Improving Health Equity in Tribal Communities

(StatePoint) Heart disease is the number one killer of new moms in the United States, and American Indian and Alaska Native (AI/AN) women have even more risk factors for poor heart health than the general population, such as high rates of Type 2 diabetes, obesity and smoking, as well as increased exposure to trauma and violence. In fact, recent research reports that more than 60% of AI/AN women have suboptimal heart health when they enter pregnancy, which is strongly related to the development of heart disease later in life.

According to the American Heart Association and the National Collaborative for Infants and Toddlers, addressing heart disease risks in AI/AN women requires not only attention to traditional cardiovascular disease risk factors, but also an understanding of how the legacy of colonization, exploitation, racism and discrimination shape the health of members of these communities. That’s why a new policy agenda identifies the most impactful ways to protect Tribal women during the vulnerable period of pregnancy, while honoring Tribal sovereignty.