• The Status of Alaska Natives Report 2004 Volumes I - III

      Leask, Linda; Marshall, David; Goldsmith, Scott; Hill, Alexandra; Angvik, Jane; Howe, Lance; Saylor, Brian L. (Institute of Social and Economic Research, University of Alaska., 2004)
      The Alaska Federation of Natives asked ISER to report on social and economic conditions among Alaska Natives. We found that Natives have more jobs, higher incomes, and better living conditions, health care, and education than ever. But they remain several times more likely than other Alaskans to be poor and out of work. Alcohol continues to fuel widespread social problems. Native students continue to do poorly on standard tests, and they’re dropping out in growing numbers. Rates of heart disease and diabetes are rising. In the face of all these challenges, subsistence remains critical for cultural and economic reasons. And there are more challenges to come. In the coming decade, when economic growth is likely to be slower than in the past, thousands more young Alaska Natives will be moving into the job market. Volume II and Volume III of the Status of Alaska Natives Report contain data tables generated from the 2000 U.S. census describing the Alaska Native American population by the 12 Alaska Native Regional Corporation boundaries. Volume II shows data for the population in Alaska reporting Native American as their only race (Alaska Native or American Indian Alone) and Volume III shows data for the population reporting Native American in combination with some other race (Alaska Native or American Indian Alone or in Combination). At the time of the 2000 Census, there were 98,043 single-race Native Americans in Alaska and 119,241 people who identified themselves as Native American in combination with some other race. The tables in these volumes have been generated from a special file prepared by the U.S. Census Bureau that contains detailed information on the Native American population for the entire United States. The AIANSF (American Indian and Alaska Native Summary File) is accessible on the internet at http://factfinder.census.gov/servlet/DatasetMainPageServlet"
    • The Value of Evidence-Based Computer Simulation of Oral Health Outcomes for Management Analysis of the Alaska Dental Health Aide Program

      Kiley, Daniel P.; Haley, Sharman; Saylor, Ben; Saylor, Brian L. (Institute of Social and Economic Research, University of Alaska Anchorage, 2008-03)
      Objectives: To create an evidence‐based research tool to inform and guide policy and program managers as they develop and deploy new service delivery models for oral disease prevention and intervention. Methods: A village‐level discrete event simulation was developed to project outcomes associated with different service delivery patterns. Evidence‐ based outcomes were associated with dental health aide activities, and projected indicators (DMFT, F+ST, T‐health, SiC, CPI, ECC) were proxy for oral health outcomes. Model runs representing the planned program implementation, a more intensive staffing scenario, and a more robust prevention scenario, generated 20‐year projections of clinical indicators; graphs and tallies were analyzed for trends and differences. Results: Outcomes associated with alternative patterns of service delivery indicate there is potential for substantial improvement in clinical outcomes with modest program changes. Not all segments of the population derive equal benefit when program variables are altered. Children benefit more from increased prevention, while adults benefit more from intensive staffing. Conclusions: Evidence‐ based simulation is a useful tool to analyze the impact of changing program variables on program outcome measures. This simulation informs dental managers of the clinical outcomes associated with policy and service delivery variables. Simulation tools can assist public health managers in analyzing and understanding the relationship between their policy decisions and long‐term clinical outcomes.