Northwest American Indian and Alaska Native Mortality (2012) 7.7mb

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In Idaho, accidental drug and alcohol mortality rates for men and women were nearly the same, while the othertwo states saw male rates outpacing females (Figure 13).Both races showed asimilar pattern across theage distribution, with apeak for accidental drugand alcohol overdosemortality occurringat middle age (Figure14). AI/AN rates forthe younger age groupswere notably higher thanwhites in the same ageranges. AI/AN youth(10-19 years) died fromaccidental drug andalcohol exposure at ratesmore than four timeshigher than white youth.Age‐Adjusted Rate per 100,000Figure 13. Accidental drug and alcohol overdose mortality by sex,2006-2009504030201006.716.715.011.89.27.56.0 6.438.728.914.39.4Idaho Oregon WashingtonAI/AN MaleAI/AN FemaleWhite MaleWhite FemaleFigure 14. Accidental drug and alcohol overdose mortality by age,2006-200960AI/AN White50Age‐specific rate per 100,00040302010‐0‐910‐1920‐2930‐3940‐4950‐5960‐6970‐7980+20 Improving Data & Enhancing Access (IDEA-NW)
Washington trend data showed that, since 1994, AI/AN rates ofdrug overdose deaths were higher than whites, and increasingmore quickly (Figure 15). While both populations had a significantincrease in drug overdose deaths over this time period, AI/ANrates increased an average of 14.6% per year compared with anannual increase of 10.7% for whites.Since 1999, prescription drugs have outpaced illicit drugs as themost common type of drug overdose. Whites and AI/ANs haveboth seen steep increases in prescription drug overdose deaths,but AI/AN rates have increased at almost twice the pace (APC =16.2% versus 8.7% for Whites). Most worrisome are deaths due toprescription opioid pain relievers (OPR), from which WashingtonAI/ANs have seen a 22% increase annually since 1999.Table 3 summarizes the types of drug overdose deaths from eachstate, including both deaths with underlying cause of drug oralcohol, and those with contributing cause of drug or alcohol. For example, a death with an underlying cause ofmotor vehicle crash may have had alcohol as a contributing factor - this would be included in the row "alcoholassociated deaths". Note that "drug associated" and "alcohol associated" include deaths from both short term andlong term substance use, but exclude drug deaths that are not related to substance abuse such as medical errorsor allergic reactions.Age-Adjusted Rate per 100,00035302520151050Figure 15. Accidental drug overdose mortality, Washington, 1990-20093-year rolling averagesAI/ANWhiteAPC = +14.6%APC = +10.7%Improving Data & Enhancing Access (IDEA-NW)21
Page 5: Contents6Background8Methods9Linkage
Page 10: Leading Causes of DeathTable 1 pres
Page 13 and 14: Men had higher rates of unintention
Page 15 and 16: Unintentional Injuries: Motor Vehic
Page 17 and 18: Overall, MVC mortality washigher in
Page 19: Unintentional Injuries: Accidental
Page 24 and 25: Unintentional Injuries: FallsWhile
Page 26 and 27: Young adult AI/ANs aged 20-29 had t
Page 28 and 29: Male AI/ANs were much more likely t
Page 30 and 31: Washington trend data showed that s
Page 32 and 33: For both races, homicide rates peak
Page 34 and 35: This report reveals many mortality
Page 36: Northwest Portland AreaIndian Healt

Northwest American Indian and Alaska Native Mortality (2012) 7.7mb

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