A nationwide population-based study identifying health disparities between American Indians/Alaska natives and the general populations living in select urban counties
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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DOI：
10.2105/ajph.2004.053942
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发表时间：
2006-08-01
影响因子：
12.7
通讯作者：
Forquera, Ralph A.
中科院分区：
文献类型：
--
作者：
Castor, Mei L.;Smyser, Michael S.;Forquera, Ralph A.
目标。尽管他们的人数越来越多，但人们对居住在城市地区的美国印第安人/阿拉斯加原住民的健康状况知之甚少。我们调查了34个联邦资助的城市印第安人卫生组织服务的美洲印第安人/阿拉斯加土著人口的健康状况。我们分析了1990年至2000年期间美国人口普查数据和人口动态统计数据。在城市印第安人卫生组织服务区和全国范围内，揭示了美洲印第安人/阿拉斯加原住民与一般人群在社会经济、妇幼健康和死亡率指标方面的差异。美国印第安人/阿拉斯加原住民贫穷、失业和没有大学学位的可能性大约是这些普通人群的两倍。在接受产前护理较晚或未接受产前护理或饮酒的母亲中，在婴儿猝死综合征、慢性肝病和饮酒导致的死亡率中，也观察到类似的差异。我们发现美国印第安人/阿拉斯加原住民与生活在选定城市地区和全国范围内的一般人群之间存在健康差异。这种差距可以通过改善保健机会、高质量数据收集和旨在提供充足资源和对城市美洲印第安人/阿拉斯加土著人健康有更统一看法的政策举措来解决。
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.