Leading Causes of Death and All-Cause Mortality in American Indians and Alaska Natives

Espey, David K.; Jim, Melissa A.; Cobb, Nathaniel; Bartholomew, Michael L.; Becker, Tom; Haverkamp, Donald; Plescia, Marcus

doi:10.2105/ajph.2013.301798

Cited by 240 publications

(229 citation statements)

References 30 publications

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“…16,17 However, these national-level standard socioeconomic status measures mask the profound social and economic disadvantages experienced by NH-AI/AN persons in CHSDA counties, which are predominantly rural, isolated areas with limited employment opportunities or access to quality health care. 18,19 Although the life tables presented here gave us, for the first time, the most complete view of the mortality profile of the NH-AI/AN population in the United States, they nevertheless contained important limitations. The most significant limitation was that they represented the mortality profile of a segment of the NH-AI/AN population, not the entire population.…”

Section: Discussionmentioning

confidence: 97%

Period Life Tables for the Non-Hispanic American Indian and Alaska Native Population, 2007–2009

Arias

Jim

2014

Am J Public Health

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Objectives. We estimated complete period life tables for the non-Hispanic American Indian and Alaska Native (AI/AN) population residing in Contract Health Service Delivery Area (CHSDA) counties for the period 2007–2009. Methods. We used National Vital Statistics System mortality data files for years 2007–2009 corrected for AI/AN misclassification on death certificates, midyear 2008 revised census bridged race intercensal population estimates, and National Vital Statistics System birth data for years 2006–2009. We used the same methodology as that used to estimate official US annual life tables, with some minor modifications. Results. For the period 2007–2009, the non-Hispanic AI/AN population in CHSDA counties had the lowest life expectancy at birth (71.1 years) of any racial/ethnic group for which official US life tables are estimated. By comparison, in 2008, life expectancy at birth was 73.9 years for the non-Hispanic Black population, 78.4 years for the non-Hispanic White population, and 80.8 years for the Hispanic population. Conclusions. The life tables showed a clear mortality disadvantage for the non-Hispanic AI/AN population in CHSDA counties relative to other national populations. The findings suggested that further research is necessary to explore the causes behind these disadvantages.

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Section: Discussionmentioning

confidence: 97%

Period Life Tables for the Non-Hispanic American Indian and Alaska Native Population, 2007–2009

Arias

Jim

2014

Am J Public Health

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“…9 AI/ANs are slightly more likely to die from heart disease and cancer than all races in the United States, but deaths from diabetes mellitus are 1.5 times higher, and rates of mortality from chronic liver disease and cirrhosis are 2.8 times higher than those of all races in the United States. 10 …”

Section: Overview Of Health Statisticsmentioning

confidence: 99%

Best Practices for Effective Clinical Partnerships with Indigenous Populations of North America (American Indian, Alaska Native, First Nations, Métis, and Inuit)

Haozous

Neher

2015

Nursing Clinics of North America

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“…Many of these conditions are disproportionally prevalent among American Indian/Alaska Natives (AI/ANs) (2,3). The prevalence of chronic conditions among AI/ANs results in low life expectancy (4,5), and AI/ANs are more likely than all other races in the United States to die of heart disease, diabetes, chronic lower respiratory disease, cirrhosis, stroke, pneumonia, kidney disease, and hypertension (4,6). …”

Section: Introductionmentioning

confidence: 99%

Education, Income, and Employment and Prevalence of Chronic Disease Among American Indian/Alaska Native Elders

et al. 2018

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IntroductionChronic disease studies have omitted analyses of the American Indian/Alaska Native (AI/AN) population, relied on small samples of AI/ANs, or focused on a single disease among AI/ANs. We measured the influence of income, employment status, and education level on the prevalence of chronic disease among 14,632 AI/AN elders from 2011 through 2014.MethodsWe conducted a national survey of AI/AN elders (≥55 y) to identify health and social needs. Using these data, we computed cross-tabulations for each independent variable (annual personal income, employment status, education level), 2 covariates (age, sex), and presence of any chronic disease. We also compared differences in values and used a binary logistic regression model to control for age and sex.ResultsMost AI/AN elders (89.7%) had been diagnosed with at least one chronic disease. AI/AN elders were also more than twice as likely to have diabetes and more likely to have arthritis. AI/AN elders with middle-to-low income levels and who were unemployed were more likely to have a chronic disease than were high-income and employed AI/AN elders.ConclusionAddressing disparities in chronic disease prevalence requires focus on more than access to and cost of health care. Economic development and job creation for all age cohorts in tribal communities may decrease the prevalence of long-term chronic diseases and may improve the financial status of the tribe. An opportunity exists to address health disparities through social and economic equity among tribal populations.

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Leading Causes of Death and All-Cause Mortality in American Indians and Alaska Natives

Cited by 240 publications

References 30 publications

Period Life Tables for the Non-Hispanic American Indian and Alaska Native Population, 2007–2009

Period Life Tables for the Non-Hispanic American Indian and Alaska Native Population, 2007–2009

Best Practices for Effective Clinical Partnerships with Indigenous Populations of North America (American Indian, Alaska Native, First Nations, Métis, and Inuit)

Education, Income, and Employment and Prevalence of Chronic Disease Among American Indian/Alaska Native Elders

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