Health Behaviors and Risk Factors Among American Indians and Alaska Natives, 2000–2010

Cobb, Nathaniel; Espey, David K.; King, Jessica

doi:10.2105/ajph.2014.301879

Cited by 163 publications

(180 citation statements)

References 25 publications

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“…Latino Americans have a higher prevalence of obesity and T2DM, and Native Americans have a higher prevalence of obesity, hypertension, CVD, and T2DM. 72 Higher prevalence of overweight and obesity in these ethnic groups may exacerbate these related risk factors (Appendix 4). For some ethnic groups, this higher prevalence is associated with diets that reflect less adherence to the dietary recommendations.…”

Section: Adapting Dietary Patterns For Special Populationsmentioning

confidence: 99%

Recommended Dietary Pattern to Achieve Adherence to the American Heart Association/American College of Cardiology (AHA/ACC) Guidelines: A Scientific Statement From the American Heart Association

Horn

Carson²,

Appel³

et al. 2016

Circulation

362

243

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In 2013, the American Heart Association and American College of Cardiology published the “Guideline on Lifestyle Management to Reduce Cardiovascular Risk,” which was based on a systematic review originally initiated by the National Heart, Lung, and Blood Institute. The guideline supports the American Heart Association’s 2020 Strategic Impact Goals for cardiovascular health promotion and disease reduction by providing more specific details for adopting evidence-based diet and lifestyle behaviors to achieve those goals. In addition, the 2015–2020 Dietary Guidelines for Americans issued updated evidence relevant to reducing cardiovascular risk and provided additional recommendations for adopting healthy diet and lifestyle approaches. This scientific statement, intended for healthcare providers, summarizes relevant scientific and translational evidence and offers practical tips, tools, and dietary approaches to help patients/clients adapt these guidelines according to their sociocultural, economic, and taste preferences.

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Section: Adapting Dietary Patterns For Special Populationsmentioning

confidence: 99%

Recommended Dietary Pattern to Achieve Adherence to the American Heart Association/American College of Cardiology (AHA/ACC) Guidelines: A Scientific Statement From the American Heart Association

Horn

Carson²,

Appel³

et al. 2016

Circulation

362

243

View full text Add to dashboard Cite

show abstract

“…Aging also is associated with changes in gait and balance, increased inactivity, more severe chronic conditions, and more prescription medication use, all of which are risk factors for falls (1). Limited research exists on the causes for racial/ethnic differences, but these differences might be related to differences in health and behavior (4,5). Reasons for state differences are unknown; however, even in Hawaii, the state with the lowest incidence, 20.8% of older adults reported a fall.…”

Section: Discussionmentioning

confidence: 99%

Falls and Fall Injuries Among Adults Aged ≥65 Years — United States, 2014

Bergen¹,

Stevens²,

Burns³

2016

MMWR Morb. Mortal. Wkly. Rep.

970

676

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“…7 Breast and cervical cancer screening rates among AI/AN women are lower compared with white women. 8 These data underscore the importance of collaborations between NBCCEDP, tribes, and tribal organizations and with local, state, and federal partners.…”

Section: Ihs and Nbccedpmentioning

confidence: 95%

Strengthening breast and cervical cancer control through partnerships: American Indian and Alaska Native Women and the National Breast and Cervical Cancer Early Detection Program

Espey

Castro

Flagg

et al. 2014

Cancer

Self Cite

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The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) has played a critical role in providing cancer screening services to American Indian and Alaska Native (AI/ANs) women and strengthening tribal screening capacity. Since 1991, the NBCCEDP has funded states, tribal nations, and tribal organizations to develop and implement organized screening programs. The ultimate goal is to deliver breast and cervical cancer screening to women who do not have health insurance and cannot afford to pay for these services. The delivery of clinical services is supported through complementary program efforts such as professional development, public education and outreach, and patient navigation. This article seeks to describe the growth of NBCCEDP's tribal commitment and the unique history and aspects of serving the AI/AN population. The article describes: 1) how this program has demonstrated success in improving screening of AI/AN women; 2) innovative partnerships with the Indian Health Service, state programs, and other organizations that have improved tribal public health infrastructure; and 3) the evolution of Centers for Disease Control and Prevention work with tribal communities. Cancer 2014;120(16 suppl):2557-65. V C 2014 American Cancer Society.KEYWORDS: American Indians, Alaska Natives, early detection of cancer, breast cancer, cervical cancer, partnerships. INTRODUCTIONProviding health services to American Indians and Alaska Natives (AI/ANs) poses unique challenges related to geographic isolation, cultural attitudes, poverty, and language. Nonetheless, the Indian Health Service (IHS), working with its tribal, state, and federal partners, offers unique opportunities to deliver health care for members of federally recognized tribes. IHS-initiated cervical cancer screening in the 1960s and 1970s contributed to declining incidence of cervical cancer and mortality rates in the 1980s and 1990s. However, screening mammography provided to women served by the IHS before the establishment of the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) of the Centers for Disease Control and Prevention (CDC) was very limited. 1,2 We describe the important contributions of NBCCEDP, in partnership with the IHS tribal programs and state programs. We review how these efforts improved access of breast and cervical cancer screening to AI/AN women and strengthened the tribal screening infrastructure. We begin with a brief history of the role of IHS and NBCCEDP in addressing the burden of breast and cervical cancer and include the impact of the program using multiple data sources. We discuss considerations important in working with tribal communities and provide examples of partnerships created between state and tribal grantees and between federal agencies.

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Health Behaviors and Risk Factors Among American Indians and Alaska Natives, 2000–2010

Abstract: These behavioral risk factors were consistent with observed patterns of mortality and chronic disease among AI/AN persons. All are amenable to public health intervention.

Cited by 163 publications

References 25 publications

Recommended Dietary Pattern to Achieve Adherence to the American Heart Association/American College of Cardiology (AHA/ACC) Guidelines: A Scientific Statement From the American Heart Association

Recommended Dietary Pattern to Achieve Adherence to the American Heart Association/American College of Cardiology (AHA/ACC) Guidelines: A Scientific Statement From the American Heart Association

Falls and Fall Injuries Among Adults Aged ≥65 Years — United States, 2014

Strengthening breast and cervical cancer control through partnerships: American Indian and Alaska Native Women and the National Breast and Cervical Cancer Early Detection Program

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