TABLE 1—
CHSDA Counties |
All Counties |
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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: Alaskaa; Northern Plains (IL, IN,a IA,a MI,a MN,a MT,a NE,a ND,a SD,a WI,a WYa); Southern Plains (OK,a KS,a TXa); Southwest (AZ,a CO,a NV,a NM,a UTa); 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).
Identifies states with ≥ 1 county designated as CHSDA.
*P < .05.