American Indian and Alaska Native (AIAN) populations face disproportionately high rates of cardiovascular disease nationally, and among California tribal communities, diabetes, high blood pressure, and heart disease have been identified as major health priorities.

This fact sheet uses combined 2020–2024 California Health Interview Survey (CHIS) data to examine hypertension, heart disease, diabetes, diabetes medication use, hypertension medication use, and uncontrolled hypertension among American Indian and Alaska Native (AIAN) adults in California.

Findings: 

• 1 in 4 AIAN adults reported living with hypertension (25%), and an additional 9% reported having borderline or pre-hypertension. This amounts to more than 1 in 3 living with elevated blood pressure (34%).
• Approximately 6% of AIAN adults reported living with heart disease (e.g., coronary artery disease).
• About 1 in 9 AIAN adults reported living with diabetes (12%).
• Overall, nearly 1 in 3 AIAN adults reported living with heart disease, hypertension, and/or diabetes (32%), and approximately 10% of AIAN adults reported living with at least two of these conditions.