Mortality in a northeastern Native American cohort, 1955-1984.
Mortality in a northeastern Native American cohort, 1955-1984.
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1955 年至 1984 年东北部美洲原住民群体的死亡率。
DOI：
10.1093/oxfordjournals.aje.a115196
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发表时间：
1989
影响因子：
5
通讯作者：
Emrich,LJ
中科院分区：
文献类型：
--
作者：
Mahoney,MC;Michalek,AM;Cummings,KM;Nasca,PC;Emrich,LJ
对 1955 年 1 月 1 日至 1984 年 12 月 31 日期间塞内卡印第安部落成员的死亡率模式进行了调查。研究队列由居住在纽约州的塞内卡民族的所有成员组成，他们截至 1955 年 1 月 1 日被列入部落名单（n = 3, 262）。队列成员的死亡情况是通过计算机与纽约州重要记录文件进行匹配来确定的。特定性别的标准化死亡率 (SMR) 是根据纽约州（不包括纽约市）普通人口的死亡率模式计算的。塞内卡族男性的全因死亡率过高 (SMR = 124)，而塞内卡族女性的全因死亡率与预期没有差异 (SMR = 106)。男性和女性都表现出因传染病、糖尿病、肝硬化以及事故和伤害而导致的过高死亡率。还注意到，男性因动脉粥样硬化和疝气/肠梗阻而死亡，女性因肺炎、慢性肾病和他杀而死亡。男女因恶性肿瘤和循环系统疾病而死亡的人数均有所减少。这项研究的结果对于那些负责规划和实施塞内卡族印第安人和其他阿门坎原住民群体医疗保健计划的人来说将是有用的。
Patterns of mortality among members of the Seneca Nation of Indians between January 1, 1955, and December 31, 1984, were investigated. The study cohort consisted of all members of the Seneca Nation residing in New York State who were listed In the tribal roll as of January 1, 1955 (n = 3, 262). Deaths among cohort members were identified through a computer match against New York State vital records files. Sex-specific standardized mortality ratios (SMRs) were calculated on the basis of mortality patterns exhibited by the general population of New York State, exclusive of New York City. Seneca Nation males demon strated an excess of deaths from au causes (SMR = 124), while all-cause mortality among Seneca Nation females did not differ from that expected (SMR = 106). Both males and females exhibited excess mortality from Infectious diseases, diabetes mellitus, cirrhosis of the liver, and accidents and injuries. Excess mortality was also noted among males for deaths due to atherosclerosis and hernia/intestinal obstructIon and among females for deaths due to pneumonia, chronic nephrltls, and homicide. Both sexes exhibited a deficit of deaths due to malignant neoplasms and clrculatoiy diseases. Findings from this study will be useful to those responsible for the planning and implementation of health care programs among the Seneca Nation of indians and other Native Amencan groups.