TABLE 3—
Pediatric Deaths and Average Annual Death Rates by Indian Health Service Region for American Indians/Alaska Natives Compared With Whites, Aged 1–19 years: Contract Health Service Delivery Area Counties, United States, 1999–2009
| AI/AN |
White |
||||
| Region/Age, Years | Count | Rate | Count | Rate | AI/AN:White RR (95% CI) |
| Northern Plains | |||||
| 1–4 | 197 | 78.8 | 1115 | 27.8 | 2.84* (2.43, 3.31) |
| 5–9 | 95 | 31.4 | 784 | 14.8 | 2.13* (1.70, 2.60) |
| 10–14 | 136 | 41.9 | 1034 | 17.6 | 2.39* (1.98, 2.86) |
| 15–19 | 650 | 211.6 | 3737 | 59.4 | 3.56* (3.27, 3.87) |
| Alaska | |||||
| 1–4 | 96 | 107.8 | 60 | 23.7 | 4.54* (3.26, 6.38) |
| 5–9 | 45 | 38.4 | 46 | 14.0 | 2.75* (1.78, 4.24) |
| 10–14 | 86 | 64.2 | 90 | 23.9 | 2.69* (1.98, 3.66) |
| 15–19 | 290 | 233.3 | 238 | 66.3 | 3.52* (2.95, 4.20) |
| Southern Plains | |||||
| 1–4 | 136 | 52.9 | 614 | 41.4 | 1.28* (1.05, 1.54) |
| 5–9 | 109 | 31.5 | 338 | 18.1 | 1.74* (1.39, 2.16) |
| 10–14 | 106 | 29.2 | 450 | 22.5 | 1.30* (1.04, 1.61) |
| 15–19 | 445 | 124.4 | 1609 | 73.0 | 1.70* (1.53, 1.89) |
| Southwest | |||||
| 1–4 | 276 | 72.3 | 982 | 29.6 | 2.45* (2.13, 2.80) |
| 5–9 | 140 | 29.3 | 559 | 13.7 | 2.15* (1.77, 2.59) |
| 10–14 | 233 | 42.4 | 809 | 18.6 | 2.27* (1.96, 2.63) |
| 15–19 | 876 | 165.3 | 2857 | 64.8 | 2.55* (2.36, 2.75) |
| Pacific Coast | |||||
| 1–4 | 106 | 59.8 | 1664 | 25.9 | 2.31* (1.88, 2.82) |
| 5–9 | 51 | 21.7 | 1129 | 13.2 | 1.65* (1.22, 2.18) |
| 10–14 | 75 | 27.0 | 1547 | 15.9 | 1.69* (1.32, 2.14) |
| 15–19 | 346 | 124.7 | 5380 | 53.9 | 2.31* (2.07, 2.58) |
| East | |||||
| 1–4 | 42 | 59.0 | 1594 | 24.0 | 2.46* (1.77, 3.35) |
| 5–9 | 12 | 13.6 | 1101 | 12.4 | 1.10 (0.56, 1.92) |
| 10–14 | 16 | 16.6 | 1438 | 15.1 | 1.10 (0.63, 1.79) |
| 15–19 | 80 | 80.3 | 5451 | 56.2 | 1.43* (1.13, 1.78) |
| Total | |||||
| 1–4 | 853 | 69.6 | 6029 | 27.2 | 2.56* (2.38, 2.75) |
| 5–9 | 452 | 28.9 | 3957 | 13.6 | 2.12* (1.92, 2.34) |
| 10–14 | 652 | 37.3 | 5368 | 16.9 | 2.22* (2.04, 2.40) |
| 15–19 | 2687 | 158.4 | 19 272 | 58.4 | 2.71* (2.60, 2.82) |
Note. AI/AN = American Indian/Alaska Native; CI = confidence interval; RR = rate ratio. Analyses are limited to persons of non-Hispanic origin. AI/AN race is reported from death certificates or through linkage with the Indian Health Service patient registration database. Rates are per 100 000 persons and are age-adjusted to the 2000 US standard population (11 age groups; Census P25-1130).27 RRs are calculated in SEER*Stat before rounding of rates and may not equal RRs calculated from rates presented in table. Indian Health Service regions are defined as follows: AKa; 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 Contract Health Service Delivery Area 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).
Identifies states with ≥ 1 county designated as Contract Health Service Delivery Area.
*P < .05.