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Revised Methodology to Adjust AI/AN Mortality Data to Compensate for Under Reporting of AI/AN Race on State Death Certificates
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The project purpose is to replicate the previous study completed in November 1996 using current National Death Index (NDI) data and current Indian Health Service (IHS) patient registration data to develop more current race reporting adjustment factors to use for state mortality record adjustment purposes. This study was completed in two phases. Phase I involved using the NDI, which is maintained by the National Center for Health Statistics (NCHS), to develop estimates for each Indian Health Service Area and for each reservation state or the proportion of American Indian and Alaska Native deaths that occur each year that are reported by state Vital Statistics Offices to the NCHS as non-Indian deaths. The data indicated which states have significant problems in under-reporting of Indian race on state death certificates, and thereby warrant the attention of IHS to mount corrective actions at the state and local levels. In the second phase of this project a contractor performed an analysis of the data obtained during the first phase. This analysis involved aggregation of data by the deceased’s age and sex, IHS Area Office and state of occurrence, and cause of death (cause of death is contained on records contained in the NDI file).
PIC ID: 7964; Agency Sponsor: IHS, Indian Health Service; Federal Contact: Melton, Debbie, 301-443- 4700; Performer: Indian Health Service, Rockville, MD
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Violence and Suicide Reduction-Methodologic Training and Information Synthesis
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This proposal responded to the Director’s Child and Adolescent Initiative and addressed five of the 21 critical objectives for youth in Healthy People 2010 objectives. Given the focus of the present application is capacity building for tribal leaders to collect information as it relates to self-directed and other directed violence, this proposal addressed the following 2010 objectives: (1) Reduce homicides from year 2000 baselines; (2) Reduce suicide attempts to 1 percent; (3) Reduce suicide rates; 4) Reduce the percent of youth involved in physical fights; 5) Reduce the percent carrying a weapon to school to 4.9 percent.
PIC ID: 7965; Agency Sponsor: IHS, Indian Health Service; Federal Contact: Melton, Debbie, 301-443- 4700; Performer: Indian Health Service, Rockville MD
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Assessing the Effect of Health Care Delivery Among the Emerging Elders of Fort Peck
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In the past, the Indian population’s life expectancy was shortened due to a variety of factors. The shorter life expectancy meant fewer elders with chronic diseases. The Native population is now seeing more elders, and with that, more elders with chronic diseases or other manifestations of aging. The Emerging Elders (55 - 64 years of age) represent an understudied group who appear to have the highest degree of disability of any age group, even than those more advanced in age. Fort Peck Service Unit provides services for the continuum of ages in our population. We have begun to use a variety of assessment tools targeted to evaluate the health status of elders and direct appropriate intervention. The Service Unit used the data being generated through our assessment tools to evaluate the health services required to better plan improved future services for this rapidly growing high risk segment of our population. The Health Services Research used data collected to study and analyze for a better use of health information available to service units on our specific population of Emerging Native Elders and plan for future and near-future services.
PIC ID: 7968; Agency Sponsor: IHS, Indian Health Service; Federal Contact: Melton, Debbie, 301-443- 4700; Performer: Indian Health Service, Rockville MD
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