Background: There has been little systematic research on the mortality impact of COVID-19 in the Native American population.
Objective: We provide the first estimates of loss of life expectancy directly due to COVID-19 in 2020 and 2021 for the Native American population.
Methods: We use several sources of data (the 2019 life table recently released by the National Center for Health Statistics for Native Americans, provisional COVID-19 deaths by age and race/ethnicity for 2020 and 2021, and population estimates from the US Census Bureau), along with multiple decrement techniques, to calculate life tables for Native Americans that include COVID-19 mortality.
Results: Native Americans had much lower life expectancy than other groups before the pandemic, which set this population further behind: the estimated loss in life expectancy at birth due to COVID-19 for Native Americans is 2.5 years in 2020 and 2.8 years in 2021.
Conclusions: These results underscore the disproportionate share of COVID-19 deaths experienced by Native Americans: a loss in 2020 due to COVID-19 that is almost three times as large as that for Whites and about a half-year greater than that for the Black population. Despite a successful vaccination campaign among Native Americans, the estimated loss in life expectancy at birth due to COVID-19 in 2021 unexpectedly exceeds that in 2020.
Contribution: The increased loss in life expectancy in 2021, despite higher vaccination rates than in other racial/ethnic groups, highlights the huge challenges faced by Native Americans in their efforts to control the deleterious consequences of the pandemic.