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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 2015, chronic liver disease was the fifth leading cause of death for all American Indians/Alaska Natives, and the second leading cause of death for men, ages 35-44. 1
  • American Indian/Alaska Native men and women are 2.5 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 2.3 times higher than for the white population.

 

Cancer Rates for American Indian/Alaska Natives (2009-2013)

Cancer Incidence Rates per 100,000 – Men

Cancer
American Indian Men
Non-Hispanic White Men
American Indian/Non-Hispanic White Ratio
All Sites
338.5
529.2
0.6
Liver & IBD*
18.5
10.1
1.8

 

Cancer Incidence Rates per 100,000 – Women

Cancer
American Indian Women
Non-Hispanic White Women
American Indian/Non-Hispanic White Ratio
All Sites
310.7
440.8
0.7
Liver & IBD*
8.1
3.3
2.5
*IBD = Intrahepatic Bile Duct

Source: NCI 2016. Seer Cancer Statistics Review, 1975-2013. Tables 2.15, and 14.15
http://seer.cancer.gov/csr/1975_2013/results_single/sect_02_table.15.pdf [PDF | 11.27KB]
http://seer.cancer.gov/csr/1975_2013/results_single/sect_14_table.15.pdf [PDF | 11.25KB]

 

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, 2015

American Indian/Alaska Native
Non-Hispanic White
American Indian/Alaska Native/
Non-Hispanic White Ratio
3.7*
1.5
2.5
* Estimates have a high relative standard error and should be used with caution as they do not meet the standards of reliability set by the CDC.

Source: CDC 2017. Summary Health Statistics: National Health Interview Survey: 2015. Table A-4a. http://www.cdc.gov/nchs/nhis/shs/tables.htm

 

Death Rate

Cancer Death Rates per 100,000 – Men (2009-2013)
Cancer: Liver & IBD*


Region
American Indian/Alaska Native Men
Non-Hispanic White Men
American Indian/Alaska Native/
Non-Hispanic White Ratio
Total U.S.
9.8
7.8
1.3
CHSDA Counties**
14.3
7.8
1.8
Non-CHSDA Counties
4.8
7.8
0.6

 

Cancer Death Rates per 100,000 – Women (2009-2013)
Cancer: Liver & IBD*


Region
American Indian/Alaska Native Women
Non-Hispanic White Women
American Indian/Alaska Native/
Non-Hispanic White Ratio
Total U.S.
4.8
3.2
1.5
CHSDA Counties**
6.8
3.2
2.1
Non-CHSDA Counties
2.5
3.2
0.8

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

Source: NCI 2017. Seer Cancer Statistics Review, 1975-2013. Table 14.15
http://seer.cancer.gov/csr/1975_2013/results_single/sect_14_table.15.pdf [PDF | 11.25KB]

 

Age-Adjusted Chronic Liver Disease and Cirrhosis Death Rates per 100,000 (2014)

American Indian/Alaska Native
Non-Hispanic White
American Indian/Alaska Native/Non-Hispanic White Ratio
24.2
10.6
2.3

Source: CDC 2016. Deaths: Final Data for 2014. Table 16 and Table 17.
http://www.cdc.gov/nchs/data/nvsr/nvsr65/nvsr65_04.pdf [PDF | 4.37MB]


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: 9/15/2017 10:49:00 AM