All-cause, cardiovascular,and cancer mortality in Western Alaska native people: Western Alaska Tribal Collaborative for Health (WATCH)

Barbara V. Howard, Jesse S. Metzger, Kathryn R. Koller, Stacey E. Jolly, Elvin D. Asay, Hong Wang, Abbie W. Wolfe, Scarlett E. Hopkins, Cristiane Kaufmann, Terry W. Raymer, Brian Trimble, Ellen M. Provost, Sven O.E. Ebbesson, Melissa A. Austin, William James Howard, Jason G. Umans, Bert Boyer

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

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%; js = 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.

Original languageEnglish (US)
Pages (from-to)1334-1340
Number of pages7
JournalAmerican journal of public health
Volume104
Issue number7
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

Fingerprint

Death Certificates
Cardiovascular Diseases
Mortality
Health
Neoplasms
Cause of Death
Cohort Studies
Stroke
Health Planning
Wounds and Injuries
Alaska Natives
Medical Records
Coronary Disease
Delivery of Health Care
Sensitivity and Specificity
Population

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

All-cause, cardiovascular,and cancer mortality in Western Alaska native people : Western Alaska Tribal Collaborative for Health (WATCH). / Howard, Barbara V.; Metzger, Jesse S.; Koller, Kathryn R.; Jolly, Stacey E.; Asay, Elvin D.; Wang, Hong; 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.

In: American journal of public health, Vol. 104, No. 7, 01.01.2014, p. 1334-1340.

Research output: Contribution to journalArticle

Howard, BV, Metzger, JS, Koller, KR, Jolly, SE, Asay, ED, Wang, H, Wolfe, AW, Hopkins, SE, Kaufmann, C, Raymer, TW, Trimble, B, Provost, EM, Ebbesson, SOE, Austin, MA, Howard, WJ, Umans, JG & Boyer, B 2014, 'All-cause, cardiovascular,and cancer mortality in Western Alaska native people: Western Alaska Tribal Collaborative for Health (WATCH)', American journal of public health, vol. 104, no. 7, pp. 1334-1340. https://doi.org/10.2105/AJPH.2013.301614
Howard, Barbara V. ; Metzger, Jesse S. ; Koller, Kathryn R. ; Jolly, Stacey E. ; Asay, Elvin D. ; Wang, Hong ; 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. / All-cause, cardiovascular,and cancer mortality in Western Alaska native people : Western Alaska Tribal Collaborative for Health (WATCH). In: American journal of public health. 2014 ; Vol. 104, No. 7. pp. 1334-1340.
@article{730d5e0647a447479213ab989d4d827c,
title = "All-cause, cardiovascular,and cancer mortality in Western Alaska native people: Western Alaska Tribal Collaborative for Health (WATCH)",
abstract = "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{\%}; js = 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.",
author = "Howard, {Barbara V.} and Metzger, {Jesse S.} and Koller, {Kathryn R.} and Jolly, {Stacey E.} and Asay, {Elvin D.} and Hong Wang and Wolfe, {Abbie W.} and Hopkins, {Scarlett E.} and Cristiane Kaufmann and Raymer, {Terry W.} and Brian Trimble and Provost, {Ellen M.} and Ebbesson, {Sven O.E.} and Austin, {Melissa A.} and Howard, {William James} and Umans, {Jason G.} and Bert Boyer",
year = "2014",
month = "1",
day = "1",
doi = "10.2105/AJPH.2013.301614",
language = "English (US)",
volume = "104",
pages = "1334--1340",
journal = "American Journal of Public Health",
issn = "0090-0036",
publisher = "American Public Health Association Inc.",
number = "7",

}

TY - JOUR

T1 - All-cause, cardiovascular,and cancer mortality in Western Alaska native people

T2 - Western Alaska Tribal Collaborative for Health (WATCH)

AU - Howard, Barbara V.

AU - Metzger, Jesse S.

AU - Koller, Kathryn R.

AU - Jolly, Stacey E.

AU - Asay, Elvin D.

AU - Wang, Hong

AU - Wolfe, Abbie W.

AU - Hopkins, Scarlett E.

AU - Kaufmann, Cristiane

AU - Raymer, Terry W.

AU - Trimble, Brian

AU - Provost, Ellen M.

AU - Ebbesson, Sven O.E.

AU - Austin, Melissa A.

AU - Howard, William James

AU - Umans, Jason G.

AU - Boyer, Bert

PY - 2014/1/1

Y1 - 2014/1/1

N2 - 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%; js = 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.

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%; js = 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.

UR - http://www.scopus.com/inward/record.url?scp=84902674919&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84902674919&partnerID=8YFLogxK

U2 - 10.2105/AJPH.2013.301614

DO - 10.2105/AJPH.2013.301614

M3 - Article

C2 - 24754623

AN - SCOPUS:84902674919

VL - 104

SP - 1334

EP - 1340

JO - American Journal of Public Health

JF - American Journal of Public Health

SN - 0090-0036

IS - 7

ER -