Document Type



This study documented the health status and access to health care services of American Indians in California, especially those in tribes that are not federally recognized. Through analysis of vital statistics and other databases, comparisons were made between California Indians who are members of federally recognized tribes and those who are not. On the basis of these and other comparisons, American Indians in non-federally recognized tribes in California generally were found to have poorer health status than those in federally recognized tribes. The health status of both groups is inferior to that of other populations, underscoring the importance of maintaining and expanding coverage to the entire American Indian population of California.

Publication Date



Indian Health Service, Office of Public Health, Staff Office of Planning, Evaluation and Research, Rockville, MD.