mch in indian country - partnerships to identify and address health disparities 14 th annual mch...
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![Page 1: MCH in Indian Country - Partnerships to Identify and Address Health Disparities 14 th Annual MCH Epidemiology Conference December 10, 2008 Judith Thierry,](https://reader035.vdocument.in/reader035/viewer/2022070411/56649c735503460f949253a2/html5/thumbnails/1.jpg)
MCH in Indian Country - Partnerships to Identify and Address Health Disparities
14th Annual MCH Epidemiology Conference December 10, 2008
Judith Thierry, DO, MPHIndian Health Service
Stacy BohlenNational Indian Health Board
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Albuquerque
PortlandBillings
California Phoenix
Oklahoma
Nashville
NavajoTucson
Alaska
Indian Health Service
Aberdeen Bemidji
Service Population: 1.9 Million
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Indian Health Service, DHHS
Health Care System “ITU” • Federal - 12 Area Offices, 31 Hospitals, 52
Health Centers, 31 Health Stations, 2 School Clinics
• Tribal - 15 Hospitals, 254 Health Centers, 166 Alaska Village Clinics, 112 Health Stations, 18 School Clinics
• Urban Indian Programs - 34 community to comprehensive health care programs
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Urban Indian Health Organizations Nationwide (34)
Urban Areas67%
Rural Areas33%
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Tribal Epidemiology Centers (TEC) Closing the Health Gap SIDS and Infant Mortality
Initiative Building MCH Epidemiology Capacity • Alaska Native Tribal Health Consortium -ANTHC Epi Center• North West Portland Area Indian Health Board TEC• Great Lakes Inter-Tribal Council TEC• United South and Eastern Tribes TEC• Inter Tribal Council of Arizona, Inc TEC• Northern Plains Tribal Epidemiology Center AATCHB• Seattle Indian Health Board/ Urban Indian Health Institute
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Northern Plains Tribal Epi Center
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“Native Americans rank at or near the bottom of nearly every social, health
and economic indicator.”
A Quiet Crisis: Federal Funding and Unmet Needs in Indian CountryU.S. Commission on Civil Rights
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IHS
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Percent of Population Below Poverty Level, 2000 Census AIAN (alone)
IHS total 29.2%US 12.4%
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Percent of Males Unemployed, Age 16 and Older, 2000 Census AIAN (Alone)
IHS total 16.3%
US all races 4 %
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Percent of User Population Under Age Five, FY 2004Percent of User Population Under Age Five, FY 2004
US all races CY 2003 = 6.8% IHS Total-All
Areas = 9.3
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Percent of User Population Over Age 54, FY 2004
US all races CY 2003 = 21.9%
IHS Total all Areas = 12.3%
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YRBS 2003, Navajo Nation High Schools, BIE Funded Schools, Arizona Public Schools & the
U.S. Unintentional Injury and
Violence2003NNHS
2003BIA
2003AZ
2003 USA
Attempted suicide in the past year 20% 18% 7.8% 6.1%
Smoke cigarettes in the past year 37.7% 52% 20.9% 21%
Offered drugs on school property 31% 31% 28.1% 28.7%
Enrolled in PE classes 29.4% 48% 37.9% 55.7%
Compiled by Donna R. Perry, MD, FAAP, FSAM, Chinle Service Unit
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Infant Mortality by UIHO Service Areas
0
5
10
15
20
25
Lo
s A
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CA
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US
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ive
Bir
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All RacesAI/AN
UIHO - AI/AN: 8.8
US - AI/AN: 8.9
Source: U.S. Centers for Health Statistics Notes: Results pertain to UIHO service areas with 10 or infant deaths to AI/AN mothers.*Significant difference between rates for AI/AN and all races combined. “Partial” refers to the inclusion of only those counties with a 1990 population of 250,000 or more.The Health Status of Urban Indians and Alaska Natives: An Analysis of Select Vital Records and Census Data Sources. March 2004Urban Indian Health Institute, a division of the Seattle Indian Health Board
Six-year Averages, 1995-2000
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Birth Rates among Mothers with Diabetes, CY 1999-2001
IHS total 49.0/1000
US all-races 29.3%
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Mothers Who Smoked During Pregnancy, CY 1999-2001
Percent of Mothers Who Smoked (All Births)
Percent of Mothers Who Smoked (LBW)
US all-races 12.2%
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