American Indian/Alaska Native Child and Adolescent Health

Many health habits that affect well-being later in life begin during childhood and adolescence (teenage years). Childhood is a key time for growth and development, and early experiences can have lifelong effects. Regular checkups and developmental screenings help find health problems early, when treatment works best. Healthy habits like good nutrition, regular physical activity, and enough sleep can prevent illness and injury. Safe, stable, and supportive relationships at home, in schools, and in communities are essential for children’s health and well-being and can improve outcomes over time.

Teens face higher risks for preventable problems, such as substance use and sexually transmitted infections. They also go through physical, emotional, and mental changes that affect their health. Encouraging healthy behaviors—like getting preventive care, avoiding excessive screen time, having regular physical activity, eating a healthy diet, and getting enough sleep—can help teens stay safe and healthy.

The information and data on this page define childhood as ages 2-11 and adolescence as ages 12-18, or youth in grades 9 -12.

See the “Related Data” section for additional insight into children and adolescent health topics.

Prescription Medication Use

Prescription medication use in the past 12 months for children under age 18 years, percentage, 2024
AI/ANTotal PopulationRatio (AI/AN / Total)
35.441.00.86
Source: U.S. Centers for Disease Control and Prevention, National Center for Health Statistics. (2025). Interactive summary health statistics for children: Percentage of prescription medication use in the past 12 months for children under age 18 years, United States, 2024. U.S. Department of Health and Human Services.
Students in grades 9-12 who currently take prescription pain medicine without a doctor's prescription or differently than how a doctor told them to use it, percentage, 2023
AI/AN*Total PopulationRatio (AI/AN* / Total)
Male0.83.30.24
Female1.85.80.31
Both Sexes1.44.40.32
Source: U.S. Centers for Disease Control and Prevention, Youth Risk Behavior Surveillance System. (2024). 1991-2023 High School Youth Risk Behavior Survey data: High school students who currently took prescription pain medicine without a doctor's prescription or differently than how a doctor told them to use it. U.S. Department of Health and Human Services.
Students in grades 9-12 who ever took prescription pain medicine without a doctor's prescription or differently than how a doctor told them to use it, percentage, 2023
AI/AN*Total PopulationRatio (AI/AN* / Total)
Male7.49.30.80
Female15.713.81.14
Both Sexes10.911.60.94
Source: U.S. Centers for Disease Control and Prevention, Youth Risk Behavior Surveillance System. (2024). 1991-2023 High School Youth Risk Behavior Survey data: High school students who ever took prescription pain medicine without a doctor's prescription or differently than how a doctor told them to use it. U.S. Department of Health and Human Services.

Screen Time

Children ages 2 to 5 years with total screen time of no more than 1 hour a day, percentage, 2022-2023
AI/AN*Total PopulationRatio (AI/AN* / Total)
39.244.80.88
Source: Health Resources and Services Administration, Maternal and Child Health Bureau. (2025). National Survey of Children's Health, Healthy People 2030: Increase the proportion of children aged 2 to 5 years who get no more than 1 hour of screen time a day. U.S. Department of Health and Human Services.
Students in grades 9-12 who used social media at least several times a day, percentage, 2023
AI/AN*Total PopulationRatio (AI/AN* / Total)
Male39.672.90.54
Female68.881.80.84
Both Sexes53.077.00.69
Source: U.S. Centers for Disease Control and Prevention, Youth Risk Behavior Surveillance System. (2024). 1991-2023 High School Youth Risk Behavior Survey data: High school students who used social media at least several times a day. U.S. Department of Health and Human Services.

Sleep

Students in grades 9-12 who got 8 or more hours of sleep, percentage, 2023
AI/AN*Total PopulationRatio (AI/AN* / Total)
Male49.424.62.01
Female20.521.70.94
Both Sexes35.823.21.54
Source: U.S. Centers for Disease Control and Prevention, Youth Risk Behavior Surveillance System. (2024). 1991-2023 High School Youth Risk Behavior Survey data: High school students who got 8 or more hours of sleep. U.S. Department of Health and Human Services.

*Population is non-Hispanic in the data source.


Asthma

AI/AN children have higher rates of asthma than U.S. children overall.

Explore more asthma data.

HIV/AIDS

AI/AN children are diagnosed with HIV infection at higher rates than U.S. children overall.

Explore more HIV/AIDS data.

Immunizations

AI/AN youth have lower vaccination rates than U.S. children overall.

Explore more immunizations data.

Infant Mortality

AI/AN infants have higher mortality rates than U.S. infants overall.

Explore more infant mortality data.

Mental Health

AI/AN adolescents have higher rates of suicide than U.S. adolescents overall.

Explore more mental health data.

Neurodevelopmental Disorders

AI/AN children are more likely to be diagnosed with a neurodevelopmental disorder than U.S. children overall.

Explore more neurodevelopmental disorders data.

Nutrition

AI/AN adolescents report eating vegetables less often than U.S. adolescents overall.

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Obesity

AI/AN adolescents are less likely to be obese than U.S. adolescents overall.

Explore more obesity data.

Physical Activity

AI/AN adolescents are less likely to meet physical activity guidelines than U.S. adolescents overall.

Explore more physical activity data.

Smoking, Vaping, and Tobacco Use

AI/AN adolescents are more likely to use tobacco products than U.S. adolescents overall.

Explore more smoking, vaping, and tobacco use data.

Substance Use

AI/AN youth are more likely to use illicit drugs compared to U.S. youth overall.

Explore more substance use data.


Date Last Reviewed: March 2026