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 WhiteAmerican Indian/Alaska Native /
 Non-Hispanic White Ratio
2.65.80.4
Source: Centers for Disease Control and Prevention (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.

Death Rates

Death due to heart disease, age-adjusted rate per 100,000 population, 2021 
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native / 
Non-Hispanic White Ratio
Male184.6299.90.6
Female122.9240.30.5
Both Sexes153.3269.90.6
Source: CDC, 2024. Deaths: Final Data for 2021. National Vital Statistics Report, Vol. 73, No. 8. Table 10.

Hypertension

Adults age 18 and over who have high blood pressure (diagnosed hypertension), percentage, 2023
American Indian/Alaska NativeNon-Hispanic WhiteAmerican Indian/Alaska Native / 
Non-Hispanic White Ratio
25.128.90.9
Source: 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.

High Cholesterol

Adults age 18 and over who have high cholesterol, percentage, 2023
 American Indian/Alaska NativeNon-Hispanic WhiteAmerican Indian/Alaska Native /
Non-Hispanic White Ratio
16.825.80.7
Source: CDC. National Center for Health Statistics. Interactive Summary Health Statistics for Adults. Percentage of high cholesterol for adults aged 18 and over, United States, 2023.
Adults who received a blood cholesterol measurement in the last five years, percentage, 2021
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native / 
Non-Hispanic White Ratio
81.988.90.9
Source: Agency for Healthcare Research and Quality (AHRQ). National Healthcare Quality and Disparities Reports. Data Query.

Cigarette Smoking

Adults age 18 and over who are current cigarette smokers, percentage, 2023   
American Indian/Alaska NativeNon-Hispanic WhiteAmerican Indian/Alaska Native / 
Non-Hispanic White Ratio
14.112.01.2
Source: 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.
Adults age 18 and over who were current e-cigarette users, percentage, 2022
American Indian/Alaska NativeNon-Hispanic White American Indian/Alaska Native / 
Non-Hispanic White Ratio
9.56.91.4
Source: CDC. National Center for Health Statistics. Interactive Summary Health Statistics for Adults. Percentage of current electronic cigarette use for adults aged 18 and over, United States, 2022.
Adult smokers who received advice from a health professional to quit, percentage, 2020
American Indian/Alaska NativeNon-Hispanic White American Indian/Alaska Native / 
Non-Hispanic White Ratio
--49.8--
Source: AHRQ. National Healthcare Quality and Disparities Reports. Data Query.

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)