TABLE 2—
Death Rates for All Causes, by IHS Region and Age for American Indians/Alaska Natives Compared With Whites, Males and Females: CHSDA Counties, United States, 1999–2009
| AI/AN |
White |
||||
| IHS Region and Age | Count | Rate | Count | Rate | AI/AN:White RR (95% CI) |
| Northern Plains | |||||
| 0–24 y | 2592 | 170.8 | 16 996 | 61.0 | 2.80 (2.69, 2.92) |
| 25–44 y | 3459 | 458.4 | 28 235 | 125.8 | 3.64 (3.51, 3.77) |
| 45–64 y | 7115 | 1385.3 | 119 707 | 520.2 | 2.66 (2.60, 2.73) |
| 65–84 y | 8064 | 6032.6 | 356 653 | 3274.3 | 1.84 (1.80, 1.88) |
| ≥ 85 y | 2101 | 18 584.7 | 264 801 | 15 021.1 | 1.24 (1.18, 1.29) |
| Alaska | |||||
| 0–24 y | 1116 | 192.8 | 1091 | 63.1 | 3.06 (2.81, 3.33) |
| 25–44 y | 1382 | 442.0 | 2160 | 144.3 | 3.06 (2.86, 3.28) |
| 45–64 y | 2253 | 1025.0 | 6822 | 489.4 | 2.09 (2.00, 2.20) |
| 65–84 y | 2937 | 4751.4 | 9789 | 3296.8 | 1.44 (1.38, 1.50) |
| ≥ 85 y | 928 | 17 040.0 | 3759 | 12 810.1 | 1.33 (1.24, 1.43) |
| Southern Plains | |||||
| 0–24 y | 1880 | 112.1 | 8062 | 78.0 | 1.44 (1.37, 1.51) |
| 25–44 y | 3322 | 357.4 | 15 420 | 186.4 | 1.92 (1.85, 1.99) |
| 45–64 y | 8461 | 1179.4 | 64 425 | 736.4 | 1.60 (1.57, 1.64) |
| 65–84 y | 12 050 | 5310.1 | 168 348 | 3869.4 | 1.37 (1.35, 1.40) |
| ≥ 85 y | 4708 | 20 388.0 | 102 456 | 16 309.3 | 1.25 (1.21, 1.29) |
| Southwest | |||||
| 0–24 y | 3425 | 136.0 | 14 190 | 64.5 | 2.11 (2.03, 2.19) |
| 25–44 y | 6221 | 440.1 | 30 684 | 165.3 | 2.66 (2.59, 2.74) |
| 45–64 y | 8920 | 956.8 | 122 589 | 615.3 | 1.56 (1.52, 1.59) |
| 65–84 y | 10 368 | 3697.1 | 320 538 | 3200.0 | 1.16 (1.13, 1.18) |
| ≥ 85 y | 4391 | 13 938.8 | 181 621 | 14 583.9 | 0.96 (0.93, 0.98) |
| Pacific Coast | |||||
| 0–24 y | 1434 | 114.6 | 25 902 | 56.7 | 2.02 (1.92, 2.13) |
| 25–44 y | 2754 | 330.2 | 56 985 | 140.5 | 2.35 (2.26, 2.44) |
| 45–64 y | 6430 | 942.9 | 248 186 | 578.7 | 1.63 (1.59, 1.67) |
| 65–84 y | 7787 | 4571.3 | 665 484 | 3383.5 | 1.35 (1.32, 1.38) |
| ≥ 85 y | 2374 | 15 236.5 | 462 849 | 14 854.0 | 1.03 (0.98, 1.07) |
| East | |||||
| 0–24 y | 431 | 89.9 | 26 451 | 59.2 | 1.52 (1.38, 1.67) |
| 25–44 y | 756 | 238.6 | 59 545 | 145.2 | 1.64 (1.53, 1.77) |
| 45–64 y | 1938 | 769.3 | 245 921 | 582.6 | 1.32 (1.26, 1.38) |
| 65–84 y | 2350 | 3526.3 | 720 164 | 3360.8 | 1.05 (1.01, 1.09) |
| ≥ 85 y | 697 | 10 573.4 | 507 232 | 14 793.5 | 0.71 (0.66, 0.77) |
| Total | |||||
| 0–24 y | 10 878 | 135.5 | 92 692 | 60.8 | 2.23 (2.18, 2.27) |
| 25–44 y | 17 894 | 392.2 | 193 029 | 145.9 | 2.69 (2.65, 2.73) |
| 45–64 y | 35 117 | 1059.0 | 807 650 | 584.3 | 1.81 (1.79, 1.83) |
| 65–84 y | 43 556 | 4634.3 | 2 240 976 | 3362.0 | 1.38 (1.37, 1.39) |
| ≥ 85 y | 15 199 | 16 252.5 | 1 522 718 | 14 913.2 | 1.09 (1.07, 1.11) |
Note. AI/AN = American Indian/Alaska Native; CHSDA = Contract Health Service Delivery Areas; CI = confidence interval; IHS = Indian Health Service; RR = rate ratio. Analyses were limited to people 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). RR were calculated in SEER*Stat (version 8.0.4) before rounding of rates and may not equal rate ratios calculated from rates presented in table. 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). 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 (1990–2009).
Identifies states with ≥ 1 county designated as CHSDA.
*P < .05.