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Diabetes and American Indians/Alaska Natives

American Indians/Alaska Natives are twice as likely to be told by a physician that they have diabetes as their non-Hispanic white counterparts. They are also almost twice as likely to die from diabetes as non-Hispanic whites. Data is limited for this population.

  • American Indian/Alaska Native adults were 2.3 times as likely as white adults to be diagnosed with diabetes.
  • American Indians/Alaska Natives were 1.9 times as likely as non-Hispanic whites to die from diabetes in 2005.
  • American Indian/Alaska Native adults were 1.6 times as likely as White adults to be obese.
  • American Indian/Alaska Native adults were 1.3 times as likely as White adults to have high blood pressure.

At a glance – Diagnosed Cases of Diabetes:

National Health and Nutrition Examination Survey, NHANES

Age-adjusted percentages of physician-diagnosed diabetes among persons 20 years of age and over, 1999-2000
Not available at this time.

National Health Interview Survey, NHIS

Age-adjusted percentages of persons 18 years of age and over with diabetes, 1999-2003

 

American
Indian/Alaska
Native

White

American
Indian/Alaska
Native/ White
Ratio

Men and Women

13.2

5.7

2.3

Men

14.3

6.4

2.2

Women

12.1

5.3

2.3

Source: CDC 2005. Health Characteristics of the American Indian and Alaska Native Adult Population: United States, 1999-2003. Advance Data (356), Table 4.
http://www.cdc.gov/nchs/data/ad/ad356.pdf

 

At a glance – Prevalence Rate:

National Diabetes Surveillance System

Age-adjusted prevalence of diagnosed diabetes per 100 population (2005).
Not available at this time.

Age-adjusted prevalence of visual impairment per 100 adults with diabetes (2004)
Not available at this time.

Rate of initiation of treatment for end-stage renal disease related to diabetes per 100,000 diabetic population
Not available at this time.

Age-adjusted rate of hospitalization per 1,000 diabetic population, 2002
Not available at this time.

Age-adjusted rate for lower extremity amputation per 1,000 diabetic population, 2002
Not available at this time.

At a glance – Death Rate:

Age-Adjusted Diabetes Death Rates per 100,000 (2005)

American
Indian/Alaska
Native

Non-Hispanic
White

American
Indian/Alaska
Native/Non-Hispanic
White Ratio

41.5

21.5

1.9

Source:  CDC, 2007. Health United States, 2007. Table 29.
http://www.cdc.gov/nchs/data/hus/hus07.pdf

 

At a Glance – Risk Factors:

Overweight

National Health and Nutrition Examination Survey, NHANES
Not available at this time.

National Health Interview Survey, NHIS

Age-adjusted percentage of persons 18 years of age and over who are overweight but not obese, 1999-2003. (Persons are considered overweight if they have a Body Mass Index (BMI) of 25 or greater.)

 

American
Indian/Alaska
Native

White

American
Indian/Alaska
Native/White
Ratio

Men and Women

33.2

35.6

0.9

Men

38.6

44.5

0.9

Women

28.1

27.0

1.0

Source: CDC 2005. Health Characteristics of the American Indian and Alaska Native Adult Population: United States, 1999-2003. Advance Data (356), Table 2.
http://www.cdc.gov/nchs/data/ad/ad356.pdf

 

Obesity

National Health and Nutrition Examination Survey, NHANES
Not available at this time.

National Health Interview Survey, NHIS

Age-adjusted percentage of persons 18 years of age and over who are obese, 1999-2003. (Persons are considered obese if they have a Body Mass Index (BMI) of 30 or greater.)

 

American
Indian/Alaska
Native

White

American
Indian/Alaska
Native/White
Ratio

Men and Women

34.0

21.3

1.6

Men

38.5

22.3

1.7

Women

29.4

20.3

1.4

Source: CDC 2005. Health Characteristics of the American Indian and Alaska Native Adult Population: United States, 1999-2003. Advance Data (356), Table 2.
http://www.cdc.gov/nchs/data/ad/ad356.pdf

 

Hypertension

National Health and Nutrition Examination Survey, NHANES
Not available at this time.

National Health Interview Survey, NHIS

Age-adjusted percentage of persons 18 years of age and over who have high blood pressure, 1999-2003.

 

American
Indian/Alaska
Native

White

American
Indian/Alaska
Native/White
Ratio

Men and Women

29.7

22.8

1.3

Men

31.6

23.1

1.4

Women

28.2

22.4

1.3

Source: CDC 2005. Health Characteristics of the American Indian and Alaska Native Adult Population: United States, 1999-2003. Advance Data (356), Table 4.
http://www.cdc.gov/nchs/data/ad/ad356.pdf

 

National Healthcare Quality Report

Percent of adults age 18 and over with hypertension whose blood pressure is under control, 1999-2000
Not available at this time.

 

High Cholesterol

National Health and Nutrition Examination Survey, NHANES

Age-adjusted percentage of persons 20 years of age and over who have high cholesterol, 1999-2002.
Not available at this time.

BRFSS

Age-adjusted percent of adults told by a health-care provider that they had high blood cholesterol, 2003

American
Indian/Alaska
Natives

Non-Hispanic
White

American
Indian/Alaska
Native/Non-Hispanic
White Ratio

31.2%

31.5%

1.0

Source: CDC 2005. Trends in Cholesterol Screening and Awareness of High Blood Cholesterol – United States, 1991-2003. MMWR 54(35): 865-870, Table 1.
http://www.cdc.gov/mmwr/PDF/wk/mm5435.pdf

 

Cigarette Smoking

National Health Interview Survey, NHIS

Age-adjusted percentage of persons 18 years of age and over who are current cigarette smokers, 1999-2003.

 

American
Indian/Alaska
Native

White

American
Indian/Alaska
Native/White Ratio

Men and Women

33.5

23.2

1.4

Men

32.2

24.8

1.3

Women

34.7

21.7

1.6

Source: CDC 2005. Health Characteristics of the American Indian and Alaska Native Adult Population: United States, 1999-2003. Advance Data (356), Table 2.
http://www.cdc.gov/nchs/data/ad/ad356.pdf

 

National Healthcare Quality Report

Percentage of current smokers age 18 and over with a checkup who reported receiving advice to quit smoking, 2001
Not available at this time.

 

Percentage of heart attack patients given smoking cessation counseling while hospitalized, 2005

American Indian/Alaska Native

White

Hispanic/White Ratio

87.9

92.8

0.9

Source:  2007 National Healthcare Disparities Report. Table 48.
http://www.ahrq.gov/qual/nhdr07/index.html

At a Glance – Treatment:

National Healthcare Quality Report

Age-adjusted percentage of persons 18 years of age and over with diabetes who had their cholesterol checked, 2005.
Not available at this time.

Age-adjusted percentage of persons 18 years of age and over with diabetes who had received an influenza immunization, 2005.
Not available at this time.

Age-adjusted percentage of persons 18 years of age and over with diabetes who had a foot examination, 2005.
Not available at this time.

Age-adjusted percentage of persons 18 years of age and over with diabetes who had a retinal eye examination, 2005.
Not available at this time.

 

BRFSS, REACH 2010 Surveys

Age-adjusted percentage of diabetics who had a foot exam, 2001-2002 (BRFSS, REACH 2010 Surveys)
Not available at this time.

Age-adjusted percentage of diabetics who had an eye exam, 2001-2002 (BRFSS, REACH 2010 Surveys)
Not available at this time.


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Content Last Modified: 6/27/2008 10:03:00 AM
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