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The Health Status of American Indians/Native Americans in Massachusetts Massachusetts Department of Public Health Center for Health Information, Statistics, Research, and Evaluation Division of Research and Epidemiology National American Indian Heritage Month

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The Health Status of American Indians/Native Americans in Massachusetts

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The health status of american indians native americans in massachusetts l.jpg

The Health Status of American Indians/Native Americans in Massachusetts

Massachusetts Department of Public Health

Center for Health Information, Statistics, Research, and Evaluation

Division of Research and Epidemiology


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National American Indian Heritage Month

During National American Indian Heritage Month, we honor the generations of American Indians and Alaska Natives who have added to the character of our Nation. This month is an opportunity to celebrate their many accomplishments and their rich ancestry and traditions.

George W. Bush , 2006


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Native American Collaborators

  • Mashpee Wampanoag Tribe

  • Aquinnah Wampanoag Tribe

  • North American Indian Center of Boston


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Indian Health Service Areas


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Making History

One of the first comprehensive reports on Native American health by a state


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Making History in Massachusetts

  • First health report on American Indians

  • First statewide report to collaborate with Native Americans

  • First report to integrate information from federal, state and tribal data collections

  • First report to use Indian-driven data


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American Indian Population by County

Massachusetts: Census 2000

Source: U.S. Census 2000


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Outline of Today’s Presentation

  • Socio-demographics

  • Survey Results

    • Behavioral Risk Factor Surveillance System

    • Mashpee Wampanoag Community Health Survey

    • NAICOBCommunity Health Survey

    • -Youth Risk Behavior Survey

  • Health Outcomes

    • -Births

    • -Deaths

  • Summary


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Socio-Demographics


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White

Black

Asian

American Indian

Other

Two+

Race According to Census 2000

United States

Massachusetts

Source: Census 2000


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American Indians in Race Combinations Census 2000

United States

Massachusetts

Source: U.S. Census 2000


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38,050

20,760

19,390

15,015

Different Counts of the American Indian/Alaska Native Population in Massachusetts: 2000

Census 2000

MDPH 2000

MARS 2000

Census 2000


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Age Distribution of American Indians in Massachusetts: Census 2000

Massachusetts Overall

American Indian

65+

45-64

25-44

0-24

Source: U.S. Census 2000


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American Indian and Alaska Native Tribes Massachusetts: Census 2000

Source: U.S. Census 2000

* Only federally recognized American Indian Tribe in Massachusetts


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American Indian Population by City/Town Massachusetts: 2000

> 1% MA population

<= 1% MA population

Source: U.S. Census 2000


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Source: U.S. Census 2000


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Source: U.S. Census 2000


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Economic Indicators: 1999

Source: U.S. Census 2000


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Socio-Demographic Indicators: 2000

Source: U.S. Census 2000


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Less Than High School Education Massachusetts: 2000

Source: U.S. Census 2000, SF-4


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Census 2000 Adjusted CountMassachusetts: 2000

Source: U.S. Census 2000


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Survey Results


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Health Status Findings Behavioral Risk Factor Surveillance Survey Massachusetts: 2001-2005

Source: Behavioral Risk Factor Surveillance System (BRFSS) 2001-2005


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Access to Health Behavioral Risk Factor Surveillance Survey Massachusetts: 2001-2005

Source: Behavioral Risk Factor Surveillance System (BRFSS) 2001-2005


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Health Status Indicators North American Indian Center of Boston Community Health Survey: 2002

Source: North American Indian Center of Boston Community Health Survey, 2002.


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Health Status Indicators Mashpee Wampanoag Community Health Survey Massachusetts: 2002

Source: Wampanoag Community Health Survey, 2002.


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The Health Status of High School Students Youth Risk Behavior Survey: 1993-2003

Source: Department of Education, YRBS: 1993-2003


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The Health Status of High School Students Youth Risk Behavior Survey: 1993-2003

Source: Department of Education, YRBS: 1993-2003


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Health Outcomes


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Birth IndicatorsMassachusetts: 1999-2004

Source: Massachusetts Births 1999-2004


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Birth IndicatorsMassachusetts: 1999-2004

Source: Massachusetts Births 1999-2004


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American Indians (N=443)

  • Cancer (23%)

  • Heart Disease (22%)

  • Injuries & Poisonings (9%)

  • Stroke (5%)

  • Pneumonia & Influenza (4%)

Massachusetts (N=611,825)

  • Heart Disease (28%)

  • Cancer (25%)

  • Stroke (6%)

  • CLRD1 (5%)

  • Injuries & Poisonings (4%)

Leading Causes of Death (NCHS Ranking) Massachusetts: 1994-2004

1 Chronic Lower Respiratory Disease

Source: Massachusetts Department of Public Health, Massachusetts Deaths 1994-2004


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Underestimation in Mortality Rates for American Indians

  • Because it is more likely for race to be reported as Native American in the Census than it is in the death certificates, this results in a net underestimation of mortality

  • The number of deaths (numerator) and the population count (denominator) are inconsistent.

  • Race is self-reported on the Census; whereas, on death certificates, race may be reported by the family, the certifying physician, the funeral director, or other informant.

  • More than one race can be reported on the Census, whereas, currently, only single races are allowed on the death certificate

  • The American Indian population count (denominator) in mortality rates may be inaccurate because of the large number of mixed-race persons who are, in part, Native American.


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All Cause Mortality

Age-Adjusted Death Rates: 1994-2004

Adjusted Estimate

Underestimate

Age-adjusted to the 2000 US standard population. Source: Massachusetts Department of Public Health, Death certificates.


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Summary


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Summary

The Health Status of American Indians/Native Americans in Massachusetts

  • Makes history in Massachusetts public health

  • A baseline by which we can track improvements in American Indian health

  • A much needed resource for American Indian groups to assess the health needs of their communities

  • Highlights the need for better methods of collection of race and ethnicity data

  • Starting point for research into the health of American Indians and the development of programs targeted to this population


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How Can You Access this Report?

  • Hard Copies: (617) 624-5640

  • (617) 624-5639

  • TDD/TTY: (617) 624-6001

  • DPH Website:

  • http://www.mass.gov/dph/pubstats.htm


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Thank You


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