HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Sugarman, J R Articles by Rivara, F P Search for Related Content PubMed PubMed Citation Articles by Sugarman, J R Articles by Rivara, F P

Racial misclassification of American Indians: its effect on injury rates in Oregon, 1989 through 1990.

J R Sugarman, R Soderberg, J E Gordon and F P Rivara

JHS Epidemiology Program, Seattle, WA 98121.

OBJECTIVES. We assessed the extent to which injury rates among American Indians in Oregon are underestimated owing to misclassification of race in a surveillance system. METHODS. The Oregon Injury Registry, a population-based surveillance system, was linked with the Indian Health Service patient registration file from Oregon, and injury rates for American Indians were calculated before and after correcting for racial misclassification. RESULTS. In 1989 and 1990, 301 persons in the Oregon registry were coded as American Indian. An additional 89 injured persons who were coded as a race other than American Indian in the registry were listed as American Indian in the Indian Health Service records. The age-adjusted annual injury rate for health service-registered American Indians was 6.9/1000, 68% higher than the rate calculated before data linkage. American Indian ancestry, female sex, and residence in metropolitan counties were associated with a higher likelihood of concordant racial classification in both data sets. CONCLUSION. Injury rates among American Indians in an Oregon surveillance system are substantially underestimated owing to racial misclassification. Linkage of disease registries and vital records with Indian Health Service records in other states may improve health-related data regarding American Indians.

This article has been cited by other articles:

				J. Swan, N. Breen, L. Burhansstipanov, D. E. Satter, W. W. Davis, T. McNeel, and C. M. Snipp Cancer Screening and Risk Factor Rates Among American Indians Am J Public Health, February 1, 2006; 96(2): 340 - 350. [Abstract] [Full Text] [PDF]

				D. A. Rhoades Racial Misclassification and Disparities in Cardiovascular Disease Among American Indians and Alaska Natives Circulation, March 15, 2005; 111(10): 1250 - 1256. [Abstract] [Full Text] [PDF]

				J. B. Kaplan and T. Bennett Use of Race and Ethnicity in Biomedical Publication JAMA, May 28, 2003; 289(20): 2709 - 2716. [Abstract] [Full Text] [PDF]

				T. M. Becker, J. Bettles, J. Lapidus, J. Campo, C. J. Johnson, D. Shipley, and L. D. Robertson Improving Cancer Incidence Estimates for American Indians and Alaska Natives in the Pacific Northwest Am J Public Health, September 1, 2002; 92(9): 1469 - 1470. [Full Text] [PDF]

				D. A. Thoroughman, D. Frederickson, H. D. Cameron, L. K. Shelby, and J. E. Cheek Racial Misclassification of American Indians in Oklahoma State Surveillance Data for Sexually Transmitted Diseases Am. J. Epidemiol., June 15, 2002; 155(12): 1137 - 1141. [Abstract] [Full Text] [PDF]

				P. Stehr-Green, J. Bettles, and L. D. Robertson Effect of Racial/Ethnic Misclassification of American Indians and Alaskan Natives on Washington State Death Certificates, 1989-1997 Am J Public Health, March 1, 2002; 92(3): 443 - 444. [Abstract] [Full Text] [PDF]

				A Jain, B Khoshnood, K S Lee, and J Concato Injury related infant death: the impact of race and birth weight Inj. Prev., June 1, 2001; 7(2): 135 - 140. [Abstract] [Full Text] [PDF]

				S. J Johnson, M. Sullivan, and D. C Grossman Injury hospitalizations among American Indian youth in Washington Inj. Prev., June 1, 1999; 5(2): 119 - 123. [Abstract] [Full Text] [PDF]

				J. M. Graber, B. E. Corkum, N. Sonnenfeld, and P. L. Kuehnert Underestimation of Cardiovascular Disease Mortality Among Maine American Indians: The Role of Procedural and Data Errors Am J Public Health, May 1, 2005; 95(5): 827 - 830. [Abstract] [Full Text] [PDF]

				E. Puukka, P. Stehr-Green, and T. M. Becker Measuring the Health Status Gap for American Indians/Alaska Natives: Getting Closer to the Truth Am J Public Health, May 1, 2005; 95(5): 838 - 843. [Abstract] [Full Text] [PDF]