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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.
Chronic disease risk factors, social needs, and health conditions are prevalent among American Indian and Alaska Native (AI/AN) people. Findings can inform targeted multilevel interventions for AI/AN communities.
Area of Science:
- Public Health
- Epidemiology
- Health Disparities
Background:
- American Indian and Alaska Native (AI/AN) populations experience significant health disparities.
- Understanding chronic disease risk factors and social needs is crucial for effective public health interventions.
Purpose of the Study:
- To examine chronic disease-related behavioral risk factors, social needs, and health conditions among non-Hispanic AI/AN individuals.
- To identify disparities in health outcomes and social determinants of health within this population.
Main Methods:
- Analysis of 2011-2023 Behavioral Risk Factor Surveillance System (BRFSS) data.
- Inclusion of non-Hispanic AI/AN respondents, with results stratified by sex and geographic region.
- Calculation of weighted prevalence estimates and 95% confidence intervals for key health indicators.
Main Results:
- High prevalence of current cigarette smoking, overweight/obesity, and history of depressive disorder diagnosis among AI/AN individuals.
- Significant rates of food insecurity (26.0%) and housing insecurity (20.0%) were reported.
- Geographic variations in cancer diagnosis prevalence were observed, with higher rates in the Pacific Coast region.
Conclusions:
- Findings highlight the substantial burden of chronic disease risk factors and social needs in AI/AN communities.
- Multilevel interventions are recommended, addressing both individual risk factors and health-related social needs.
- Data can inform targeted strategies to improve health outcomes for AI/AN populations.
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