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Urban American Indian and Alaska Native Health Indicator Graphs September 2010

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Title: Urban American Indian and Alaska Native Health Indicator Graphs September 2010


1
Urban American Indian and Alaska Native Health
Indicator GraphsSeptember 2010
  • Urban Indian Health Institute
  • Seattle Indian Health Board

2
Introduction
  • This PowerPoint includes graphs from select Urban
    Indian Health Institute (UIHI) reports. These
    are intended to be used by urban Indian health
    organizations (UIHO) and other partners in grants
    or presentations of health status and
    disparities. More detailed information on data
    sources, study populations and limitations may be
    obtained by accessing individual reports online
    at http//www.uihi.org/resources/reports/

3
Outline of included UIHI reports
  • Community Health Profile (2009)
  • Health and Health-Influencing Behaviors among
    Urban AI/AN (2008)
  • Urban American Indian and Alaska Native Youth
    (2009)
  • Reproductive Health of Urban American Indian and
    Alaska Native Women (2010)
  • Visibility Through Data (2009)

4
Community Health Profile Urban Indian Health
Organizations (UIHO) Aggregate Urban Counties
(2009)
REPORT
  • Enclosed Figures
  • Percentage of U.S. AI/AN Population Living in
    Urban Areas
  • Highest Educational Attainment, 25 and Older
  • Poverty Status
  • AI/AN Top Cause Mortality, 2001-2005
  • AI/AN Cancer Mortality, 2001-2005
  • Select Mortality Disparities, 2001-2005
  • Self-Reported Health Status, 2004-2008
  • Current Smoker, 2004-2008
  • Obesity (BMI30)

5
Community Health Profile Urban Indian Health
Organizations (UIHO) Aggregate Urban Counties
(2009)
REPORT
  • Enclosed Figures (Cont.)y, 1998-2002
  • Diagnosed with Diabetes, 2004-2008
  • Could Not See a Doctor Because Of Cost, 2004-2008
  • No Health Insurance, 2004-2008
  • Smoking During Pregnancy, 1998-2002
  • Births to Teen Mothers, 2001-2005
  • Late or No Prenatal Care, 1998-2002
  • All Cause Infant Mortality, 2000-2004
  • Infant Mortality due to SIDS, 1995-2004

6
Data Sources
  • Data include AI/AN living in counties served by
    the 34 UIHO compared to all races in the same
    counties.
  • 2000 Census Data
  • AI/AN includes people reporting AI/AN alone and
    AI/AN in combination with another race.
  • Vital Records
  • Collection methods for prenatal care and maternal
    smoking on birth certificates have recently
    changed. Data is presented pre-birth certificate
    change (1998-2002).
  • To protect confidentiality, select indicators
    (e.g., SIDS) are presented with more years
    (1995-2004) so reporting on these indicators is
    possible.
  • Behavioral Risk Factor Surveillance System
    (BRFSS)
  • AI/AN includes individuals who selected AI/AN
    when asked, Which one of these groups would you
    say best represents your race?.

7
Percentage of U.S. AI/AN Population Living in
Urban AreasU.S. Census, Urban Areas, United
States, 2000
8
Highest Educational Attainment, Age 25 and
olderU.S. Census, UIHO Service Areas, United
States, 2000
9
Poverty StatusU.S. Census, UIHO Service Areas,
United States, 2000
10
Could Not See Doctor Because of CostBRFSS, UIHO
Service Areas, United States, 2004-2008
11
No Health Insurance in Past 12 Months, BRFSS,
UIHO Service Areas, United States, 2004-2008
12
AI/AN Top Cause MortalityU.S. Centers for Health
Statistics, UIHO Service Areas, United States,
2001-2005
13
AI/AN Cancer MortalityU.S. Centers for Health
Statistics, UIHO Service Areas, United States,
2001-2005
14
Select Mortality DisparitiesU.S. Centers for
Health Statistics, UIHO Service Areas, United
States, 2001-2005
15
Self-Reported Health StatusBRFSS, UIHO Service
Areas, United States, 2004-2008
16
Current Smoker BRFSS, UIHO Service Areas, United
States, 2004-2008
17
Obesity (BMI 30)BRFSS, UIHO Service Areas,
United States, 2004-2008
18
Diagnosed with DiabetesBRFSS, UIHO Service
Areas, United States, 2004-2008
19
Smoking During PregnancyU.S. Centers for Health
Statistics, UIHO Service Areas, United States,
1998-2002
20
Births to Teen MothersU.S. Centers for Health
Statistics, UIHO Service Areas, United States,
2001-2005
21
Late or No Prenatal CareUS Centers for Health
Statistics, UIHO Service Areas, United States,
1998-2002
22
All Cause Infant MortalityUS Centers for Health
Statistics, UIHO Service Areas, United States,
2000-2004
23
Infant Mortality due to SIDSUS Centers for
Health Statistics, UIHO Service Areas, United
States, 1995-2004
24
Reported Health and Health-influencing Behaviors
Among Urban American Indians and Alaska Natives
An analysis of Data Collected by the Behavioral
Risk Factor Surveillance System (2008)
REPORT
  • Enclosed Figures
  • Any Alcohol in the Last 30 Days
  • Binge Drinking Among Those Who Drink Alcohol
  • No Leisure-time Physical Activity in Past 30 Days
  • One or More Days of Poor Mental Health in Past 30
    Days
  • One or More Days of Poor Physical Health in Past
    30 Days

25
Reported Health and Health-influencing Behaviors
Among Urban American Indians and Alaska Natives
An analysis of Data Collected by the Behavioral
Risk Factor Surveillance System (2008)
REPORT
  • Enclosed Figures (cont)
  • Eat Five Fruits/Vegetables in a Day
  • Visit to Dentist for Any Reason in Past Year
  • Dental Cleaning in Past Year
  • Ever Told By a Doctor that You Have High Blood
    Pressure
  • Ever Test for HIV (Excludes Blood Donation)

26
Data Source Behavioral Risk Factor Surveillance
System (BRFSS)
  • National phone-based survey administered annually
  • This analysis includes BRFSS years 2004-2008
  • 3,273 urban AI/AN 245,960 urban non-AI/AN
  • Each year, AI/AN were 1.4-1.6 of the total
    sample.
  • Women made up approximately 60 of the sample
    among both groups (AI/AN and non-AI/AN).
  • AI/AN respondents were younger as a group than
    other respondents (mean age 46 years vs. 52
    years).
  • Lines show the 95 confidence intervals all
    graphs show statistically significant disparities
    between groups.

27
Any Alcohol in the Past 30 DaysBRFSS, UIHO
Service Areas, United States, 2004-2008
28
Binge Drinking Among Those Who Drink
AlcoholBRFSS, UIHO Service Areas, United States,
2004-2008
29
No Leisure-Time Physical Activity in Past 30
DaysBRFSS, UIHO Service Areas, United States,
2004-2008
30
One or More Days of Poor Mental Health in Past 30
Days BRFSS, UIHO Service Areas, United States,
2004-2008
31
One or More Days of Poor Physical Health in Past
30 DaysBRFSS, UIHO Service Areas, United States,
2004-2008
32
Eat Five Fruits/Vegetables Each DayBRFSS, UIHO
Service Areas, United States, 2004-2008
33
Visit to Dentist for Any Reason in Past
YearBRFSS, UIHO Service Areas, United States,
2004-2008
34
Dental Cleaning in Past YearBRFSS, UIHO Service
Areas, United States, 2001-2005
35
Ever Tested for HIV (Excludes Blood
Donation)BRFSS, UIHO Service Areas, United
States, 2001-2005
36
Urban American Indian and Alaska Native Youth An
Analysis of Select National Data Sources (2009)
REPORT
  • Enclosed Figures
  • Leading Causes of Death among AI/AN Youth Aged
    15-19 (1999-2001)
  • Safety and Violence at School (1997-2003)
  • Reports of Suicidal Behavior (1997-2003)
  • Reports of Lifetime Illegal Drug Use (1997-2003)
  • Reports of Sexual Behavior (1997-2003)

37
Data Source Youth Risk Behavior Survey (YRBS)
  • Surveys completed by students in public and
    private schools
  • Data from four survey years were added together
    and averaged 1997, 1999, 2001 and 2003
  • Urban is inside a Census-defined Metropolitan
    Statistical Area
  • 59,839 students total in all four survey years
  • 513 urban AI/AN 19,189 urban whites
  • Mixed race AI/AN and whites are not included in
    data
  • Participant demographic profiles are not
    statistically significantly different.
  • All data presented are statistically significant
    disparities.

38
Safety and Violence at SchoolYouth Risk Behavior
Survey, Urban Areas, United States, 1997-2003
39
Reports of Suicidal BehaviorYouth Risk Behavior
Survey, Urban Areas, United States, 1997-2003
40
Reports of Lifetime Illegal Drug UseYouth Risk
Behavior Survey, Urban Areas, United States,
1997-2003
41
Reports of Sexual BehaviorYouth Risk Behavior
Survey, Urban Areas, United States, 1997-2003
42
Reproductive Health of Urban American Indian and
Alaska Native Women Examining Unintended
Pregnancy, Contraception, Sexual History and
Behavior, and Non-Voluntary Sexual Intercourse
(2010)
REPORT
  • Enclosed Figures
  • Current Contraceptive Status
  • Contraception Current Use
  • Depo-Provera Use by Age
  • Contraceptive Use at First Sex
  • Using Any Contraception 15-19 yrs
  • Non-Voluntary First Sex
  • Unintended Pregnancy

43
Data Source National Survey of Family Growth
(NSFG)
  • Represents U.S. household population, 15-44
    years old
  • In-person interviews and self-completed surveys
    are used
  • Data are from 2002 NSFG survey cycle 6
  • Urban is inside a Census-defined Metropolitan
    Statistical Area
  • 7,643 total females included in 2002
  • 299 urban AI/AN 3,173 non-Hispanic whites
    (NH-white)
  • AI/AN reported AI/AN only or AI/AN as the race
    that best describes them
  • Lines are 95 confidence intervals.
    Non-overlapping lines are statistically
    significant disparities between groups.

44
Current Contraceptive Status AI/ANNSFG, Urban
Areas, United States, 2002
45
Contraception Current UseMost Common
MethodsNSFG, Urban Areas, United States, 2002
46
Depo-Provera Use By Age GroupsNSFG, Urban Areas,
United States, 2002
47
Use of Any Method of Contraception at first
sexual intercourseNSFG, Urban Areas, United
States, 2002
48
Current Use of Any Contraception 15-19
yearsNSFG, Urban Areas, United States, 2002
49
Non-Voluntary First Sex NSFG, Urban Areas,
United States, 2002
50
Unintended Pregnancy NSFG, Urban Areas, United
States, 2002
51
Urban Indian Health InstituteSeattle Indian
Health BoardP.O. Box 3364Seattle, WA
98114Phone (206) 812-3030Fax (206)
812-3044Email info_at_uihi.orgWebsite
www.uihi.org
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