Appendix Table A3.
Comparison of Sex-Stratified, Age-Standardized Mortality Risk Ratios for the Veterans Health Administration and U.S. General Populations
| All-cause mortality | Cancer mortality | Cardiovascular-related mortality | ||||
|---|---|---|---|---|---|---|
| VHA cohort | U.S. general population | VHA cohort | U.S. general population | VHA cohort | U.S. general population | |
| Men | ||||||
| Non-Hispanic White | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
| AI/AN | 1.13(1.07–1.18) | 1.00 (0.97–1.02) | 1.13(1.02–1.24) | 0.92(0.88–0.96) | 0.99 (0.88–1.09) | 0.89 (0.85–0.93) |
| Non-Hispanic Black | 1.10(1.09–1.11) | 1.17(1.17–1.18) | 1.21(1.19–1.23) | 1.26(1.24–1.27) | 1.09(1.07–1.11) | 1.15(1.14–1.16) |
| Hispanic | 0.88(0.87–0.90) | 0.73(0.73–0.73) | 0.79(0.77–0.82) | 0.70(0.69–0.71) | 0.78(0.76–0.81) | 0.70(0.69–0.71) |
| Women | ||||||
| Non-Hispanic White | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
| AI/AN | 1.19 (0.86–1.61) | 1.06 (1.04–1.08) | 0.99 (0.43–1.88) | 0.90 (0.86–0.94) | 0.54 (0.16–1.26) | 0.91 (0.87–0.95) |
| Non-Hispanic Black | 0.90 (0.80–1.0001) | 1.11(1.10–1.11) | 0.91 (0.73–1.11) | 1.14(1.13–1.15) | 0.79 (0.60–1.001) | 1.17(1.16–1.18) |
| Hispanic | 0.70 (0.56–0.85) | 0.68 (0.68–0.69) | 0.57 (0.37–0.83) | 0.66 (0.65–0.67) | 0.80 (0.51–1.18) | 0.70 (0.69–0.71) |
Authors' analysis of CDC NDI data as provided by the VA/DoD Suicide Data Repository, and mortality files from the NCHS, with age-adjusted using U.S. Census annual population estimates.
Within a column, a test of the significance of a minority/non-Hispanic White disparity in mortality is presented, where a standardized RR in bold indicates a statistically significant difference from the reference group (non-Hispanic White) within each population at p<0.05.
Within a row, a test of the significance of the difference in the magnitudes of a standardized RR for the VHA cohort and a standardized RR for the U.S. general population are presented, where the RRs in italics denote nonoverlapping CIs between the VHA cohort and U.S. general population.
Age standardized to the FY2009 non-Hispanic White VHA user population by sex.
AI/AN, American Indian/Alaskan Native; CDC, Centers for Disease Control and Prevention; CI, confidence interval; FY, fiscal year; NCHS, National Center for Health Statistics; NDI, National Death Index; RR, risk ratio; VHA, Veterans Health Administration.