TABLE 1—

Death Rates for All Causes, by IHS Region and Sex for American Indians/Alaska Natives Compared With Whites, All Ages: United States, 1999–2009

	CHSDA Counties					All Counties
IHS Region and 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)
Northern Plains
Total	23 331	1461.8	786 392	770.6	1.90* (1.87, 1.93)	31 188	1242.9	3 843 218	787.1	1.58* (1.56, 1.60)
Male	12 709	1748.8	386 164	927.4	1.89* (1.84, 1.93)	16 812	1484.9	1 846 384	947.8	1.57* (1.54, 1.60)
Female	10 622	1243.4	400 228	649.2	1.92* (1.88, 1.96)	14 376	1064.5	1 996 834	666.6	1.60* (1.57, 1.63)
Alaska
Total	8616	1218.6	23 621	738.2	1.65* (1.61, 1.70)	8616	1218.6	23 621	738.2	1.65* (1.61, 1.70)
Male	4771	1431.6	13 600	856.8	1.67* (1.61, 1.74)	4771	1431.6	13 600	856.8	1.67* (1.61, 1.74)
Female	3845	1041.2	10 021	627.3	1.66* (1.60, 1.73)	3845	1041.2	10 021	627.3	1.66* (1.60, 1.73)
Southern Plains
Total	30 421	1313.1	358 711	928.7	1.41* (1.40, 1.43)	35 130	1159.6	1 758 152	859.7	1.35* (1.33, 1.36)
Male	15 946	1568.7	175 778	1102.2	1.42* (1.40, 1.45)	18 391	1359.5	858 447	1018.7	1.33* (1.31, 1.36)
Female	14 475	1116.3	182 933	790.9	1.41* (1.39, 1.44)	16 739	1001.1	899 705	733.6	1.36* (1.34, 1.39)
Southwest
Total	33 325	1017.8	669 622	789.7	1.29* (1.27, 1.30)	35 366	1000.0	1 052 569	776.8	1.29* (1.27, 1.30)
Male	18 836	1251.4	347 628	926.2	1.35* (1.33, 1.37)	19 916	1218.4	536 547	909.7	1.34* (1.32, 1.36)
Female	14 489	828.1	321 994	670.4	1.24* (1.21, 1.26)	15 450	821.5	516 022	664.2	1.24* (1.22, 1.26)
Pacific Coast
Total	20 779	1091.5	1 459 406	796.0	1.37* (1.35, 1.39)	27 339	953.5	2 711 044	781.0	1.22* (1.21, 1.24)
Male	10 875	1238.3	721 856	933.7	1.33* (1.30, 1.36)	14 379	1088.3	1 327 483	916.5	1.19* (1.16, 1.21)
Female	9904	971.1	737 550	683.8	1.42* (1.39, 1.45)	12 960	842.9	1 383 561	671.4	1.26* (1.23, 1.28)
East
Total	6172	828.7	1 559 313	795.7	1.04* (1.01, 1.07)	24 738	595.7	12 136 547	824.8	0.72* (0.71, 0.73)
Male	3231	939.1	750 611	957.7	0.98 (0.94, 1.02)	13 095	691.7	5 872 696	988.2	0.70* (0.69, 0.71)
Female	2941	735.4	808 702	671.0	1.10* (1.06, 1.14)	11 643	518.3	6 263 851	698.3	0.74* (0.73, 0.76)
All regions
Total	122 644	1165.9	4 857 065	798.8	1.46* (1.45, 1.47)	162 377	964.4	21 525 151	812.2	1.19* (1.18, 1.19)
Male	66 368	1381.8	2 395 637	948.8	1.46* (1.44, 1.47)	87 364	1135.2	10 455 157	969.1	1.17* (1.16, 1.18)
Female	56 276	991.5	2 461 428	678.6	1.46* (1.45, 1.47)	75 013	827.3	11 069 994	689.9	1.20* (1.19, 1.21)

Note. AI/AN = American Indians/Alaska Natives; CHSDA = Contract Health Service Delivery Areas; CI = confidence interval IHS = Indian Health Service; RR = rate ratio. All analyses were limited to decedents of non-Hispanic origin. AI/AN race is reported from death certificates or through linkage with the IHS patient registration database. Rates are per 100 000 people and were age adjusted to the 2000 US standard population (11 age groups; Census P25-1130). RRs were calculated in SEER*Stat (version 8.0.4) before rounding of rates and may not equal RRs calculated from rates presented in table. States and years data excluded because Hispanic origin was not collected on the death certificate: LA: 1990; NH: 1990–1992; OK: 1990–1996. IHS regions are defined as follows: Alaska^a; Northern Plains (IL, IN,^a IA,^a MI,^a MN,^a MT,^a NE,^a ND,^a SD,^a WI,^a WY^a); Southern Plains (OK,^a KS,^a TX^a); Southwest (AZ,^a CO,^a NV,^a NM,^a UT^a); Pacific Coast (CA,^a ID,^a OR,^a WA,^a HI); East (AL,^a AR, CT,^a DE, FL,^a GA, KY, LA,^a ME,^a MD, MA,^a MS,^a MO, NH, NJ, NY,^a NC,^a OH, PA,^a RI,^a SC,^a TN, VT, VA, WV, DC). Percentage 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 Supplement Database (1990–2009).

^aIdentifies states with ≥ 1 county designated as CHSDA.

*P < .05.