All-Cause, Cardiovascular,and Cancer Mortality in Western Alaska Native People: Western Alaska Tribal Collaborative for Health (WATCH)
Objectives. We determined all-cause, cardiovascular disease (CVD), and cancer mortality in western Alaska Native people and examined agreement between death certificate information and adjudicated cause of deaths. Methods. Data from 4 cohort studies were consolidated. Death certificates and medical...
| Publicado en: | American Journal of Public Health Vol. 104; no. 7; pp. 1334 - 1341 |
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| Autores principales: | , , , , , , , , , , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
American Public Health Association
Jul2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=103968691&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 103968691 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Jul2014 vid: 104 iid: 7 pid: 44 pub: American Public Health Association artinfo: ui: 103968691 10.2105/AJPH.2013.301614 ppf: 1334 ppct: 7 formats: tig: atl: All-Cause, Cardiovascular,and Cancer Mortality in Western Alaska Native People: Western Alaska Tribal Collaborative for Health (WATCH) aug: au: Howard, Barbara V. Metzger, Jesse S. Koller, Kathryn R. Jolly, Stacey E. Asay, Elvin D. Hong Wang Wolfe, Abbie W. Hopkins, Scarlett E. Kaufmann, Cristiane Raymer, Terry W. Trimble, Brian Provost, Ellen M. Ebbesson, Sven O. E. Austin, Melissa A. Howard, William James Umans, Jason G. Boyer, Bert B. su: Alaska Causes of death Sex distribution White people Cardiovascular disease related mortality Database evaluation Stroke-related mortality Alaska Natives Chi-squared test Comparative studies Confidence intervals Longitudinal method Research methodology Research funding Tumors Wounds & injuries Death certificates Secondary analysis Predictive validity Disease incidence Descriptive statistics Odds ratio Classification sug: subj: Causes of death Sex distribution White people Alaska Cardiovascular disease related mortality Database evaluation Stroke-related mortality Alaska Natives Chi-squared test Comparative studies Confidence intervals Longitudinal method Research methodology Research funding Tumors Wounds & injuries Death certificates Secondary analysis Predictive validity Disease incidence Descriptive statistics Odds ratio Classification ab: Objectives. We determined all-cause, cardiovascular disease (CVD), and cancer mortality in western Alaska Native people and examined agreement between death certificate information and adjudicated cause of deaths. Methods. Data from 4 cohort studies were consolidated. Death certificates and medical records were reviewed and adjudicated according to standard criteria. We compared adjudicated CVD and cancer deaths with death certificates by calculating sensitivity, specificity, predictive values, and j statistics. Results. Men (n = 2116) and women (n = 2453), aged 18 to 95 years, were followed an average of 6.7 years. The major cause of death in men was trauma (25%), followed by CVD (19%) and cancer (13%). The major cause of death in women was CVD (24%), followed by cancer (19%) and trauma (8%). Stroke rates in both genders were higher than those of US Whites. Only 56% of deaths classified as CVD by death certificate were classified as CVD by standard criteria; discordance was higher among men (55%) than women (32%; κs = 0.4 and 0.7). Conclusions. We found lower rates for coronary heart disease death but high rates of stroke mortality. Death certificates overestimated CVD mortality; concordance between the 2 methods is better for cancer mortality. The results point to the importance of cohort studies in this population in providing data to assist in health care planning pubtype: Academic Journal doctype: Journal Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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