ArticlePublic health reports (Washington, D.C. : 1974)
Homicide Among American Indians/Alaska Natives, 1999-2009: Implications for Public Health Interventions.
Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Fatal Firearm Violence Among American Indians and Alaska Natives.Journal of community health · 2024Article
- Medicolegal death investigations on tribal lands-underrepresented or underserved?Forensic science international. Synergy · 2024Article
- Misracialization of Indigenous people in population health and mortality studies: a scoping review to establish promising practices.Epidemiologic reviews · 2023Article
- Homicides of American Indians/Alaska Natives - National Violent Death Reporting System, United States, 2003-2018.Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002) · 2021Article
- Self-Determination in Health Research: An Alaska Native Example of Tribal Ownership and Research Regulation.International journal of environmental research and public health · 2017Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe determined estimates of homicide among American Indians/Alaska Natives (AI/ANs) compared with non-Hispanic white people to characterize disparities and improve AI/AN classification in incidence and mortality reporting.
methodsWe linked 1999-2009 death certificate data with Indian Health Service (IHS) patient registration data to examine death rates from homicide among AI/AN and non-Hispanic white people. Our analysis focused primarily on residents of IHS Contract Health Service Delivery Area counties and excluded Hispanic people to avoid underestimation of incidence and mortality in AI/ANs and for consistency in our comparisons. We used age-adjusted death rates per 100,000 population and stratified our analyses by sex, age, and IHS region.
resultsDeath rates per 100,000 population from homicide were four times higher among AI/ANs (rate = 12.1) than among white people (rate = 2.8). Homicide rates for AI/ANs were highest in the Southwest (25.6 and 6.9 for males and females, respectively) and in Alaska (17.7 and 10.3 for males and females, respectively). Disparities between AI/ANs and non-Hispanic white people were highest in the Northern Plains region among men (rate ratio [RR] = 9.8, 95% confidence interval [CI] 8.5, 11.3) and among those aged 25-44 years (RR59.0, 95% CI 7.5, 10.7) and 0-24 years (RR57.4, 95% CI 6.1, 8.9).
conclusionDeath rates from homicide among AI/ANs were higher than previously reported and varied by sex, age, and region. Violence prevention efforts involving a range of stakeholders are needed at the community level to address this important public health issue.
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