Chronic Disease–Related Social and Behavioral Risk Factors and Conditions Among Non-Hispanic American Indian and Alaska Native People: Behavioral Risk Factor Surveillance System, 2011–2023.
Objectives. To examine chronic disease–related behavioral risk factors, social needs, and health conditions among non-Hispanic American Indian and Alaska Native (AI/AN) people. Methods. We analyzed 2011 to 2023 Behavioral Risk Factor Surveillance System data among non-Hispanic AI/AN respondents. We...
| Published in: | American Journal of Public Health Vol. 116; no. 9; pp. 1373 - 1387 |
|---|---|
| Main Authors: | , , , , , , |
| Format: | Article |
| Published: |
American Public Health Association
Sep2026
|
| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=196115374&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 196115374 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Sep2026 vid: 116 iid: 9 pid: 44 pub: American Public Health Association artinfo: ui: 196115374 10.2105/AJPH.2026.308474 ppf: 1373 ppct: 14 formats: tig: atl: Chronic Disease–Related Social and Behavioral Risk Factors and Conditions Among Non-Hispanic American Indian and Alaska Native People: Behavioral Risk Factor Surveillance System, 2011–2023. aug: au: Kava, Christine M. King, Jessica B. Haverkamp, Donald S. Melkonian, Stephanie C. Schieb, Linda Bryant-Genevier, Jonathan Zhao, Guixiang su: United States Mental depression risk factors Social determinants of health Health status indicators Smoking Food security Chronic diseases Health behavior Psychology of Native Americans Obesity Alaska Natives Risk assessment Research funding Disease prevalence Confidence intervals Housing stability Disease complications sug: subj: Mental depression risk factors Social determinants of health Health status indicators Smoking Food security Chronic diseases Health behavior Psychology of Native Americans Obesity United States Alaska Natives Risk assessment Research funding Disease prevalence Confidence intervals Housing stability Disease complications ab: Objectives. To examine chronic disease–related behavioral risk factors, social needs, and health conditions among non-Hispanic American Indian and Alaska Native (AI/AN) people. Methods. We analyzed 2011 to 2023 Behavioral Risk Factor Surveillance System data among non-Hispanic AI/AN respondents. We calculated weighted prevalence estimates and 95% confidence intervals. Results are stratified by sex (other than health-related social needs owing to small sample sizes) and geographic region. Results. The prevalence of several chronic disease–related risk factors, social needs, and conditions was high among non-Hispanic AI/AN people, including current cigarette smoking (women: 26.9%; men: 30.1%), overweight or obesity (women: 67.8%; men: 73.4%), history of depressive disorder diagnosis (women: 30.0%; men: 19.4%), experience of food insecurity always or usually (10.4%) or sometimes (15.6%), and housing insecurity (20.0%). Differences existed by geographic region; for example, the prevalence of ever being diagnosed with cancer was higher in the Pacific Coast region (women: 11.4%; men: 8.1%) than in the Southwest (women: 5.1%; men: 3.5%). Conclusions. The findings from this study can be used to inform multilevel interventions in non-Hispanic AI/AN communities. Interventions might consider including strategies that address individual risk factors and health-related social needs. (Am J Public Health. 2026;116(9): 1373–1386. https://doi.org/10.2105/AJPH.2026.308474) pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|