Date post: | 23-Dec-2015 |
Category: |
Documents |
Upload: | dayna-lawrence |
View: | 212 times |
Download: | 0 times |
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)
Seattle Indian Health Board’s Urban Indian Health Institute
Community Health Profile: Urban Indian Health Organizations (UIHO) Aggregate Urban Counties (2009)
Seattle Indian Health Board’s Urban Indian Health Institute
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)
Seattle Indian Health Board’s Urban Indian Health Institute
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?”.
Seattle Indian Health Board’s Urban Indian Health Institute
Percentage of U.S. AI/AN Population Living in Urban Areas
U.S. Census, Urban Areas, United States, 2000
Seattle Indian Health Board’s Urban Indian Health Institute
Seattle Indian Health Board’s Urban Indian Health Institute
Highest Educational Attainment, Age 25 and older
U.S. Census, UIHO Service Areas, United States, 2000
Seattle Indian Health Board’s Urban Indian Health Institute
Poverty StatusU.S. Census, UIHO Service Areas, United States, 2000
Seattle Indian Health Board’s Urban Indian Health Institute
Could Not See Doctor Because of Cost
BRFSS, UIHO Service Areas, United States, 2004-2008
Seattle Indian Health Board’s Urban Indian Health Institute
No Health Insurance in Past 12 Months,
BRFSS, UIHO Service Areas, United States, 2004-2008
Seattle Indian Health Board’s Urban Indian Health Institute
AI/AN Top Cause MortalityU.S. Centers for Health Statistics, UIHO Service Areas, United
States, 2001-2005
Seattle Indian Health Board’s Urban Indian Health Institute
AI/AN Cancer MortalityU.S. Centers for Health Statistics, UIHO Service Areas, United
States, 2001-2005
Seattle Indian Health Board’s Urban Indian Health Institute
Select Mortality DisparitiesU.S. Centers for Health Statistics, UIHO Service Areas, United
States, 2001-2005
Seattle Indian Health Board’s Urban Indian Health Institute
Self-Reported Health StatusBRFSS, UIHO Service Areas, United States, 2004-2008
Seattle Indian Health Board’s Urban Indian Health Institute
Current Smoker BRFSS, UIHO Service Areas, United States, 2004-2008
Seattle Indian Health Board’s Urban Indian Health Institute
Obesity (BMI ≥ 30)BRFSS, UIHO Service Areas, United States, 2004-2008
Seattle Indian Health Board’s Urban Indian Health Institute
Diagnosed with DiabetesBRFSS, UIHO Service Areas, United States, 2004-2008
Seattle Indian Health Board’s Urban Indian Health Institute
Smoking During PregnancyU.S. Centers for Health Statistics, UIHO Service Areas, United
States, 1998-2002
Seattle Indian Health Board’s Urban Indian Health Institute
Births to Teen MothersU.S. Centers for Health Statistics, UIHO Service Areas, United
States, 2001-2005
Seattle Indian Health Board’s Urban Indian Health Institute
Late or No Prenatal CareUS Centers for Health Statistics, UIHO Service Areas, United States,
1998-2002
Seattle Indian Health Board’s Urban Indian Health Institute
All Cause Infant MortalityUS Centers for Health Statistics, UIHO Service Areas, United States,
2000-2004
Seattle Indian Health Board’s Urban Indian Health Institute
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)
Seattle Indian Health Board’s Urban Indian Health Institute
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
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)
Seattle Indian Health Board’s Urban Indian Health Institute
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.
Seattle Indian Health Board’s Urban Indian Health Institute
Any Alcohol in the Past 30 Days
BRFSS, UIHO Service Areas, United States, 2004-2008
Seattle Indian Health Board’s Urban Indian Health Institute
Binge Drinking Among Those Who Drink Alcohol
BRFSS, UIHO Service Areas, United States, 2004-2008
Seattle Indian Health Board’s Urban Indian Health Institute
No Leisure-Time Physical Activity in Past 30 Days
BRFSS, UIHO Service Areas, United States, 2004-2008
Seattle Indian Health Board’s Urban Indian Health Institute
One or More Days of Poor Mental Health in Past 30 Days
BRFSS, UIHO Service Areas, United States, 2004-2008
Seattle Indian Health Board’s Urban Indian Health Institute
One or More Days of Poor Physical Health in Past 30 Days
BRFSS, UIHO Service Areas, United States, 2004-2008
Seattle Indian Health Board’s Urban Indian Health Institute
Eat Five Fruits/Vegetables Each Day
BRFSS, UIHO Service Areas, United States, 2004-2008
Seattle Indian Health Board’s Urban Indian Health Institute
Visit to Dentist for Any Reason in Past Year
BRFSS, UIHO Service Areas, United States, 2004-2008
Seattle Indian Health Board’s Urban Indian Health Institute
Dental Cleaning in Past YearBRFSS, UIHO Service Areas, United States, 2001-2005
Seattle Indian Health Board’s Urban Indian Health Institute
Ever Tested for HIV (Excludes Blood Donation)
BRFSS, UIHO Service Areas, United States, 2001-2005
Seattle Indian Health Board’s Urban Indian Health Institute
Urban American Indian and Alaska Native Youth: An Analysis of Select National Data Sources (2009)
Seattle Indian Health Board’s Urban Indian Health Institute
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
Seattle Indian Health Board’s Urban Indian Health Institute
Reports of Suicidal BehaviorYouth Risk Behavior Survey, Urban Areas, United States, 1997-
2003
Seattle Indian Health Board’s Urban Indian Health Institute
Reports of Lifetime Illegal Drug Use
Youth Risk Behavior Survey, Urban Areas, United States, 1997-2003
Seattle Indian Health Board’s Urban Indian Health Institute
Reports of Sexual BehaviorYouth Risk Behavior Survey, Urban Areas, United States, 1997-
2003
Seattle Indian Health Board’s Urban Indian Health Institute
Reproductive Health of Urban American Indian and Alaska Native Women: Examining Unintended Pregnancy, Contraception, Sexual History and Behavior, and Non-Voluntary Sexual Intercourse (2010)
Seattle Indian Health Board’s Urban Indian Health Institute
REPORT:
Seattle Indian Health Board’s Urban Indian Health Institute
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
Seattle Indian Health Board’s Urban Indian Health Institute
Non-use, 38%
Female sterilization,
21%
Pill, 13%
Condom, 13%
Other methods, 8%
Depo, 5%
Seattle Indian Health Board’s Urban Indian Health Institute
Contraception: Current UseMost Common Methods
NSFG, Urban Areas, United States, 2002
Seattle Indian Health Board’s Urban Indian Health Institute
Depo-Provera Use By Age Groups
NSFG, Urban Areas, United States, 2002
Use of Any Method of Contraception at first sexual
intercourseNSFG, Urban Areas, United States, 2002
Seattle Indian Health Board’s Urban Indian Health Institute
Current Use of Any Contraception 15-19 years
NSFG, Urban Areas, United States, 2002
Seattle Indian Health Board’s Urban Indian Health Institute
Seattle Indian Health Board’s Urban Indian Health Institute
Non-Voluntary First Sex NSFG, Urban Areas, United States, 2002
Unintended Pregnancy NSFG, Urban Areas, United States, 2002
Seattle Indian Health Board’s Urban Indian Health Institute
Urban Indian Health InstituteSeattle Indian Health Board
P.O. Box 3364Seattle, WA 98114
Phone: (206) 812-3030Fax: (206) 812-3044
Email: [email protected]
Website: www.uihi.org