The population of American Indians and Alaska Natives (AIAN) in the USA, which comprise about 5 million individuals, have worse health outcomes than other Americans.1 Life expectancy among AIAN people is more than 4 years lower than that of the overall US population.1 AIAN death rates are about 50% higher than rates in the white population.2 More alarmingly, this disparity in mortality rates has increased in the past decade, with death rates falling in white people and increasing in AIAN people.
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