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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

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

slide2

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

native american collaborators
Native American Collaborators
  • Mashpee Wampanoag Tribe
  • Aquinnah Wampanoag Tribe
  • North American Indian Center of Boston
making history
Making History

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

making history in massachusetts
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
slide7

American Indian Population by County

Massachusetts: Census 2000

Source: U.S. Census 2000

slide8

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
race according to census 2000

White

Black

Asian

American Indian

Other

Two+

Race According to Census 2000

United States

Massachusetts

Source: Census 2000

american indians in race combinations census 2000
American Indians in Race Combinations Census 2000

United States

Massachusetts

Source: U.S. Census 2000

different counts of the american indian alaska native population in massachusetts 2000

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

age distribution of american indians in massachusetts census 2000
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

american indian and alaska native tribes massachusetts census 2000
American Indian and Alaska Native Tribes Massachusetts: Census 2000

Source: U.S. Census 2000

* Only federally recognized American Indian Tribe in Massachusetts

american indian population by city town massachusetts 2000
American Indian Population by City/Town Massachusetts: 2000

> 1% MA population

<= 1% MA population

Source: U.S. Census 2000

slide17

Source: U.S. Census 2000

economic indicators 1999
Economic Indicators: 1999

Source: U.S. Census 2000

socio demographic indicators 2000
Socio-Demographic Indicators: 2000

Source: U.S. Census 2000

health status findings behavioral risk factor surveillance survey massachusetts 2001 2005
Health Status Findings Behavioral Risk Factor Surveillance Survey Massachusetts: 2001-2005

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

access to health behavioral risk factor surveillance survey massachusetts 2001 2005
Access to Health Behavioral Risk Factor Surveillance Survey Massachusetts: 2001-2005

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

health status indicators north american indian center of boston community health survey 2002
Health Status Indicators North American Indian Center of Boston Community Health Survey: 2002

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

health status indicators mashpee wampanoag community health survey massachusetts 2002
Health Status Indicators Mashpee Wampanoag Community Health Survey Massachusetts: 2002

Source: Wampanoag Community Health Survey, 2002.

the health status of high school students youth risk behavior survey 1993 2003
The Health Status of High School Students Youth Risk Behavior Survey: 1993-2003

Source: Department of Education, YRBS: 1993-2003

slide28

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

Source: Department of Education, YRBS: 1993-2003

birth indicators massachusetts 1999 2004
Birth IndicatorsMassachusetts: 1999-2004

Source: Massachusetts Births 1999-2004

birth indicators massachusetts 1999 200431
Birth IndicatorsMassachusetts: 1999-2004

Source: Massachusetts Births 1999-2004

slide32

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

underestimation in mortality rates for american indians
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.
slide34

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.

slide36

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
slide37

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