TY  - BOOK
AU  - Howard, Barbara V
AU  - Howard, William J
AU  - Umans, Jason G
AU  - Wang, Hong
TI  - All-cause, cardiovascular, and cancer mortality in western Alaska Native people: western Alaska Tribal Collaborative for Health (WATCH)
SN  - 0090-0036
KW  - *Cardiovascular Diseases/eh [Ethnology]
KW  - *Cardiovascular Diseases/mo [Mortality]
KW  - *Mortality/eh [Ethnology]
KW  - *Neoplasms/eh [Ethnology]
KW  - *Neoplasms/mo [Mortality]
KW  - Adolescent
KW  - Adult
KW  - Aged
KW  - Aged, 80 and over
KW  - Alaska/ep [Epidemiology]
KW  - Cause of Death
KW  - Female
KW  - Health Surveys
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - Young Adult
KW  - MedStar Health Research Institute
KW  - MedStar Washington Hospital Center
KW  - Medicine/General Internal Medicine
KW  - Journal Article
KW  - Research Support, N.I.H., Extramural
KW  - Research Support, Non-U.S. Gov't
N1  - Available online from MWHC library: 1915 - present
N2  - 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; 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  statistics; 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; 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%; s = 0.4 and 0.7)
UR  - http://dx.doi.org/10.2105/AJPH.2013.301614
ER  -