Health Conditions and Health Care Use Among American Indian and Alaska Native Adults by Tribal Land Residential Status : United States, 2019–2021

Details

• Personal Author:
  Ng, Amanda E. ; Adjaye-Gbewonyo, Dzifa ; Vahratian, Anjel
• Corporate Authors:
  National Center for Health Statistics (U.S.)
• Description:
  Objective—This report presents estimates for selected health conditions and health care use among American Indian and Alaska Native (AIAN) adults by tribal land residential status.
  
  Methods—Data from the National Health Interview Survey collected during 2019–2021 were used to estimate the percentage of AIAN adults with a) selected circulatory, endocrine, and rheumatological conditions; b) access to and who used healthcare services, including selected vaccinations; and c) regular feelings of anxiety and depression and access to mental health treatment, by tribal land residential status. Unadjusted prevalence estimates and both unadjusted and adjusted prevalence ratios with 95% confidence intervals are presented for each measure.
  
  Results—In 2019–2021, the percentage of AIAN adults who ever had diagnosed diabetes was significantly higher for those living on tribal lands (18.9%) compared with those living off tribal lands (11.5%). While AIAN adults living on tribal lands were more likely to have a usual place of care, they also were more likely to have an emergency room visit in the past 12 months compared with those living off tribal lands. The percentage of AIAN adults who received an influenza vaccination in the past 12 months was higher among those living on tribal lands (49.6%) compared with those living off (39.2%). AIAN adults living on tribal lands were less likely to delay or not receive mental health treatment due to cost in the past 12 months compared with AIAN adults living off tribal lands (2.2% compared with 8.3%, respectively; p < 0.05). Each of these associations remained after adjusting for differences in education level between the two groups.
  
  
• Subjects:
  Adult American Indian Or Alaska Native Delivery Of Health Care Humans
• Source:
  National health statistics reports ; no. 185
• Series:
  National Health Statistics Reports
• Document Type:
  Report
• Name as Subject:
  United States. Indian Health Service. ; United States. Indian Health Service.
• Genre:
  Statistics
• Place as Subject:
  United States
• Issue:
  185
• Collection(s):
  National Center for Health Statistics
• Main Document Checksum:
  urn:sha-512:40031750705ff6541e263b8c4aaff0e6ea1edac836a254fd72158832bbc9047ec7b914899ae03fb3e9e567d42c7c080556998018260d15b53f31312d08c0e8de
• Download URL:
  https://stacks.cdc.gov/view/cdc/125982/cdc_125982_DS1.pdf
• File Type:
  [PDF - 401.62 KB ]