reference : Diabetes-related mortality among American Indians and Alaska Natives, 1990–2009

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/report/nca4/chapter/tribal-and-indigenous-communities/reference/112e9785-ce7c-499c-9155-f7196017a0f5
Bibliographic fields
reftype Journal Article
Abstract Objectives. We assessed diabetes-related mortality for American Indians and Alaska Natives (AI/ANs) and Whites.Methods. Study populations were non-Hispanic AI/AN and White persons in Indian Health Service (IHS) Contract Health Service Delivery Area counties; Hispanics were excluded. We used 1990 to 2009 death certificate data linked to IHS patient registration records to identify AI/AN decedents aged 20 years or older. We examined disparities and trends in mortality related to diabetes as an underlying cause of death (COD) and as a multiple COD.Results. After increasing between 1990 and 1999, rates of diabetes as an underlying COD and a multiple COD subsequently decreased in both groups. However, between 2000 and 2009, age-adjusted rates of diabetes as an underlying COD and a multiple COD remained 2.5 to 3.5 times higher among AI/AN persons than among Whites for all age groups (20–44, 45–54, 55–64, 65–74, and ≥ 75 years), both sexes, and every IHS region except Alaska.Conclusions. Declining trends in diabetes-related mortality in both AI/AN and White populations are consistent with recent improvements in their health status. Reducing persistent disparities in diabetes mortality will require developing effective approaches to not only control but also prevent diabetes among AI/AN populations.
Author Cho, Pyone; Linda S. Geiss; Nilka Rios Burrows; Diana L. Roberts; Ann K. Bullock; Michael E. Toedt
DOI 10.2105/ajph.2014.301968
Issue S3
Journal American Journal of Public Health
Pages S496-S503
Title Diabetes-related mortality among American Indians and Alaska Natives, 1990–2009
Volume 104
Year 2014
Bibliographic identifiers
_record_number 24945
_uuid 112e9785-ce7c-499c-9155-f7196017a0f5