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Alaska native mortality, 1979-1998.

Gretchen Ehrsam Day1, Anne P Lanier

  • 1Office of Alaska Native Health Research, Division of Community Health Services, Alaska Native Tribal Health Consortium, Anchorage, AK 99508, USA. day747@gci.net

Public Health Reports (Washington, D.C. : 1974)
|October 18, 2003
PubMed
Summary

Alaska Native mortality rates were 60% higher than U.S. white rates, with significant disparities in injury, suicide, and homicide. Chronic disease deaths increased, offsetting injury improvements.

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Area of Science:

  • Public Health
  • Epidemiology
  • Health Disparities

Background:

  • Mortality patterns in indigenous populations often differ significantly from general populations.
  • Understanding these differences is crucial for targeted public health interventions.

Purpose of the Study:

  • To compare mortality rates between Alaska Natives and U.S. whites from 1989-1998.
  • To examine mortality trends for Alaska Natives over a 20-year period (1979-1998).

Main Methods:

  • Utilized death certificate data and Indian Health Service population estimates for Alaska Natives.
  • Employed National Center for Health Statistics data for U.S. white population mortality.
  • Age-adjusted mortality rates to the U.S. 1940 standard million for both groups.

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Main Results:

  • Alaska Native mortality rates were 60% higher than U.S. white rates (1989-1998).
  • Significant disparities existed for leading causes, especially unintentional injury, suicide, and homicide.
  • While injury rates declined, chronic disease death rates (cancer, cerebrovascular, COPD, diabetes) increased among Alaska Natives.

Conclusions:

  • Improvements in injury mortality among Alaska Natives are counteracted by rising chronic disease deaths.
  • Persistent and emerging disparities highlight the need for focused health strategies for Alaska Natives.