MMWR Morb Mortal Wkly Rep. 2003 Nov 28;52(47):1148-52.
Despite overall declines in morbidity and mortality in the United States in recent years, a persistent gap in health status remains between American Indians (AIs) and non-Hispanic whites. This report compares the health status of AIs with that of other racial/ethnic minority populations by using data from a survey conducted during 2001-2002 in 21 communities through the Racial and Ethnic Approaches to Community Health (REACH) 2010 project. The results indicate that although AIs had a higher prevalence of chronic disease risk factors than other racial/ethnic minority populations, they also were more likely to use preventive services. Culturally sensitive primary prevention strategies to reduce risk factors and disease burden in AI communities should be developed and implemented.
尽管近年来美国的发病率和死亡率总体呈下降趋势，但美国印第安人与非西班牙裔白人之间的健康状况差距依然存在。本报告通过使用2001年至2002年期间在21个社区开展的一项调查数据，比较了美国印第安人与其他种族/族裔少数群体的健康状况，该调查是通过“2010年社区健康的种族和族裔途径”（REACH 2010）项目进行的。结果表明，尽管美国印第安人比其他种族/族裔少数群体有更高的慢性病风险因素患病率，但他们也更有可能使用预防服务。应制定并实施具有文化敏感性的初级预防策略，以降低美国印第安人社区的风险因素和疾病负担。
