Health Behaviors and Risk Factors Among American Indians and Alaska Natives, 2000-2010

Health Behaviors and Risk Factors Among American Indians and Alaska Natives, 2000-2010
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DOI:
10.2105/ajph.2014.301879
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发表时间:
2014-06-01
影响因子:
12.7
通讯作者:
King, Jessica
King, Jessica
中科院分区:
医学2区
文献类型:
--
作者:
Cobb, Nathaniel;Espey, David;King, Jessica

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目标.我们为美国印第安人和阿拉斯加原住民(AI/AN)的死亡原因提供了背景风险因素信息。我们分析了11年的行为风险因素监测系统(BRFSS)数据的AI/AN在美国的受访者。我们结合了2000年至2010年的BRFSS数据,以确定居住在印度卫生服务合同卫生服务提供区县的AI/AN和白色受访者的选定风险因素的患病率。将AI/AN受访者的区域患病率估计值与所有地区的白色受访者的估计值进行比较;排除西班牙裔受访者。除了一些地区的例外情况,AI/AN人群的烟草使用,肥胖和缺乏身体活动的流行率估计较高,水果和蔬菜消费,癌症筛查和安全带使用的流行率估计较低。这些行为危险因素与观察到的AI/AN患者的死亡率和慢性疾病模式一致。所有人都可以接受公共卫生干预。
Objectives. We provided contextual risk factor information for a special supplement on causes of death among American Indians and Alaska Natives (AI/ANs). We analyzed 11 years of Behavioral Risk Factor Surveillance System (BRFSS) data for AI/AN respondents in the United States.Methods. We combined BRFSS data from 2000 to 2010 to determine the prevalence of selected risk factors for AI/AN and White respondents residing in Indian Health Service Contract Health Service Delivery Area counties. Regional prevalence estimates for AI/AN respondents were compared with the estimates for White respondents for all regions combined; respondents of Hispanic origin were excluded.Results. With some regional exceptions, AI/AN people had high prevalence estimates of tobacco use, obesity, and physical inactivity, and low prevalence estimates of fruit and vegetable consumption, cancer screening, and seatbelt use.Conclusions. These behavioral risk factors were consistent with observed patterns of mortality and chronic disease among AI/AN persons. All are amenable to public health intervention.