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Heart Disease and American Indians/Alaska Natives

American Indians/Alaska Natives, on average, are more likely to be diagnosed with heart disease than their white counterparts. In addition, American Indians/Alaska Native adults are more likely to be obese than white adults, more likely to have high blood pressure, and they are more likely to be current cigarette smokers than white adults - all risk factors for heart disease

  • American Indian/Alaska Native adults are 1.4 times as likely as White adults to be current cigarette smokers.
  • American Indian/Alaska Native adults are twice as likely as White adults to be diagnosed with heart disease.
  • American Indian/Alaska Native adults are 1.3 times as likely as White adults to have high blood pressure.

At a glance – Diagnosed Cases of Heart Disease:

Age-adjusted percentages of heart disease among persons 18 years of age and over, 2004-2008

 

American
Indian/Alaska
Native

Non-Hispanic White

American
Indian/Alaska
Native/Non-Hispanic White Ratio

Men and Women

14.7

12.2

1.2

Men

15.5

13.5

1.1

Women

15.0

11.3

1.3

Source: CDC 2010. Health Characteristics of the American Indian and Alaska Native Adult Population: United States, 2004-2008. Table 4.
http://www.cdc.gov/nchs/data/nhsr/nhsr020.pdf [PDF | 304KB]

 

At a glance – Diagnosed Cases of Coronary Heart Disease:

Age-adjusted percentages of coronary heart disease among persons 18 years of age and over, 2010

American Indian/
Alaska Native
(2 or more races)

Non-Hispanic White

American Indian/Alaska
Native/Non-Hispanic White Ratio

14.5

6.6

2.2

Source: CDC 2011. Summary Health Statistics for U.S. Adults: 2010. Table 2.
http://www.cdc.gov/nchs/data/series/sr_10/sr10_252.pdf [PDF | 1.6MB]

 

At a glance – Death Rate:

Age-Adjusted Heart Disease Death Rates per 100,000 (2009)

 

American
Indians/Alaska
Natives

Non-Hispanic
White

American
Indians/Alaska
Natives/Non-
Hispanic White Ratio

Men

154.2

231.1

0.7

Women

96.6

142.1

0.7

Total

123.1

180.9

0.7

Source:  CDC 2012. National Vital Statistics Report. Vol. 60, Num 3 Tables 16 and 17.
http://www.cdc.gov/nchs/data/nvsr/nvsr60/nvsr60_03.pdf [PDF | 2MB]

 

At a Glance – Risk Factors:

There are several factors related to diabetes. Some of these risk factors are:

Obesity and Overweight – See Obesity and American Indians/Native Americans

 

Hypertension

NHANES data is not available.

Age-adjusted percentage of persons 18 years of age and over who have high blood pressure, 2004-2008.

 

American
Indian/Alaska
Native

Non-Hispanic White

American
Indian/Alaska
Native/Non-Hispanic White Ratio

Men and Women

34.5

25.7

1.3

Men

38.7

26.7

1.4

Women

30.2

24.7

1.2

Source: CDC 2010. Health Characteristics of the American Indian and Alaska Native Adult Population: United States, 2004-2008. Table 4.
http://www.cdc.gov/nchs/data/nhsr/nhsr020.pdf [PDF | 304KB]

Percent of adults age 18 and over with hypertension whose blood pressure is under control
Not available at this time.

 

Age-adjusted percentage of persons 18 years of age and over who have high blood pressure, 2010. National Health Interview Survey (NHIS)

American Indian/
Alaska Native

Non-Hispanic White

American Indian/Alaska
Native/Non-Hispanic White Ratio

30.0

23.9

1.3

Source: CDC 2011. Summary Health Statistics for U.S. Adults: 2010. Table 2.
http://www.cdc.gov/nchs/data/series/sr_10/sr10_252.pdf [PDF | 1.6MB]

 

High Cholesterol

Age-adjusted percentage of persons 20 years of age and over who have high cholesterol
Not available at this time.

 

Adults who received a blood cholesterol measurement in the last 5 years, 2008

American Indian/
Alaska Natives

Non-Hispanic
White

American Indian/Alaska
Native/Non-Hispanic White Ratio

66.5

74.1

0.9

Source: 2011 National Healthcare Disparities Report. Table 2_1_3.2a and 2b.
http://www.ahrq.gov/qual/qrdr11/index.html

 

BRFSS

Age-adjusted percent of adults told by a health-care provider that they had high blood cholesterol, 2003

American Indian/
Alaska Natives

Non-Hispanic
White

American Indian/Alaska
Native/Non-Hispanic White Ratio

31.2

31.5

1.0

Source: CDC 2005. Trends in Cholesterol Screening and Awareness of High Blood Cholesterol – United States, 1991-2003. MMWR 54(35): 865-870, Table 1.
http://www.cdc.gov/mmwr/PDF/wk/mm5435.pdf [PDF | 631KB]


Cigarette Smoking

Age-adjusted percentage of persons 18 years of age and over who are current cigarette smokers, 2004-2008.

 

American Indian/Alaska
Native

White

American Indian/Alaska
Native/White Ratio

Men and Women

32.7

22.5

1.4

Men

38.6

24.1

1.5

Women

27.6

21.0

1.3

Source: CDC 2010. Health Characteristics of the American Indian and Alaska Native Adult Population: United States, 2004-2008. Table 2.
http://www.cdc.gov/nchs/data/nhsr/nhsr020.pdf [PDF | 304KB]

 

Age-adjusted percentage of persons 18 years of age and over who are current cigarette smokers, 2010

American Indian/
Alaska Natives
(2 or more races)

Non-Hispanic
White

American Indian/Alaska
Native/Non-Hispanic White Ratio

27.4

21.7

1.3

Source: CDC 2010. Summary Health Statistics for U.S. Adults 2010. Table 25.
http://www.cdc.gov/nchs/data/series/sr_10/sr10_252.pdf [PDF | 1.6MB]



Age-Adjusted Percent of persons 18+ who currently smoke, 2008 - 2010

 

American Indian/Alaska Natives
(2 or more races)

Non-Hispanic White

American Indian/Alaska Natives /Non-Hispanic White Ratio

Male

25.1

23.9

1.1

Women

21.0

20.9

1.0

Source:  CDC 2012. Health United States, 2011. Table 62.
http://www.cdc.gov/nchs/data/hus/hus11.pdf [PDF | 9.8MB]



Percentage of current smokers age 18 and over with a checkup who reported receiving advice to quit smoking
Not available at this time.

At a Glance – Treatment:

Aspirin Therapy

Percent of heart attack patients administered aspirin within 24 hours of admission, 2006*

American Indians/
Alaska Natives

White

American Indians/Alaska
Natives/White Ratio

95.3

96.6

1.0

Source:  2008 National Healthcare Disparities Report. Table 4_2_2.1
http://www.ahrq.gov/qual/qrdr08/4_heartdiseases/T4_2_2-1.htm

 

Beta Blockers

Percent of heart attack patients administered beta blocker within 24 hours of admission, 2006*

American Indians/
Alaska Natives

White

American Indians/Alaska
Natives/White Ratio

92.6

93.4

1.0

Source:  2008 National Healthcare Disparities Report. Table 4_2_4.1
http://www.ahrq.gov/qual/qrdr08/4_heartdiseases/T4_2_4-1.htm

 

Hospital patients with heart attack who were prescribed ACE inhibitor or ARB at discharge, United States, 2009

American Indians/
Alaska Natives

White

American Indians/Alaska
Natives/White Ratio

91.8

93.1

1.0

Source:  2011 National Healthcare Disparities Report. Table 2_3_3.1
http://www.ahrq.gov/qual/qrdr11/index.html


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Content Last Modified: 8/29/2012 9:14:00 AM
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