在北达科他州的美洲印第安人中过早死亡的模式,2010-2019年 (大流行前)
Melanie Nadeau1, Joel S Steele1, Amber Lyon-Colbert1
1School of Medicine and Health Sciences, University of North Dakota, Grand Forks, ND, United States.
Frontiers in public health
|March 13, 2025
概括
北达科他州的美洲印第安人死亡率明显高,比白人居民年轻22.5岁. 解决这些差异需要多部门努力和文化敏感的医疗保健,以促进健康公平.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康 公平 卫生 公平
背景情况:
- 北达科他州的美洲印第安人面临着美国最高的年龄调整死亡率.
- 尽管北达科他州的死亡率普遍下降,但在美洲印第安人中,死亡率仍然不成比例.
研究的目的:
- 分析疫情前的特定年龄的死亡率模式以及北达科他州美洲印第安人和白人居民之间的差异.
- 为预防,规划和旨在推进健康公平的政策倡议提供信息.
主要方法:
- 利用2010-2019年美国印第安人和北达科他州白人居民的死亡证明数据.
- 评估了特定年龄的死亡率和死亡率比率,将过早死亡定义为65岁前死亡.
主要成果:
- 美国印第安人男性的平均死亡年龄为55岁,而白人男性为77岁;女性在62岁死亡,而白人女性为85岁.
- 美国印第安人的主要死亡原因包括心脏病,癌症和意外,占死亡人数的55.4%.
- 美国印第安人所有年龄和性别层的全因死亡率都更高,平均寿命比白人居民短22.5年.
结论:
- 专注于预防,政策,文化谦卑和安全的多部门努力对于改善北达科他州美洲印第安人的健康至关重要.
- 解决方案必须以美洲印第安人的声音,文化和空间为中心,涉及部落实体和卫生组织.
- 建议改善死亡证明标准,以准确反映疾病和死亡率中的种族差异.
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