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H

EALTH

S

TATUS

P

ROFILE OF

A

MERICAN

I

NDIANS IN

A

RIZONA

2013 D

ATA

B

OOK

T

ABLE OF

C

ONTENTS

Introduction........................................................................................................................................................................................................................ 1

I.

R

ISK

P

ROFILE OF

A

MERICAN

I

NDIANS IN

A

RIZONA

:

A

N

O

VERVIEW OF

S

ELECTED

H

EALTH

P

ROBLEMS

A

ND

H

EALTH

R

ISKS

A

MONG

A

MERICAN

I

NDIANS AND

A

LL

R

ESIDENTS OF THE

S

TATE IN

2013

............................................................................................................................. 3

2013 Risk Profile of American Indians........................................................................................................................................................................ 7

American Indians’ Standing in Arizona in 2013 on 69 Indicators of Health Status ............................................................................................................ 8

II

C

OMPARISON OF

A

MERICAN

I

NDIANS

’ S

TANDING IN

A

RIZONA WITH

R

ESPECT TO

S

ELECTED

H

EALTH

O

BJECTIVES FOR THE

Y

EAR

2013

.................................13

III. T

RENDS IN

S

ELECTED

H

EALTH

P

ROBLEMS AND

H

EALTH

R

ISKS

A

MONG

A

MERICAN

I

NDIANS AND

A

LL

R

ESIDENTS OF

A

RIZONA

, 2003-2013

..........................15

IV. C

HARACTERISTICS OF

A

MERICAN

I

NDIAN

N

EWBORNS AND

M

OTHERS

G

IVING

B

IRTH BY

P

LACE OF

R

ESIDENCE IN

A

RIZONA IN

2013

....................................17

S

OCIODEMOGRAPHIC

C

HARACTERISTICS

4.1

Maternal Age .........................................................................................................................................................................................................20

4.2

Educational Attainment of Mother ............................................................................................................................................................................21

4.3

Marital Status of Mother..........................................................................................................................................................................................22

4.4

Race/Ethnicity of Father..........................................................................................................................................................................................23

4.5

Age of Father ........................................................................................................................................................................................................24

4.6

Source of Payment for Labor and Delivery.................................................................................................................................................................25

M

ATERNAL

L

IFESTYLE AND

H

EALTH

C

HARACTERISTICS

4.7

Maternal Weight Gain during Pregnancy....................................................................................................................................................................28

4.8

Medical Risk Factors of Pregnancy ............................................................................................................................................................................29

4.9

Substance Use during Pregnancy .............................................................................................................................................................................30

U

TILIZATION OF

M

EDICAL

S

ERVICES

4.10

Trimester of Pregnancy Prenatal Care Began .............................................................................................................................................................32

4.11

Number of Prenatal Visits........................................................................................................................................................................................33

4.12

Obstetric Procedures ..............................................................................................................................................................................................34

4.13

Complications of Labor and Delivery.........................................................................................................................................................................35

4.14

Method of Delivery .................................................................................................................................................................................................36

4.15

Attendant at Birth ..................................................................................................................................................................................................37

N

EWBORN

S

H

EALTH

4.16

Gestational Age .....................................................................................................................................................................................................40

4.17

Weight at Birth ......................................................................................................................................................................................................41

4.18

Abnormal Conditions of the Newborn........................................................................................................................................................................42

4.19

Congenital Anomalies (Birth Defects)........................................................................................................................................................................43

4.20

Causes of Infant Death among American Indian Residents, Arizona, 2013.....................................................................................................................44

4.21

Comparison of Selected Characteristics of American Indian Newborns and Women Giving Birth

By County of Residence, Arizona, 2013.....................................................................................................................................................................45

Health Status Profile of American Indians in Arizona, 2013 Data Book