The 130th Annual Meeting of APHA

3141.0: Monday, November 11, 2002 - 12:30 PM

Abstract #36709

American Indian and Alaska Native health behaviors: Regional estimates from the Behavioral Risk Factor Surveillance System (BRFSS), 1997-2000

Clark H. Denny, PhD, Behavioral Surveillance Branch, Centers for Disease Control and Prevention, 4770 Buford HWY, NE, MS K66, Atlanta, GA 30341, 770 488 2499, cfd3@cdc.gov and Deborah Holtzman, PhD, Division of Adult and Community Health, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, Mailstop K-66, Atlanta, GA 30341.

This study estimates the prevalence of 11 health behaviors for American Indians and Alaska Natives by region and by sex using data from the Behavioral Risk Factor Surveillance System, a state-specific population-based, random telephone survey that collects data monthly from adults, aged 18 years or older. Obesity, leisure-time physical activity, diabetes awareness, alcohol and tobacco use, alcohol impaired driving, ever and last reported Pap smear, HIV infection risk and testing, and general health status were examined. The sample included 7,862 self-identified American Indians or Alaska Natives residing in the 36 states served by the 12 Indian Health Service Area Offices. Age-adjusted prevalence estimates and confidence intervals were calculated across relevant years for five regions (Alaska, Eastern, Northern Plains, Pacific Coast, and Southwest). Regional comparisons showed high rates of current smoking for both males and females in Alaska and the Northern Plains (38.4% and 48.3% for males and 38.6% and 39.6% for females, respectively) while the Southwest had relatively low rates (26.1% for males and 17.4% for females). The prevalence of obesity among women was highest in Alaska (31.1%) and lowest in the Pacific Coast (20.2%). Diabetes awareness was highest in the Northern Planes (9.7% for males and 13.5% for females) and lowest in Alaska (5.7% for males and 6.1% for females). These findings suggest the importance of targeting specific regions in efforts to improve health among American Indians and Alaska Natives.

Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to

Keywords: American Indians, Health Behavior

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Issues in Health Disparities

The 130th Annual Meeting of APHA