Native Issues
Health disparities

American Indians in North Dakota experience highest mortality rates in the United States

22.5 years younger on average compared to White residents in North Dakota

American Indians in North Dakota die, on average, more than 22 years younger than white residents, according to a study analyzing pre-pandemic mortality data. Researchers from the University of North Dakota found that between 2010 and 2019, the median age at death for American Indian males was 55, compared to 77 for white males. For females, the median age at death was 62 for American Indians and 85 for white residents. The study, which used death certificate data, revealed significantly higher all-cause mortality rates for American Indians across all age groups and both sexes. The leading causes of death for American Indians in North Dakota during this period were heart disease (17.8%), cancer (15.2%), and accidents (12.5%), mirroring national trends but occurring at disproportionately higher rates. Researchers concluded that approaches involving prevention, policy changes, and culturally sensitive healthcare are needed to address these disparities, emphasizing the importance of centering tribal voices and organizations in these efforts.