Effect of Racial/Ethnic Misclassification of American Indians and Alaskan Natives on Washington State Death Certificates, 1989–1997

Stehr‐Green, Paul A.; Bettles, James; Robertson, L. D.

doi:10.2105/ajph.92.3.443

Cited by 78 publications

(46 citation statements)

References 7 publications

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“…The systematic misclassification of American Indian decedents in the MCD may lead to an overestimated number of fatal RMSF cases in our capture-recapture analysis. 54 The results from the CRFs are based on data from passive surveillance, and the reasons why these demographics and communities are at increased risk of fatal RMSF are beyond these data. Also, the results presented are often based upon small numbers because the overall incidence of RMSF and the corresponding CFR are relatively small.…”

Section: Discussionmentioning

confidence: 99%

Fatal Rocky Mountain Spotted Fever in the United States, 1999–2007

Dahlgren

Holman²,

Paddock³

et al. 2012

The American Society of Tropical Medicine and Hygiene

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Abstract. Death from Rocky Mountain spotted fever (RMSF) is preventable with prompt, appropriate treatment. Data from two independent sources were analyzed to estimate the burden of fatal RMSF and identify risk factors for fatal RMSF in the United States during 1999-2007. Despite increased reporting of RMSF cases to the Centers for Disease Control and Prevention, no significant changes in the estimated number of annual fatal RMSF cases were found. American Indians were at higher risk of fatal RMSF relative to whites (relative risk [RR] = 3.9), and children 5-9 years of age (RR = 6.0) and adults 70 years of age (RR = 3.0) were also at increased risk relative to other ages. Persons with cases of RMSF with an immunosuppressive condition were at increased risk of death (RR = 4.4). Delaying treatment of RMSF was also associated with increased deaths. These results may indicate a gap between recommendations and practice.

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Section: Discussionmentioning

confidence: 99%

Fatal Rocky Mountain Spotted Fever in the United States, 1999–2007

Dahlgren

Holman²,

Paddock³

et al. 2012

The American Society of Tropical Medicine and Hygiene

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“…At that time Native Americans fell behind Native Hawaiian or Pacific Islanders in rates of HIV/AIDS diagnosis (Centers for Disease Control and Prevention, 2009). In fact, some health researchers believe that the incidence of HIV/AIDS among Native Americans is actually higher, given racial misclassification occurred as early as 1991 in AIDS surveillance (Metler, Conway, & Stehr-Green, 1991;Stehr-Green, Bettles, & Robertson, 2002), and, in 2008, surveillance of infectious disease among Native Americans continued to show weaknesses (Bertolli et al, 2008). Data on the diagnosis of HIV infection rates per 100,000, between 2007-2010 showed Native American rates increased (Centers for Disease Control and Prevention, 2010).…”

Section: Keyterms American Indians Health Communication Native Amermentioning

confidence: 99%

Communication About Sexually Transmitted Infections Among Rural and Urban Native American Youth

Rouner

Long

Bubar

et al. 2015

Howard Journal of Communications

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This study explored an underserved population, Native American youth, regarding health communication about sexually transmitted infections (STIs) and HIV/AIDS. Determining communication patterns of these youth, who markedly differ from the general population on access to health facilities and information, will inform public policy about lessening Native youth STI and HIV/AIDs morbidity, potentially leading to a reduction in health and human costs associated with these illnesses. Using information channel complementarity theory, this study examined sexual health information use by rural and urban Native American youth. Semistructured interviews in a community-participatory based research approach (CPBR) facilitated understanding these youth in their cultural contexts. Findings showed they preferred pamphlets as their sexual health information source. They trusted interpersonal more than mediated sources, yet noted a lack of confidentiality from health officials. Although knowledgeable about types of STIs and HIV/AIDS, participants did not demonstrate knowledge about symptoms and treatments and exhibited a false awareness of self-knowledge. They showed a strong sense of community, interested in helping younger 172 Communication About Sexual Health 173 people in health prevention. They engaged in sexual behaviors, frequently along with alcohol and drugs. Rural females associated alcohol with sex and violence more than rural males, although this was not found among urban females or males.

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“…It has been noted that "the need for statistical information was recognized early by the Indian Health Service, and a system of gathering and analyzing such information has been useful not only for assuring high quality of health care but also for appropriate planning of health programs and allocation of resources" (Rhoades, D'Angelo, and Rhoades, 2000, p. 93). Although fraught with collection problems such as misclassification, the need for accurate data remains (Kelly, Chu, Diaz, Leary, and Buehler, 1996;Lieb, Conway, Hedderman, Yao, and Kerndt, 1992;Metler et al, 1991;Stehr-Green, Bettles, and Robertson, 2002). The call for more data includes the need for federal, state, local Vernon agencies, and tribes to gather more information that acknowledges the differences among tribes and American Indian people and to collect sufficient data "to make informed policy, planning and resource allocation decision for the health improvement of the population" Satter, 2000, p. 1722).…”

Section: Recommendationsmentioning

confidence: 99%

American Indian Women, HIV/AIDS, and Health Disparity

Vernon

2007

Substance Use & Misuse

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Data are presented regarding the prevalence of HIV/AIDS among American Indian women. Health disparities found among American Indians are discussed and biological, economic, social, and behavioral risk factors associated with HIV are detailed. Recommendations are suggested to alleviate the spread of HIV among American Indian women and, in the process, to diminish a culture of treatment malpractice and a weakening of treatment ethics, racism, and genderism.

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Effect of Racial/Ethnic Misclassification of American Indians and Alaskan Natives on Washington State Death Certificates, 1989–1997

Abstract: Systematic biases on death certificates in Washington State persist. Methods to reduce misclassification can improve data quality and enhance efforts to measure and reduce racial/ethnic health disparities.

Cited by 78 publications

References 7 publications

Fatal Rocky Mountain Spotted Fever in the United States, 1999–2007

Fatal Rocky Mountain Spotted Fever in the United States, 1999–2007

Communication About Sexually Transmitted Infections Among Rural and Urban Native American Youth

American Indian Women, HIV/AIDS, and Health Disparity

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