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The Aleutians West Census Area in Alaska is experiencing significant demographic challenges, with a 13-year population CAGR of -1.5% and a 1-year growth rate of -0.6%, indicating a declining population trend. The median age is relatively high at 39.2 years, and the sex ratio is exceptionally skewed at 200.8 males for every female, which is the highest in the state. The age dependency ratio is low at 30.4, suggesting a smaller proportion of dependents, but only 17% of the population is under 18, compared to the state average of 24.4%. This region's trends contrast sharply with areas like Matanuska-Susitna Borough, which is growing rapidly.