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A Nationwide Population-Based Study Identifying Health Disparities Between American Indians/Alaska Natives and the General Populations Living in Select Urban Counties
Open accessAbstract
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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“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]
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“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]
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“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]
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Metadata
- 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
- 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
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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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