Making Amends: Recommended Strategies and Actions to Improve the Health and Safety of American Indian and Alaska Native Mothers and Infants

Authors: U.S. Secretary of Health and Human Services Advisory Committee on Infant and Maternal Mortality (ACIMM)

Publication Year: 2022

Last Updated: December 2022

Journal:

Keywords: Awareness; Ethnicity; Federal Health Care; Health Care Access; Health Disparities; IHS; Infant Mortality; Medicare; Medicaid; Minority Groups; Misclassification of AI/AN; Pregnancy; Women's Health; Social Determinants of Health

 

Short Abstract: Report submitted in to US HHS Secretary with recommendations for the federal government to reconcile past actions and step up to the obligations to American Indians and Alaska Natives (AI/AN). Recommendations are based on the findings of previous reports on the health of AI/AN people, populations, and communities, ACIMM’s analysis of maternal health and birth outcome-related data, presentations by representatives of federal health programs, and the testimony and input of over 88 individuals with relevant lived and professional experience.

 

Abstract: Report submitted in to US HHS Secretary with recommendations for the federal government to reconcile past actions and step up to the obligations to American Indians and Alaska Natives (AI/AN). Recommendations are based on the findings of previous reports on the health of AI/AN people, populations, and communities, ACIMM’s analysis of maternal health and birth outcome-related data, presentations by representatives of federal health programs, and the testimony and input of over 88 individuals with relevant lived and professional experience. 59 strategies are offered to support three overarching recommendations: I. Make the health and safety of AI/AN mothers and infants a priority for action. II. Improve the living conditions of AI/AN mothers and infants and assure universal access to high quality healthcare III. Address urgent and immediate challenges that disproportionately affect AI/AN women before, during, and after pregnancy.

 

Source: Link to Original Article.

Funding:

Code:

Source: https://www.hrsa.gov/sites/default/files/hrsa/advisory-committees/infant-mortality/birth-outcomes-AI-AN-mothers-infants.pdf

Type of Resource: Report

Maternal Mortality Among American Indian/Alaska Native Women in Arizona

Authors: Arizona Department of Health Services

Publication Year: 2021

Last Updated: December 2021

Keywords: Infant Mortality; Pregnancy; Women's Health; Maternal Health

 

Short Abstract: This document is an overview of AI/AN maternal mortality and morbidity in Arizona with statistics from 2016-2018 Maternal Mortality Review Committee (MMRC) reviewed deaths in Arizona of women 15-49 years old with a pregnancy in the previous 365 days.

 

Source: Link to Original Article.

Source: https://drive.google.com/file/d/1XYFEeAQMkCURCWK7cI5xX-tSkrzKSsTX/view

Type of Resource: Fact sheets

Report on Maternal Mortality (2016-2017) and Severe Maternal Morbidity (2016-2019) in Arizona

Authors: Arizona Department of Health Services

Publication Year: 2020

Last Updated: December 2020

Keywords: Infant Mortality; Pregnancy; Women's Health; Maternal Health

 

Short Abstract: The findings in this report related to maternal mortality were derived from the CDC's Review to Action methods, which the Arizona Department of Health Services adopted in 2018. These methods differ from the methods used to review and report on maternal mortality in Arizona between 2012-2015. For this reason, maternal mortality findings between 2016-2017 should not be compared to findings reported in Arizona’s report on 2012-2015 maternal mortality, and instead, should be considered baseline data for future reporting.

 

Source: Link to Original Article.

Type of Resource: Other

Social Determinants of Mortality of COVID-19 and Opioid Overdose in American Rural and Urban Counties

Authors: Yuhui Zhu, PhD, Zhe Fei, PhD, Larissa J. Mooney, MD, Kaitlyn Huang, BS, and Yih-Ing Hser, PhD

Publication Year: 2022

Last Updated: January 2022

Journal: Journal of Addiction Medicine

Keywords: Covid-19; Health Disparities; Infection Disease; Social Determinants of Health; Substance Abuse

 

Short Abstract: After adjusting for other covariates, the overall mortality rate of COVID-19 is higher in counties with larger population size and a higher proportion of racial/ethnic minorities, although counties with high rates of opioid overdose mortality have lower proportions of racial/ethnic minorities, a higher proportion of females, and are more economically disadvantaged. Significant predictors of rural counties with high mortality rates for both COVID-19 and opioid overdose include higher ratios of Black people, American Indians and Alaska Native people, and people with two or more races. Additional predictors for high-risk urban counties include population density and higher unemployment rates during the COVID-19 pandemic.

 

Source: Link to Original Article.

Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8815643/pdf/adm-16-e52.pdf

Type of Resource: Peer-reviewed scientific article

Cancer disparities among non-Hispanic urban American Indian and Alaska Native populations in the United States, 1999-2017

Authors: Stephanie Melkonia, Melissa Jim, Dornell Pet, Amy Poel, Adrian Dominguez, Abigail Echo-Hawk, Stephanie Zhang, Reda Wilson, Donald Haverkamp, Lindsey Petras, Ashley Pohlenz

Publication Year: 2022

Last Updated: February 2022

Journal: Cancer

Keywords: Cancer; Health Disparities; Misclassification of AI/AN

 

Short Abstract: Background: Disparities in cancer incidence have not been described for urban American Indian/Alaska Native (AI/AN) populations. The purpose of the present study was to examine incidence rates (2008-2017) and trends (1999-2017) for leading cancers in urban non-Hispanic AI/AN (NH AI/AN) compared to non-Hispanic White (NHW) populations living in the same urban areas.

 

Source: Link to Original Article.

Source: https://acsjournals.onlinelibrary.wiley.com/doi/epdf/10.1002/cncr.34122

Type of Resource: Peer-reviewed scientific article

National Indian Heath Board 51 State Health Insurance Status Report

Authors: National Indian Health Board

Publication Year: 2022

Last Updated: October 2022

Keywords: General Materials; Health Care Access; Health Disparities; Health Care Reform; Medicare; Medicaid; Insurance; Affordable Care Act; Social Determinants of Health

 

Short Abstract: This report from the National Indian Health Board details the enrollment of the AI/AN population in Medicare and Medicaid, as well as the AI/AN population that was uninsured between 2012-2020. This also offers a breakdown of this by each state and DC and the percent changes in enrollment over the 2012-2020 period. This report provides a view into the percent change in insurance enrollment of the AI/AN population before implementing the Affordable Care Act in 2013 and after.

 

Source: Link to Original Article.

Source: https://www.nihb.org/tribalhealthreform/wp-content/uploads/2022/11/NIHB-2022-State-Enrollment-Report-_FINAL.pdf

Type of Resource: NCUIH data products

US Trans Survey 2015, Report on the Experiences of American Indian and Alaska Native Respondents.

Authors: The National Center for Transgender Equality

Publication Year: 2016

Keywords: Awareness; Health Care Access; Health Disparities; Injury and Trauma; Mental and Behavioral Health; Minority Groups; Population Information; Presentations; Socio-Economic Disparities; Sexual Abuse; Suicide and Suicide Prevention; Violence; Social Determinants of Health; Gender Identity; LGBTQ/2S

 

Short Abstract: The 2015 US Trans Survey is a survey of trans and non-binary people across the country. This includes a separate report specifically on the American Indian and Alaskan Native respondents.

 

Source: Link to Original Article.

Source: https://transequality.org/sites/default/files/docs/usts/USTS-AIAN-Report-Dec17.pdf

Type of Resource: Other

NCUIH MMIP Fact Sheet

Authors: NCUIH

Publication Year: 2022

Last Updated: November 30, 2022

Keywords: Injury and Trauma; MMIP; General Materials; Mental and Behavioral Health; Domestic Violence; Social Determinants of Health; Violence

Short Abstract: This is a fact sheet with recent statistics on the issue of MMIP. It also addresses the different populations within the AI/AN community that the MMIP crisis can affect.

Source: Link to NCUIH MMIP Fact Sheet.

Source: https://ncuih.org/wp-content/uploads/NCUIH-MMIP-Fact-Sheet.pdf

Resources Related to MMIP

Authors: NCUIH

Publication Year: 2022

Last Updated: November 30, 2022

Keywords: Awareness; General Materials; Injury and Trauma; Mental and Behavioral Health; Presentations; Suicide and Suicide Prevention; Violence; Social Determinants of Health; MMIP

 

Short Abstract: This is a document for resources related to the MMIP crisis, originally distributed during NCUIH's MMIP Virtual Dialogue on November 30, 2022. There are links to government databases, legislation trackers, 2 spirit talking circles, websites to report missing people, suicide hotlines specific for AI/AN, webinars on human trafficking, etc.

 

 

Source: Link to MMIP Related Resource Sheet.

Source: https://ncuih.org/wp-content/uploads/MMIP-Related-Resource-Sheet.pdf

 

Type of Resource: NCUIH data products

Keeping Us Whole: Preventing Missing and Murdered Indigenous People – Podcast Series

Authors: US Dept. of Health and Human Services: Administration for Native Americans

Publication Year: 2022

Last Updated: April 26, 2022

Keywords: Awareness; Childcare; Injury and Trauma; NCUIH Newsletters; Population Information; Violence

 

Short Abstract: For generations, American Indian, Alaskan Native and Native Hawaiian peoples have faced an ongoing crisis of violence, human trafficking, and an epidemic of Missing and Murdered Indigenous People (also known as MMIP). To bolster prevention efforts to mitigate the MMIP epidemic, the Administration for Native Americans (ANA), a program office within the Administration for Children and Families (ACF), collaborated with the U.S. Department of Health and Human Services Secretary’s Interdepartmental Council on Native American Affairs (ICNAA) to develop a podcast series to raise awareness, provide prevention resources and educate listeners on MMIP.

 

Source: Link to Original Article.

Source: https://www.acf.hhs.gov/ana/podcast/keeping-us-whole-preventing-missing-and-murdered-indigenous-people-podcast-series

Type of Resource: Podcast Series