1. Urban Indian Health Institute Seattle Indian Health Board
Urban American Indian and Alaska Native Health Indicator Graphs September 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:
Seattle Indian Health Board’s Urban Indian Health Institute

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)
Seattle Indian Health Board’s Urban Indian Health Institute

4. REPORT:
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,
AI/AN Cancer Mortality,
Select Mortality Disparities,
Self-Reported Health Status,
Current Smoker,
Obesity (BMI≥30)
Seattle Indian Health Board’s Urban Indian Health Institute

5. REPORT:
Community Health Profile: Urban Indian Health Organizations (UIHO) Aggregate Urban Counties (2009)
Enclosed Figures (Cont.):y,
Diagnosed with Diabetes,
Could Not See a Doctor Because Of Cost,
No Health Insurance,
Smoking During Pregnancy,
Births to Teen Mothers,
Late or No Prenatal Care,
All Cause Infant Mortality,
Infant Mortality due to SIDS,
Seattle Indian Health Board’s Urban Indian Health Institute

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 ( ).
To protect confidentiality, select indicators (e.g., SIDS) are presented with more years ( ) 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

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

8. Highest Educational Attainment, Age 25 and older U. S
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

9. Poverty Status U.S. Census, UIHO Service Areas, United States, 2000
Seattle Indian Health Board’s Urban Indian Health Institute

10. Could Not See Doctor Because of Cost BRFSS, UIHO Service Areas, United States, 2004-2008
Seattle Indian Health Board’s Urban Indian Health Institute

11. No Health Insurance in Past 12 Months, BRFSS, UIHO Service Areas, United States, 2004-2008
Seattle Indian Health Board’s Urban Indian Health Institute

12. AI/AN Top Cause Mortality U. S
AI/AN Top Cause Mortality U.S. Centers for Health Statistics, UIHO Service Areas, United States,
Seattle Indian Health Board’s Urban Indian Health Institute

13. AI/AN Cancer Mortality U. S
AI/AN Cancer Mortality U.S. Centers for Health Statistics, UIHO Service Areas, United States,
Seattle Indian Health Board’s Urban Indian Health Institute

14. Select Mortality Disparities U. S
Select Mortality Disparities U.S. Centers for Health Statistics, UIHO Service Areas, United States,
Seattle Indian Health Board’s Urban Indian Health Institute

15. Self-Reported Health Status BRFSS, UIHO Service Areas, United States, 2004-2008
Seattle Indian Health Board’s Urban Indian Health Institute

16. Current Smoker BRFSS, UIHO Service Areas, United States, 2004-2008
Seattle Indian Health Board’s Urban Indian Health Institute

17. Obesity (BMI ≥ 30) BRFSS, UIHO Service Areas, United States, 2004-2008
Seattle Indian Health Board’s Urban Indian Health Institute

18. Diagnosed with Diabetes BRFSS, UIHO Service Areas, United States, 2004-2008
Seattle Indian Health Board’s Urban Indian Health Institute

19. Smoking During Pregnancy U. S
Smoking During Pregnancy U.S. Centers for Health Statistics, UIHO Service Areas, United States,
Seattle Indian Health Board’s Urban Indian Health Institute

20. Births to Teen Mothers U. S
Births to Teen Mothers U.S. Centers for Health Statistics, UIHO Service Areas, United States,
Seattle Indian Health Board’s Urban Indian Health Institute

21. Late or No Prenatal Care US Centers for Health Statistics, UIHO Service Areas, United States,
Seattle Indian Health Board’s Urban Indian Health Institute

22. All Cause Infant Mortality US Centers for Health Statistics, UIHO Service Areas, United States,
Seattle Indian Health Board’s Urban Indian Health Institute

23. Infant Mortality due to SIDS US Centers for Health Statistics, UIHO Service Areas, United States,
Seattle Indian Health Board’s Urban Indian Health Institute

24. 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)
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
Seattle Indian Health Board’s Urban Indian Health Institute

25. 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)
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)
Seattle Indian Health Board’s Urban Indian Health Institute

26. Data Source: Behavioral Risk Factor Surveillance System (BRFSS)
National phone-based survey administered annually
This analysis includes BRFSS years
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

27. Any Alcohol in the Past 30 Days BRFSS, UIHO Service Areas, United States, 2004-2008
Seattle Indian Health Board’s Urban Indian Health Institute

28. Binge Drinking Among Those Who Drink Alcohol BRFSS, UIHO Service Areas, United States, 2004-2008
Seattle Indian Health Board’s Urban Indian Health Institute

29. No Leisure-Time Physical Activity in Past 30 Days BRFSS, UIHO Service Areas, United States,
Seattle Indian Health Board’s Urban Indian Health Institute

30. One or More Days of Poor Mental Health in Past 30 Days BRFSS, UIHO Service Areas, United States,
Seattle Indian Health Board’s Urban Indian Health Institute

31. One or More Days of Poor Physical Health in Past 30 Days BRFSS, UIHO Service Areas, United States,
Seattle Indian Health Board’s Urban Indian Health Institute

32. Eat Five Fruits/Vegetables Each Day BRFSS, UIHO Service Areas, United States, 2004-2008
Seattle Indian Health Board’s Urban Indian Health Institute

33. 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

34. Dental Cleaning in Past Year BRFSS, UIHO Service Areas, United States, 2001-2005
Seattle Indian Health Board’s Urban Indian Health Institute

35. Ever Tested for HIV (Excludes Blood Donation) BRFSS, UIHO Service Areas, United States, 2001-2005
Seattle Indian Health Board’s Urban Indian Health Institute

36. REPORT:
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 ( )
Safety and Violence at School ( )
Reports of Suicidal Behavior ( )
Reports of Lifetime Illegal Drug Use ( )
Reports of Sexual Behavior ( )
Seattle Indian Health Board’s Urban Indian Health Institute

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.
Seattle Indian Health Board’s Urban Indian Health Institute

38. Safety and Violence at School Youth Risk Behavior Survey, Urban Areas, United States, 1997-2003
Seattle Indian Health Board’s Urban Indian Health Institute

39. Reports of Suicidal Behavior Youth Risk Behavior Survey, Urban Areas, United States, 1997-2003
Seattle Indian Health Board’s Urban Indian Health Institute

40. Reports of Lifetime Illegal Drug Use Youth Risk Behavior Survey, Urban Areas, United States,
Seattle Indian Health Board’s Urban Indian Health Institute

41. Reports of Sexual Behavior Youth Risk Behavior Survey, Urban Areas, United States, 1997-2003
Seattle Indian Health Board’s Urban Indian Health Institute

42. REPORT:
Reproductive Health of Urban American Indian and Alaska Native Women: Examining Unintended Pregnancy, Contraception, Sexual History and Behavior, and Non-Voluntary Sexual Intercourse (2010)
Enclosed Figures:
Current Contraceptive Status
Using Any Contraception: yrs
Contraception: Current Use
Non-Voluntary First Sex
Depo-Provera Use by Age
Unintended Pregnancy
Contraceptive Use at First Sex
Seattle Indian Health Board’s Urban Indian Health Institute

43. Data Source: National Survey of Family Growth (NSFG)
Represents U.S. household population, 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.
Need to condense following 4 slides
Seattle Indian Health Board’s Urban Indian Health Institute

44. Current Contraceptive Status: AI/AN NSFG, Urban Areas, United States, 2002
Seattle Indian Health Board’s Urban Indian Health Institute

45. Contraception: Current Use Most Common Methods NSFG, Urban Areas, United States, 2002
Seattle Indian Health Board’s Urban Indian Health Institute

46. Depo-Provera Use By Age Groups NSFG, Urban Areas, United States, 2002
Seattle Indian Health Board’s Urban Indian Health Institute

47. Use of Any Method of Contraception at first sexual intercourse NSFG, Urban Areas, United States, 2002
Seattle Indian Health Board’s Urban Indian Health Institute

48. Current Use of Any Contraception 15-19 years NSFG, Urban Areas, United States, 2002
Seattle Indian Health Board’s Urban Indian Health Institute

49. Non-Voluntary First Sex NSFG, Urban Areas, United States, 2002
Seattle Indian Health Board’s Urban Indian Health Institute

50. Unintended Pregnancy NSFG, Urban Areas, United States, 2002
Seattle Indian Health Board’s Urban Indian Health Institute

51. Urban Indian Health Institute Seattle Indian Health Board P. O
Urban Indian Health Institute Seattle Indian Health Board P.O. Box 3364 Seattle, WA Phone: (206) Fax: (206) Website: