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

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This report reveals many mortality disparities experienced by NorthwestAI/ANs. Key findings include:• Racial misclassification of AI/ANs on death certificates rangedfrom 8% in Idaho to 13% in Oregon. Mortality measures wouldhave been substantially under-estimated if misclassification hadn’tbeen corrected.• AI/ANs died on average 14 years younger than their whitecounterparts in each of the three Northwest states.• AI/ANs had proportionally more deaths from unintentionalinjuries, diabetes, and suicide and fewer deaths from heart diseaseand cancer compared with their white counterparts.• Motor vehicle crash deaths did not show any significant changeover a recent 20-year period for Washington AI/ANs, but duringthis same time rates decreased significantly for Washington whites.• Homicide rates were low across the Northwest but AI/AN rateswere still several times higher than whites, especially among youngchildren, adolescents and young adults.• Mortality patterns differed by state, for example:o Idaho AI/ANs had the highest rates of suicide and motorvehicle crash mortality and relatively low mortality from drugand alcohol overdoses.o Washington AI/AN males had the highest rates ofunintentional injury deaths.o A large disparity was seen in accidental drug and alcoholoverdose deaths for Washington AI/ANs; rates were more than4 times higher than Idaho AI/ANs.o AI/ANs in Oregon had the lowest suicide rates of theNorthwest AI/AN population; the AI/AN rate in the state wasnot substantially different from that for Oregon whites.NPAIHB and our partners are involved in several projects focused onreducing the disparities documented in this report and elsewhere, andimproving the overall quality of life of Northwest AI/ANs.34 Improving Data & Enhancing Access (IDEA-NW)…◀
Just as mortality patterns differ by state andregion, variations are likely to exist betweendifferent Tribes within the Pacific Northwest;such variations are largely hidden in this report.Tribe-level data are difficult to report due tosmall numbers of cases and the difficultiesaround identifying deaths specific to eachTribal population. NPAIHB’s IDEA-NWProject welcomes opportunities to partner withNorthwest Tribes on data issues, and may be ableto provide you with health-related data specificto your community. Please contact the authors ofthis report (mhoopes@npaihb.org) for furtherdiscussion of your data needs.
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 and 20: Unintentional Injuries: Accidental
Page 21: Washington trend data showed that,
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 36: Northwest Portland AreaIndian Healt

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

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