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