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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 2013, chronic liver disease was the fifth leading cause of death for all American Indians/Alaska Natives, and the third leading cause of death for men, ages 35-64. 1
  • American Indian/Alaska Native men and women are 2.6 times 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 2.4 times higher than for the white population.
  • In 2013, chronic liver disease was the second leading cause of death for American Indian/Alaska Native women, ages 25-54. 1

 

At a glance – Cancer Rates for American Indian/Alaska Natives (2008-2012)

Cancer Incidence Rates per 100,000 – Men

Cancer
American Indian Men
Non-Hispanic White Men
American Indian/Non-Hispanic White Ratio
All Sites
340.8
540.0
0.6
Liver & IBD*
19.9
9.8
2.0

 

Cancer Incidence Rates per 100,000 – Women

Cancer
American Indian Women
Non-Hispanic White Women
American Indian/Non-Hispanic White Ratio
All Sites
309.8
441.6
0.7
Liver & IBD*
8.4
3.2/div>
2.6
*IBD = Intrahepatic Bile Duct

Source:  : NCI 2014. Seer Cancer Statistics Review, 1975-2012. Tables 2.15, and 14.15
http://seer.cancer.gov/csr/1975_2012/results_single/sect_02_table.15.pdf [PDF | 11.2KB]
http://seer.cancer.gov/csr/1975_2012/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, 2012

American Indian/Alaska Native
Non-Hispanic White
American Indian/Alaska Native/
Non-Hispanic White Ratio
--*
1.2
--
* Data not available.

Source:  CDC 2014. Summary Health Statistics for U.S. Adults: 2012. Table 8.
http://www.cdc.gov/nchs/data/series/sr_10/sr10_260.pdf [PDF | 3.5MB]

 

At a glance – Death Rate

Cancer Death Rates per 100,000 – Men (2008-2012)
Cancer: Liver & IBD*


Region
American Indian/Alaska Native Men
Non-Hispanic White Men
American Indian/Alaska Native/
Non-Hispanic White Ratio
Total U.S.
9.5
7.6
1.3
CHSDA Counties**
13.9
7.6
1.8
Non-CHSDA Counties
4.5
7.6
0.6

 

Cancer Death Rates per 100,000 – Women (2008-2012)
Cancer: Liver & IBD*


Region
American Indian/Alaska Native Women
Non-Hispanic White Women
American Indian/Alaska Native/
Non-Hispanic White Ratio
Total U.S.
4.6
3.1
1.5
CHSDA Counties**
6.3
3.1
2.0
Non-CHSDA Counties
2.5
3.1
0.8

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

Source:  NCI 2014. Seer Cancer Statistics Review, 1975-2012. Table 14.15
http://seer.cancer.gov/csr/1975_2012/results_single/sect_14_table.15.pdf [PDF | 11.3KB]

 

Age-Adjusted Chronic Liver Disease and Cirrhosis Death Rates per 100,000 (2013)

American Indian/Alaska Native
Non-Hispanic White
American Indian/Alaska Native/Non-Hispanic White Ratio
24.8
10.3
2.4

Source: CDC 2014. Deaths: Final Data for 2013. Table 16 and Table 17.
http://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_02.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
Last Modified: 5/15/2015 6:16:00 PM