Liver Disease and American Indians/Alaska Natives

Liver disease is a term used for many health problems that prevent the liver from working properly. The liver is the largest organ inside your body. It helps digest food, store energy, and remove harmful substances from the blood. It also processes and delivers nutrients your body needs to work properly. When the liver is damaged, it cannot do these jobs well. There are many types of liver disease. Some are caused by viruses, such as hepatitis A, B, and C. Others are linked to alcohol, drugs, or toxins and can lead to conditions like fatty liver disease or cirrhosis, which causes scarring of the liver. Liver disease can also be caused by cancer or inherited conditions.

Occurrence

Adults aged 18 and over who have been told by a doctor that they have any kind of liver disease, age-adjusted percentage, 2018
AI/ANTotal PopulationRatio (AI/AN / Total)
2.51.71.47
Source: U.S. Centers for Disease Control and Prevention. (2019). Summary health statistics: National Health Interview Survey, 2018 (Table A-4a). U.S. Department of Health and Human Services.

Mortality

Chronic liver disease and cirrhosis mortality, age-adjusted rate per 100,000 population, 2022
AI/AN*Total PopulationRatio (AI/AN* / Total)
Male71.318.03.96
Female58.210.05.82
Both Sexes64.713.84.69
Source: U.S. Centers for Disease Control and Prevention, National Center for Health Statistics. (2025). Deaths: Final data for 2022 (National Vital Statistics Report, Vol. 74, No. 4. Table 11). U.S. Department of Health and Human Services.

*Population is non-Hispanic in the data source.


Date Last Reviewed: January 2026