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Cited by 238Indigenous Health, Education, and RightsIndigenous Health and EducationHealth disparities and outcomes

A Nationwide Population-Based Study Identifying Health Disparities between American Indians/Alaska Natives and the General Populations Living in Select Urban Counties

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Castor, Mei L., Smyser, Michael S., Taualii, Maile M., Park, Alice N., Lawson, Shelley A., Forquera, Ralph A.·2006·American Journal of Public Health
DOI 10.2105/ajph.2004.053942PMC PMC1522100
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Abstract

Objectives. Despite their increasing numbers, little is known about the health of American Indians/Alaska Natives living in urban areas. We examined the health status of American Indian/Alaska Native populations served by 34 federally funded urban Indian health organizations. Methods. We analyzed US census data and vital statistics data for the period 1990 to 2000. Results. Disparities were revealed in socioeconomic, maternal and child health, and mortality indicators between American Indians/Alaska Natives and the general populations in urban Indian health organization service areas and nationwide. American Indians/Alaska Natives were approximately twice as likely as these general populations to be poor, to be unemployed, and to not have a college degree. Similar differences were observed in births among mothers who received late or no prenatal care or consumed alcohol and in mortality attributed to sudden infant death syndrome, chronic liver disease, and alcohol consumption. Conclusions. We found health disparities between American Indians/Alaska Natives and the general populations living in selected urban areas and nationwide. Such disparities can be addressed through improvements in health care access, high-quality data collection, and policy initiatives designed to provide sufficient resources and a more unified vision of the health of urban American Indians/Alaska Natives.

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Crossref · 10.2105/ajph.2004.053942

Cites

23 of 23 references verified0 citation errors · 0 not checkable

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  • Forced relocation contributed to higher levels of poverty among many AIANs and promoted cultural displacement and eroded cultural practices and traditions.

    “In addition to forced relocation contributing to higher levels of poverty among many AIANs, it also promoted cultural displacement and eroded cultural practices and traditions [40,42].”

    From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [40]

    The Abstract links urban migration to federal relocation policies and mentions social and cultural isolation associated with nonreservation living. The Results report higher poverty rates among AIAN populations. The paper does not establish that forced relocation caused the poverty disparity or eroded cultural practices and traditions; page numbers were not available in our copy. (LLM, conf=0.85)

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  • The cultural and emotional losses tied to forced relocation have been associated with increased SUD.

    “The cultural and emotional losses tied to forced relocation have been associated with increased SUD [40,42].”

    From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [40]

    The introductory passage (labeled Abstract in our copy; page unavailable) links urban relocation to federal policies, and the Results report higher alcohol-related mortality among American Indians/Alaska Natives than among the corresponding general populations. The paper does not associate cultural or emotional losses from relocation with increased substance use disorder (SUD), nor does it report SUD rates. (LLM, conf=0.78)

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  • Substance use is a common correlate of unemployment and poverty.

    “Substance use is a common correlate of unemployment and poverty, further complicating individuals’ situational and relational dynamics [40,41].”

    From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [40]

    The Results (Table 2) report higher poverty and unemployment rates among American Indians/Alaska Natives than among the corresponding general populations; other Results passages report higher maternal alcohol use and alcohol-related mortality. These are separate population-level comparisons, not evidence that substance use commonly correlates with unemployment or poverty among individuals. (LLM, conf=0.82)

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Cites

Flagged first, then by citations

2 of the 25 references couldn’t be matched to a known paper.

Research works printed but not linked: 3

  1. [2]Burhansstipanov L. Urban Native American health issues. Paper presented at: National Action Plan on Breast Cancer Workshop, March 1999, Washington, DC.
  2. [6]Hahn RA, Mulinare J, Teutsch S. Inconsistencies in coding of race and ethnicity between birth and death in US infants. JAMA. 1992;267:259–263. [PubMed] [Google Scholar]
  3. [20]Klein RJ, Schoenborn CA Age Adjustment Using the 2000 Projected US Population. Hyattsville, Md: National Center for Health Statistics; 2001. [PubMed]

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Authors
Castor, M. L., Smyser, M. S., Taualii, M. M., Park, A. N., Lawson, S. A., & Forquera, R. A.
Affiliations
Public Health – Seattle & King County (US)
ORCID
Taualii, Maile M.
Venue
American Journal of Public Health
Publisher
American Public Health Association
Published
2006-08
Volume
96
Issue
8
Pages
1478-1484
ISSN
  • 0090-0036 (ISSN-L)
  • 1541-0048
DOI
10.2105/ajph.2004.053942
PMC
PMC1522100
OpenAlex
W2020372724
Cited by
238
References
25
Citations by year
2026: 1 · 2025: 9 · 2024: 3 · 2023: 14 · 2022: 11 · 2021: 12 · 2020: 8 · 2019: 15 · 2018: 10 · 2017: 12 · 2016: 20 · 2015: 23 · 2014: 14 · 2013: 7 · 2012: 13
FWCI
11.48
Type
journal article
Language
en
Open access
Locations
  • American Journal of Public Health (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Health › Indigenous Health, Education, and Rights
  • Health Sciences › Health Professions › General Health Professions › Indigenous Health and Education
  • Social Sciences › Health › Health disparities and outcomes
Keywords
health disparities, American Indians and Alaska Natives, socioeconomic status, maternal and child health, prenatal care, sudden infant death syndrome, alcohol consumption, chronic liver disease, mortality, health care access
MeSH terms
Adolescent, Adult, Aged, Child, Child Welfare, Child, Preschool, Educational Status, Inuit, Female, Financing, Government, Health Services, Indigenous, Health Surveys, Humans, Indians, North American, Infant, Infant, Newborn, Male, Maternal Welfare, Middle Aged, Mortality, Poverty, Pregnancy, Socioeconomic Factors, Unemployment, United States, Urban Health, Federal Government

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