Heart Disease and American Indians/Alaska Natives

• In 2023, American Indian/Alaska Native adults were 60% less likely to be diagnosed with coronary heart disease than non-Hispanic white adults.¹
• American Indian/Alaska Native adults were 20% more likely to be current cigarette smokers than non-Hispanic white adults in 2023.²
• In 2023, American Indian/Alaska Native adults were 10 percent less likely to have high blood pressure than non-Hispanic white adults.³

Diagnosis

Coronary heart disease among adults age 18 and over, age-adjusted percentage, 2023
American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native /  Non-Hispanic White Ratio
2.6	5.8	0.4

Death Rates

Death due to heart disease, age-adjusted rate per 100,000 population, 2021
	Non-Hispanic American Indian/Alaska Native	Non-Hispanic White	Non-Hispanic American Indian/Alaska Native /  Non-Hispanic White Ratio
Male	184.6	299.9	0.6
Female	122.9	240.3	0.5
Both Sexes	153.3	269.9	0.6

Hypertension

Adults age 18 and over who have high blood pressure (diagnosed hypertension), percentage, 2023
American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native /  Non-Hispanic White Ratio
25.1	28.9	0.9

High Cholesterol

Adults age 18 and over who have high cholesterol, percentage, 2023
American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native / Non-Hispanic White Ratio
16.8	25.8	0.7

Adults who received a blood cholesterol measurement in the last five years, percentage, 2021
Non-Hispanic American Indian/Alaska Native	Non-Hispanic White	Non-Hispanic American Indian/Alaska Native /  Non-Hispanic White Ratio
81.9	88.9	0.9

Cigarette Smoking

Adults age 18 and over who are current cigarette smokers, percentage, 2023
American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native /  Non-Hispanic White Ratio
14.1	12.0	1.2

Adults age 18 and over who were current e-cigarette users, percentage, 2022
American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native /  Non-Hispanic White Ratio
9.5	6.9	1.4

Adult smokers who received advice from a health professional to quit, percentage, 2020
American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native /  Non-Hispanic White Ratio
--	49.8	--

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¹ CDC. National Center for Health Statistics. Interactive Summary Health Statistics for Adults. Percentage of coronary heart disease for adults aged 18 and over, United States, 2023. (back)

² CDC. National Center for Health Statistics. Interactive Summary Health Statistics for Adults. Percentage of current cigarette smoking for adults aged 18 and over, United States, 2023. (back)

³ CDC. National Center for Health Statistics. Interactive Summary Health Statistics for Adults. Percentage of diagnosed hypertension for adults aged 18 and over, United States, 2023. (back)