An Examination of Pediatric Death Rates in Navajo Area, Arizona.


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An Investigation of Pediatric Death Rates in Navajo Area, Arizona. Wade Kartchner, MD, MPH Executive, Navajo Area General Wellbeing Administrations Locale. Navajo Area Demographics. District populace 111,399 (2006 est.)
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An Analysis of Pediatric Mortality Rates in Navajo County, Arizona Wade Kartchner, MD, MPH Director, Navajo County Public Health Services District

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Navajo County Demographics County populace 111,399 (2006 est.) Contains a substantial bit of the Navajo Nation, and an expansive greater part of the Hopi tribe and the White Mountain Apache tribe Native Americans speak to 46.4% of the region populace

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Native American Reservations in Navajo region

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Arizona Child Fatality Review Program Impetus for this study Founded in 1993 Consists of privately created groups in regions all through the state. Objective is to decrease preventable tyke fatalities as it: Reviews every kid casualty and suggests enactment and open strategy changes

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Navajo County Study Data got from Navajo County’s nearby Child Fatality Review Team Observational, populace based Deaths audited from January 1998 to December 2006 Pediatric death rates for Navajo, Hopi, White Mountain tribes, and non-tribal ranges figured utilizing the assessed 2002 populace (the study\'s midpoint) and contrasted and one another and the general region rate

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Navajo County Study Used the National Vital Statistics technique for deciding certainty interims for death rates when the quantity of passings is not vast (less than 100) When the resultant 95% certainty interims don\'t cover, then the distinction is thought to be measurably noteworthy at the 0.05 level.* *National Vital Statistics Reports, Vol. 55 Number 19, August 21, 2007, p.116, 117.

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Navajo County pediatric passings by living arrangement and sexual orientation, 1998-2006

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Mean pediatric death rates in Navajo County, Arizona by tribe/non-tribal zones, 1998-2006 *p < 0.05 contrasted with every other subgroup, aside from the Hopi Tribe

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Mean pediatric death rates in Navajo County, Arizona by tribe/non-tribal territories and sex, 1998-2006 *p< 0.05, contrasted with all other male subgroups. ** p< 0.05 contrasted with all other female subgroups aside from the Hopi Tribe.

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Health Disparities Health variations between Native Americans and non-Native Americans exist Reasons may be multifactorial*: - Racial segregation - Limited access to wellbeing administrations - Poor access to wellbeing protection - Insufficient government subsidizing - Quality of consideration - Availability of socially skilled consideration - Poverty and absence of instruction - Behavior or way of life decisions *“Broken Promises: Evaluating the Native American Health Care System”, September 2004 report by the United States Commission on Civil Rights at http://www.usccr.gov/bars/nahealth/nabroken.pdf .

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Navajo County incongruities The three tribes live in relative close nearness to one another Share a hefty portion of the same issues and comparable human services frameworks and conveyance Pediatric death rates in one tribe essentially unique in relation to the others Why?

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Further examinations Age stratification (issues with low numbers) Preventable versus non-preventable (Arizona CFRP has this information accessible) Are there contrasts between the gatherings with respect to preventability? Power point to gathering contrasts that identify with particular behavioral or societal reasons existing inside of the different tribes that prompt this dissimilarity

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Questions ?

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.:ts

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