TY  - JOUR
PY  - 2014//
TI  - Alcohol-attributable mortality among American Indians and Alaska Natives in the United States, 1999-2009
JO  - American journal of public health
A1  - Landen, Michael
A1  - Roeber, Jim
A1  - Naimi, Tim
A1  - Nielsen, Larry
A1  - Sewell, Mack
SP  - S343
EP  - 9
VL  - 104
IS  - Suppl 3
N2  - OBJECTIVEs. We describe the relative burden of alcohol-attributable death among American Indians/Alaska Natives (AI/ANs) in the United States. <br><br>METHODS. National Death Index records were linked with Indian Health Service (IHS) registration records to identify AI/AN deaths misclassified as non-AI/AN. We calculated age-adjusted alcohol-attributable death rates from 1999 to 2009 for AI/AN and White persons by sex, age, geographic region, and leading causes; individuals of Hispanic origin were excluded. <br><br>RESULTS. AI/AN persons had a substantially higher rate of alcohol-attributable death than Whites from 2005 to 2009 in IHS Contract Health Service Delivery Area counties (rate ratio = 3.3). The Northern Plains had the highest rate of AI/AN deaths (123.8/100 000), and the East had the lowest (48.9/100 000). For acute causes, the largest relative risks for AI/AN persons compared with Whites were for hypothermia (14.2) and alcohol poisoning (7.6). For chronic causes, the largest relative risks were for alcoholic psychosis (5.0) and alcoholic liver disease (4.9). <br><br>CONCLUSIONS. Proven strategies that reduce alcohol consumption and make the environment safer for excessive drinkers should be further implemented in AI/AN communities. (Am J Public Health. Published online ahead of print April 22, 2014: e1-e7. doi:10.2105/AJPH.2013.301648).<p />  <p>Language: en</p>
LA  - en
SN  - 0090-0036
UR  - http://dx.doi.org/10.2105/AJPH.2013.301648
ID  - ref1
ER  -