Methods for improving the quality and completeness of mortality data for American Indians and Alaska Natives.
Am J Public Health
; 104 Suppl 3: S286-94, 2014 Jun.
Article
em En
| MEDLINE
| ID: mdl-24754557
ABSTRACT
OBJECTIVES:
We describe methods used to mitigate the effect of race misclassification in mortality records and the data sets used to improve mortality estimates for American Indians and Alaska Natives (AI/ANs).METHODS:
We linked US National Death Index (NDI) records with Indian Health Service (IHS) registration records to identify AI/AN deaths misclassified as non-AI/AN deaths. Analyses excluded decedents of Hispanic origin and focused on Contract Health Service Delivery Area (CHSDA) counties. We compared death rates for AI/AN persons and Whites across 6 US regions.RESULTS:
IHS registration records merged to 176,137 NDI records. Misclassification of AI/AN race in mortality data ranged from 6.3% in the Southwest to 35.6% in the Southern Plains. From 1999 to 2009, the all-cause death rate in CHSDA counties for AI/AN persons varied by geographic region and was 46% greater than that for Whites. Analyses for CHSDA counties resulted in higher death rates for AI/AN persons than in all counties combined.CONCLUSIONS:
Improving race classification among AI/AN decedents strengthens AI/AN mortality data, and analyzing deaths by geographic region can aid in planning, implementation, and evaluation of efforts to reduce health disparities in this population.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Inuíte
/
Indígenas Norte-Americanos
/
Coleta de Dados
/
Mortalidade
Tipo de estudo:
Prognostic_studies
/
Screening_studies
Limite:
Adolescent
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Adult
/
Aged
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Aged80
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Child
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Child, preschool
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Female
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Humans
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Infant
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Male
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article