Project Abstract Summary
Background: Alaska Native/American Indian (AN/AI) people suffer from a high chronic disease burden and multiple chronic disease disparities. Heart disease, diabetes, and stroke are among the top 10 leading causes of death among AN/AI people. AN/AI people have significantly higher heart disease and stroke mortality rates than U.S. Whites and the prevalence of diabetes among AN/AI people has increased 158% since 1990. The Alaska Native Tribal Health Consortium (ANTHC) is a statewide, tribally owned and operated, non-profit health services organization that serves the nearly 170,000 Alaska Native and American Indian (AN/AI) people and all 229 federally-recognized tribes in the Alaska Indian Health Service (IHS) Area.
Purpose: The ANTHC’s Alaska Native Epidemiology Center (ANEC) is applying for $1,450,000 in Year 1 funding through Component 2 of Good Health and Wellness in Indian Country (GHWIC), CDC-RFA-DP19-1903. The purpose of this project is to reduce rates of death and disability from commercial tobacco use, diabetes, heart disease and stroke, and to reduce the prevalence of obesity and other chronic disease risk factors and conditions (e.g. oral health, dementia, COPD) among Alaska Native and American Indian (AN/AI) people in the Alaska IHS Area. To achieve these health improvements, ANEC will implement evidence-informed and culturally adapted policy, systems, and environmental (PSE) change strategies and activities around obesity and tobacco prevention, as well as community-clinical linkage (CCL) strategies and activities around diabetes, heart disease, and stroke prevention. These strategies and activities will strengthen and build on existing work to reduce the burden of chronic disease and associated risk factors among Alaska Native/American Indian (AN/AI) people living in Alaska.
Outcomes: By the end of the 5-year project period, ANEC will achieve the short-term outcomes associated with the Component 2 strategy of providing funding, training, technical assistance, and evaluation support to Alaska Area Tribes, Villages, and eligible Tribal Organizations (TVeOs) conducting activities across all four C1 strategies. Short-term outcomes include: 1) Number of TVeOs implementing C1 strategies and activities; 2) Number of TVeOs engaged in active collaborations with partners from the health and non-health sector that support C1 strategies; and 3) Number of health communication messages disseminated by TVeOs.
By the end of the project period ANEC will achieve the intermediate outcome of increasing the number of Area TVeOs implementing activities across the four C1 strategies.
Through this funding ANEC will also make progress toward long-term outcomes beyond the scope of this project period, including increased purchasing of healthy foods, increased physical activity with an emphasis on walking, reduced prevalence of commercial tobacco use, reduced incidence of type 2 diabetes, reduced prevalence of high blood pressure, and reduced prevalence of high blood cholesterol. These improvements will, in turn, help ANTHC achieve its vision that “Alaska Native people are the healthiest people in the world.”