Health
Study: Health disparities among urban Indians


"Editor�s Note: A group of medical professionals employed statistics from the census bureau to examine health disparities that exist among Natives living in urban locales such as Tulsa and Oklahoma City.This is an edited version of their final report. The authors are: Mei L. Castor, MD, MPH, Michael S. Smyser, MPH, Maile M. Taualii, MPH, Alice N. Park, MPH, Shelley A. Lawson, MPA, and Ralph A. Forquera, MPH.

Despite their increasing numbers, little is known about the health of American Indians/Alaska Natives living in urban areas. We examined the health status of American Indian/Alaska Native populations served by 34 federally funded urban Indian health organizations.

Over the past three decades, American Indians and Alaska Natives have increasingly relocated from rural and reservation communities to the urban centers of the United States. Census data show that 6-percent of American Indians/Alaska Natives resided in these areas in 2000, up from 38% in 1970.

Although urban living offers more of certain opportunities, the departure of American Indians/Alaska Natives from reservations has typically resulted in a loss of access to health care, historically provided by the Indian Health Service (IHS). To provide health care for the increasingly urban American Indian/Alaska Native (AIAN) population, the IHS awards contracts and grants to 34 nonprofit agencies located in major metropolitan areas across the United States. These agencies, referred to as urban Indian health organizations (UIHOs), exist largely in cities designated in the past as AIAN relocation sites by the federal government."

Get the Story:
Healthcare and the urban Indian (The Native American Time 8/23)

Interior 2007 Appropriations:
H.R.5386 | Report 109-465 | Interior Subcommittee Reports FY 2007 Spending Bill Press Release | House Appropriations Committee Press Release

FY2007 HHS Budget in Brief:
HTML | PDF

Relevant Links:
National Council of Urban Indian Health - http://www.ncuih.org
Indian Health Service - http://www.ihs.gov

Related Stories:
Senate panel restores urban Indian health program (06/28)
House restores funds to critical Indian programs (05/22)
Urban Indian clinics threatened by Bush budget cut (5/2)
Urban Indian health centers fight Bush budget cut (4/28)
Urban Indians file class action health care lawsuit (4/11)
Law school to file class action Indian health care suit (4/6)
Budget cut affects 34 urban Indian health clinics (03/27)
Senate Indian Affairs Committee seeks better budget (03/06)
Gorton blocked Reagan's cut to urban Indian health (03/03)
Urban Indian clinics in Oklahoma safe from cut (2/28)
Montana urban Indian clinics oppose Bush cut (2/23)
Opinion: Republican presidents pick on urban Indians (2/22)
Editorial: Save urban Indian health program (2/21)
Urban Indian health cut to affect 6,500 in Montana (2/20)
Elimination of urban Indian health care opposed (2/14)
Bush budget details Indian program cuts (2/10)
IHS gets another boost under Bush budget (2/7)
Yankton Sioux Tribe emergency room gets reprieve (02/01)
Yankton Sioux Tribe to lose emergency room (1/23)
Senate panel advances Indian health care measure (10/28)
Indian Affairs Committee gets back to business (10/27)
Don't get sick after June, IHS employee warns (10/27)
Jodi Rave: Natives pay for health care with lives (10/24)
IHS to improve cancer testing, prevention and care (10/12)
IHS care at issue in new report from GAO (10/12)
IHS disputes withholding of money in Great Plains (10/03)
IHS holding back $12M from Great Plains region (09/12)
HHS secretary promotes Medicare drug benefit (07/27)
Indian Health Service to mark 50 years since transfer (07/19)
Tribes, senators press for Indian Health Care Act (07/15)
House and Senate hearings, briefing on health care (7/14)
Hearing on Indian Health Care Improvement Act (7/13)
Oklahoma senator loses Indian health care vote (06/29)
Senate hearing addresses Native youth suicide (06/16)
Senate hearing on youth suicide prevention (6/15)
Study finds high rates of trauma among two tribes (06/01)
High rate of problem gambling among Indian veterans (05/31)
Heart disease is top killer in Indian Country (5/17)
Senate committee plans hearing on Indian suicides (04/26)
Cancer among Minnesota Indians extremely high (04/20)
Contracts still an issue despite Supreme Court win (04/14)
Deadly tragedy puts focus on Native youth problems (3/24)
Tribes win decision in contract support cost case (03/02)
Bush's IHS budget sees increases all around (02/08)
Heart disease, cancer showing up in Alaska Natives (10/19)
Health summit focuses on cancer among Indians (10/12)
Study looks at reducing heart disease among Indians (10/8)
Report calls on U.S. to honor health care commitment (08/30)
IHS officials say Indians shortchanged billions (08/25)
Bush official pledges support for health care bill (07/22)
Campbell says agencies afraid of helping tribes (04/30)
Study documents urban Indian health disparities (04/21)
Heart, cancer death rates falling for Mich. Natives (02/25)
CDC documents premature deaths from heart disease (02/23)
CDC calls attention to health disparities in U.S. (02/09)
Survey finds heavy health burden on Indian population (12/01)
Survey finds high-risk behaviors among BIA students (11/13)
Democrats lay out plan for minority and Indian health (10/22)
Smoking rates among Natives highest in nation (10/10)
Study links childhood experience to alcohol abuse (09/19)
Cancer rates on the decline in Indian Country (09/03)
Elder care study shows worsening problems (07/11)
CDC: Death rates at record lows, except Indians (10/11)
Indian Country ranks high in deaths (6/27)
Cancer deaths increase in Indian Country (6/6)