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Pneumonia and influenza mortality among American Indian and Alaska Native people, 1990-2009

TitlePneumonia and influenza mortality among American Indian and Alaska Native people, 1990-2009
Publication TypeJournal Article
Year of Publication2014
AuthorsGroom, AV, Hennessy, TW, Singleton, RJ, Butler, JC, Holve, S, Cheek, JE
JournalAm J Public HealthAm J Public Health
Volume104 Suppl 3
PaginationS460-9
Date PublishedJun
ISBN Number1541-0048 (Electronic)<br/>0090-0036 (Linking)
Accession Number24754620
KeywordsAdolescent, Adult, Aged, Aged, 80 and Over, Alaska/epidemiology/ethnology, Cause of Death, Child, Child, Preschool, Death Certificates, European Continental Ancestry Group/statistics & numerical data, Female, Humans, Indians, North American/ statistics & numerical data, Infant, Infant, Newborn, Influenza, Human/ ethnology/ mortality, Inuits/ statistics & numerical data, Male, Middle Aged, Pneumonia/ ethnology/ mortality, Population Surveillance, Registries, United States/epidemiology
AbstractOBJECTIVES: We compared pneumonia and influenza death rates among American Indian/Alaska Native (AI/AN) people with rates among Whites and examined geographic differences in pneumonia and influenza death rates for AI/AN persons. METHODS: We adjusted National Vital Statistics Surveillance mortality data for racial misclassification of AI/AN people through linkages with Indian Health Service (IHS) registration records. Pneumonia and influenza deaths were defined as those who died from 1990 through 1998 and 1999 through 2009 according to codes for pneumonia and influenza from the International Classification of Diseases, 9th and 10th Revision, respectively. We limited the analysis to IHS Contract Health Service Delivery Area counties, and compared pneumonia and influenza death rates between AI/ANs and Whites by calculating rate ratios for the 2 periods. RESULTS: Compared with Whites, the pneumonia and influenza death rate for AI/AN persons in both periods was significantly higher. AI/AN populations in the Alaska, Northern Plains, and Southwest regions had rates more than 2 times higher than those of Whites. The pneumonia and influenza death rate for AI/AN populations decreased from 39.6 in 1999 to 2003 to 33.9 in 2004 to 2009. CONCLUSIONS: Although progress has been made in reducing pneumonia and influenza mortality, disparities between AI/AN persons and Whites persist. Strategies to improve vaccination coverage and address risk factors that contribute to pneumonia and influenza mortality are needed.
Ethno Med: