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

• Record Nr.: UNINA9910827540903321
• Pubbl/distr/stampa: Washington, D.C., : National Academy Press, 1996
• ISBN: 0-309-17529-1; 1-280-19199-6; 9786610191994; 0-309-55318-0; 0-585-03246-7
• Edizione: [1st ed.]
• Descrizione fisica: 1 online resource (326 p.)
• Altri autori (Persone): SandefurGary D. <1951->; RindfussRonald R. <1946->; CohenBarney <1959->
• Disciplina: 362.1/08997
• Soggetti: Indians of North America - Population; Indians of North America - Health and hygiene; Indians of North America - Economic conditions; Indians of North America - Medical care
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Note generali: "Committee on Population, Commission on Behavioral and Social Sciences and Education, National Research Council."
• Nota di bibliografia: Includes bibliographical references.
• Nota di contenuto: 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 -- Migration -- CONCLUDING REMARKS -- References -- 3 Recent Health Trends In The Native American Population -- INTRODUCTION -- METHODOLOGICAL ISSUES -- OVERALL TRENDS -- RELATIVE RISKS -- REGIONAL VARIATIONS -- HEALTH DETERMINANTS -- CONCLUSIONS -- References -- II Identification: Indications and Consequences -- 4 The Growing American Indian Population, 1960-1990: Beyond Demography -- INTRODUCTION -- 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 -- INTRODUCTION -- OLD" AND "NEW" NATIVE AMERICANS -- TRIBAL MEMBERSHIP REQUIREMENTS -- IMPLICATIONS OF URBANIZATION AND INTERMARRIAGE -- CONCLUSIONS -- References -- 6 Problems in Sampling the Native American and Alaska Native Populations -- INTRODUCTION -- TWO EXAMPLES OF SURVEYS OF THE NATIVE AMERICAN POPULATION -- PROBLEMS OF DEFINITION -- THE PROBLEM OF CULTURAL SUBGROUPS -- A SAMPLING STRATEGY -- CONCLUDING REMARKS -- REFERENCES -- 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 -- INTRODUCTION -- 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 -- References -- 8 American Indian Poverty on Reservations, 1969-1989 -- INTRODUCTION -- 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 -- CONCLUSION -- References -- 9 The Demography of American Indian Families -- INTRODUCTION -- 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 -- REFERENCES -- 10 Demography of American Indian Elders: Social, Economic, and Health Status -- INTRODUCTION -- 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 -- DISCUSSION -- References -- 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 -- References -- 12 Diabetes Mellitus in Native Americans: The Problem and Its Implications -- INTRODUCTION -- 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 -- Mortality -- 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 -- Blood Glucose Control -- Economic Appraisal -- References -- 13 Healthcare Utilization, Expenditures, and Insurance Coverage for American Indians and Alaska Natives Eligible for the… -- INTRODUCTION -- 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 -- DISCUSSION -- References.