Compared to the U.S. population, American Indians experience significant health disparities. Steps to Healthier Health Anishinaabe has adopted a distinctive framework for implementing health promotion intervention activities in several American Indian communities in Michigan. This allowed each community to design interventions based on their specific culture and health priorities. The article describes community-tailored health programs, which included a community-based framework, and states that multisite programs are a promising method for reducing health disparities in minority populations. Native Americans are vastly underrepresented in federal and state health surveys because these types of surveys typically use long-established sampling methods that are not effective in reaching Native American populations. Available data typically cannot be examined by state, region, or proximity due to small sample sizes. When the number of Native American respondents is not large enough to report, Native American-specific data is combined into the “Other” racial category. H...