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Surveillance for health behaviors of American Indians and Alaska Natives-findings from the behavioral risk factor surveillance system, 2000-2006.
Cancer. 2008 Sep 01; 113(5 Suppl):1131-41.C

Abstract

BACKGROUND

The authors compared estimates for cancer risk factors, use of cancer screening tests, health status indicators, and access to care for American Indians and Alaska Natives (AI/ANs) and non-Hispanic whites (NHWs) in the US and for AI/ANs in 6 Indian Health Service regions.

METHODS

Behavioral Risk Factor Surveillance System data were aggregated from the years 2000 through 2006 and were used to calculate weighted prevalence estimates by gender for key variables except demographic variables.

RESULTS

Compared with NHWs, AI/ANs had lower prevalence estimates for income, educational attainment, insurance coverage, and access to personal healthcare providers. AI/ANs in Alaska and NHWs had similar estimates for diabetes (approximately 6%); however, the prevalence was nearly twice as high among AI/ANs in the other regions. The prevalence of obesity was higher for AI/ANs (29.6%) than for NHWs (20.9%). The prevalence of binge drinking was higher among AI/AN males (24.9%) than among AI/AN females (8.5%). Heavy drinking was more prevalent among NHW females (5.3%) than among AI/AN females (3.5%). AI/ANs were more likely to be current smokers (31.1%) than NHWs (22.8%). The prevalence of AI/ANs who never smoked ranged from 31.5% in Alaska to 56.9% in the Southwest. In 5 of the 6 regions, AI/AN females had lower prevalence estimates of both Papanicolaou and mammography testing than NHW females. The use of colorectal cancer screening tests was more common among NHWs (53.8%) than among AI/ANs (44%).

CONCLUSIONS

Although cancer health disparities persist among AI/ANs, the current analysis indicated that variation in the prevalence of their chronic disease risk factors may be obscured when national data are not examined by smaller geographic areas such as regions.

Authors+Show Affiliations

National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA. cks9@cdc.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

18720374

Citation

Steele, C Brooke, et al. "Surveillance for Health Behaviors of American Indians and Alaska Natives-findings From the Behavioral Risk Factor Surveillance System, 2000-2006." Cancer, vol. 113, no. 5 Suppl, 2008, pp. 1131-41.
Steele CB, Cardinez CJ, Richardson LC, et al. Surveillance for health behaviors of American Indians and Alaska Natives-findings from the behavioral risk factor surveillance system, 2000-2006. Cancer. 2008;113(5 Suppl):1131-41.
Steele, C. B., Cardinez, C. J., Richardson, L. C., Tom-Orme, L., & Shaw, K. M. (2008). Surveillance for health behaviors of American Indians and Alaska Natives-findings from the behavioral risk factor surveillance system, 2000-2006. Cancer, 113(5 Suppl), 1131-41. https://doi.org/10.1002/cncr.23727
Steele CB, et al. Surveillance for Health Behaviors of American Indians and Alaska Natives-findings From the Behavioral Risk Factor Surveillance System, 2000-2006. Cancer. 2008 Sep 1;113(5 Suppl):1131-41. PubMed PMID: 18720374.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surveillance for health behaviors of American Indians and Alaska Natives-findings from the behavioral risk factor surveillance system, 2000-2006. AU - Steele,C Brooke, AU - Cardinez,Cheryll J, AU - Richardson,Lisa C, AU - Tom-Orme,Lillian, AU - Shaw,Kate M, PY - 2008/8/23/pubmed PY - 2008/10/10/medline PY - 2008/8/23/entrez SP - 1131 EP - 41 JF - Cancer JO - Cancer VL - 113 IS - 5 Suppl N2 - BACKGROUND: The authors compared estimates for cancer risk factors, use of cancer screening tests, health status indicators, and access to care for American Indians and Alaska Natives (AI/ANs) and non-Hispanic whites (NHWs) in the US and for AI/ANs in 6 Indian Health Service regions. METHODS: Behavioral Risk Factor Surveillance System data were aggregated from the years 2000 through 2006 and were used to calculate weighted prevalence estimates by gender for key variables except demographic variables. RESULTS: Compared with NHWs, AI/ANs had lower prevalence estimates for income, educational attainment, insurance coverage, and access to personal healthcare providers. AI/ANs in Alaska and NHWs had similar estimates for diabetes (approximately 6%); however, the prevalence was nearly twice as high among AI/ANs in the other regions. The prevalence of obesity was higher for AI/ANs (29.6%) than for NHWs (20.9%). The prevalence of binge drinking was higher among AI/AN males (24.9%) than among AI/AN females (8.5%). Heavy drinking was more prevalent among NHW females (5.3%) than among AI/AN females (3.5%). AI/ANs were more likely to be current smokers (31.1%) than NHWs (22.8%). The prevalence of AI/ANs who never smoked ranged from 31.5% in Alaska to 56.9% in the Southwest. In 5 of the 6 regions, AI/AN females had lower prevalence estimates of both Papanicolaou and mammography testing than NHW females. The use of colorectal cancer screening tests was more common among NHWs (53.8%) than among AI/ANs (44%). CONCLUSIONS: Although cancer health disparities persist among AI/ANs, the current analysis indicated that variation in the prevalence of their chronic disease risk factors may be obscured when national data are not examined by smaller geographic areas such as regions. SN - 0008-543X UR - https://www.unboundmedicine.com/medline/citation/18720374/Surveillance_for_health_behaviors_of_American_Indians_and_Alaska_Natives_findings_from_the_behavioral_risk_factor_surveillance_system_2000_2006_ L2 - https://doi.org/10.1002/cncr.23727 DB - PRIME DP - Unbound Medicine ER -