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Chronic Disease-Related Social and Behavioral Risk Factors and Conditions Among Non-Hispanic American Indian and
Christine M Kava1, Jessica B King1, Donald S Haverkamp1
1Christine M. Kava, Jessica B. King, Donald S. Haverkamp, Stephanie C. Melkonian, and Jonathan Bryant-Genevier are with the Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA. Linda Schieb is with the Division of Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, Atlanta, GA. Guixiang Zhao is with the Division of Population Health, Centers for Disease Control and Prevention, Atlanta, GA.
Abstract:
Objectives. To examine chronic disease-related behavioral risk factors, social needs, and health conditions among non-Hispanic American Indian and Alaska Native (AI/AN) people. Methods. We analyzed 2011 to 2023 Behavioral Risk Factor Surveillance System data among non-Hispanic AI/AN respondents. We calculated weighted prevalence estimates and 95% confidence intervals. Results are stratified by sex (other than health-related social needs owing to small sample sizes) and geographic region. Results. The prevalence of several chronic disease-related risk factors, social needs, and conditions was high among non-Hispanic AI/AN people, including current cigarette smoking (women: 26.9%; men: 30.1%), overweight or obesity (women: 67.8%; men: 73.4%), history of depressive disorder diagnosis (women: 30.0%; men: 19.4%), experience of food insecurity always or usually (10.4%) or sometimes (15.6%), and housing insecurity (20.0%). Differences existed by geographic region; for example, the prevalence of ever being diagnosed with cancer was higher in the Pacific Coast region (women: 11.4%; men: 8.1%) than in the Southwest (women: 5.1%; men: 3.5%). Conclusions. The findings from this study can be used to inform multilevel interventions in non-Hispanic AI/AN communities. Interventions might consider including strategies that address individual risk factors and health-related social needs.
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