Diabetes-related mortality among American Indians and Alaska natives, 1990û2009

P. Cho, L.S. Geiss, N.R. Burrows, D.L. Roberts, A.K. Bullock and M.E. Toedt

American Journal of Public Health, 2014, vol. 104, issue S3, S496-S503

Abstract: Objectives. We assessed diabetes-related mortality for American Indians and Alaska Natives (AI/ANs) and Whites. Methods. Study populations were non-Hispanic AI/AN and White persons in Indian Health Service (IHS) Contract Health Service Delivery Area counties; Hispanics were excluded. We used 1990 to 2009 death certificate data linked to IHS patient registration records to identify AI/AN decedents aged 20 years or older. We examined disparities and trends in mortality related to diabetes as an underlying cause of death (COD) and as a multiple COD. Results. After increasing between 1990 and 1999, rates of diabetes as an underlying COD and a multiple COD subsequently decreased in both groups. However, between 2000 and 2009, age-adjusted rates of diabetes as an underlying COD and a multiple COD remained 2.5 to 3.5 times higher among AI/AN persons than among Whites for all age groups (20û44, 45û54, 55û64, 65û74, and

Keywords: adult; aged; American Indian; article; Caucasian; cause of death; death certificate; diabetes mellitus; ethnology; female; health survey; human; Inuit; male; middle aged; mortality; register; statistics; United States; very elderly, Adult; Aged; Aged, 80 and over; Alaska; Cause of Death; Death Certificates; Diabetes Mellitus; European Continental Ancestry Group; Female; Humans; Indians, North American; Inuits; Male; Middle Aged; Population Surveillance; Registries; United States (search for similar items in EconPapers)
Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2014.301968_9

DOI: 10.2105/AJPH.2014.301968

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