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Urban American Indian and Alaska Native Health Indicator Graphs September 2010

Urban American Indian and Alaska Native Health Indicator Graphs September 2010. Urban Indian Health Institute Seattle Indian Health Board. Introduction.

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Urban American Indian and Alaska Native Health Indicator Graphs September 2010

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  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. 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 (BMI≥30) Community Health Profile: Urban Indian Health Organizations (UIHO) Aggregate Urban Counties (2009)

  5. 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 Community Health Profile: Urban Indian Health Organizations (UIHO) Aggregate Urban Counties (2009)

  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. 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 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)

  25. 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) 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)

  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. 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) Urban American Indian and Alaska Native Youth: An Analysis of Select National Data Sources (2009)

  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. 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 Reproductive Health of Urban American Indian and Alaska Native Women: Examining Unintended Pregnancy, Contraception, Sexual History and Behavior, and Non-Voluntary Sexual Intercourse(2010)

  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

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