OBJECTIVE This report compares national estimates for selected health status indicators, health behaviors, health care utilization, health conditions, immunizations, and human immunodeficiency virus (HIV) testing status for American Indian or Alaska Native (AIAN) adults with those for white, black, Asian, and Hispanic adults aged 18 years and over. METHODS The estimates in this report were de...

BACKGROUND Breast cancer is not a homogeneous disease, but several different and unique subtypes defined by gene expression analysis. Incidence and mortality rates vary by almost 3-fold between Alaska (highest) and the Southwestern tribes (lowest). We hypothesized that these differences may be due to, in part, varying levels of biologic tumor aggressiveness. METHODS A biorepository of the Nor...

BACKGROUND National vital event data suggest that cardiovascular disease (CVD) mortality rates are lower for American Indians and Alaska Natives (AIAN) than for the general US population, but these data are disproportionately flawed for AIAN because of racial misclassification. METHODS AND RESULTS Vital event data adjusted for racial misclassification and published by the Indian Health Servic...

This study investigates race-related disparities in sleep duration and quality among diverse young adults during the coronavirus 2019 (COVID-19) pandemic. Online cross-sectional of United States April 2020. About 547 American Indian/Alaskan Native (AIAN), Asian, Black, Latinx, White ages 18-25 years. Participants completed measures quality, victimization distress, depression, age, sex/gender, e...

OBJECTIVE Assess age and sex differences in the association of obesity and other CVD risk factors with osteoarthritis (OA) in Southern California American Indian/Alaska Native (AIAN) adults. DESIGN Cross-sectional study. SETTING Southern California. PARTICIPANTS 6,299 AIAN adults aged 35+ years from health clinic system. MAIN OUTCOME MEASURES Osteoarthritis prevalence. RESULTS Age-adj...

American Indian and Alaska Native (AIAN) men who have sex with men (MSM) are considered particularly high risk for HIV transmission and acquisition. In a multi-site cross-sectional survey, 174 AIAN men reported having sex with a man in the past 12 months. We describe harm reduction strategies and sexual behavior by HIV serostatus and seroconcordant partnerships. About half (51.3%) of the respon...

1378 www.thelancet.com Vol 389 April 8, 2017 The population of American Indians and Alaska Natives (AIAN) in the USA, which comprise about 5 million individuals, have worse health outcomes than other Americans. Life expectancy among AIAN people is more than 4 years lower than that of the overall US population. AIAN death rates are about 50% higher than rates in the white population. More alarmi...

Introduction: Although educational attainment is protective against health risk behaviors such as smoking, the Minorities’ Diminished Return theory posits that these protective effects are smaller for ethnic minorities than majority groups. This study compared the effects of educational attainment on the smoking status of American Indian/Alaska Native (AIAN) and White ...

INTRODUCTION The prevalence of chronic liver disease (CLD) in the Aboriginal North American population is disproportionately higher than that of the non-indigenous population. Hepatitis C virus (HCV) is the second leading cause of CLD in American Indians or Alaska Natives (AIANs). This study described the experience of two teaching community medical centers in North Dakota in treating HCV infec...