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Reports

For over ten years, the Urban Indian Health Institute has developed and published reports on the health status of urban American Indians and Alaska Natives. These reports are catalogued here with the most recent reports listed at the top. For a summary of UIHI’s key reports, view our Select Reports brochure.

To provide feedback on reports or materials, please respond to this feedback form or contact us.


Urban Diabetes Care and Outcomes Summary Report: Aggregate Results from Urban Indian Health Organizations, 2009-2013. This report describes the annual Indian Health Service (IHS) Diabetes Care and Outcomes Audit data collected by participating IHS-funded Urban Indian Health Organizations (UIHOs). This report tracks the performance of UIHO diabetes programs using Diabetes Audit data from 2009-2013. (April 2014)
Supporting Sobriety Among American Indians and Alaska Natives: A Literature Review. This report highlights and reviews literature, programs and activities focused on substance abuse in urban American Indian and Alaska Native communities in the U.S. (February 2014)
Supporting Wellness: Substance Abuse Services at Urban Indian Health Organizations. This report documents the critical services available at Urban Indian Health Organizations to address substance abuse needs. (February 2014)
Urban Diabetes Care and Outcomes Summary Report. This report describes the annual Indian Health Service (IHS) Diabetes Care and Outcomes Audit data collected by participating IHS-funded Urban Indian Health Organizations (UIHOs). This report tracks the performance of UIHO diabetes programs using Diabetes Audit data from 2008-2012. (May 2013)
A Profile of Urban Indian Health Organization Programming to Support Behavioral Health. This report presents the findings of a survey of UIHOs, documents the critical services available at UIHO to address behavioral health. The report also highlights programmatic achievements, shares vignettes of four UIHO’s experiences implementing innovative programming, and provides recommendations to support future efforts to address behavioral health needs in urban AI/AN communities. (August 2012)
Addressing Depression Among American Indians and Alaska Natives: A Literature Review. This report synthesizes research, expert opinion and summarizes existing programs to highlight approaches to address depression through outreach, education, screening and treatment. (August 2012)
Urban Diabetes Care and Outcomes Audit: Aggregate Results from Urban Indian Health Organizations, 2007-2011. This report provides a description of the annual Indian Health Service (IHS) Diabetes Care and Outcomes Audit data collected by participating IHS funded Urban Indian Health Organizations (UIHOs). Using Diabetes Audit data from 2007-2011, this report tracks the performance of UIHO diabetes programs in the context of the seven clinical Best Practices using select key measures. (May 2012)
Response Report: Tuberculosis in Urban American Indian and Alaska Native Communities. Tuberculosis continues to be a significant health issue in urban American Indian and Alaska Native communities. This report examines how urban Indian health organizations in Seattle and San Diego partnered with county, state and federal health officials to prevent the spread of tuberculosis in their communities. The experiences highlighted in the report demonstrate the effectiveness of partnerships between community organizations and governmental health authorities in promoting awareness, screening and treatment. (December 2011)
Community Health Profile: National Aggregate of Urban Indian Health Organization Service Areas (December 2011). This community health profile examines the health of AI/ANs living in all UIHO service areas and presents data from the 2010 U.S. Census, the American Community Survey, the Behavioral Risk Factor Surveillance System, the U.S. Center for Health Statistics and the Air Quality System Data Mart. (December 2011)
Aggregate Urban Diabetes Care and Outcomes Audit Report (2006-2010). This report describes the annual diabetes audit data collected by participating Indian Health Service (IHS)-funded urban Indian health organizations (UIHO). The format is based on the IHS Diabetes Best Practice Guidelines. Included are selected “key measures” from the Best Practice Guidelines, with accompanying aggregated data from participating UIHO between the years 2006-2010. (October 2011).
Culture, Service and Success: A Profile of Urban Indian Health Organization Programming to Address Cardiovascular Disease This report presents the findings of a survey of UIHOs, shares common themes in successful programming and highlights the success stories of four UIHOs in their work to address cardiovascular disease (CVD) in urban AI/AN communities. (August 2011)
Progress Toward Health Equity: Efforts to Address Cardiovascular Disease Among American Indians and Alaska Natives This report includes summaries of CVD programming for American Indians/Alaska Natives available in peer reviewed and open source literature as well as a discussion of elements of programming that support success. (August 2011)
Actualizing Health Care Reform for Urban Indians: An Action Plan From the Urban Indian Health Summit. This report serves as a Call for Action that outlines strategies to ensure the success of health care reform for urban Indians. It is intended to prompt an ongoing discussion that is responsive to feedback from urban Indians, the organizations that serve them, urban Indian health care professionals, practitioners and others. (April 2011).
Discussions with Urban American Indian and Alaska Native Parents: Keeping Babies Healthy and Safe. The qualitative research project described here was designed to gather opinions and insight from American Indian and Alaska Native (AI/AN) parents about “keeping babies healthy and safe” and effective messages and communication channels for information on these topics. The project took place in four urban communities nationwide. In this report we describe the results obtained from focus groups and individual discussions, which will be used in the development of a communications campaign to address high rates of infant mortality among AI/ANs in urban areas and beyond. (May 2011).
Looking to the Past to Improve the Future: Designing a Campaign to Address Infant Mortality among American Indians and Alaska Natives. There are three aims for this report: 1) outline the burden of infant mortality and associated risk factors and barriers to improvement among AI/AN nationwide, 2) provide an overview of the health communication campaigns that have been directed to this population including the range of topic areas and methods for reaching AI/AN and 3) discuss select previous and current efforts on infant mortality prevention among AI/AN. (January 2011).
Aggregate Urban Diabetes Care and Outcomes Audit Report (2005-2009). This reports describes the annual diabetes audit data collected by participating IHS-funded urban Indian health organizations (UIHO). The format is based on the Indian Health Service’s Diabetes Best Practice Guidelines. Included are selected “key measures” from the Best Practice Guidelines, with accompanying aggregated data from participating UIHO between the years 2005-2009. (October 2010).
Evaluation and Assessment of H1N1 Outreach for Urban American Indians and Alaska Natives. This report summarizes key findings from two community focus groups and three key informant interviews conducted by the Urban Indian Health Institute on H1N1 Swine Flu. Additionally, this report outlines a set of practical recommendations for improved communication to AI/AN around urgent health issues and summarizes H1N1/swine flu concerns that could be more adequately addressed by Public Health – Seattle & King County (PHSKC). (September 2010).
Survey of Breast and Cervical Cancer Screening Services for Urban American Indian and Alaska Native Women: Aggregate Report. This report provides information on breast and cervical cancer program partnerships, program structures and screening services available to urban American Indian and Alaska Native women. Data collected from the 2010 UIHI survey effort among urban Indian health organizations and state Breast and Cervical Cancer Early Detection Programs. (September 2010).
Urban American Indian and Alaska Native Women Screened Through State Programs of the CDC National Breast and Cervical Cancer Early Detection Program (Aggregate of 19 State NBCCEDP Version 2: September 2011). Data collected for 2006-2010 from the Centers for Disease Control and Prevention’s Minimum Data Elements are shared. This report provides national, aggregate data on the number of urban American Indian and Alaska Native women who received breast and cervical cancer screening services through state Breast and Cervical Cancer Early Detection Programs. (September 2011)
Reproductive Health of Urban American Indian and Alaska Native Women: Examining Unintended Pregnancy, Contraception, Sexual History and Behavior, and Non-Voluntary Sexual Intercourse This report provides a national picture of reproductive health and sexual violence for AI/AN women living in urban areas. The study is the first to examine data from the National Survey of Family Growth for this population. Findings show American Indian and Alaska Native women living in urban areas were more likely than non-Hispanic whites to report: non-voluntary first sexual intercourse, unintended and teen pregnancies, unprotected first sex and first sex with older partners. Rates of female sterilization and use of Depo-Provera were also greater among AI/AN compared to non-Hispanic whites. An Executive Summary may also be found here. Also see News Coverage. (May 5, 2010).
Urban Indian Health Data System: Envisioning a National Health Information System for Urban Indian Health Organizations There remains much to be done in implementing health information technology (HIT) for improving health services, capturing accurate data for population analysis, and meeting the requirements for securing and retaining resources to better serve the urban American Indian/Alaska Native health community. This report outlines considerations and requirements that will ensure thoughtful implementation of HIT tailored to the needs of organizations individually and across the urban Indian health organizations as a whole. This Robert Wood Johnson Foundation sponsored effort built off the findings of the 2007 Urban Indian Health Commission report, and focuses on the process of defining HIT goals across urban Indian health organizations. (March 2010).
Urban American Indian/Alaska Native Maternal, Infant and Child Health Capacity Needs Assessment The UIHI conducted a Maternal, Infant and Child Health Capacity Needs Assessment to ascertain the maternal, infant and child health (MICH) services as well as the accessibility, quality, and affordability of those services provided by the 34 urban Indian health organizations (UIHO) funded through Title V of the Health Care Improvement Act. The purpose of the assessment was to assist in identifying specific assets, limitations or gaps in the urban Indian health program as a whole. (December 2009).
Visibility Through Data: Health Information for Urban American Indian and Alaska Native Communities This report summarizes information for providers working toward improving the health and well-being of urban AI/AN and is a resource that highlights specific health issues facing this population. The report includes rank lists of health disparities measured against Healthy People 2010 Objectives, summarizes results from a survey of urban Indian health organization staff, and includes analysis of technical assistance requests that have been received by the UIHI over the past year. The report is intended to offer guidance on how to use the information for advocacy, funding, and program planning purposes. (August 31, 2009).
Urban Indian Aggregate Diabetes Care and Outcomes Audit Report (2004 – 2008) This report summarizes select measures collected by participating urban Indian health organizations through the annual IHS Diabetes Care and Outcomes Audit. Information obtained by these facilities and submitted to the IHS Division of Diabetes Treatment and Prevention is used for diabetes surveillance and for helping to create a clinical picture of the AI/AN population who receive care. The report includes background information on the SDPI, the methods used to collect and analyze the data, aggregate results, and the limitations of the data itself. It provides a unique opportunity to identify and better understand the health status of urban AI/AN with diabetes and the provision of diabetes-related services to this population. (July 2009)
Urban American Indian and Alaska Native Youth – An Analysis of Select National Data Sources This report provides a review of the urban AI/AN youth population and their health risk behaviors from four national data sources. Where available, census and vital statistics data are provided for the U.S. counties served by the 34 non-profit urban Indian health organizations that contract with the federal Indian Health Service. (March 2009).
Invisible Tribes: Urban Indians and Their Health in a Changing World This report was produced by the Urban Indian Health Commission, a select group of leaders convened by the Robert Wood Johnson Foundation and the Seattle Indian Health Board’s Urban Indian Health Institute to examine health care issues facing urban American Indians and Alaska Natives. (October 2, 2008).
Reported Health and Health-Influencing Behavior among Urban American Indians and Alaska Natives. Findings from the Behavioral Risk Factor Surveillance System, a national telephone survey conducted yearly and coordinated by the Center for Disease Control and Prevention (CDC), show America Indians and Alaska Natives living in selected urban areas were more likely to report difficulty accessing health care, had higher rates of risk behavior, and experienced worse health outcomes than the general population. Income differences were shown to play a role in explaining some of the health disparities, but differences in some reported health indicators were not income dependent. (March 2008).
Urban Indian Breast and Cervical Cancer Report Baseline data on efforts to provide breast and cervical cancer services for populations of urban American Indian and Alaska Native women. (July 2007).
2004 Urban Indian Health Status Report At the turn of the 20th century, over one million Americans reporting American Indian or Alaska Native heritage on the 2000 census lived in 34 urban areas which are currently served by Urban Indian Health Organizations, funded in part by the U.S. Indian Health Service. This report briefly reviews selected census, mortality, and birth data in an effort to assess the health status of Urban Indians living in urban Indian health organization service areas. (March 16, 2004).
Urban American Indian/Alaska Native Adult Tobacco Survey This pilot project provides baseline data on tobacco use prevalence, knowledge, attitudes and beliefs among AI/AN clients of two urban Indian health organizations. To our knowledge, it is the first tobacco survey of an AI/AN population which is population-based, and which addresses the cultural relevance of tobacco in this population. (December 2004).
Urban Indian Elders This report describes the methods and results from an assessment of long-term care needs of elders residing in Seattle, King County. The primary goals of the project are to provide characterizing data about the elders, assess current utilization of long-term care services and unmet need for long-term care services. (January 2004).
Snapshot of Urban Indian Health The purpose of this Issue Brief is to describe the large and growing urban Indian population, their health status, and the major federal health programs (i.e., I.H.S. and Medicare) and federal-state programs (i.e., Medicaid and Child Health Insurance Program) that are available to improve Native Americans’ access to needed health services. In setting forth the circumstances of urban Indians, this Issue Brief does not intend to suggest that the health care needs of Indian people living in rural areas are in any way less compelling. (November 2001).


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