American Indian and Alaska Native (AI/AN) communities have innate strengths and resilience rooted in tribal culture and traditional ways of life. However, AI/AN culture and traditions have been severely disrupted by colonialism, loss of land, and policies, such as assimilation, relocation, and tribal termination, resulting in historical trauma, contributing to higher rates of chronic disease and underlying risk factors, such as obesity and commercial tobacco use.
In response, the Centers for Disease Control and Prevention’s (CDC) National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) partners with AI/AN communities to promote health, prevent disease, and strengthen cultural connections to improve health and promote wellness. This occurs in four action areas: epidemiology and surveillance; environmental approaches; health care system interventions; and community programs linked to clinical services.
As partnerships and programs are built and expanded in Indian Country, CDC also aims to address the social determinants of health that are fundamental to success and sustainability of the work. Visit the sections below to learn how the CDC and tribal communities are working together to achieve these goals.
Good Health and Wellness in Indian Country (GHWIC) supports healthy behaviors and strategies in Native communities to attain long-term health goals.
Tribal Epidemiology Centers Public Health Infrastructure (TECPHI) strengthens tribal epidemiology center public health capacity.
Cigarette smoking is more common among AI/AN than almost any other racial group.
AI/AN communities have higher rates of cancer.
Diabetes is more than twice as prevalent within AI/AN communities.
Programs and initiative within AI/AN communities to promote healthy eating and physical activity.
A Road Map for Tribal leaders to help improve lives of adults with dementia and their caregivers.
Coordination of training, tribal consultation and the CDC Tribal Advisory Committee.