reference : American Indian and Alaska Native infant and pediatric mortality, United States, 1999–2009

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/reference/0073c503-064a-44ef-824a-3849a26cf80a
Bibliographic fields
reftype Journal Article
Abstract OBJECTIVES: We described American Indian/Alaska Native (AI/AN) infant and pediatric death rates and leading causes of death. METHODS: We adjusted National Vital Statistics System mortality data for AI/AN racial misclassification by linkage with Indian Health Service (IHS) registration records. We determined average annual death rates and leading causes of death for 1999 to 2009 for AI/AN versus White infants and children. We limited the analysis to IHS Contract Health Service Delivery Area counties. RESULTS: The AI/AN infant death rate was 914 (rate ratio [RR] = 1.61; 95% confidence interval [CI] = 1.55, 1.67). Sudden infant death syndrome, unintentional injuries, and influenza or pneumonia were more common in AI/AN versus White infants. The overall AI/AN pediatric death rates were 69.6 for ages 1 to 4 years (RR = 2.56; 95% CI = 2.38, 2.75), 28.9 for ages 5 to 9 years (RR = 2.12; 95% CI = 1.92, 2.34), 37.3 for ages 10 to 14 years (RR = 2.22; 95% CI = 2.04, 2.40), and 158.4 for ages 15 to 19 years (RR = 2.71; 95% CI = 2.60, 2.82). Unintentional injuries and suicide occurred at higher rates among AI/AN youths versus White youths. CONCLUSIONS: Death rates for AI/AN infants and children were higher than for Whites, with regional disparities. Several leading causes of death in the AI/AN pediatric population are potentially preventable.
Author Wong, C. A.; Gachupin, F. C.; Holman, R. C.; MacDorman, M. F.; Cheek, J. E.; Holve, S.; Singleton, R. J.
DOI 10.2105/ajph.2013.301598
Date Jun
ISSN 1541-0048
Issue S3
Journal American Journal of Public Health
Keywords Adolescent; Alaska/epidemiology; Cause of Death; Child; Child Mortality/*ethnology; Child, Preschool; Female; Humans; Indians, North American/*statistics & numerical data; Infant; Infant Mortality/*ethnology; Infant, Newborn; Inuits/*statistics & numerical data; Male; United States/epidemiology
Language eng
Notes 1541-0048 Wong, Charlene A Gachupin, Francine C Holman, Robert C MacDorman, Marian F Cheek, James E Holve, Steve Singleton, Rosalyn J Journal Article United States Am J Public Health. 2014 Jun;104 Suppl 3:S320-8. doi: 10.2105/AJPH.2013.301598. Epub 2014 Apr 22.
Pages S320-S328
Title American Indian and Alaska Native infant and pediatric mortality, United States, 1999–2009
Volume 104
Year 2014
Bibliographic identifiers
.reference_type 0
_record_number 19087
_uuid 0073c503-064a-44ef-824a-3849a26cf80a