (IDs) in American Indian/Alaska Native (AI/AN) persons. Methods. We analyzed national mortality data, adjusted for AI/AN race by linkage with Indian Health Service registration records, for all US counties and Contract Health Service Delivery Area (CHSDA) counties. The average annual 1999 to 2009 ID death rates per 100,000 persons for AI/AN persons were compared with corresponding rates for Whites. RESULTS: The ID death rate in AI/AN populations was significantly higher than that of Whites. A reported 8429 ID deaths (rate 86.2) in CHSDA counties occurred among AI/AN persons; the rate was significantly higher than the rate in Whites (44.0; rate ratio [RR] = 1.96; 95% confidence interval [CI] = 1.91, 2.00). The rates for the top 10 ID underlying causes of death were significantly higher for AI/AN persons than those for Whites. Lower respiratory tract infection and septicemia were the top-ranked causes. The greatest relative rate disparity was for tuberculosis (RR = 13.51; 95% CI = 11.36, 15.93). CONCLUSIONS: Health equity might be furthered by expansion of interventions to reduce IDs among AI/AN communities.
Ethno Med: