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The reported population of American Indians and Alaska Natives has grown rapidly over the past 20 years. These changes raise questions for the Indian Health Service and other agencies responsible for serving the American Indian population. How big is the population? What are its health care and insurance needs?

This volume presents an up-to-date summary of what is known about the demography of American Indian and Alaska Native population—their age and geographic distributions, household structure, employment, and disability and disease patterns. This information is critical for health care planners who must determine the eligible population for Indian health services and the costs of providing them. The volume will also be of interest to researchers and policymakers concerned about the future characteristics and needs of the American Indian population.

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Suggested Citation

National Research Council. 1996. Changing Numbers, Changing Needs: American Indian Demography and Public Health. Washington, DC: The National Academies Press. https://doi.org/10.17226/5355.

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Publication Info

328 pages |  6 x 9 | 

ISBNs: 
  • Paperback:  978-0-309-05548-2
  • Ebook:  978-0-309-17529-6
DOI: https://doi.org/10.17226/5355
Chapters skim
Front matter i-xii
1 Introduction 1-14
I Overview of Demographic and Health Conditions 15-16
2 The Size and Distribution of the American Indian Population: Fertility, Mortality, Residence, and Migration 17-52
3 Recent Health Trends in the Native American Population 53-76
II Indentification: Indications and Consequences 77-78
4 The Growing American Indian Population, 1960-1990: Beyond Demography 79-102
5 Tribal Membership Requirements and the Demography of 103-112
6 Problems in Sampling the Native American and Alaska Native Populations 113-130
III Social and Economic Conditions 131-132
7 The Individual Economic Well-Being of Native American Men and Women During the 1980s: A Decade of Moving Backwards 133-171
8 American Indian Poverty on Reservations, 1969-1989 172-195
9 The Demography of American Indian Families 196-217
10 Demography of American Indian Elders: Social, Economic, and Health Status 218-232
IV Health Issues and Health Care Access and Utilization 233-234
11 Overview of Alcohol Abuse Epidemiology for American Indian Populations 235-261
12 Diabetes Mellitus in Native Americans: The Problem and Its Implications 262-288
13 Health Care Utilization, Expenditures, and Insurance Coverage for American Indians and Alaska Natives Eligible for the Indian Health Service 289-314

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