In 2024, American Indian/Alaska Native adults were diagnosed with coronary heart disease 30% less frequently than the total population.
American Indian/Alaska Native adults were 75% more likely to be current cigarette smokers than the total population from 2022 to 2024.
In 2022, American Indian/Alaska Native people died due to major cardiovascular disease 14% less frequently than the total population.
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Occurrence
Coronary heart disease among adults ages 18 and over, percentage, 2024 AI/AN Total Population Ratio (AI/AN / Total) 3.50 5.0 0.70
Source: U.S. Centers for Disease Control and Prevention, National Center for Health Statistics. (2025). Interactive summary health statistics for adults: Percentage of coronary heart disease for adults aged 18 and over, United States, 2024 . U.S. Department of Health and Human Services.
Mortality
Death due to major cardiovascular disease, age-adjusted rate per 100,000 population, 2022 AI/AN* Total Population Ratio (AI/AN* / Total) Male 225.6 272.4 0.83 Female 161.2 182.0 0.89 Both Sexes 191.9 223.0 0.86
Source: U.S. Centers for Disease Control and Prevention, National Center for Health Statistics. (2025). Deaths: Final data for 2022 (National Vital Statistics Report, Vol. 74, No. 4, Table 11). U.S. Department of Health and Human Services.
Risk Factors for Complications
Hypertension
Adults ages 18 and over who have high blood pressure (diagnosed hypertension), percentage, 2024 AI/AN Total Population Ratio (AI/AN / Total) 23.1 27.3 0.85
Source: U.S. Centers for Disease Control and Prevention, National Center for Health Statistics. (2025). Interactive summary health statistics for adults: Percentage of diagnosed hypertension for adults aged 18 and over, United States, 2024 . U.S. Department of Health and Human Services.
High Cholesterol
Adults ages 18 and over who have high cholesterol, percentage, 2024 AI/AN Total Population Ratio (AI/AN / Total) 19.8 23.7 0.84
Source: U.S. Centers for Disease Control and Prevention, National Center for Health Statistics. (2025). Interactive summary health statistics for adults: Percentage of high cholesterol for adults aged 18 and over, United States, 2024 . U.S. Department of Health and Human Services.
Cigarette Smoking
Adults ages 18 and over who are current cigarette smokers, percentage, 2022-2024 AI/AN* Total Population Ratio (AI/AN* / Total) 18.9 10.8 1.75
Source: U.S. Centers for Disease Control and Prevention, National Center for Health Statistics. (2025). Interactive summary health statistics for adults by detailed race and ethnicity: Percentage of current cigarette smoking for adults aged 18 and over, United States, 2022-2024 . U.S. Department of Health and Human Services.
Adults ages 18 and over who were current e-cigarette users, percentage, 2022-2024 AI/AN* Total Population Ratio (AI/AN* / Total) 8.0 6.5 1.23
Source: U.S. Centers for Disease Control and Prevention, National Center for Health Statistics. (2025). Interactive summary health statistics for adults by detailed race and ethnicity: Percentage of current electronic cigarette use for adults aged 18 and over, United States, 2022-2024 . U.S. Department of Health and Human Services.
Adult smokers who attempted to quit smoking in the past 12 months, percentage, 2022 AI/AN* Total Population Ratio (AI/AN* / Total) 55.3 55.3 1.00
Source: U.S. Centers for Disease Control and Prevention, National Center for Health Statistics. (2025). National Health Interview Survey, Healthy People 2030: Adult smokers attempting smoking cessation in past 12 months by Race/Ethnicity, 2020-2022 . U.S. Department of Health and Human Services.
*Population is non-Hispanic in the data source.