The Health Status of American Indians/Native Americans The Health Status of American Indians/Native Americans in Massachusetts Mitt Romney, Governor Kerry Healey, Lieutenant Governor

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  • The Health Status of American Indians/Native Americans in Massachusetts

    Massachusetts Department of Public Health

    Center for Health Information, Statistics, Research, and Evaluation

    Division of Research and Epidemiology

    November 2006

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    The Health Status of American Indians/Native Americans in Massachusetts

    Mitt Romney, Governor Kerry Healey, Lieutenant Governor

    Timothy R. Murphy, Secretary of Health and Human Services Paul J. Cote, Jr., Commissioner of Public Health

    Gerald F. OKeefe, Director Center for Health Information, Statistics, Research and Evaluation

    Bruce Cohen, Director Division of Research and Epidemiology

    Massachusetts Department of Public Health

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    Acknowledgments

    This report was prepared by Malena Orejuela Hood and James K. West, of the Division of Research and Epidemiology, Center for Health Information, Statistics, Research, and Evaluation. We wish to express our gratitude to the North American Indian Center of Boston and the Mashpee Wampanoag Tribal Council for the results from their Community Health Surveys in 2002, and to the women and men who participated in the surveys. Special thanks go to: Bruce Cohen, Director, Division of Research and Epidemiology, Center for Health Information, Statistics, Research, and Evaluation, and Brunilda Torres, Director, Office of Multicultural Health, Center for Community Health, for their input in the development and review stages of this report. In addition, we extend our gratitude to Christine Judge, Research Specialist, Division of Public Health Practice, Harvard School of Public Health, who began this report while working at the Division of Research and Epidemiology, Center for Health Information, Statistics, Research, and Evaluation. We also like to thank the many people who contributed data for this report: Belinda J. Hanlon, Research & Evaluation Director, Department of Education; Susan Keyes, Senior Research Analyst, Health Survey Program, Center for Health Information, Statistics, Research, and Evaluation; Andrew Hanchett, Assistant Director, Office of Statistics and Evaluation, Bureau of Substance Abuse Services; and, Nidu Menon, Senior Epidemiologist, Chronic Disease Unit, Center for Community Health. The sections on Births and Mortality are based on data collected through the efforts of the Registry of Vital Records and Statistics staff. In addition, we wish to thank all reviewers of this document for their comprehensive and insightful reviews of this publication.

    To obtain additional copies of this report, contact: Massachusetts Department of Public Health

    Center for Health Information, Statistics, Research and Evaluation 250 Washington Street, 6th floor

    Boston, MA 02108

    This and other Department of Public Health publications can be downloaded from following website:

    http://www.mass.gov/dph/resep (Click on Population Health Statistics)

    To obtain more information other Department of Public

    Health data: register for the Departments free, Internet-based public health

    information service, MassCHIP, via the website at:

    http://masschip.state.ma.us

    or call 888-MAS-CHIP (toll free in MA) or 617-624-5629.

    http://www.mass.gov/dph/resephttp://masschip.state.ma.us/

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    Table of Contents

    List of Tables ................................................................................................................................. 6

    Introduction................................................................................................................................... 7

    EXECUTIVE SUMMARY .......................................................................................................... 9

    I. Massachusetts Census Data ........................................................................................... 17

    A. Population..................................................................................................................................... 17 B. Ethnicity ....................................................................................................................................... 18 C. Tribal Enrollment ......................................................................................................................... 19 D. Age ............................................................................................................................................... 20 D. Top Ten Cities and Towns ........................................................................................................... 22 E. Income .......................................................................................................................................... 24 F. Education...................................................................................................................................... 24 G. Poverty.......................................................................................................................................... 25 H. Housing ........................................................................................................................................ 25

    II. Behavioral Risk Factor Surveillance System Data, 2001-2005................................... 29

    III. Mashpee Wampanoag Community Health Survey, 2002 ........................................... 33

    IV. North American Indian Center of Boston Community Health Survey, 2002 ........... 39

    V. Birth Indicators, 1999-2004............................................................................................ 43

    VI. Mortality Indicators, 1994-2004 .................................................................................... 49

    VII. Admissions to BSAS Substance Abuse Treatment Programs, 2001-2004 ................. 53

    VIII. Early Intervention Program Utilization, 2001-2003 .................................................... 57

    IX. Department of Education Data (DOE) ......................................................................... 61 A. Enrollment Data ........................................................................................................................... 61 B. Dropout Data ................................................................................................................................ 61 C. Retention Data .............................................................................................................................. 62 D. Competency Determination Data ................................................................................................. 63 E. Plans of High School Graduates................................................................................................... 64 F. Youth Risk Behavior Survey........................................................................................................ 64

    APPENDIX.................................................................................................................................. 67

    SELF DESIGNATION OF RACE AND ETHNICITY........................................................... 69

    GLOSSARY................................................................................................................................. 74

    DATA SOURCES ....................................................................................................................... 78

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    List of Tables Table 1. American Indian and Alaska Native, Massachusetts Population ............................................... 18 Table 2. American Indian and Alaska Native by Hispanic Ethnicity ....................................................... 19 Table 3. American Indian and Alaska Native Tribes................................................................................ 20 Table 4. Median Age and Age Distribution of Native American Population: 2000................................ 21 Table 5. Top Ten Cities and Towns with Largest Populations of Native Americans: 2000 ................... 22 Table 6. Cities and Towns with Highest Percentage of Native Americans: Census 2000 ...................... 22 Table 7. Cities and Towns with Highest Percentage of American Indians/Native Americans,

    Massachusetts: MRACE 2000 .................................................................................................. 23 Table 8. Income Characteristics ............................................................................................................... 24 Table 9. Educational Level Massachusetts: 2000..................................................................................... 24 Table 10. Poverty Level............................................................................................................................ 25 Table 11. Housing Characteristics ............................................................................................................ 25 Table 12. Behavioral Risk Factor Surveillance System Data ................................................................... 30 Table 13. Mashpee Wampanoag Community Health Survey................................................................... 34 Table 14. North American Indian Center of Boston Community Health Survey..................................... 40 Table 15. Selected Birth Indicators .......................................................................................................... 44 Table 16. Selected Birth Indicators by American Indian.......................................................................... 45 Table 17. Number and Age-adjusted Death Rates* ..................................