Native women in South Dakota have a higher death rate from heart disease than the statewide and national averages, reports the Rapid City Journal.

The reasons: lack of proper medical care, higher diabetes rates, limited access to proper nutrition and smoking.

From 1991 to 1995, Native women in South Dakota died from heart disease at a rate of 577 deaths per 100,000 people, compared with 335 for non-Native women.