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Title

Improving Data Capacity for American Indian/Alaska Native (AIAN) Populations in Federal Health Surveys

Publication Topics

California Health Interview Survey; 2011 California Health Interview Survey (CHIS 2011); 2012 California Health Interview Survey (CHIS 2012); 2013 California Health Interview Survey (CHIS 2013); 2014 California Health Interview Survey (CHIS 2014); American Indian and Alaskan Native; Barriers to/Disparities in Health Care; Survey Research

Publication Type

External Publication

Publication Date

2019-10-01T07:00:00Z

Author 1

<a onclick="OpenPopUpPage('http:\u002f\u002fhealthpolicy.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=243\u0026RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=243&amp;RootFolder=*">Ninez A. Ponce, PhD, MPP</a>

Author 2

<a onclick="OpenPopUpPage('http:\u002f\u002fhealthpolicy.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=1099\u0026RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=1099&amp;RootFolder=*">Tara Becker, PhD</a>

Author 3

<a onclick="OpenPopUpPage('http:\u002f\u002fhealthpolicy.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=211\u0026RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=211&amp;RootFolder=*">Susan H. Babey, PhD</a>

Author 4

<a onclick="OpenPopUpPage('http:\u002f\u002fhealthpolicy.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=1313\u0026RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=1313&amp;RootFolder=*">Riti Shimkhada, PhD</a>

Author 5

<a onclick="OpenPopUpPage('http:\u002f\u002fhealthpolicy.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=1265\u0026RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=1265&amp;RootFolder=*">Daniel Hanaya, MPP</a>

Author 6

<a onclick="OpenPopUpPage('http:\u002f\u002fhealthpolicy.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=236\u0026RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=236&amp;RootFolder=*">Sunghee Lee</a>

Author 7

<a onclick="OpenPopUpPage('http:\u002f\u002fhealthpolicy.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=5\u0026RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=5&amp;RootFolder=*">AJ Scheitler, EdD</a>

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Abstract

Summary: National health surveillance instruments are intended to monitor important health issues and health status of all populations in the United States. Several population subgroups have disparities in health conditions and health care. To effectively create programs and policies to address these issues requires accurate identification of key population subgroups. Among the subgroups with the highest rates of poor health outcomes is the American Indian/Alaska Native (AIAN) population, which is also at significant risk of misidentification in national surveillance instruments. Selection of data sets for study inclusion was based on significant use of data sets in the literature, collection of AIAN designation, and availability of key health indicators. Thus, the Behavior Risk Factor Surveillance System (BRFSS), the National Health Interview Survey (NHIS), the National Survey of Children’s Health (NSCH), the National Health and Nutrition Examination Survey (NHANES), the National Survey of Drug Use and Health (NSDUH), Population Assessment of Tobacco and Health (PATH), and the Medicare Current Beneficiary Survey (MCBS) were selected. Additionally, the research team reviewed the California Health Interview Survey (CHIS), due to its inclusion of a large AIAN population. 

Findings: The authors' initial analyses using the original weights constructed by survey administrators demonstrated that there are significant differences across AIAN groups and among the AIAN population as a whole. Moreover, the size of the AIAN population, as well as the distribution of AIAN groups within that population differed substantially across surveys. Many of the surveys do not explicitly account for AIANs in the weighting process. Moreover, most include the Latino/a population as a single homogeneous group during weighting. To demonstrate that these weighting decisions affect understanding of the AIAN population authors introduced revised weighting targets nine (dimensions) that explicitly account for these factors. The results of the re-weighting should be seen as a “proof of concept” demonstration that accounting for the AIAN population directly in the weighting process can improve understanding of health-related disparities faced by this population.

This study uses data from 2011-2014 California Health Interview Surveys. 

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Article 1

Report: Improving Data Capacity for American Indian/Alaska Native (AIAN) Populations in Federal Health Surveys

Article 2

Related Policy Brief: Limited Access to Health Data on American Indian and Alaska Natives Impedes Population Health Insights

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Press Release

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Office of the Assistant Secretary for Planning and Evaluation

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Created at 11/18/2020 8:28 AM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 11/18/2020 9:02 AM by i:0#.f|uclachissqlmembershipprovider|celeste