Premature mortality patterns among American Indians in North Dakota, 2010–2019 (pre-pandemic)

To best address the health and wellbeing of the American Indian population in North Dakota, multisectoral efforts focused on prevention, improved policies, and cultural humility and safety in the health systems are needed. Solutions should center American Indian voices, cultures and spaces, and include Tribes, Tribal organizations, Tribal health, Indian Health Service and Urban Indian Health Centers. Additionally, standards for death certificates in the United States could benefit populations by accurately reflecting race and rates of illness and death.