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Health Problems in American Indian/Alaska Native Women PDF

8 Pages·2003·0.39 MB·English
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hHObiGjil OMH-RCLibrary 1101WoottonParKway,Suite650 Roc1k-vi8l0l0e-,4M44D-624078252 I Frequently Asked Questions Health Problems women,carryingextraweightaround theirwaistsormiddle(withawaist in American l(lairkgeerhetahratnd3i5seaisnec,hedsi)abreatiesse,shoeraclatnhcerirs)ks WomensHealth.gov morethancarryingextraweight I-80O-994-9662 Indian/Alaska aroundtheirhipsorthighs.Inonespe- TDD:1-888-220-5446 Native Women wfcieofruicendpoovtpehuarltwae8tii0goh%nt.oinfIfAAyrmioezuroinacraae,noavIsentrduwideaynisght orobese,losingweightcanloweryour riskformanydiseases.Andphysical Q: Whathealthproblemsaffecta laocstsivtirteyaitsmaennti.mTporryttaontbepaarcttiovfew(e3i0ght lotofAmericanIndian/Alaska minutesmostdaysoftheweekisbest) Nativewomen? andeatbettertohelppreventandtreat A: ObesityandOverweight obesity. Beingoverweightorobeseincreases Diabetes yourriskofheartdisease,type2dia- Youcangetdiabetesifyourbodydoes bberteeast,hihnigghprbolboloedmsp,reasrstuhrrei,tiss,trgoaklel,blad- wnohtatmaiskienoyrouursebiondsyultihnatricghhta.ngIenssutlhineis w2hwspade9ihornei.troodmg9hwbhdeslstaiao.nersteeBmmWahwseocseioedowtc,rnmyhahesniseliMclaladneeaetBeersipsrwsoMs.elniaIdestIpOehhnnbpoiodieevpfaneeasgo3xBri)f(0wt,M(bewyrBoIioeerMsigisatIhogmtem)tfhoho,.eati2rarn5wBettsghhoMutiraroiIlreteeids opccfobseeceelufllctngollteusasswhsrrs,etfwsshoighbarwinltoentheudnomnfceyeaootnyrsokhigoedenetyush.briuteiunrenTibtipaslyonoudadepldnse,ioecynnfruae.ed1bprnaeTgeddssiyiyitn.nipadrsgbooteWceeyhiuatsse2srtenersib'hdtidlitsheoadadbomobipyedawao-t,-kuntetehse consideredobese.Alladults(aged18 enoughinsulin. pageI stthtcyonciomyotoaehenaocnevraocsenrcrlcaurke,tedmrynredsrrbues.beopopwrtaafbudhrdreoaroseWtotpyoeieerasod/.vdgaabthoaidyeahlmrooselWdrnsatroadueemoeptteoelutaroahhnrwtcnmfrse/)hhoahcdasbetnwoaBeowncmsbtininroadwMhiheitnrree/hsdIohedwmiteecgeitirh.lpauarsohrhetpralenwicaeiThbosatdcrviyehhivo"f-sleasoiaeaha.biwtttfduipsta"msaweYpypriep.tirswsBfoile.fasis.ehFulaMahrgke"cooprrcntuIoacdr"feordmsmlahocren.htmtorsesb.-bhaeahfoooupgNepdlausntr2roieotptit-e5ovnhest-ng/ks A3FeSoetatAA2pDrap0orfpyllnirseiirpdiaadaedocabziesds,beiubenaomkkeetfab2xldsnaaemeitteateasciethn(r6mNmNecsoo,w4tpatasirkorlatt.niheptihsiaei,mrsbohAadvFv,aoeeoeuvepIeopvslasens5nsre/ontr.ehrerg0A)eutrA(aatuMNyil%mAvmAidbmopo,Ieiobemeouoesaon/reetsfnmibsfAt2iwrrinet.uaNPceitchapdn)coeiealDec,ied,sfhuinamnaolbdaanapcnbheeibhtInlaeoatonhneiIIsdedetwedgtgnmnsihierhdihd.namhacseeniiawggenaofaraaveasscolnccnesnr/erousashmtsaenutoetienas-odeydfnzsneipnfa.ssde.- National Women's Health Information Center U.S.DepartmentofHealthandHumanServices,OfficeonWomen'sHealth Frequently Asked Questions I PregnantAI/ANwomenwithtype2 • Controlyourbloodsugarandcho- diabetesareatanincreasedriskofhav- lesterollevels,yourbloodpressure, ingbabiesbornwithbirthdefects. andweight. WomensHealth.gov cdDaiilaalbbeeedttegesessitstahhtaiitgosnhahlaomwdisoanbugeptecisen.rtpTarhieingsAnfIaon/crAymN.iosf • Etxheerwceiseek(i3s0bemsitn).utesmostdaysof 1-800-994-9662 Gestationaldiabetesincreasesthebaby's • Checkyourfeeteverydayforblis- TDD:1-888-220-5446 riskforproblemssuchasmacrosomia ters,redspots,swelling,orcuts. gt(lhlaeyrcgbeelmobiooadd(ygllosuiwczoeb)sleoaonldedvesnluesgoanoraf).twaAollmhteyhpnoou-wgihth • ncSaotrtaeiycpaerwoaavrpierdoeobrflrheimog,hwtcyaalowlauyyo.feuerl-hiefaylotuh gestationaldiabetesusuallyreturnto normalafterchildbirth,thesewomen Smoking haveanincreasedriskofdeveloping Womenwhosmokeputtheirhealthat gestationaldiabetesinfuturepregnan- risk.Smokingduringpregnancy mciaesn.yInwoadmdeitniowni,tshtugdeisetsatsihonoawltdhiaatbetes biinrctrhe,aspersettheermridsekloivfemriy,scaanrrdialgoew,bsitirltlh- willdeveloptype2diabeteslaterinlife. weight.Smokingincreasestheriskfora Seriouscomplicationsofdiabetesare lotofdiseases,includingcancer,heart increasing.Themostconcerningare attacks,oraldiseases,andlungprob- kidney(orrenal)failure,heartdisease, lems.Infact,lungcanceristhelargest amputations,andblindness.Infections, singlecauseofcancerdeathsinthe includingtuberculosis(TB),areofpar- U.S.Foryears,menwereathigherrisk ticularconcerntobothAmerican forlungcancerbecauseoftheirhigher IndiansandAlaskaNativeswhohave smokingrates.However,withtheris- diabetes.Tuberculosisisadisease ingnumberofwomenwhosmoke, causedbyabacteria.IfTBisinthe lungcancersurpassedbreastcancerin lungs,itcancauseabadcough,chest 1987astheleadingcauseofcancer pfeavienr,.fAatisgtuued,ywoefigShitoulxossI,ndcihialnlss,sahnodwed cdaeuastehsoafmcaonncgerwdoemaetnh.amItoinsgthAemleeraidciangn thattheirrateofdevelopingtuberculo- IndiansandAlaskaNatives.American sisishigheriftheyhaddiabetesthanif IndiansandAlaskaNativeshavethe theydidnot. highestsmokingratesanduseof ytcescPyykoaheepinuaosnennp,,cocl2aamteenndobwioduteaiftabfthhkepehteear,teevd.stviki:oeiAnandgbpltnertpeetehrdyevos,soeu,bnhtgltahhheeevamaretnrseydtap,waehcrineoite1nghrsthdtvreiteeorhapslebs,iertes jlSaSssuotonnmswauutdoteftkesfahNset).wolf.eoeerMIsfswtoftsahy,rdntoaePywyoulshbgap,aesiercnmryooscooepuokultpseerh(m,iacshnonhetmketarioihlwynketnithetgnoUhgwneirqianitultitolAetebsl.badaeacAsrgctkeioantohre • lSaerley.yoDuorn'hteaflotrhgectaraebopruotvitdheerdsenrteigsut- Attiomoeinrsmiptcrooavhneel.CpaTnyhcoeeurreqSuaiortce.iemCtaoynn(tya1c-otr8g0ta0hn-eiAzaC-S- andeyedoctor! 2345orwww.cancer.org)forhelp. page2 ; • Don'tsmoke. National Women's Health Information Center U.S.DepartmentofHealthandHumanServices,OfficeonWomen'sHealth — rFrequently Asked Questions Alcoholism AccordingtotheNationalInstitutesof • recoveringalcoholics Health,alcoholismisadiseasewith • peopleyoungerthanage21 thesesymptoms: Suicide WomensHeahh.gov • craving:astrongneedtodrink Suicide,orthetakingofone'sownlife, 1-800-994-9662 • lossofcontrol:can'tlimitone's isatragicproblem.Suicideisaleading TDD:1-888-220-5446 drinking mcaeunstesooffdtehaethAmienrtihceaUn.SI.ndIinansoamndeseg- • pshyymspitcaolmsd,epseuncdhenascen:auwsieta,hdsrwaewaatling, AbleaesnkahiNgahtiravteespoopfusluaitciiodnes.,Btehtewreeehnave wasfhhtaeekrinnaeypsoesu,riasotndodpoafdnrhxieinaekvtiyyntdghraaitlnckhoiahnpogplens gG1re9on7ue9prsaalnhdarve1ep9o9ar2th,eidtghhteehraUt.rSaotv.eerSoaulfrls,gueitochiendsee, • tolerance:drinkgreateramountsof comparedtotherestoftheAmerican alcoholinorderto"gethigh" population.Also,theageofsuicidefor thraIfaaAahoanlrnmtelcdecdee-eiogfrrahcoehienoiifvnillsrceeagrd-arthahrrtaeoneniisldrlndmiaIaksefptntA.aiseodetlsnpaidIamgulaonsolcnfackaarasrnatcudeadihasdsNoerinhladnstodietr.inksitioeiAvvhnlccleiy,aaosnnlstmAgiokhWvpmaaeahaedrnviirrNdeedtaeiitedcaoasisleafhvtcanioaeosgse-nhd AshwNltAfuimaoohomigrteewmcehieritrehevrdihsiineeectgrc,awahhgastnaeuonAervnisammeIecItnenarieen'drdasdmtnieliioaaacsrpannmneaaogsgtoepnpeenuensitsIloigmh2nanpqee5dtlyun2ii-eieot0aolt4u0annwde4en0/l,hruA.ghlbhonlyaeelMaa.daidcscalukakOottlneuahfmthsyestmeahliaalotntfd oufyHPonpeorreaeutlvmodetdorrnhstiittwnnaopkdkav,rddpiuostrelbehirtlsesned,kaNmasmayssoptafefidroeeroerlnrldaaweatavlteoyedelImfntoaeosorlftnciadmtolrauehcitnoonnehldskoiauloonns.lfgedd:Iefr bcYpcmpaehrriolriolsoulvsbod9ielc1fdade1aeab,mnroussssph1;uepeai-,osslc8ruipad0tidenucpe0pindr-rcdieSreedtvisUiosesoeiImnifsseCtotscInetste,nDouniiErattcc,erleisevcrduaiooelt(ohr.tlyosstYeoluhnfuioccesrhuecmon.a,mcunamn- pNeOopTle.drHionwkeavtearl,l:somepeopleshould iffiyndouthfeeenlusmuibceidralinoryokunropwhosnoemeboonoek) • womenwhoarepregnantortrying whotalksaboutit.Itisimportantto tobecomepregnant talkwithsomeonerightaway. • peoplewhoplantodriveorengage SuddenInfantDeathSyndrome inotheractivitiesthatrequirealert- (SIDS) nessandskill(suchasusinghigh- SIDSisthesuddenandunexplained speedmachinery) deathofababyunder1yearold.More • peopletakingcertainover-the- AmericanIndianinfantsdiefromSIDS counterorprescriptionmedications thaninfantsborntootherwomenin • pceaonpbleemwaitdhemweodriscealbycodnrdiintkiionngsthat SthIeDSUnbiytetdakSitnagtetsh.eRseedsutecpse:theriskfor page3 National Women's Health Information Center U.S.DepartmentofHealthandHumanServices,OfficeonWomen'sHealth r?REQUENTLY ASKED QUESTIONS • Don'tsmoke,usedrugs,ordrink • Drinklotsoffluidsandeatfoods alcoholwhileyou'repregnant. highinproteinandfibersuchas • Placeyourbabyonhis/herbackto wholewheatbreads,whole-grain sleep. cereals,fruits(apples,pears,straw- Women1s-8H0e0a-J9t94h-.9g6o6v2 • Bmaettsruerses.yourbabysleepsonafirm Abevroriieds)h,ignhu-tfsa,tsaeendds,fraineddfboeoadnss.. TDD:1-888-220-5446 • pdRiielnlmgoowfvsr,eosmstouyffotf,uerdfltbuofafybysy,,'slaonsodlseeoetpbhlaearnrekabe.tesd,- • cmTiaanlkekset(sosuhyrooetusy)royuh'oevuaelnthheaecdda.raellptrhoevivdaecr-to • Ktheaetpfeyeolsurcobmafboyrtaatbaletetmopyeorua.tuBraebies • aTbaolkuttowhyaoturexheeraclitshescawriellphreolvpidyeoru. shouldbekeptwarm,butnottoo • Don'ttouchcatlitteroreatunder- warm. cookedmeat. • Don'tletanyonesmokearound • Avoidhottubs,saunas,andsteam yourbaby. rooms. • Keepcoversawayfromyourbaby's • Tellyourhealthcareproviderabout headandfaceduringsleep. medicinesyoutake,bothprescrip- tionsandover-thecountermedi- InfantDeaths cines. acUonnnddfeucrsasintoanb.nrdiCniagnugasniegnsefrao,nftpiadnifenaa,ntthsadidesnaedtishfssf,ivcaaunrldty, • Dorond'rtinuksealrceochroela.tionaldrugs,smoke, butcouldincludeSIDS,birthdefects, • Avoidinsecticidesandproductsthat pre-term/lowbirthweight,problems havelead,mercury,orsolvents(such frompregnancy,accidents,orrespirato- aspaintthinner). arynddiAsltraessksasNyantdirvoemseh.aAvemetrhiecsaencoInnddian Gallstones Uhi.gSh.esTthensuembheearltohfpirnfoabnltemdesaatrhespirnet-he tGhaaltlsftoornmesianrtehpeiegcaellsbolafdsdoelri,damapatrtterof •vhceeaannpnVsltraiitoesnehmoditgypnt.nirbaynaCoansoovdcbuyneiyyroft.yfubiheoyenrufaeuitrlnenattdckhtwhiooacanuaygngtrscote.eyhsdpoeHurusoo'orefwrviseeihntvdagepevepryrsire:on,gaugs-ryaou golgwfGteaafaohhsllletsrilllemssmcdrstatohitoolhlgonnl.aehenersessesMtd.l:tsoipovcTpssfnreihoetyysgsresotpmymyoaueeslrrowstsnp.meohtblmmaoeTe(edyhntbthheyifiaalprtidvmaoerireersugtsamtbescroishefrnaotoes)ofl2sfreoatobmstnhnoityeeddlaepe.sreb,bcosilihllogooet-sf • Talktoyourhealthcareprovider stone.Alotoftimes,gallstonesdon't abouttakingavitaminwithfolic causeanysymptoms.Whentheydo, acidandiron. somecommonsymptomsinclude: • Talktoyourhealthcareprovider • aseverepainintheupperabdomen abouthowmuchweightyoushould orrightsidethatsometimeslastsfor page4 gain. severalhours National Women's Health Information Center U.S.DepartmentofHealthandHumanServices,OfficeonWomen'sHealth I Frequently Asked Questions • bpaeitnweiennthyeourrigshthosuhloduelrdebrlaodres tuoteos,neororcobmoetshaarnmdsg,obeasc,ks,pjraewa,dionrgpain • nauseaorthrowingup stomach,orcoldsweatsandnausea. WomensHealth.gov • sweating tSoommsebwutommeaynhdaovne'tohthaevrestyhemspetosmysm,p- TDD:11--888080--292904--59464662 fS•oormaigenafdlaliftsagttceyotsmontreeissaonltihnoacrtluspdtueot:myaocuhmblooraetiantgraifstker lcfsieaueguclhshitenhagpesaeiadrnnemdtaunhpneesseeusnt.ptpsAedtraohmmaeaaabcgrdhteo,amttaeotnbat,uchkreancnhiaednnagrt • obesity oafndthmeaseybseymepvteonmsde,atcahl.lI9f1y1oourhsaeveeyaonuyr • toomuchestrogen healthcareproviderrightaway. • gender(female) Therearetwotypesofstroke.An • age(over60) wishcehnemaicbl(oiosds-vkeeses-emlikt)hatstgrooeksehtoaptpheens •• dtiaakbientgesdrugsthatlowercholesterol btrhaeibnraisinb.loAckheedm,oarnrdhabgliocod(hceanh'-tmgueht-to • rapidweightloss vreas-jsiekl)bsrteraokkseahnadppbelnosodwhgoeensainbtlooothde • fasting brain.Sometimesapersoncanhavea gBtahelecliasrutbosinelees,oftmhhoairngehoAtlhemveeerrlsiwcooafmncehInonldeiisnatnetsrhoehlaivne ha"tamtpiapnceikn(ssTtrwIoAhk)ee.,n"AaoTrbIltoAraonidssivaeensststerilosktceohtethmhaietc osUtfnoiAntreieszdboySntaaa,tgee7s.030A%.moofnwgomtheenPhiamvaeIgnadlil-ans lcberosausilbndlicosaobudlsoercepkarceohdebfsloetrmhasesbthrhoaarittnm.taiAymesatfarfnoecdkte speech,language,movement,vision, CardiovascularDisease balance,hearing,breathing,andswal- Heartdiseaseandstrokeaffectallracial lowing.Astrokecouldalsocausedeath. andethnicgroupsintheU.S. Diabetes,highbloodpressure,high Cardiovasculardisease,includingheart cholesterol,notexercising,andsmok- diseaseandstroke,istheleadingcause ingallputwomenatriskforheartdis- ofdeathforAmericanIndiansand easeandstroke. AlaskaNatives. Toavoidheartattackandstroke,the mCoornonfaorrymhoefarhteadritsedaissee,asteh,eamffoescttsctohem- ApemoeprliecatontHaekaerttheAsfsoolclioawtiinognsatdevpiss:es bloodvessels(orcoronaryarteries)of • Don'tsmoke. theheart.Itcausesanginaandheart attacks.Anginaisapaininthechest • Controlyourbloodpressure.Ask thathappenswhenapartoftheheart yourhealthcareproviderwhata doesnotgetenoughblood.Aheart healthynumberisforyouandhow attackcancausechestpressure,fullness, oftenyouneedyourbloodpressure squeezing,orpaininthecenterofthe checked. page5 chestthatlastslongerthanafewmin- • Eathealthy. NationalWomen's Health Information Center U.S.DepartmentofHealthandHumanServices,OfficeonWomen'sHealth Frequently Asked Questions I • Loweryourcholesterol(fattysub- DepartmentofHealthandHuman stanceinyourblood)totheright Services'IndianHealthService(IHS) level,basedonyourpersonalrisk. offershealthcareservicesforAmerican Talktoyourhealthcareprovider IndiansandAlaskaNatives,manydo WomensHealth.gov aboutahealthylevelforyou. nothaveahealthcareprovidertosee TDD:11--888080--292904--59464662 •• whMoGeeaneaiitlgmnthatohttasciltieansardsfeaatoyrph3srey0oaoolvmfuti.ithdnhyeuerwtweweiehsgeahkott.f.aexAheserakclityshoeyur ctiotflichorioarelnnAisplIcc.ranaserdsSveaiko.era,aennOtANmniHamavleteieaiyrnlvhilte1ecyhaiaullnsSntoeehc5srIavsnAthiedemecridaeeval.irnatctsihIecsraHcaenSaosndrreesrImAevnflreadvra-diisoca-kmenas • Haveanormalfastingbloodglucose Nativeswholiveinurbanareascan't level(below110mg/dL).Askyour useit. healthcareproviderwhenyou shouldbetested. Q: Whattypesofhealthcarecov- GettingHealthCare erageexist?HowdoIfindout Althoughthisisn'taproblemwiththe aboutthem? healthofwomen,itcanleadtohealth A: Findinghealthinsuranceoftenrequires problemsbecausemanywomencan't goodresearchandfindinganswersto aSgenotdmteshueprperlaiisgeohsntswhehianelcnltuhdtsehe:eryvinceese,dmtehdeimc.ines, dloitfsfeorfenqtueksitnidosnso.fThheealrtehacraereacnouvmerbaegre:of • hTehaeltyhcianns'utrpaanycef.oritanddon'thave •PripEvamaiptdleboIyyneasrnusrepamonpnclsoeoyreerd,-infculluldyeosrhpeaarltdhy • Theyhavenowaytogettoadoctor. maintenanceorganizations,pre- • Theyhavephysicallimitationsthat ferredproviderorganizations,and • Tmhaekyeditonh'atrduntdoegresttatnodatdhoectloarn.guage. apevomaipinlltaobyolefersteofroyvrioicuen.fpolramnsa.tiCoonntoancptlyanosur BItnhedecianauonssre/mAatllhaesaykgabienNlgaitepivrveoeciselslmsh,aeyaAlmtbeherilisecspsaanrltikoef- • aiInnnsdiiunvrsiaudnurcaaelnctihenastcuoarmappneacrnesyo-.npYbrouivyuastmetahhyreoaultghh thoftcrltoelhoayhaaerdracbtileetiserhtrsciohalmtAnanmirpmvnaetereoeanhsobt.rtpefdheeeeieIpdshocrtnasaprsfsaielvfatnoaait,eencrtoatlIewbt,yldgnhoes.edboietigyanTcnaencehhtntaddsehrcsaeeyeadrftnreemuoifhae.deoaraynrdllvnoaspfetootmroenefrboeud-aaxbniiIrcpnldcrneeeiaddtcemlihtrsaastn FIpmiiwhwonenneaahdtrosayniecopulvtretrlaiahaceldtWgnasuocweconeaanelthrwbctsaeoeaf.lyloknsplrSiCaltttyroaoveoeoontemousorarsendnyetgmilhoishsofnatnem-traatasaetteolluaemitlrrsptaoehalhgabnnoelacrocysvaToueQoaerautiudebpspla.rtraskqlohbouYikleovatoeelriyruidf,teoyr Anotherbarrierisnothavingmedical athttp://www.consumer.gov/ page6 carecloseby.EventhoughtheU.S. qualityhealth/forinformationon National Women's Health Information Center U.S.DepartmentofHealthandHumanServices,OfficeonWomen'sHealth I Frequently Asked Questions selectingahealthplan.Ifyoudonot whobelongtoafederallyrecognized kh1a-nv8oe0w0a-ch9coe9s4ws-t9to6o6ut2sh.eeaInctoemrpneutt,ero,rdcaolnl't h4trt4it3bpe-:.2/6F/o9wr4wwmt.ooirhbsee.ggiionnvfororersmeacatarlilcohn1,-o3ng0o1-to WomensHeahh.gov PublicInsurance whetheryou'reeligibleforcoverage. 1-800-994-9662 • Medicare-federalgovernment Youmaybereferredtoanother TDD:1-888-220-5446 healthinsuranceprogramforpeople sourceformoreinformation. 65andolder,orwhoaredisabled,or Formoreinformationonhealthinsur- whohavepermanentkidneyfailure. ance,contacttheseorganizations: YoucancalltheSocialSecurity AgencyforHealthcareResearch Administrationat1-800-772-1213 andQuality orcontactyourlocalSocialSecurity Phone:(800)358-9295 Officeformoreinformation. InternetAddress:http://www.ahrq.gov • Medicaid-federalandstatehealth insuranceprogramrunbystatesfor BureauofPrimaryHealthCare low-incomeordisabledpeopleofall Phone:(800)400-2742 ages.Clickon InternetAddress: http://cms.hhs.gov/medicaid/toll- http://www.bphc.hrsa.gov/ ffrreeee.laisnpesfoirnaelaicsthosftaMtee.diIcfyaiodutdooll-not CentersforMedicare&Medicaid haveaccesstotheInternet,ordon't Services(CMS) knowhowtouseacomputer,call Phone:877-267-2323 1-800-994-9662. InternetAddress: IndianHealthService-TheU.S. http://www.cms.hhs.gov DepartmentofHealthandHuman HealthInsuranceAssociationof Services'IndianHealthService(IHS) America AofmfeerrsicheaanltIhndciaarnessaernvdicAelsasfokraNatives IPnhtoenren:et2A0d2d-r8e2ss4:-1600 page7 National Women's Health Information Center U.S.DepartmentofHealthandHumanServices,OfficeonWomen'sHealth . n^ EQUENTLY ASKED QUESTIONS . Formoreinformation. . YoucanfindoutmoreabouthealthproblemsinAmericanIndian/AlaskaNativewomen WomensHeaJth.gov vbiysictoinntgatchteinNgWthHeINCatiMoinnaolriWtoymWeonm'esnH'esalstehctIinofno(rhmtattpi:o/n/Cwewnwt.ewormaetn1sh-e8a0l0t-h9.9g4o-v9/662 1-800-994-9662 minority/index.htm),andcontactingthefollowingorganizations: TDD:1-888-220-5446 OfficeofMinorityHealth OfficeofMinorityandWomen's Phone:(301)443-5224,(301)589-0951 Health T(PDubDliclaitnei:on(s8)00)444-6472 PInhtoenrene:t(3ad0d1r)es5s9:4-4490 Internetaddress:http://www.omhrc.gov http://bphc.hrsa.gov/OMWH/home.HTM -"- - *,<r? 1 HAduelpalllimtcahatteaerndidawliHtcuhoonmtuaatinpneeSrdemriivsnisctiehose.nFfCrAiotQmastithoiensfOrofeffesioocuferccooenpyisWriaogpmhpetrenrc'eisasttreHidce.tailontshainndtmheayU.bSe.coDpeipeda,rtrmepernotduocfed'or May2003 http://www.aahp.org/template.crm page8 National Women's Health Information Center U.S.DepartmentofHealthandHumanServices,OfficeonWomen'sHealth

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