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Changing Patterns of Risk Factors and Mortality for Coronary Heart Disease Among Alaska Natives, 1979-2002
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To the Editor. Rates of death from coronary heart disease (CHD) among Alaska Natives have historically been lower than those among nonnative Alaskans.1 However, in light of the impact of Western acculturation (ie, high-fat diet, smoking, and sedentary lifestyle) on the prevalence of heart disease among other Native groups,2 we investigated the possibility of similar recent trends in CHD mortality and risk factors among Alaska Natives.
Methods
To compare trends in CHD mortality and differences in prevalence of CHD risk factors between Alaska Natives and nonnative Alaskans, we analyzed CHD mortality rates from death certificate data and CHD risk factors from Alaska's Behavioral Risk Factor Surveillance System (BRFSS). The BRFSS has been administered in Alaska since 1991, with sample sizes initially exceeding 1500 and currently exceeding 2500 participants annually. The validity of BRFSS measures for CHD risk factors are well substantiated.3 The BRFSS and death certificate data supplement each other in . . . [Full Text of this Article]
Joseph B. McLaughlin, MD, MPH
joe_mclaughlin@health.state.ak.us
John P. Middaugh, MD;
Charles J. Utermohle, PhD;
Elvin D. Asay, MS;
Andrea M. Fenaughty, PhD;
Jason E. Eberhart-Phillips, MD, MPH
Division of Public Health
Alaska Department of Health and Social Services
Anchorage
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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J. Nutr. 2005;135:856-862.
ABSTRACT
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