Changing numbers, changing needs : American Indian demography and public health / Gary D. Sandefur, Ronald R. Rindfuss, and Barney Cohen, editors.

Format:

Book

Contributor:

Sandefur, Gary D., 1951-

Rindfuss, Ronald R., 1946-

Cohen, Barney, 1959-

National Research Council (U.S.). Committee on Population.

Language:

English

Subjects (All):

Urban Indigenous peoples--North America--Population.

Urban Indigenous peoples.

Indians of North America--Health and hygiene.

Indians of North America.

Indians of North America--Economic conditions.

Indians of North America--Medical care.

Physical Description:

1 online resource (326 p.)

Edition:

1st ed.

Place of Publication:

Washington, D.C. : National Academy Press, 1996.

Language Note:

English

Summary:

The reported population of American Indians and Alaska Natives has grown rapidly over the past 20 years. These changes raise questions for the Indian Health Service and other agencies responsible for serving the American Indian population. How big is the population? What are its health care and insurance needs? This volume presents an up-to-date summary of what is known about the demography of American Indian and Alaska Native population--their age and geographic distributions, household structure, employment, and disability and disease patterns. This information is critical for health care planners who must determine the eligible population for Indian health services and the costs of providing them. The volume will also be of interest to researchers and policymakers concerned about the future characteristics and needs of the American Indian population.

Contents:

Changing Numbers, Changing Needs

Copyright

Contributors

Preface

Contents

1 Introduction

QUESTIONS AND ISSUES

MAJOR FINDINGS

What Are the Major Population and Health Trends?

How Do We Identify, Enumerate, and Sample the Population?

How Are American Indians Faring Economically and Socially?

What Are Some Major Health Problems Facing American Indians?

Are American Indians Receiving Adequate Healthcare?

IMPLICATIONS FOR HEALTHCARE AND OTHER POLICIES

QUESTIONS FOR FUTURE RESEARCH

References

I Overview of Demographic and Health Conditions

2 The Size and Distribution of the American Indian Population: Fertility, Mortality, Migration, and Residence

REVIEW OF THE LITERATURE

Fertility

Mortality

Migration

SOME OBSERVATIONS ABOUT THE DATA

Fertility and Mortality Data

Migration Data

FERTILITY

Age at First Birth

Children Ever Born

Tribal Differences in Children Ever Born

Residential Differences in Children Ever Born

MORTALITY

Summary Measures of Mortality

Infant Mortality

Leading Causes of Death

POPULATION DISTRIBUTION AND MIGRATION

Regional Distribution

Place of Residence: Urban and Rural Population

Place of Residence: Reservation Populations

CONCLUDING REMARKS

3 Recent Health Trends In The Native American Population

INTRODUCTION

METHODOLOGICAL ISSUES

OVERALL TRENDS

RELATIVE RISKS

REGIONAL VARIATIONS

HEALTH DETERMINANTS

CONCLUSIONS

II Identification: Indications and Consequences

4 The Growing American Indian Population, 1960-1990: Beyond Demography

Data Collection Methods

Overview of the Chapter

NATIONAL DEMOGRAPHIC FACTORS

Population Size and Growth Rate

Error of Closure

SOURCES OF NONDEMOGRAPHIC INCREASE

Ancestry and Race.

Age Patterns of Increase

Birth Statistics

GEOGRAPHIC DISTRIBUTION

Errors of Closure for States

Births and Deaths

CONCLUSION

REFERENCES

5 Tribal Membership Requirements and the Demography of "Old" and "New" Native Americans

OLD" AND "NEW" NATIVE AMERICANS

TRIBAL MEMBERSHIP REQUIREMENTS

IMPLICATIONS OF URBANIZATION AND INTERMARRIAGE

6 Problems in Sampling the Native American and Alaska Native Populations

TWO EXAMPLES OF SURVEYS OF THE NATIVE AMERICAN POPULATION

PROBLEMS OF DEFINITION

THE PROBLEM OF CULTURAL SUBGROUPS

A SAMPLING STRATEGY

III Social and Economic Conditions

7 The Individual Economic Well-Being of Native American Men and Women During the 1980s: A Decade of Moving Backwards

A SIMPLE METHOD OF ANALYSIS AND DATA PRESENTATION

ANNUAL INCOME, ANNUAL EARNINGS, ANNUAL HOURS WORKED, AND HOURLY EARNINGS

THE INCOME EQUATION

EQUATIONS FOR HOURLY EARNINGS AND ANNUAL HOURS WORKED

PULLING THE THREADS TOGETHER

CONCLUDING COMMENTS

8 American Indian Poverty on Reservations, 1969-1989

DATA

DESCRIPTIVE RESULTS

Comparisons of Poverty Rates

Comparisons of Income

DISCUSSION

Spatial Variations in Income and Poverty

Business Cycle Factors

Migration and Changes in Self-identification

Possible Demographic Explanations

Possible Political Explanations

Changes in Federal Expenditures

Increases in Wage Inequality

Changes in Gambling and Casinos as a Possible Explanation

MULTIVARIATE ANALYSIS

9 The Demography of American Indian Families

LIMITATIONS OF CENSUS DATA FOR UNDERSTANDING AMERICAN INDIAN FAMILIES

GROUPS WITHIN THE AMERICAN INDIAN POPULATION.

SELECTED FEATURES OF AMERICAN INDIAN FAMILIES

Children Living with Two Parents

Possible Factors Associated with the Prevalence of Single-Parent Families

Women Who Have Never Married

Divorce

Interracial Marriage

SUMMARY AND CONCLUSIONS

10 Demography of American Indian Elders: Social, Economic, and Health Status

MARITAL STATUS AND HOUSEHOLD COMPOSITION

ECONOMIC STATUS

Poverty

Sources of Income

SPATIAL DISTRIBUTION

MORTALITY AND DISABILITY

Life Expectancy at Birth

Comparative Mortality Rates

Trends in Mortality: 1977-1988

Disability Status

IV Health Issues and Health Care Access and Utilization

11 Overview of Alcohol Abuse Epidemiology for American Indian Populations

STEREOTYPES OF INDIAN DRINKING

EPIDEMIOLOGY OF INDIAN YOUTH SUBSTANCE ABUSE FROM SURVEYS

ADULT ALCOHOL ABUSE SURVEYS

Patterns of Heavy Use

Less-Problematic Patterns

LONGITUDINAL FOLLOW-UP STUDIES OF ADULT INDIAN DRINKERS

CURRENT DATA ON ALCOHOL-INVOLVED MORTALITY

Mortality Rates

Male And Female Alcohol-Involved Deaths As A Percentage Of All Deaths

Age-Adjusted Rates

Alcohol-Related Versus Alcohol-Specific Mortality

Explanations of Tribal Variations in Rates

FETAL ALCOHOL SYNDROME

PREVENTION OF ALCOHOL PROBLEMS

Primary Prevention

Secondary Prevention

Tertiary Prevention

SUMMARY OF FINDINGS AND AREAS FOR FUTURE RESEARCH

12 Diabetes Mellitus in Native Americans: The Problem and Its Implications

PIMA INDIAN STUDY

MAGNITUDE OF THE PROBLEM OF NIDDM IN NATIVE AMERICANS

Prevalence

Incidence

DETERMINANTS OF NIDDM

Genetic Factors

Environmental Factors

Obesity

Diet

Physical Activity

COMPLICATIONS OF NIDDM

End-Stage Renal Disease (ESRD).

Lower-Extremity Amputation (LEA)

POTENTIAL FOR PREVENTION

Prevention of NIDDM

High-Risk Strategy

Population Strategy

Potential Benefit from Prevention

Prevention of Complications

Early Detection of NIDDM

Blood Glucose Control

Early Detection and Management of Complications

RESEARCH TO FACILITATE PREVENTION OF NIDDM AND ITS COMPLICATIONS

Population-based Primary Prevention

Economic Appraisal

13 Healthcare Utilization, Expenditures, and Insurance Coverage for American Indians and Alaska Natives Eligible for the…

DATA AND METHODS

Sources of Data

Definition of Key Variables

Data Limitations

FINDINGS

Characteristics and Healthcare Coverage of the SAIAN Population

Regular Source of Healthcare

Use of Healthcare Services

Out-Of-Pocket Expenditures

References.

Notes:

"Committee on Population, Commission on Behavioral and Social Sciences and Education, National Research Council."

Includes bibliographical references.

ISBN:

9786610191994

9780309175296

0309175291

9781280191992

1280191996

9780309553186

0309553180

9780585032467

0585032467

OCLC:

42329948