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Chronic Liver Disease and American Indians/Alaska Natives

Among American Indians and Alaska Natives, chronic liver disease is a leading cause of death. While the cause is not always known, some cases can be initiated by conditions such as chronic alcoholism, obesity, and exposure to Hepatitis B and C viruses.
  • In 2009, chronic liver disease was the fifth leading cause of death for all American Indian/Alaska Native men, and the second leading cause of death for men, ages 35-44. 1
  • American Indian/Alaska Native men and women are twice as likely to be diagnosed with chronic liver disease, as compared to non-Hispanic Whites.
  • The overall death rate for American Indian/Alaska Natives is 2.6 times higher than for the White population.
  • In 2009, chronic liver disease was the second leading cause of death for American Indian/Alaska Native women, ages 35-54. 1

At a glance – Cancer Rates for American Indian/Alaska Natives (2005-2009):

Cancer Incidence Rates per 100,000 – Men

Cancer

American Indian Men

Non-Hispanic White Men

American Indian/Non-Hispanic White Ratio

All Sites

352.7

564.7

0.6

Liver & IBD*

18.3

8.8

2.1



Cancer Incidence Rates per 100,000 – Women

Cancer

American Indian Women

Non-Hispanic White Women

American Indian/Non-Hispanic White Ratio

All Sites

313.8

439.0

0.7

Liver & IBD*

8.1

2.9

2.8

*IBD = Intrahepatic Bile Duct

Source:  : NCI 2012. Seer Cancer Statistics Review, 1975-2009. Tables 2.15, and 14.15
http://seer.cancer.gov/csr/1975_2009_pops09/results_single/sect_02_table.15.pdf [PDF | 11.4KB]
http://seer.cancer.gov/csr/1975_2009_pops09/results_single/sect_14_table.15.pdf [PDF | 11.3KB]

At a glance – Diagnosed:

Age-adjusted percentage of persons 18 years of age and over who have been told by a doctor that they have chronic liver disease, 2010

American Indian/Alaska Native

Non-Hispanic White

American Indian/Alaska Native/
Non-Hispanic White Ratio

2.6*

1.3

2.0

* Estimates are considered unreliable. Data shown have a relative standard error of greater than 30%.

Source:  CDC 2012. Summary Health Statistics for U.S. Adults: 2010. Table 8.
http://www.cdc.gov/nchs/data/series/sr_10/sr10_252.pdf [PDF | 1.5MB]

At a glance – Death Rate:

Cancer Death Rates per 100,000 – Men (2005-2009)
Cancer: Liver & IBD*


Region

American Indian/Alaska Native Men

Non-Hispanic White Men

American Indian/Alaska Native/
Non-Hispanic White Ratio

Total U.S.

8.6

7.0

1.2

CHSDA Counties**

11.9

7.0

1.7

Non-CHSDA Counties

4.7

7.0

0.7



Cancer Death Rates per 100,000 – Women (2005-2009)
Cancer: Liver & IBD*


Region

American Indian/Alaska Native Women

Non-Hispanic White Women

American Indian/Alaska Native/
Non-Hispanic White Ratio

Total U.S.

4.5

2.9

1.6

CHSDA Counties**

5.9

2.9

2.0

Non-CHSDA Counties

2.6

2.9

0.9

*IBD = Intrahepatic Bile Duct
**IHS Contract Health Service Delivery Area

Source:  NCI 2012. Seer Cancer Statistics Review, 1975-2009. Table 14.15
http://seer.cancer.gov/csr/1975_2009_pops09/results_single/sect_14_table.15.pdf [PDF | 11KB]

Age-Adjusted Chronic Liver Disease and Cirrhosis Death Rates per 100,000 (2009)

American Indian/Alaska Native

Non-Hispanic White

American Indian/Alaska Native/Non-Hispanic White Ratio

23.8

9.1

2.6

Source: CDC 2012. Deaths: Final Data for 2009. Table 16 and Table 17.
http://www.cdc.gov/nchs/data/nvsr/nvsr60/nvsr60_03.pdf [PDF | 2MB]


1CDC, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS)
http://www.cdc.gov/injury/wisqars/fatal.html


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Content Last Modified: 8/24/2012 10:06:00 AM
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