American Indian and Alaska Native infant and pediatric mortality, United States, 1999-2009

Charlene A. Wong, Francine C. Gachupin, Robert C. Holman, Marian F. MacDorman, James E. Cheek, Steve Holve, Rosalyn J. Singleton

Research output: Contribution to journalReview articlepeer-review

36 Scopus citations


Objectives. We described American Indian/Alaska Native (AI/AN) infant and pediatric death rates and leading causes of death. Methods. We adjusted National Vital Statistics System mortality data for AI/AN racial misclassification by linkage with Indian Health Service (IHS) registration records. We determined average annual death rates and leading causes of death for 1999 to 2009 for AI/AN versus White infants and children. We limited the analysis to IHS Contract Health Service Delivery Area counties. Results. The AI/AN infant death rate was 914 (rate ratio [RR] = 1.61; 95% confidence interval [CI] = 1.55, 1.67). Sudden infant death syndrome, unintentional injuries, and influenza or pneumonia were more common in AI/AN versus White infants. The overall AI/AN pediatric death rates were 69.6 for ages 1 to 4 years (RR = 2.56; 95% CI = 2.38, 2.75), 28.9 for ages 5 to 9 years (RR = 2.12; 95% CI = 1.92, 2.34), 37.3 for ages 10 to 14 years (RR = 2.22; 95% CI = 2.04, 2.40), and 158.4 for ages 15 to 19 years (RR = 2.71; 95% CI = 2.60, 2.82). Unintentional injuries and suicide occurred at higher rates among AI/AN youths versus White youths. Conclusions. Death rates for AI/AN infants and children were higher than for Whites, with regional disparities. Several leading causes of death in the AI/AN pediatric population are potentially preventable.

Original languageEnglish (US)
Pages (from-to)S320-S328
JournalAmerican journal of public health
Issue numberSUPPL. 3
StatePublished - Jun 2014
Externally publishedYes

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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