218619 American Indian Elder Health

Monday, November 8, 2010 : 12:30 PM - 12:45 PM

Delight Satter, MPH , Community Health Sciences, UCLA, School of Public Health, Los Angeles, CA
Steven Wallace, PhD , UCLA Center for Health Policy Research, Los Angeles, CA
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

Learning Objectives:
By the end of the presentation participants will be able to describe the health status, access to care disparities of American Indians compared to other racial/ethnic populations By the end of the presentation participants will be able to discuss the critical need for population level data for all Racial and Ethnic populations By the end of the presentation all participants will be able to identify steps they can take to improve the public health of American Indian Elders.

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.
Any relevant financial relationships? No

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.