American Heart Month: Protecting Heart Health in Native Communities

Why Heart Health Matters for Native Americans

Heart disease is the leading cause of death in the United States, and American Indian and Alaska Native (AI/AN) populations experience a disproportionately high burden. According to the CDC, AI/AN adults are up to 20–30% more likely to die from heart disease compared to non-Hispanic White adults. Higher rates of diabetes, hypertension, obesity, smoking, and chronic stress contribute significantly to this disparity.

Historical trauma, limited access to preventive care, food insecurity, and socioeconomic inequities continue to affect heart health across Native communities. American Heart Month is an opportunity to raise awareness, promote prevention, and encourage early action.

Key Risk Factors

Common contributors to heart disease among Native populations include:

●       High blood pressure and high cholesterol

●       Type 2 diabetes (AI/AN adults are nearly twice as likely to be diagnosed)

●       Tobacco use (commercial tobacco, distinct from traditional ceremonial use)

●       Physical inactivity

●       Chronic stress and unresolved trauma

Heart-Healthy Prevention Strategies

Small, consistent lifestyle changes can significantly reduce heart disease risk:

●       Regular screenings for blood pressure, cholesterol, and blood sugar

●       Balanced nutrition, emphasizing traditional foods when available (beans, squash, corn, fish)

●       Physical activity such as walking, dancing, or community movement programs

●       Stress management through mindfulness, cultural practices, and social connection

●       Smoking cessation support, while respecting traditional tobacco practices

Urban Native Heart Health in New York City

In New York City, many Urban Native individuals face high living costs, food insecurity, long work hours, and limited culturally responsive care, which can increase cardiovascular risk. Although NYC offers extensive healthcare resources, Urban Native populations may encounter insurance gaps, underrepresentation in data systems, and lack of AI/AN-focused outreach, leading to delayed preventive care. Urban Indian organizations and community-based programs play a vital role in promoting screenings, education, and care coordination that support heart health in the city’s fast-paced environment.

Call to Action

Heart health is a lifelong journey. During American Heart Month—and all year—Native communities are encouraged to prioritize prevention, seek regular care, and support one another in creating heart-healthy futures grounded in culture, resilience, and community strength.