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RESEARCH AND PRACTICE |
The authors are with the Northwest Tribal Epidemiology Center (The EpiCenter), Northwest Portland Area Indian Health Board, Portland, Ore.
Correspondence: Requests for reprints should be sent to Chandra Wilson, Northwest Portland Area Indian Health Board, 527 SW Hall, Suite 300, Portland, OR 97201 (e-mail: cwilson{at}npaihb.org).
Objectives. This study examined effects of racial/ethnic misclassification of American Indians and Alaskan natives on Washington State death certificates.
Methods. Probabilistic record linkage were used to match the 1989–1997 state death files to the Northwest Tribal Registry.
Results. We identified matches for 2819 decedents, including 414 (14.7%) who had been misclassified as non–American Indians and Alaskan natives on the death certificates. The likelihood of being correctly classified increased 3-fold for each higher level of American Indian and Alaskan native ancestry (odds ratio = 2.88; 95% confidence interval [CI] = 2.51, 3.30) and decreased by 6.9% per calendar year (95% CI = 2.0, 11.5).
Conclusions. Systematic biases on death certificates in Washington State persist. Methods to reduce misclassification can improve data quality and enhance efforts to measure and reduce racial/ethnic health disparities. (Am J Public Health. 2002;92:443–444)
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