Urban American Indian and Alaska Native Health Indicator Graphs September 2010 Urban Indian Health...

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Urban American Indian and Alaska Native Health Indicator Graphs

September 2010

Urban Indian Health InstituteSeattle Indian Health Board

IntroductionThis 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/

Seattle Indian Health Board’s Urban Indian Health Institute

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)

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

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)

REPORT:

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

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?”.

Percentage of U.S. AI/AN Population Living in Urban Areas

U.S. Census, Urban Areas, United States, 2000

Highest Educational Attainment, Age 25 and older

U.S. Census, UIHO Service Areas, United States, 2000

Poverty StatusU.S. Census, UIHO Service Areas, United States, 2000

Could Not See Doctor Because of Cost

BRFSS, UIHO Service Areas, United States, 2004-2008

No Health Insurance in Past 12 Months,

AI/AN Top Cause MortalityU.S. Centers for Health Statistics, UIHO Service Areas, United

States, 2001-2005

AI/AN Cancer MortalityU.S. Centers for Health Statistics, UIHO Service Areas, United

States, 2001-2005

Select Mortality DisparitiesU.S. Centers for Health Statistics, UIHO Service Areas, United

States, 2001-2005

Self-Reported Health StatusBRFSS, UIHO Service Areas, United States, 2004-2008

Current Smoker BRFSS, UIHO Service Areas, United States, 2004-2008

Obesity (BMI ≥ 30)BRFSS, UIHO Service Areas, United States, 2004-2008

Diagnosed with DiabetesBRFSS, UIHO Service Areas, United States, 2004-2008

Smoking During PregnancyU.S. Centers for Health Statistics, UIHO Service Areas, United

States, 1998-2002

Births to Teen MothersU.S. Centers for Health Statistics, UIHO Service Areas, United

States, 2001-2005

Late or No Prenatal CareUS Centers for Health Statistics, UIHO Service Areas, United States,

1998-2002

All Cause Infant MortalityUS Centers for Health Statistics, UIHO Service Areas, United States,

2000-2004

Infant Mortality due to SIDSUS Centers for Health Statistics, UIHO Service Areas, United States,

1995-2004

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)

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

REPORT:

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)

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.

Any Alcohol in the Past 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

Eat Five Fruits/Vegetables Each Day

Visit to Dentist for Any Reason in Past Year

Dental Cleaning in Past YearBRFSS, UIHO Service Areas, United States, 2001-2005

Ever Tested for HIV (Excludes Blood Donation)

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

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)

REPORT:

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.Seattle Indian Health Board’s Urban Indian Health Institute

Safety and Violence at SchoolYouth Risk Behavior Survey, Urban Areas, United States, 1997-2003

Reports of Suicidal BehaviorYouth Risk Behavior Survey, Urban Areas, United States, 1997-

Reports of Lifetime Illegal Drug Use

Youth Risk Behavior Survey, Urban Areas, United States, 1997-2003

Reports of Sexual BehaviorYouth Risk Behavior Survey, Urban Areas, United States, 1997-

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:

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.

Current Contraceptive Status: AI/AN

NSFG, Urban Areas, United States, 2002

Non-use, 38%

Female sterilization,

Pill, 13%

Condom, 13%

Other methods, 8%

Depo, 5%

Contraception: Current UseMost Common Methods

Depo-Provera Use By Age Groups

Use of Any Method of Contraception at first sexual

intercourseNSFG, Urban Areas, United States, 2002

Current Use of Any Contraception 15-19 years

Non-Voluntary First Sex NSFG, Urban Areas, United States, 2002

Unintended Pregnancy NSFG, Urban Areas, United States, 2002

Urban Indian Health InstituteSeattle Indian Health Board

P.O. Box 3364Seattle, WA 98114

Phone: (206) 812-3030Fax: (206) 812-3044

Email: info@uihi.org

Website: www.uihi.org

Urban American Indian and Alaska Native Health Indicator Graphs September 2010 Urban Indian Health...

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