The idea that the rise in deaths of despair was highest in middle-aged white Americans was put forward by two Princeton economists in 2015. But American Indian and Alaska Native people were completely left out of the analysis.
For more than a decade, Americans have been dying younger than people in other developed countries. Researchers attribute much of this rise in mid-life deaths to what are called “
“Ideally no one should die in that age group, certainly not of overdose, suicide and alcoholic liver disease,” says Friedman. Data on Native communities are often missing from public health research, he adds, because “our numbers are small and we often get folded into a category like ‘Other’ instead of being reported distinctively for Indigenous peoples.”
“Part of what I think we’re seeing in these [rising rates of] deaths of despair are attacks on livelihoods,” he says, “and decline in the ability to have good livelihoods.” But Manson believes that addressing these longstanding disparities in health and mortality will take more than just focusing on deaths of despair.
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