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Trends and disparities in heart disease mortality among American Indians/Alaska Natives, 1990-2009

TitleTrends and disparities in heart disease mortality among American Indians/Alaska Natives, 1990-2009
Publication TypeJournal Article
Year of Publication2014
AuthorsVeazie, M, Ayala, C, Schieb, L, Dai, S, Henderson, JA, Cho, P
JournalAm J Public HealthAm J Public Health
Volume104 Suppl 3
Date PublishedJun
ISBN Number1541-0048 (Electronic)<br/>0090-0036 (Linking)
Accession Number24754556
KeywordsAdult, Aged, Aged, 80 and Over, Alaska/epidemiology, Cause of Death, European Continental Ancestry Group/statistics & numerical data, Female, Heart Diseases/ ethnology/ mortality, Humans, Indians, North American/ statistics & numerical data, Inuits/ statistics & numerical data, Male, Middle Aged, United States/epidemiology
AbstractOBJECTIVES: We evaluated heart disease death rates among American Indians and Alaska Natives (AI/ANs) and Whites after improving identification of AI/AN populations. METHODS: Indian Health Service (IHS) registration data were linked to the National Death Index for 1990 to 2009 to identify deaths among AI/AN persons aged 35 years and older with heart disease listed as the underlying cause of death (UCOD) or 1 of multiple causes of death (MCOD). We restricted analyses to IHS Contract Health Service Delivery Areas and to non-Hispanic populations. RESULTS: Heart disease death rates were higher among AI/AN persons than Whites from 1999 to 2009 (1.21 times for UCOD, 1.30 times for MCOD). Disparities were highest in younger age groups and in the Northern Plains, but lowest in the East and Southwest. In AI/AN persons, MCOD rates were 84% higher than UCOD rates. From 1990 to 2009, UCOD rates declined among Whites, but only declined significantly among AI/AN persons after 2003. CONCLUSIONS: Analysis with improved race identification indicated that AI/AN populations experienced higher heart disease death rates than Whites. Better prevention and more effective care of heart disease is needed for AI/AN populations.
Ethno Med: