The Wellbeing Status of American Indians/Local Americans in Massachusetts.


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The Wellbeing Status of American Indians/Local Americans in Massachusetts Branch of General Wellbeing Community for Wellbeing Data, Insights, Exploration, and Assessment Division of Examination and The study of disease transmission National American Indian Legacy Month
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The Health Status of American Indians/Native Americans in Massachusetts Department of Public Health Center for Health Information, Statistics, Research, and Evaluation Division of Research and Epidemiology

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National American Indian Heritage Month During National American Indian Heritage Month, we respect the eras of American Indians and Alaska Natives who have added to the character of our Nation. This month is a chance to commend their numerous achievements and their rich lineage and customs. George W. Shrub , 2006

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Native American Collaborators Mashpee Wampanoag Tribe Aquinnah Wampanoag Tribe North American Indian Center of Boston

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Indian Health Service Areas

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Making History One of the first far reaching reports on Native American wellbeing by a state

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Making History in Massachusetts First wellbeing report on American Indians First statewide report to work together with Native Americans First answer to incorporate data from government, state and tribal information accumulations First answer to utilize Indian-driven information

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American Indian Population by County Massachusetts: Census 2000 Source: U.S. Evaluation 2000

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Outline of Today’s Presentation Socio-demographics Survey Results Behavioral Risk Factor Surveillance System Mashpee Wampanoag Community Health Survey NAICOB Community Health Survey - Youth Risk Behavior Survey Health Outcomes - Births - Deaths Summary

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Socio-Demographics

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White Black Asian American Indian Other Two+ Race According to Census 2000 United States Massachusetts Source: Census 2000

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American Indians in Race Combinations Census 2000 United States Massachusetts Source: U.S. Registration 2000

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38,050 20,760 19,390 15,015 Different Counts of the American Indian/Alaska Native Population in Massachusetts: 2000 Census 2000 MDPH 2000 MARS 2000 Census 2000

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Age Distribution of American Indians in Massachusetts: Census 2000 Massachusetts Overall American Indian 65+ 45-64 25-44 0-24 Source: U.S. Registration 2000

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American Indian and Alaska Native Tribes Massachusetts: Census 2000 Source: U.S. Registration 2000 * Only governmentally perceived American Indian Tribe in Massachusetts

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American Indian Population by City/Town Massachusetts: 2000 > 1% MA populace <= 1% MA populace Source: U.S. Evaluation 2000

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Source: U.S. Enumeration 2000

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• Source: U.S. Evaluation 2000

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Economic Indicators: 1999 Source: U.S. Enumeration 2000

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Socio-Demographic Indicators: 2000 Source: U.S. Evaluation 2000

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Less Than High School Education Massachusetts: 2000 Source: U.S. Registration 2000, SF-4

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Census 2000 Adjusted Count Massachusetts: 2000 Source: U.S. Enumeration 2000

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Survey Results

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Health Status Findings Behavioral Risk Factor Surveillance Survey Massachusetts: 2001-2005 Source: Behavioral Risk Factor Surveillance System (BRFSS) 2001-2005

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Access to Health Behavioral Risk Factor Surveillance Survey Massachusetts: 2001-2005 Source: Behavioral Risk Factor Surveillance System (BRFSS) 2001-2005

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Health Status Indicators North American Indian Center of Boston Community Health Survey: 2002 Source: North American Indian Center of Boston Community Health Survey, 2002.

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Health Status Indicators Mashpee Wampanoag Community Health Survey Massachusetts: 2002 Source: Wampanoag Community Health Survey, 2002.

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The Health Status of High School Students Youth Risk Behavior Survey: 1993-2003 Source: Department of Education, YRBS: 1993-2003

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The Health Status of High School Students Youth Risk Behavior Survey: 1993-2003 Source: Department of Education, YRBS: 1993-2003

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Health Outcomes

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Birth Indicators Massachusetts: 1999-2004 Source: Massachusetts Births 1999-2004

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Birth Indicators Massachusetts: 1999-2004 Source: Massachusetts Births 1999-2004

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American Indians (N=443) Cancer (23%) Heart Disease (22%) Injuries & Poisonings (9%) Stroke (5%) Pneumonia & Influenza (4%) Massachusetts (N=611,825) Heart Disease (28%) Cancer (25%) Stroke (6%) CLRD 1 (5%) Injuries & Poisonings (4%) Leading Causes of Death (NCHS Ranking) Massachusetts: 1994-2004 1 Chronic Lower Respiratory Disease Source: Massachusetts Department of Public Health, Massachusetts Deaths 1994-2004

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Underestimation in Mortality Rates for American Indians Because it is more probable for race to be accounted for as Native American in the Census than it is in the demise declarations, this outcomes in a net underestimation of mortality The quantity of passings (numerator) and the populace check (denominator) are conflicting. Race is self-given an account of the Census; while, on death testaments, race may be accounted for by the family, the confirming doctor, the memorial service executive, or other source. More than one race can be accounted for on the Census, though, at present, just single races are permitted on the passing endorsement The American Indian populace include (denominator) death rates may be erroneous as a result of the huge number of blended race persons who are, to a limited extent, Native American.

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All Cause Mortality Age-Adjusted Death Rates: 1994-2004 Adjusted Estimate Underestimate Age-changed in accordance with the 2000 US standard populace. Source: Massachusetts Department of Public Health, Death authentications.

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Summary

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Summary The Health Status of American Indians/Native Americans in Massachusetts Makes history in Massachusetts general wellbeing A standard by which we can track enhancements in American Indian wellbeing A quite required asset for American Indian gatherings to survey the wellbeing needs of their groups Highlights the requirement for better routines for accumulation of race and ethnicity information Starting point for exploration into the strength of American Indians and the improvement of projects focused to this populace

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How Can You Access this Report? Printed copies : (617) 624-5640 (617) 624-5639 TDD/TTY : (617) 624-6001 DPH Website : http://www.mass.gov/dph/pubstats.htm

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Thank You

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.:tslid

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