What are the most significant health challenges facing American Indian/Alaska Native populations?
• Death rates are higher for many causes compared to the general U.S. population, including deaths due to chronic liver disease/cirrhosis, diabetes mellitus, chronic lower respiratory disease, unintentional injuries, assault/homicide, and suicide, and life expectancy is four years less.
• Compared with other groups, AI/AN adults are more likely to experience poor health and psychological distress, to have unmet medical needs due to cost, to have diabetes and activity limitations, and to be smokers and binge drinkers.
• More than half the AI/AN population has limited or no access to IHS services.
• IHS is chronically underfunded and so is limited in its capacity to provide care and services to AI/AN populations.
• Geographic isolation and economic factors contribute to poorer health outcomes.
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