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Changing patterns in health behaviors and risk factors related to cardiovascular disease among American Indians and Alaska natives

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  • Jernigan, V.B.B.
  • Duran, B.
  • Ahn, D.
  • Winkleby, M.

Abstract

Objectives. We assessed changes in cardiovascular disease-related health outcomes and risk factors among American Indians and Alaska Natives by age and gender. Methods. We used cross-sectional data from the 1995 to 1996 and the 2005 to 2006 Behavioral Risk Factor Surveillance System. The respondents were 2548 American Indian and Alaska Native women and men aged 18 years or older in 1995-1996 and 11104 women and men in 2005-2006. We analyzed the prevalence of type 2 diabetes, obesity, hypertension, cigarette smoking, sedentary behavior, and low vegetable or fruit intake. Results. From 1995-1996 to 2005-2006, the adjusted prevalence of diabetes among American Indians and Alaska Natives increased by 26.9%, from 6.7% to 8.5%, and obesity increased by 25.3%, from 24.9% to 31.2%. Hypertension increased by 5%, from 28.1% to 29.5%. Multiple logistic models showed no meaningful changes in smoking, sedentary behavior, or intake of fruits or vegetables. In 2005-2006, 79% of the population had 1 or more of the 6 risk factors, and 46% had 2 or more. Conclusions. Diabetes, obesity, and hypertension and their associated risk factors should be studied further among urban, rural, and reservation American Indian and Alaska Native populations, and effective primary and secondary prevention efforts are critical.

Suggested Citation

  • Jernigan, V.B.B. & Duran, B. & Ahn, D. & Winkleby, M., 2010. "Changing patterns in health behaviors and risk factors related to cardiovascular disease among American Indians and Alaska natives," American Journal of Public Health, American Public Health Association, vol. 100(4), pages 677-683.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.164285_8
    DOI: 10.2105/AJPH.2009.164285
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    Cited by:

    1. Amy J. Elliott & Emily R. White Hat & Jyoti Angal & Victoria Grey Owl & Susan E. Puumala & DenYelle Baete Kenyon, 2015. "Fostering Social Determinants of Health Transdisciplinary Research: The Collaborative Research Center for American Indian Health," IJERPH, MDPI, vol. 13(1), pages 1-12, December.
    2. Marily Oppezzo & Mariah Knox & Jordan Skan & Amy Chieng & Maria Crouch & Rachael C. Aikens & Neal L. Benowitz & Matthew Schnellbaecher & Judith J. Prochaska, 2022. "Traditional Heart-Healthy Diet and Medication Adherence in the Norton Sound Region: An 18-Month Telehealth Intervention," IJERPH, MDPI, vol. 19(16), pages 1-14, August.
    3. Lisa Jahns & Leander R. McDonald & Ann Wadsworth & Charles Morin & Yan Liu, 2014. "Barriers and Facilitators to Being Physically Active on a Rural U.S. Northern Plains American Indian Reservation," IJERPH, MDPI, vol. 11(11), pages 1-11, November.
    4. Rebecca Newlin Hutchinson & Sonya Shin, 2014. "Systematic Review of Health Disparities for Cardiovascular Diseases and Associated Factors among American Indian and Alaska Native Populations," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-9, January.

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