Health Data

Reports

2016 Community Health Profile

2016 Community Health Profile

The Urban Indian Health Institute (UIHI) produced this report to provide an overview of the health status of American Indians and Alaska Natives (AI/AN) within the 33 Urban Indian Health Organizations' (UIHOs) service areas. This profile can be used to help UIHOs identify health priorities, assess health disparities, and serve as a guide to develop new programs and interventions. The report also contains statistics and figures for grant applications that require supporting data. (November 2016)Download»

Best practices in American Indian & Alaska Native Public Health: A report from the Tribal Epidemiology Centers

Best practices in American Indian & Alaska Native Public Health: A report from the Tribal Epidemiology Centers

This report is the product of a collaborative effort of the network of Indian Health Service-funded Tribal Epidemiology Centers (TECs), including the Urban Indian Health Institute (UIHI). The report provides a thorough background of the history, purpose and mission of the TECs, and a section for each TEC to describe their efforts to improve the surveillance and health status of AI/ANs. The UIHI-authored section highlights the geographic shift of the AI/AN population to urban centers, a description of what Urban Indian Health Organizations are, current UIHI projects, health disparities, data issues and partnership work. The suggested citation for this report is: Tribal Epidemiology Centers. (2013)Download»

Community Health Profile: National Aggregate of Urban Indian Health Organization Service Areas

Community Health Profile: National Aggregate of Urban Indian Health Organization Service Areas

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)Download»

Reproductive Health of Urban American Indian and Alaska Native Women: Examining Unintended Pregnancy, Contraception, Sexual History and Behavior, and Non-Voluntary Sexual Intercourse

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 2010)Download»

Reproductive Health of Urban American Indian and Alaska Native Women: Examining Unintended Pregnancy, Contraception, Sexual History and Behavior, and Non-Voluntary Sexual Intercourse - Executive Summary

Reproductive Health of Urban American Indian and Alaska Native Women: Examining Unintended Pregnancy, Contraception, Sexual History and Behavior, and Non-Voluntary Sexual Intercourse - Executive Summary

This is an Executive Summary of a report that provides a national picture of reproductive health and sexual violence for AI/AN women living in urban areas. The study was 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. (May 2010)Download»

Urban Indian Health Data System: Envisioning a National Health Information System for Urban Indian Health Organizations

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)Download»

Community Health Profile 2009 Urban Indian Health Organizations Aggregate Urban Counties

Community Health Profile 2009 Urban Indian Health Organizations Aggregate Urban Counties

This report examines the health of AI/ANs living in all UIHO service areas combined and presents data from the 2000 U.S. Census, the Behavioral Risk Factor Surveillance System (BRFSS), and the U.S. Center for Health Statistics. (Dec 2009)Download»

Visibility Through Data: Health Information for Urban American Indian and Alaska Native Communities

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 2009)Download»

Urban American Indian and Alaska Native Youth: An Analysis of Select National Data Sources

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)Download»

Reported Health and Health-Influencing Behaviors Among Urban American Indians and Alaska Natives

Reported Health and Health-Influencing Behaviors Among Urban American Indians and Alaska Natives

Findings from the Behavioral Risk Factor Surveillance System (BRFSS), 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. (July 2008)Download»

Invisible Tribes: Urban Indians and Their Health in a Changing World

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. (2007)Download»

The Health Status of Urban American Indians and Alaska Natives: An Analysis of Select Vital Records and Census Data Sources

The Health Status of Urban American Indians and Alaska Natives: An Analysis of Select Vital Records and Census Data Sources

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 2004)Download»

Urban American Indian/Alaska Native Elders Long-Term Care Needs Assessment

Urban American Indian/Alaska Native Elders Long-Term Care Needs Assessment

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)Download»

Issue Brief on Urban Indian Health

Issue Brief on 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., IHS 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)Download»


Fact Sheets

Leading Causes of Death Among Urban American Indians and Alaska Natives

Leading Causes of Death Among Urban American Indians and Alaska Natives

The American Journal of Public Health recently published an article titled “Causes and Disparities in Death Rates Among Urban American Indian and Alaska Native Populations, 1999-2009.” The Urban Indian Health Institute’s past Scientific Director, Leslie Phillips PhD, coauthored the article along with researchers at the Centers for Disease Control and Prevention (CDC). This UIHI Broadcast highlights key findings from this study. (July 2016)Download»

Sociodemographics

Sociodemographics

This Communication Broadcast covers data from the recent U.S. Census Bureau’s American Community Survey (ACS), a national, annual survey that collects demographic, housing, social and economic data. Urban Indian Health Organizations can use ACS data to make decisions about how best to serve their communities. The data in this Communication Broadcast suggests that urban AI/ANs tend to have larger families, are less likely to have attained higher education, are more likely to move homes in the course of one year, have lower median household incomes, and are more likely to spend 35% or more of their income on rent than non hispanic whites. (Nov 2012)Download»

Misclassification and Mortality

Misclassification and Mortality

This Communication Broadcast is about racial misclassification on death certificates. American Indians/Alaska Natives (AI/ANs) are frequently miscoded as another race on death certificates. Race/ethnicity is often completed by a funeral director based on observation or information from family. This lack of accurate race data results in underestimated mortality rates. To address this problem, the Northwest Tribal Epidemiology Center partnered with the Seattle Indian Health Board’s (SIHB) Urban Indian Health Institute (UIHI) to evaluate racial misclassification and conduct record linkages with public health datasets. (July 2012)Download»

Beyond Socioeconomic Factors to Health Equity for Urban American Indians and Alaska Natives

Beyond Socioeconomic Factors to Health Equity for Urban American Indians and Alaska Natives

This fact sheet includes select findings from a study of health indicators among urban AI/ANs including mental distress, social support and overall self-reported health status, and the impact of poverty, education, employment and health insurance on these factors. (April 2012)Download»

Community Health Profile National Aggregate Report

Community Health Profile National Aggregate Report

This Communication Broadcast covers the UIHI's recent publication of the 2011 Community Health Profile National Aggregate report. This report uses national surveillance data to provide an overview of the health status of urban American Indians and Alaska Natives (AI/ANs) in counties served by Urban Indian Health Organizations. (Jan 2012)Download»

Beyond Socioeconomic Factors to Health Equity for Urban American Indians and Alaska Natives

Beyond Socioeconomic Factors to Health Equity for Urban American Indians and Alaska Natives

This Communication Broadcast summarizes an Urban Indian Health Institute fact sheet describing findings from national survey data for urban American Indians and Alaska Natives (AI/ANs) in urban Indian health organization service areas (US BRFSS, 2005-2009). The study examined the impact of socioeconomic status (SES) as measured by poverty, education, employment and health insurance on a range of health indicators. (Nov 2011)Download»

April is National Minority Health Month: Top 5 Causes of Death among Young Urban American Indian and Alaska Native Men, with Comparison Groups

April is National Minority Health Month: Top 5 Causes of Death among Young Urban American Indian and Alaska Native Men, with Comparison Groups

This Communication Broadcast contains information relevant to National Minority Health Month, including: Young urban American Indian and Alaska Native (AI/AN) men die of causes that are largely preventable. The top 5 causes of death among urban AI/AN men between the ages of 18-49 years are: unintentional injuries, chronic liver disease and cirrhosis, suicide, heart disease, and homicide. (April 2010)Download»

Top Health Disparities among Urban American Indians and Alaska Natives Compared to Healthy People 2010

Top Health Disparities among Urban American Indians and Alaska Natives Compared to Healthy People 2010

This Communication Broadcast presents a disparity ratio for urban AI/ANs for several health indicators compared to the Healthy People 2010 targets. (Aug 2009)Download»


Other

Noise Pollution in the Urban Environment

Noise Pollution in the Urban Environment

A pilot study of the Seattle Indian Health Board neighborhood. The Urban Indian Health Institute (UIHI) set out to conduct a
pilot study evaluating the relationship between neighborhood noise levels and other socioeconomic factors. (August 2014)Download»

The Urban Indian Health Institute - Services and Assistance

The Urban Indian Health Institute - Services and Assistance

Find out more about the services and assistance the UIHI provides to support those who serve the urban American Indian/Alaska Native (AI/AN) population. (April 2013)Download»

Demystifying Data - Eliminating AI/AN Health Disparities through Understanding, Management and Training

Demystifying Data - Eliminating AI/AN Health Disparities through Understanding, Management and Training

Read more about the Demystifying Data project’s background, objectives, and products in UIHI’s Project Brief. (February 2013)Download»

Urban American Indian and Alaska Native Health Indicator Graphs

Urban American Indian and Alaska Native Health Indicator Graphs

The Urban Indian Health Institute has compiled a PowerPoint presentation resource which includes graphs and tables highlighting urban American Indian and Alaska Native (AI/AN) health indicators from select UIHI reports. This resource is available to be used by urban Indian health organizations and other partners serving urban AI/AN communities for health status and disparities presentations, grant applications, and other activities. Data has been included from five UIHI reports. Detailed information on data sources, study populations, and limitations may be obtained by accessing the individual reports on the UIHI Reports Page. (Sept 2010)Download»