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This report is an annual update of population-level data on trends and patterns in natality and mortality among American Indians who are residents of specified tribal communities on reservations, and those who reside off reservation in Arizona. American Indian births are determined by mother's race as indicated on a birth certificate, that is, these are the births to American Indian mothers. American Indian deaths are determined by decedent's race as stated on the death certificate.
In this study, Morrison Institute reviewed how ACEs are associated with diseases that are the leading causes of death for adults in Arizona. With this focus in mind, heart disease, cancer, stroke, diabetes, and chronic lower respiratory diseases like COPD or chronic bronchitis were included in this study.