| Titre : | Effect of racial/ethnic misclassification of American Indians and Alaskan natives on Washington State death certificates, 1989-1997. (2002) |
| Auteurs : | Paul STEHR-GREEN ; James BETTLES ; Ldee ROBERTSON ; Northwest Tribal Epidemiology Center The EpiCenter Northwest Portland Area Indian Health Board. Portland. OR. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 92, n° 3, 2002) |
| Pagination : | 443-444 |
| Langues: | Anglais |
| Mots-clés : | Ethnie ; Race ; Etats Unis ; Amérique ; Certificat médical décès ; Classification ; Homme ; Qualité ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS eR0x3tqi. Diffusion soumise à autorisation]. 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. |

