Morbidity and Mortality in American Indians

Paper Summary:

This paper examines how studies have shown how Native American and Alaska Native children have twice the rate of death caused by injuries or violence as do other children in the United States. It looks at how more Native American and Alaska Native children are hospitalized for bronchial infection than any other group, how the diabetes rate among these adults and children is double that of the rest of the country, and how cancer rates among those in some regions are also significantly higher. It discusses the importance for Native Americans to be informed and educated on these issues so that they may better understand how these disease processes may alter or impact their lives and how it is also important that policy makers and elected officials understand the unique concerns of the Native American populations of the U.S. and address those problems with adequate financial, material, and human resources.

From the Paper:

"There are persistent racial and ethnic disparities in infant mortality rates in the United States. Despite much speculation, no evidence suggests that social, economic, or racial/ethnic disparities in the risk of death in infancy are caused by genetic differences. Any discussion of racial and ethnic differences in birth outcomes needs to acknowledge the limited extent to which social and economic variables - including racial discrimination - can be distinguished from crude proxies for biologically determined pathologic pathways (Krieger et al 1993, Herman 1996). The racial and ethnic categorizations used in most research on infant mortality in the United States should be seen as "proxies for specific historical experiences and a powerful marker for current social and economic conditions"."

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