In this Section
218619 American Indian Elder Health
Monday, November 8, 2010 : 12:30 PM - 12:45 PM
Background: As more American Indians (AIs) live to adulthood and old age, the elderly population is projected to increase from 5.5% in 1990 to 12.6% in 2050 as a proportion of the total AIAN population. This shifting demographic profile of the population calls for focused attention on the health status of elders. Methods: This study analyzes data from the California Health Interview Survey (CHIS). The CHIS 2001, 2003, and 2005 contains the largest known random sample of AIANs - 6,550 adults. The study utilizes a working group composed of native and non-native experts; it is endorsed by 24 tribes, 13 urban Indian organizations, four federal agencies and others. Results: The epidemiologic profile of native elders compared to other racial and ethnic populations documents a pattern of disparities. Health conditions and risk behaviors where older Natives have inequitable outcomes include diabetes (more than one-half of native elders have been diagnosed with diabetes), heart disease (more than one-quarter); cancer (highest rates of tobacco smoking, low rates of cancer screening); and disabling conditions (native elders have the highest prevalence of multiple falls in the past year). These disparities are related to Native elders' demographic characteristics, including rural residence, poverty (2-3 times more likely to be poor or near poor than whites), and education. Finally, we will present data on access to care issues. Conclusions: Epidemiologic data is available for the first time to set priorities and allocate resources that will benefit the health and well being of this growing and vulnerable population.
Learning Areas:Administration, management, leadership
Chronic disease management and prevention
Diversity and culture
Planning of health education strategies, interventions, and programs
Public health or related nursing
Keywords: Aging, American Indians
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I am the Director of the American Indian Research Program at UCLA Center for Health Policy Research and conducted the study, including community based trainings.
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.
Back to: 3214.0: Immigrant and Minority Health and Aging