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AJPH First Look, published online ahead of print Apr 15, 2005
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American Journal of Public Health, 10.2105/AJPH.2004.053751

Research and Practice

Are health disparities experienced by Maine American Indians disappearing? Getting back to data quality basics

Judith Graber 1*, Brenda E Corkum 1, Nancy Sonnenfeld 2, Paul L. Kuehnert 1

1 Maine Department of Health and Human Services, Bureau of Health
2 Maine Department of Health and Human Services, Bureau of Health/University of Southern Maine

* To whom correspondence should be addressed. E-mail: judith.graber{at}maine.gov.


  Abstract

We collaborated with American Indian (AI) tribes to evaluate racial coding on death certificates and the contribution to underestimating cardiovascular disease (CVD) mortality. Lists of tribal decedents were matched to death certificates; 38.5% were misclassified (17.8% coding errors; 20.7% data-entry error). After correcting all error, CVD mortality trends were similar between AIs and all Mainers. Racial misclassification occurred in a period when budget cuts had prompted procedural changes. Collaborative efforts are critical to accurately describe the AI mortality experience.

Key Words: Cardiovascular Disease, Public Health Practice, Native Americans, Mortality, Surveillance




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