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Diabetes-associated mortality in Native Americans

J M Newman1, F DeStefano, S E Valway

  • 1Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Atlanta, Georgia.

Diabetes Care
|January 1, 1993
PubMed
Summary
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Native Americans experience significantly higher diabetes-associated mortality rates compared to white and black populations. This highlights a critical public health issue requiring further research and intervention.

Area of Science:

  • Public Health
  • Epidemiology
  • Diabetes Research

Background:

  • Diabetes poses a significant health burden on Native American populations.
  • Existing data may underestimate the true extent of diabetes-associated mortality in this demographic.

Purpose of the Study:

  • To accurately describe diabetes-associated mortality among Native Americans.
  • To compare mortality rates between Native Americans and other racial groups.

Main Methods:

  • Population-based study analyzing data from the Indian Health Service (IHS) and National Center for Health Statistics (NCHS).
  • Utilized 1986 National Mortality Followback Survey (NMFS) to address underreporting of Native American heritage on death certificates.
  • Calculated age-adjusted mortality rates for diabetes as an underlying and contributory cause of death.

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Main Results:

  • Diabetes mortality rates for Native Americans were substantially higher than the general U.S. population.
  • NCHS data identified diabetes as a cause in over 1900 deaths among Native Americans.
  • After correcting for underreporting, Native Americans had 4.3 times higher mortality when diabetes was the underlying cause and 3.7 times higher when it was a contributory cause compared to whites.

Conclusions:

  • Excessive diabetes-associated mortality in Native Americans underscores the severity of the diabetes epidemic in this group.
  • There is a clear need for enhanced epidemiological research and expanded diabetes control programs for Native Americans.