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American Indian/Alaska Natives

Encompassing an estimated 9.7 million individuals in the US, about 2.9% of the population.

The majority live in areas outside of traditionally defined tribal areas.
American Indian/Alaskan native people experience a life expectancy five years shorter than that of the overall US population.
American Indian/Alaskan native people have a high mortality rate related to alcohol induced conditions, liver disease, diabetes, unintentional injuries, and physical assault.
American Indian/Alaskan native people have a life expectancy five years shorter than that of the overall US population, with high mortality rate related to alcohol, liver disease, diabetes, unintentional injuries, and physical assault.
American Indian/Alaskan native people compared with the overall population, more likely to live in poverty, 26% versus 14%, lack of high school or equivalent degree, 20 versus 12%, lack of full-time worker in the family 30% versus 16%, lack access to complete plumbing 5.8% versus 0.3%, live in housing conditions that are  overcrowded or have structural issues, 34% versus 7%, and lack access to health insurance 21% versus 12%.
 
American Indian/Alaskan native people are more likely than the US population to report a fair of poor health status, 17 versus 9%, or disability, 16% versus 9%, have diabetes, 15% versus 9%, and die by suicide 11 deaths versus 6 per hundred thousand female population.
The leading cause of death in the American Indian and Alaskan native populations in 2019 were heart disease (19.2%), malignancies (19.2%), injuries (17.4%), and chronic liver disease (5.2%).
AI/AN individuals are nearly twice as likely to die from unintentional injuries, and four times more likely to die from chronic liver disease than White individuals.
This population had increasing life expectancy losses of 6.6 years of life from 2019 to 2021 related to the Covid pandemic.
in 2021, American, Indian and Alaskan native life expectancy at birth was  65.2 years, the lowest of any racial or ethnic group in the US and 10 years less than that of the general population.
The advances in public health and medicine during the last 79 years has not increased American Indian and Alaskan native life expectancy, it is the same as the US life expectancy rate in 1944.
AI/AN people are 77% more likely to experience psychological distress, than Caucasian people.
AI/AN people living below the poverty line by 13.3 times are more likely to experience serious psychological distress than their counterparts.
Among members of this population, 28% currently smoke, 46% have obesity, and 58% of uncontrolled blood pressure.
 
1/3 of American Indian/Alaskan native people living in tribal areas lack access to broadband Internet, 6% of the overall US population.
American Indian and Alaskan native individuals experienced the largest decrease in life expectancy I’m 67 years 65 years of any racial or ethnic group between 2020 and 2021.
American Indian/Alaskan native people have decreased access to healthcare and health insurance.
 
The Indian Health Service provides care for 2.5 million American Indian/Alaskan native individuals members of federally recognized tribes across the country, or just under 40% of the total American Indian/Alaska native population in the US.
There are 574 federally recognized tribes located in 35 states.
American Indian and Alaskan native lands are sovereign territories and extend over 100,000,000 acres, including 44,000,000 acres in Alaska.
The Indian Health Service has 46 hospitals in more than 500 health centers operating with a $6 billion budget and is substantially underfunded funded at 60% of need on a  per capita basis.
The Indian health service serves 2.56 million people in American Indian and Alaskan native communities.
Medicaid supplements more than 1/4 of the American Indian/Alaskan native population within the Indian health service and 1/3 of the American Indian/Alaska native population nationwide.
The IHS has a vacancy rate of 25% for clinicians.
Only 30% of IHS patients visited a dentist in the past 12 months, 41% of children had received immunization series, 32% of eligible adults had colorectal cancer screening, and 43% of patients have been screamed for depression.
17% of diabetic patients demonstrated poor glycemic control, 43% head elevated blood pressures.
Homicide rates for American Indian and Alaskan native individuals are disproportionately high compared with other racial and ethnic groups except Black individuals.
Age adjusted homicide rate among American Indian and Alaskan native individuals is eight per hundred thousand population, with a significantly higher rate occur among American Indian and Alaskan native men at 12 per thousand population than women 3.9 per hundred thousand population.

Homicide rates for American Indian and Alaskan native individuals are disproportionately high compared without the race and ethnic groups, except for non Hispanic black inviduals..

In the US the highest drowning mortality rates are among American Indians and Alaskan natives, and Black persons.
American Indian or Alaska Native individuals are a cohort in whom the risk of obesity‐related cardiovascular mortality is rising most rapidly.

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