TABLE 2—
Death Rates for All Causes by IHS Region and Sex for American Indians/Alaska Natives Compared With Whites: CHSDA Counties, United States, 1990–2009
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AI/AN Differences |
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| IHS Region/Sex | AI/AN Count | AI/AN Rate | White Count | White Rate | AI/AN:White RR (95% CI) | AI/AN Count | AI/AN Rate | White Count | White Rate | AI/AN:White RR (95% CI) | Count | Rate | RR |
| Northern Plains | |||||||||||||
| Male and female | 21 522 | 1337.3 | 788 175 | 772.5 | 1.73* (1.70, 1.76) | 23 331 | 1461.8 | 786 392 | 770.6 | 1.90* (1.87, 1.93) | 1809 | 124.5 | 0.17 |
| Male | 11 782 | 1604.6 | 387 075 | 929.5 | 1.73* (1.69, 1.77) | 12 709 | 1748.8 | 386 164 | 927.4 | 1.89* (1.84, 1.93) | 927 | 144.2 | 0.16 |
| Female | 9740 | 1133.0 | 401 100 | 650.9 | 1.74* (1.70, 1.78) | 10 622 | 1243.4 | 400 228 | 649.2 | 1.92* (1.88, 1.96) | 882 | 110.4 | 0.17 |
| Alaska | |||||||||||||
| Male and female | 8042 | 1142.4 | 24 162 | 752.5 | 1.52* (1.48, 1.56) | 8616 | 1218.6 | 23 621 | 738.2 | 1.65* (1.61, 1.70) | 574 | 76.2 | 0.13 |
| Male | 4435 | 1333.9 | 13 912 | 873.9 | 1.53* (1.47, 1.59) | 4771 | 1431.6 | 13 600 | 856.8 | 1.67* (1.61, 1.74) | 336 | 97.7 | 0.14 |
| Female | 3607 | 982.1 | 10 250 | 639.2 | 1.54* (1.48, 1.60) | 3845 | 1041.2 | 10 021 | 627.3 | 1.66* (1.60, 1.73) | 238 | 59.1 | 0.12 |
| Southern Plains | |||||||||||||
| Male and female | 21 802 | 931.8 | 367 010 | 951.0 | 0.98* (0.97, 0.99) | 30 421 | 1313.1 | 358 711 | 928.7 | 1.41* (1.40, 1.43) | 8619 | 381.3 | 0.43 |
| Male | 11 600 | 1127.6 | 179 964 | 1127.9 | 1.00 (0.98, 1.02) | 15 946 | 1568.7 | 175 778 | 1102.2 | 1.42* (1.40, 1.45) | 4346 | 441.1 | 0.42 |
| Female | 10 202 | 781.8 | 187 046 | 810.2 | 0.97* (0.95, 0.98) | 14 475 | 1116.3 | 182 933 | 790.9 | 1.41* (1.39, 1.44) | 4273 | 334.5 | 0.45 |
| Southwest | |||||||||||||
| Male and female | 31 488 | 960.9 | 671 400 | 791.9 | 1.21* (1.20, 1.23) | 33 325 | 1017.8 | 669 622 | 789.7 | 1.29* (1.27, 1.30) | 1837 | 56.9 | 0.08 |
| Male | 17 826 | 1183.4 | 348 602 | 928.9 | 1.27* (1.25, 1.30) | 18 836 | 1251.4 | 347 628 | 926.2 | 1.35* (1.33, 1.37) | 1010 | 68 | 0.08 |
| Female | 13 662 | 780.3 | 322 798 | 672.2 | 1.16* (1.14, 1.18) | 14 489 | 828.1 | 321 994 | 670.4 | 1.24* (1.21, 1.26) | 827 | 47.8 | 0.07 |
| Pacific | |||||||||||||
| Male and female | 17 088 | 889.2 | 1 462 986 | 798.0 | 1.11* (1.10, 1.13) | 20 779 | 1091.5 | 1 459 406 | 796.0 | 1.37* (1.35, 1.39) | 3691 | 202.3 | 0.26 |
| Male | 9011 | 1016.3 | 723 661 | 936.0 | 1.09* (1.06, 1.11) | 10 875 | 1238.3 | 721 856 | 933.7 | 1.33* (1.30, 1.36) | 1864 | 222 | 0.24 |
| Female | 8077 | 785.7 | 739 325 | 685.6 | 1.15* (1.12, 1.17) | 9904 | 971.1 | 737 550 | 683.8 | 1.42* (1.39, 1.45) | 1827 | 185.4 | 0.27 |
| East | |||||||||||||
| Male and female | 5610 | 753.4 | 1 559 827 | 796.0 | 0.95* (0.92, 0.97) | 6172 | 828.7 | 1 559 313 | 795.7 | 1.04* (1.01, 1.07) | 562 | 75.3 | 0.10 |
| Male | 2937 | 854.7 | 750 874 | 958.0 | 0.89* (0.86, 0.93) | 3231 | 939.1 | 750 611 | 957.7 | 0.98 (0.94, 1.02) | 294 | 84.4 | 0.09 |
| Female | 2673 | 668.1 | 808 953 | 671.3 | 1.00 (0.96, 1.04) | 2941 | 735.4 | 808 702 | 671.0 | 1.10* (1.06, 1.14) | 268 | 67.3 | 0.10 |
| Total | |||||||||||||
| Male and female | 105 552 | 994.0 | 4 873 560 | 801.7 | 1.24* (1.23, 1.25) | 122 644 | 1165.9 | 4 857 065 | 798.8 | 1.46* (1.45, 1.47) | 17 092 | 171.9 | 0.22 |
| Male | 57 591 | 1186.9 | 2 404 088 | 952.0 | 1.25* (1.23, 1.26) | 66 368 | 1381.8 | 2 395 637 | 948.8 | 1.46* (1.44, 1.47) | 8777 | 194.9 | 0.21 |
| Female | 47 961 | 839.0 | 2 469 472 | 681.1 | 1.23* (1.22, 1.24) | 56 276 | 991.5 | 2 461 428 | 678.6 | 1.46* (1.45, 1.47) | 8315 | 152.5 | 0.23 |
Note. AI/AN = American Indian and Alaska Native; CHSDA = Contract Health Service Delivery Area; CI = confidence interval; IHS = Indian Health Service; RR = rate ratio. Analysis includes only persons of non-Hispanic origin. States and years of data excluded because Hispanic origin was not collected on the death certificate: LA: 1990; NH: 1990–1992; OK: 1990–1996. Rates are per 100 000 persons and are age-adjusted to the 2000 US standard population (11 age groups - Census P25-1130). RRs are calculated in SEER*Stat before rounding of rates and may not equal RRs calculated from rates presented in table. Percent regional coverage of AI/AN persons in CHSDA counties to AI/AN persons in all counties: Northern Plains = 64.8%; Alaska = 100%; Southern Plains = 76.3%; Southwest = 91.3%; Pacific Coast = 71.3%; East = 18.2%; total US = 64.2%.
Source. AI/AN Mortality Database (AMD 1990-2009). Data are based on linked Indian Health Service-National Vital Statistics System mortality files.
P < .05.