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Health of American Indian and Alaska native adults, by urbanization level : United States, 2014–2018
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August 2020
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[PDF-353.24 KB]
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Description:Data from the National Health Interview Survey
• The age-adjusted percentage of American Indian and Alaska Native (AIAN) adults in fair or poor health did not differ by urbanization level and was higher than all U.S. adults.
• The percentage of AIAN adults with a disability decreased from 18.9% in large metropolitan statistical areas (MSAs) to 12.9% in rural areas.
• The percentage of AIAN adults with multiple chronic conditions increased from 28.6% in large MSAs to 35.5% in rural areas.
• The percentage of AIAN adults with diagnosed hypertension was highest in medium and small MSAs (35.7%) and rural areas (35.0%).
• The percentage of AIAN adults with diagnosed diabetes was highest in rural areas (18.9%).
Historically, the American Indian and Alaska Native (AIAN) population in the United States has faced health disparities including greater prevalence of physical and mental health problems and high uninsured rates when compared with the non-AIAN population (1). Almost 80% of the AIAN population resides outside of reservations or land trusts and about 40% reside in rural areas (2). Rural Americans are more likely to die from preventable or self-manageable conditions (3), and risk factors and health conditions may vary by urbanization level (4). This report examines differences in the percentage of selected health status and conditions by urbanization level between AIAN adults and all U.S. adults.
CS318046
db372-h.pdf
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Content Notes:Key findings -- The age-adjusted percentage of adults in fair or poor health varied by urbanization level among all adults, but not AIAN adults. -- The age-adjusted percentage of adults with a disability differed by AIAN origin and urbanization level. -- The age-adjusted percentage of adults with multiple chronic conditions differed by urbanization level for AIAN and all U.S. adults. -- The age-adjusted percentage of adults diagnosed with hypertension differed by AIAN origin and urbanization level. -- The age-adjusted percentage of adults diagnosed with diabetes differed by urbanization level for AIAN and U.S. adults. -- Summary -- Definitions -- Data source and methods -- About the authors -- References -- Suggested citation
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