| Summary: | Objectives. We assessed diabetes-related mortality for American Indians and Alaska Natives (AI/ANs) and Whites. Methods. Study populations were non-Hispanic AI/AN and White persons in Indian Health Service (IHS) Contract Health Service Delivery Area counties; Hispanics were excluded. We used 1990 to 2009 death certificate data linked to IHS patient registration records to identify AI/AN decedents aged 20 years or older. We examined disparities and trends in mortality related to diabetes as an underlying cause of death (COD) and as a multiple COD. Results. After increasing between 1990 and 1999, rates of diabetes as an underlying COD and a multiple COD subsequently decreased in both groups. However, between 2000 and 2009, age-adjusted rates of diabetes as an underlying COD and a multiple COD remained 2.5 to 3.5 times higher among AI/AN persons than among Whites for all age groups (20û44, 45û54, 55û64, 65û74, and adult; aged; American Indian; article; Caucasian; cause of death; death certificate; diabetes mellitus; ethnology; female; health survey; human; Inuit; male; middle aged; mortality; register; statistics; United States; very elderly, Adult; Aged; Aged, 80 and over; Alaska; Cause of Death; Death Certificates; Diabetes Mellitus; European Continental Ancestry Group; Female; Humans; Indians, North American; Inuits; Male; Middle Aged; Population Surveillance; Registries; United States
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