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The underreporting of deaths of American Indian children in California, 1979 through 1993

M. Epstein, R. Moreno and P. Bacchetti

American Journal of Public Health, 1997, vol. 87, issue 8, 1363-1366

Abstract: Objectives. This study linked birth and death certificate to determine misclassifications of deaths of American Indian children in California. Methods. Birth records for 1979 to 1993 were matched with mortality records through a computerized system. Results. The number of deaths, of American Indians was estimated to be three to four times greater than that reported on death certificates. Children in urban counties, and those who died before 1987 were more likely to be misclassified. Conclusions. California death certificates identify less than one third of the deaths among American Indian children. Adjusting for racial misclassification provides a more accurate accounting of child mortality among American Indians.

Date: 1997
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