Leading Causes of Death Among Non-Hispanic American Indian and Alaska Native People, by Indian Health Service Area, 2020.

IF 2.3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Reports Pub Date : 2026-09-01 Epub Date: 2026-04-26 DOI:10.1177/00333549261435518

Stephanie C Melkonian, Melissa A Jim, Donald Haverkamp, Jeffrey McCollum, Andria Apostolou, Juan L Rodriguez, Victoria Warren-Mears, Nicamer Tolentino, Julie Morris, David Foley, Elise Balzer, Kade Lenz

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引用次数: 0

Abstract

Objectives: Accurate mortality data for American Indian and Alaska Native (AI/AN) people are critical for describing health disparities and program planning needs. We describe the rates of leading causes of death among non-Hispanic AI/AN as compared with non-Hispanic White populations living in the same area, by sex and Indian Health Service (IHS) Area in 2020.

Methods: We used the 2020 US Cancer Statistics AI/AN Mortality Database and SEER*Stat software to calculate sex-specific age-adjusted death rates (per 100 000 population) for the 15 leading causes of death among non-Hispanic AI/AN and non-Hispanic White people in the United States overall (all areas combined), by IHS Area, and by age group. We restricted analyses to non-Hispanic AI/AN and non-Hispanic White people living in Purchased/Referred Care Delivery Area counties.

Results: Death rates were higher among non-Hispanic AI/AN people than among non-Hispanic White people in the United States overall (rate ratio = 1.90) and in every IHS Area (rate ratio range = 1.11-2.78). Death rates also varied by sex and age. Death rates were nearly 4 times higher among non-Hispanic AI/AN people than among non-Hispanic White people in the 25- to 44-year age group. Leading causes of death among non-Hispanic AI/AN males and females included COVID-19, heart disease, unintentional injury, cancer, and chronic liver disease.

Conclusions: Death rates differed between non-Hispanic AI/AN and non-Hispanic White people by IHS Area, sex, and age when data corrected for racial misclassification were used. Our findings have important implications for guiding future public health practice to address disparities in mortality, particularly in the context of public health emergencies.

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非西班牙裔美国印第安人和阿拉斯加原住民的主要死亡原因，按印第安人卫生服务区划分，2020年。

目的：美洲印第安人和阿拉斯加原住民（AI/AN）的准确死亡率数据对于描述健康差异和方案规划需求至关重要。我们描述了2020年非西班牙裔AI/AN与居住在同一地区的非西班牙裔白人人口的主要死因比率，按性别和印第安人卫生服务（IHS）区域划分。方法：我们使用2020年美国癌症统计AI/AN死亡率数据库和SEER*Stat软件计算美国整体（所有地区合并）非西班牙裔AI/AN和非西班牙裔白人中15种主要死亡原因的性别-年龄调整死亡率（每10万人），按IHS地区和年龄组分列。我们将分析限制在非西班牙裔AI/AN和居住在购买/转诊医疗服务地区县的非西班牙裔白人。结果：在美国，非西班牙裔AI/AN人群的死亡率高于非西班牙裔白人（比率比= 1.90），在每个IHS区域（比率比范围= 1.11-2.78）。死亡率也因性别和年龄而异。在25至44岁年龄组中，非西班牙裔黑人/黑人的死亡率比非西班牙裔白人的死亡率高出近4倍。非西班牙裔AI/AN男性和女性的主要死亡原因包括COVID-19、心脏病、意外伤害、癌症和慢性肝病。结论：当使用校正了种族错误分类的数据时，非西班牙裔AI/AN和非西班牙裔白人的死亡率在IHS区域、性别和年龄方面存在差异。我们的研究结果对指导未来的公共卫生实践以解决死亡率差异具有重要意义，特别是在突发公共卫生事件的背景下。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Public Health Reports 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.00

自引率

6.10%

发文量

164

审稿时长

6-12 weeks

期刊介绍： Public Health Reports is the official journal of the Office of the U.S. Surgeon General and the U.S. Public Health Service and has been published since 1878. It is published bimonthly, plus supplement issues, through an official agreement with the Association of Schools and Programs of Public Health. The journal is peer-reviewed and publishes original research and commentaries in the areas of public health practice and methodology, original research, public health law, and public health schools and teaching. Issues contain regular commentaries by the U.S. Surgeon General and executives of the U.S. Department of Health and Human Services and the Office of the Assistant Secretary of Health. The journal focuses upon such topics as tobacco control, teenage violence, occupational disease and injury, immunization, drug policy, lead screening, health disparities, and many other key and emerging public health issues. In addition to the six regular issues, PHR produces supplemental issues approximately 2-5 times per year which focus on specific topics that are of particular interest to our readership. The journal''s contributors are on the front line of public health and they present their work in a readable and accessible format.