American Indian and Alaska Native peoples have low life expectancy and a disproportionate disease burden (including of chronic kidney disease), owing to inadequate education, poverty, discrimination and underfunding in the delivery of health services, and healthcare institutions’ lack of appreciation for cultural differences. These broad quality-of-life issues are rooted in economic adversity and poor social conditions.

中文翻译：

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美洲印第安人和阿拉斯加原住民的慢性肾病


由于教育不足、贫困、歧视和提供医疗服务的资金不足，以及医疗机构缺乏对文化差异的重视，美洲印第安人和阿拉斯加原住民的预期寿命较低，疾病负担过重（包括慢性肾病） 。这些广泛的生活质量问题根源于经济逆境和恶劣的社会条件。