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American Journal of Public Health logoLink to American Journal of Public Health
. 2001 Mar;91(3):425–431. doi: 10.2105/ajph.91.3.425

Trends in infectious disease hospitalizations among American Indians and Alaska Natives.

R C Holman 1, A T Curns 1, S F Kaufman 1, J E Cheek 1, R W Pinner 1, L B Schonberger 1
PMCID: PMC1446620  PMID: 11236408

Abstract

OBJECTIVES: This study sought to describe trends in hospitalizations associated with infectious diseases among American Indians and Alaska Natives. METHODS: Infectious disease hospitalizations and rates among American Indians and Alaska Natives from 1980 through 1994 were examined via Indian Health Service hospital discharge data and compared with published trends for the general US population. RESULTS: Annual hospitalization rates for infectious diseases among American Indians and Alaska Natives decreased by 31.0% between 1980 and 1994. Infectious disease hospitalizations accounted for 16.3% of all hospitalizations in 1980 and 21.2% in 1994, an increase of 30.1%. In 1994, the age-adjusted infectious disease hospitalization rate for American Indians and Alaska Natives was 1863 per 100,000 population, approximately 21% greater than that for the general US population. CONCLUSIONS: Hospitalization trends for infectious diseases show that there has been improvement in the health status of American Indians and Alaska Natives but also indicate that this population has a higher infectious disease burden than the general US population.

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Selected References

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  1. Andrews M. M., Krouse S. A. Research on excess deaths among American Indians and Alaska Natives: a critical review. J Cult Divers. 1995 Winter;2(1):8–15. [PubMed] [Google Scholar]
  2. Armstrong G. L., Conn L. A., Pinner R. W. Trends in infectious disease mortality in the United States during the 20th century. JAMA. 1999 Jan 6;281(1):61–66. doi: 10.1001/jama.281.1.61. [DOI] [PubMed] [Google Scholar]
  3. Becker T. M., Wiggins C., Peek C., Key C. R., Samet J. M. Mortality from infectious diseases among New Mexico's American Indians, Hispanic whites, and other whites, 1958-87. Am J Public Health. 1990 Mar;80(3):320–323. doi: 10.2105/ajph.80.3.320. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Binder S., Levitt A. M., Sacks J. J., Hughes J. M. Emerging infectious diseases: public health issues for the 21st century. Science. 1999 May 21;284(5418):1311–1313. doi: 10.1126/science.284.5418.1311. [DOI] [PubMed] [Google Scholar]
  5. Cunningham P. J. Access to care in the Indian Health Service. Health Aff (Millwood) 1993 Fall;12(3):224–233. doi: 10.1377/hlthaff.12.3.224. [DOI] [PubMed] [Google Scholar]
  6. Cunningham P. J., Altman B. M. The use of ambulatory health care services by American Indians with disabilities. Med Care. 1993 Jul;31(7):600–616. doi: 10.1097/00005650-199307000-00003. [DOI] [PubMed] [Google Scholar]
  7. Karron R. A., Singleton R. J., Bulkow L., Parkinson A., Kruse D., DeSmet I., Indorf C., Petersen K. M., Leombruno D., Hurlburt D. Severe respiratory syncytial virus disease in Alaska native children. RSV Alaska Study Group. J Infect Dis. 1999 Jul;180(1):41–49. doi: 10.1086/314841. [DOI] [PubMed] [Google Scholar]
  8. Lowther S. A., Shay D. K., Holman R. C., Clarke M. J., Kaufman S. F., Anderson L. J. Bronchiolitis-associated hospitalizations among American Indian and Alaska Native children. Pediatr Infect Dis J. 2000 Jan;19(1):11–17. doi: 10.1097/00006454-200001000-00004. [DOI] [PubMed] [Google Scholar]
  9. Pinner R. W., Teutsch S. M., Simonsen L., Klug L. A., Graber J. M., Clarke M. J., Berkelman R. L. Trends in infectious diseases mortality in the United States. JAMA. 1996 Jan 17;275(3):189–193. [PubMed] [Google Scholar]
  10. Santosham M., Wolff M., Reid R., Hohenboken M., Bateman M., Goepp J., Cortese M., Sack D., Hill J., Newcomer W. The efficacy in Navajo infants of a conjugate vaccine consisting of Haemophilus influenzae type b polysaccharide and Neisseria meningitidis outer-membrane protein complex. N Engl J Med. 1991 Jun 20;324(25):1767–1772. doi: 10.1056/NEJM199106203242503. [DOI] [PubMed] [Google Scholar]
  11. Shay D. K., Holman R. C., Newman R. D., Liu L. L., Stout J. W., Anderson L. J. Bronchiolitis-associated hospitalizations among US children, 1980-1996. JAMA. 1999 Oct 20;282(15):1440–1446. doi: 10.1001/jama.282.15.1440. [DOI] [PubMed] [Google Scholar]
  12. Simonsen L., Conn L. A., Pinner R. W., Teutsch S. Trends in infectious disease hospitalizations in the United States, 1980-1994. Arch Intern Med. 1998 Sep 28;158(17):1923–1928. doi: 10.1001/archinte.158.17.1923. [DOI] [PubMed] [Google Scholar]
  13. Teitelbaum M. A., Edmunds M. Immunization and vaccine-preventable illness, United States, 1992 to 1997. Stat Bull Metrop Insur Co. 1999 Apr-Jun;80(2):13–20. [PubMed] [Google Scholar]
  14. Wainwright R. B. The US Arctic Investigations Program: infectious disease prevention and control research in Alaska. Lancet. 1996 Feb 24;347(9000):517–520. doi: 10.1016/s0140-6736(96)91143-5. [DOI] [PubMed] [Google Scholar]
  15. Weinstein P. Research recommendations: pleas for enhanced research efforts to impact the epidemic of dental disease in infants. J Public Health Dent. 1996 Winter;56(1):55–60. doi: 10.1111/j.1752-7325.1996.tb02396.x. [DOI] [PubMed] [Google Scholar]

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