Table 3.

Number of deaths, crude death rates, age-adjusted mortality rates per 100 000 (AAMRs) and rate ratios of before and after Indian Health Service Linkage by for the top 10 causes of death in American Indians/Alaska Natives, Oklahoma 2011-2015.

	White					American Indian/Alaska Native
	Before IHS Linkage		After IHS Linkage			Before IHS Linkage		After IHS Linkage
Cause of Death	Deaths	AAMR	Deaths	AAMR	Percent Difference in AAMR	Deaths	AAMR	Deaths	AAMR	Percent Difference in AAMR
Diseases of the Heart	42 112	225.0	41 277	221.0	−2.0	3 136	246.0	4 019	316.2	28.6
Cancer	34 753	184.9	33 932	181.0	−2.4	2 692	193.0	3 560	256.1	32.8
Unintentional Injuries	9 951	61.4	9 584	58.9	−4.1	1 218	72.2	1 605	95.6	32.4
Diabetes	4 895	26.3	4 765	25.6	−2.7	789	58.2	927	69.1	18.7
Chronic Liver Disease and Cirrhosis	2 194	12.3	2 111	11.8	−4.1	539	32.3	624	37.4	15.8
Chronic Lower Respiratory Disease	12 444	65.9	12 186	64.6	−2.0	667	51.4	930	72.0	40.1
Cerebrovascular Disease	8 096	43.4	7 967	42.7	−1.6	519	42.0	659	53.9	28.3
Suicide	3 050	19.8	2 934	19.1	−3.5	307	16.7	429	23.3	39.5
Kidney Disease and Infections	2 319	12.4	2 265	12.1	−2.4	277	21.4	336	26.5	23.8
Pneumonia and Influenza	3 150	16.9	3 087	16.6	−1.8	273	22.3	342	27.7	24.2

AAMR: Age-Adjusted Mortality Rate per 100,000 population