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Sample records for pregnant american indian

  1. American Indian Diabetes Beliefs and Practices: Anxiety, Fear, and Dread in Pregnant Women With Diabetes.

    Science.gov (United States)

    Carson, L D; Henderson, J Neil; King, Kama; Kleszynski, Keith; Thompson, David M; Mayer, Patricia

    2015-11-01

    Diabetes among American Indian (AI) people is a health disparities condition that creates excessive morbidity and mortality. This research delineated culturally constructed models of type 2 diabetes among 97 pregnant women in two large AI nations in Oklahoma. The data analysis of explanatory models of type 2 diabetes revealed the participants' intense anxiety, fear, and dread related to the condition. The sample was further stratified by combinations of diabetes status: 1) absence of type 2 diabetes (n = 66), 2) type 2 diabetes prior to pregnancy (n = 4), and 3) gestational diabetes (n = 27). Patients were interviewed regarding perceptions of the etiology, course, and treatment of diabetes. The research incorporated an integrated phenomenologic and ethnographic approach using structured and semi-structured interviews to yield both quantitative and qualitative data. General findings comprised three main categories of patients' concerns regarding type 2 diabetes as an illness: 1) mechanical acts (i.e., injections), 2) medical complications, and 3) the conceptual sense of diabetes as a "severe" condition. Specific findings included significant fear and anxiety surrounding 1) the health and well-being of the unborn child, 2) the use of insulin injections, 3) blindness, 4) amputation, and 5) death. Paradoxically, although there was only a slight sense of disease severity overall, responses were punctuated with dread of specific outcomes. The latter finding is considered consistent with the presence of chronic diseases that can usually be managed but present risk of severe complications if not well controlled.

  2. Writing American Indian History

    Science.gov (United States)

    Noley, Grayson B.

    2008-01-01

    The purpose of this paper is to critique the manner in which history about American Indians has been written and propose a rationale for the rethinking of what we know about this subject. In particular, histories of education as regards the participation of American Indians is a subject that has been given scant attention over the years and when…

  3. American Indian Recipes.

    Science.gov (United States)

    Gurnoe, Katherine J.; Skjervold, Christian, Ed.

    Presenting some 60 to 70 Native American recipes, this document includes a brief introduction and a suggested reading list (15 citations related to American Indian foods). The introduction identifies five regional Native American cuisines as follows: in the Southwest, peppers and beans were made into chili, soups, guacamole, and barbecue sauces by…

  4. English for American Indians.

    Science.gov (United States)

    Slager, William R., Ed.; Madsen, Betty M., Ed.

    The present issue of "English for American Indians" follows the format and approach of the Spring 1970 issue. (See ED 040 396.) In the lead article, Evelyn Hatch surveys some of the research in first language acquisition and points out its implications for second language teaching. Her main thesis is that with the best of intentions,…

  5. The American Indian Development Bank?

    Science.gov (United States)

    Pottinger, Richard

    1992-01-01

    In 1990, the Indian Finance Corporation Act died in committee for lack of Indian support. A model for an American Indian Development Bank is proposed, based on the International Finance Corporation of the World Bank. Two case studies illustrate how this model can meet Indian economic development needs. (SV)

  6. Asthma and American Indians/Alaska Natives

    Science.gov (United States)

    ... Minority Population Profiles > American Indian/Alaska Native > Asthma Asthma and American Indians/Alaska Natives In 2014, 218, ... Native American adults reported that they currently have asthma. American Indian/Alaska Native children are 30% more ...

  7. Preventing Alcohol-Exposed Pregnancy among American-Indian Youth

    Science.gov (United States)

    Jensen, Jamie; Kenyon, DenYelle Baete; Hanson, Jessica D.

    2016-01-01

    Research has determined that the prevention of alcohol-exposed pregnancies (AEP) must occur preconceptually, either by reducing alcohol intake in women planning pregnancy or at risk for becoming pregnant, or by preventing pregnancy in women drinking at risky levels. One such AEP prevention programme with non-pregnant American-Indian (AI) women is…

  8. Human Behavior and American Indians.

    Science.gov (United States)

    Hanson, Wynne DuBray; Eisenbise, Margaret DeOcampo

    Divided into five sections, the monograph is intended to make students aware that the practices customary to social work agencies are not relevant to the needs of most American Indian clientele. The first section provides an overview of the following historical, geographical, and cultural areas of American Indian tribes: California, Plateau, Great…

  9. Teaching American Indian Architecture.

    Science.gov (United States)

    Winchell, Dick

    1991-01-01

    Reviews "Native American Architecture," by Nabokov and Easton, an encyclopedic work that examines technology, climate, social structure, economics, religion, and history in relation to house design and the "meaning" of space among tribes of nine regions. Describes this book's use in a college course on Native American architecture. (SV)

  10. Teaching American Indian Architecture.

    Science.gov (United States)

    Winchell, Dick

    1991-01-01

    Reviews "Native American Architecture," by Nabokov and Easton, an encyclopedic work that examines technology, climate, social structure, economics, religion, and history in relation to house design and the "meaning" of space among tribes of nine regions. Describes this book's use in a college course on Native American architecture. (SV)

  11. American Indian Issues in Higher Education. Contemporary American Indian Issues Series, No. 3.

    Science.gov (United States)

    California Univ., Los Angeles. American Indian Studies Center.

    A collection of 17 articles on American Indian issues in higher education contains Russell Thornton's introduction, "American Indian Studies as an Academic Discipline: A Revisit," plus five major sections. "Purpose of American Indian Studies" covers relevancy of Indian Studies in higher education (Duchene); an alternative model…

  12. American Indian Studies in West Germany.

    Science.gov (United States)

    Bartelt, H. Guillermo

    1986-01-01

    Interest in the American Indian in West Germany is high. Romantic notions, derived from the novels of 19th century German writer Karl May and American westerns shown on German television, combined with a subtle anti-Americanism might be responsible for the American Indian Movement (AIM) support groups that have been forming among students and…

  13. Washington Irving and the American Indian.

    Science.gov (United States)

    Littlefield, Daniel F., Jr.

    1979-01-01

    Some modern scholars feel that Washington Irving vacillated between romanticism and realism in his literary treatment of the American Indian. However, a study of all his works dealing with Indians, placed in context with his non-Indian works, reveals that his attitude towards Indians was intelligent and enlightened for his time. (CM)

  14. Congressional Social Darwinism and the American Indian

    Science.gov (United States)

    Blinderman, Abraham

    1978-01-01

    Summarizing a congressional report on civil and military treatment of American Indians, this article asserts that the social Darwinism of the day prevailed among all congressional committee members ("Even friends of the Indian... knew American expansionism, technology, and racial ideology would reduce the Indian to a pitiful remnant...) (JC)

  15. The Destruction of American Indian Families.

    Science.gov (United States)

    Unger, Steven, Ed.

    Responding to the need for a comprehensive source of information regarding the separation of American Indian children from their families, this book presents essays which: examine the Indian child-welfare crisis in contemporary, legal, and historical perspectives; document the human cost of the crisis to Indian parents, children, and communities;…

  16. American Indians, Witchcraft, and Witch-hunting.

    Science.gov (United States)

    Dennis, Matthew

    2003-01-01

    Explores North American Indian beliefs about witchcraft and witch-hunting. Focuses on the ideas and actions of the Iroquois about witchcraft. Addresses the changes in ideas of North American Indians living in the nineteenth century. Notes the transition from men and women perceived as witches to mostly females. (CMK)

  17. American Indian Victims of Campus Ethnoviolence.

    Science.gov (United States)

    Perry, Barbara

    2002-01-01

    A study examined ethnoviolence against American Indian students at Northern Arizona University. Surveys completed by 92 American Indian students indicated that while violent assaults were rare, daily harassment and verbal assaults were relatively common. Four strategies are suggested to create a more safe and welcoming college environment for…

  18. The American Indian: A Multimedia Encyclopedia.

    Science.gov (United States)

    Carter, Christina E.

    1993-01-01

    Reviews "The American Indian: A Multimedia Encyclopedia," Version 1.0 (New York, Facts on File, Inc., 1993). This electronic product (compact disk) presents a great amount of material on American Indians from various formats, but its effectiveness is limited by the dated nature of some materials. Software design and searching features are…

  19. Alcohol and American Indian Students.

    Science.gov (United States)

    Boyce, George A.

    The growing problem of teenage drinking and alcoholism in the United States, especially among Indian segments of society, increases the necessity for adequate education concerning alcoholism. This document is prepared for the Bureau of Indian Affairs (BIA) schools to acquaint Indian students with social concepts of alcohol outside their cultural…

  20. American Indian Studies, Multiculturalism, and the Academic Library

    Science.gov (United States)

    Alexander, David L.

    2013-01-01

    The current status of multicultural and diversity efforts suggests the need for incorporating into the discussion of librarianship an understanding of previously underrepresented populations such as the American Indian. American Indian Studies speaks from the American Indian perspective and addresses the contemporary condition of American Indians.…

  1. The Contributions of the American Indians

    Institute of Scientific and Technical Information of China (English)

    余生泽

    2002-01-01

    The potato was unknown to the white man until he came to New World. Spanish explorers(探险者)found out some of the Indians in South America grown potatoes. The potato is one of the things that the South American Indians contributed to the world.

  2. The persistence of American Indian health disparities.

    Science.gov (United States)

    Jones, David S

    2006-12-01

    Disparities in health status between American Indians and other groups in the United States have persisted throughout the 500 years since Europeans arrived in the Americas. Colonists, traders, missionaries, soldiers, physicians, and government officials have struggled to explain these disparities, invoking a wide range of possible causes. American Indians joined these debates, often suggesting different explanations. Europeans and Americans also struggled to respond to the disparities, sometimes working to relieve them, sometimes taking advantage of the ill health of American Indians. Economic and political interests have always affected both explanations of health disparities and responses to them, influencing which explanations were emphasized and which interventions were pursued. Tensions also appear in ongoing debates about the contributions of genetic and socioeconomic forces to the pervasive health disparities. Understanding how these economic and political forces have operated historically can explain both the persistence of the health disparities and the controversies that surround them.

  3. Multiculturalism and "American" Religion: The Case of Hindu Indian Americans

    Science.gov (United States)

    Kurien, Prema A.

    2006-01-01

    How non-Christian religious groups should be politically recognized within Western multicultural societies has proved to be a pressing contemporary issue. This article examines some ways in which American policies regarding religion and multiculturalism have shaped Hindu Indian American organizations, forms of public expression and activism.…

  4. American Indian and Alaska Native Heart Disease and Stroke

    Science.gov (United States)

    ... American Indian and Alaska Native Heart Disease and Stroke Fact Sheet Recommend on Facebook Tweet Share Compartir ... American Indian and Alaska Native Heart Disease and Stroke Facts Heart Disease is the first and stroke ...

  5. American historic influences on North American Indians

    Institute of Scientific and Technical Information of China (English)

    于丽丽

    2012-01-01

      Indians have lived in America for 15,000 or 20,000 years and created their unique civilization. However, since Europeans came, their life was interrupted. The two different cultures conflicted fiercely and influenced each other. After several hundred years of mutual in-fluence, Indians’life had been changed drastical y in the terms of population, daily life, arts. And urbanization came up. Therefore, is civiliza-tion a good process or bad one? Maybe it can’t be judged with only“right”or“wrong”. Changes did happen.

  6. American Indian History and Writing from Home: Constructing an Indian Perspective

    Science.gov (United States)

    Fixico, Donald L.

    2009-01-01

    If the typical premise of American Indian history is actually the history of Indian-white relations, then the "other" side of the coin must be turned over for understanding an Indian point of view and what is called "writing from home." Conceptually, "writing from home" is the challenge of historians who are American Indian and who write history…

  7. Preface: [Research in American Indian Education].

    Science.gov (United States)

    Swisher, Karen Gayton

    1997-01-01

    Current critical research in American-Indian education, grounded in self-determination and cultural integrity, offers insights into the kinds of research directions and questions required to assess educational success from a local perspective. While research based on cultural strengths has yielded significant sustainable results for some Indian…

  8. The North American Indian and the Eskimo.

    Science.gov (United States)

    San Francisco Unified School District, CA.

    This is a selected bibliography of some good and some outstanding audio-visual educational materials in the library of the Educational Materials Bureau, Audio-Visual Education Section, that may be considered of particular interest in the study of the North American Indian, the Eskimo, and in the fields of ethnology and anthropology. The…

  9. Life Satisfaction of the Elderly American Indian.

    Science.gov (United States)

    Johnson, Freddie L.; And Others

    1984-01-01

    Examines generally high life satisfaction of 58 elderly reservation American Indians and its relationship to selected internal and external environmental factors. Suggests that internal environmental variables may be useful indicators of life satisfaction and that subjective measures of life satisfaction may be more predictive of mental health…

  10. Acting Responsibly: Linguists in American Indian Communities.

    Science.gov (United States)

    Bigler, Gregory; Linn, Mary S.

    1999-01-01

    Linguists working with endangered American Indian languages must realize that fieldwork is a cooperative venture, requiring that control be relinguished to the community. The relationship with the tribe must be negotiated, and linguists must return something concrete to the community in terms of language revival. Working in language teams that…

  11. Sacagawea, The Story of an American Indian.

    Science.gov (United States)

    Skold, Betty Westrom

    Written for adolescents, this biography of the Shoshoni woman, Sacagawea, who acted as interpreter, intermediary, and guide to the Lewis and Clark Expedition emphasizes the insecurities of an American Indian woman living in the early 19th century. The known life of Sacagawea is described as involving: a period of time with the Hidatsas who had…

  12. Honoring Their Way: Counseling American Indian Women

    Science.gov (United States)

    Rayle, Andrea Dixon; Chee, Christine; Sand, Jennifer K.

    2006-01-01

    The authors review current literature on issues facing American Indian (AI) women and discuss implications for providing culturally sensitive counseling with these women. A case study of a Dine (Navajo) woman living within mainstream society and holding true to her traditional cultural beliefs illustrates how a culturally responsive approach to…

  13. Preface: [Research in American Indian Education].

    Science.gov (United States)

    Swisher, Karen Gayton

    1997-01-01

    Current critical research in American-Indian education, grounded in self-determination and cultural integrity, offers insights into the kinds of research directions and questions required to assess educational success from a local perspective. While research based on cultural strengths has yielded significant sustainable results for some Indian…

  14. American Indian Women: The Double Bind.

    Science.gov (United States)

    Warner, Linda Sue

    This study investigated the relationship between variables of ethnic and sex-role stereotype and job satisfaction based on Festinger's dissonance avoidance theory and Bruner and Tagirui's implicit personality theory. The respondents were 114 American Indian female supervisors, out of a representative sample of 200. The data were collected using a…

  15. American Indian Students Speak out: What's Good Citizenship?

    Science.gov (United States)

    Martin, Leisa A.; Chiodo, John J.

    2008-01-01

    For much of our country's history, citizenship has eluded American Indian people. With this in mind, the authors conducted a study to determine the perceptions of eighth and eleventh grade American Indian students regarding citizenship. We wanted to find out what American Indian students believe are the attributes of a good citizen; what…

  16. Nations Within. American Indian Scholar Karen Gayton Swisher Envisions Effective Education for All Indian Children.

    Science.gov (United States)

    Sheets, Rosa Hernandez

    1997-01-01

    An interview with American Indian educator Karen Gayton Swisher explores the learning styles of American Indian children and the application of ideas about these learning styles in the programs at Haskell Indian Nations University. Native American children should be taught from a constructivist, rather than a deficit, point of view. (SLD)

  17. Nations Within. American Indian Scholar Karen Gayton Swisher Envisions Effective Education for All Indian Children.

    Science.gov (United States)

    Sheets, Rosa Hernandez

    1997-01-01

    An interview with American Indian educator Karen Gayton Swisher explores the learning styles of American Indian children and the application of ideas about these learning styles in the programs at Haskell Indian Nations University. Native American children should be taught from a constructivist, rather than a deficit, point of view. (SLD)

  18. Substance dependency among homeless American Indians.

    Science.gov (United States)

    Lobo, Susan; Vaughan, Margaret Mortensen

    2003-01-01

    Extensive qualitative research in the San Francisco Bay Area in California and in Tucson, Arizona, indicates strong associations between substance abuse and homelessness among American Indians. This article takes a comparative approach to describe and analyze precipitating factors and survival patterns of those who are both homeless and who suffer from substance dependency. Possible precipitating factors presented through case studies consider the complex interaction of childhood fostering or adoption into non-Native families, different types of involuntary institutionalization during youth, and the personal impact of accident, trauma and loss. Coping strategies and keys to survival are examined, including the role of the extended family and close friendships, American Indian and mainstream organizations that offer formal and informal services, the existence of anchor or key households, the helping relationships and sobriety groups among homeless individuals, spirituality, and cultural resiliency.

  19. Predictors of Wellness and American Indians

    OpenAIRE

    Hodge, Felicia S.; Nandy, Karabi

    2011-01-01

    Wellness is an important American Indian (AI) concept, understood as being in balance with one’s body, mind, and environment. Wellness predictors are reported in this paper within the context of health. A cross-sectional randomized household survey of 457 AI adults at 13 rural health care sites in California was conducted. Measures included wellness perceptions, barriers, health status/health conditions, spirituality, cultural connectivity, high-risk behaviors and abuse history. Statistical a...

  20. American Indians Today. The Annals of the American Academy of Political and Social Science.

    Science.gov (United States)

    Yinger, J. Milton, Ed.; Simpson, George Eaton, Ed.

    1978-01-01

    Aspects of social change among American Indians and in the relationships of Indians to government and the larger society are examined in the collection of articles by 12 political and social scientists. Focusing on recent developments, this look at American Indians today encompasses rapid population growth, urbanization of the Indian population,…

  1. American Indian Studies: Intellectual Navel Gazing or Academic Discipline?

    Science.gov (United States)

    Kidwell, Clara Sue

    2009-01-01

    The academic field of Native American/American Indian studies (NAS/AIS) has been and largely remains a product of political forces at the national level and now at the tribal level. The very recognition of American Indians as a unique group by the U.S. government is a political statement of survival. In this article, the author revisits the…

  2. All Chiefs, No Indians: What Children's Books Say about American Indians

    Science.gov (United States)

    Fisher, Laura

    1974-01-01

    Discusses many of the common misconceptions and stereotypes of Indians presented in children's literature. Also briefly discusses several of the less discriminatory and biased books dealing with American Indians and their culture both past and present. (TO)

  3. 78 FR 42788 - American Indians Into Nursing; Notice of Competitive Grant Applications for American Indians Into...

    Science.gov (United States)

    2013-07-17

    .../AN population. 5. Provide support to the American Indians into Nursing program utilizing career... promote the non-use of all tobacco products. In addition, Public Law 103-227, the Pro-Children Act of 1994... routine education, library, day care, health care, or early childhood development services are provided...

  4. Review of American Indian veteran telemental health.

    Science.gov (United States)

    Shore, Jay; Kaufmann, L Jeanne; Brooks, Elizabeth; Bair, Byron; Dailey, Nancy; Richardson, W J Buck; Floyd, James; Lowe, Jeff; Nagamoto, Herbert; Phares, Robert; Manson, Spero

    2012-03-01

    Rural American Indian veterans have unique healthcare needs and face numerous barriers to accessing healthcare services. Over the past decade, the Department of Veterans Affairs in conjunction with the University of Colorado Denver has turned to the promising field of telemental health to develop a series of videoconferencing-based clinics to reach this vulnerable population and improve mental healthcare services. The ongoing development, implementation, and expansion of these clinics have been assessed as part of a program improvement. The outcomes of these assessments have been documented in a series of published articles, controlled studies, program and case reports, and model descriptions. This article summarizes a decade of experience with the American Indian Telemental Health Clinics, the clinic model, and the literature arising from these clinics and presents lessons learned while establishing, maintaining, and evaluating these clinics. The ability to tailor the clinics to individual sites and cultures and to provide various services has been critical to the operation of the clinics. Culturally specific care through culturally knowledgeable providers, onsite tribal outreach workers, and collaboration with community services has proven essential in operating the clinics, as well as building rapport, trust, and engagement with the target patient population. It is hoped that the lessons learned and practices presented here can not only assist others working to improve the care for rural Native veterans but also serve as a model in the use of telemental health services for improving care and access to rural veteran and non-veteran populations.

  5. 77 FR 43560 - American Indian Vocational Rehabilitation Services Program; Proposed Waivers and Extensions of...

    Science.gov (United States)

    2012-07-25

    ... CFR Chapter III American Indian Vocational Rehabilitation Services Program; Proposed Waivers and...) published on March 14, 2007 (72 FR 11851), provide vocational rehabilitation services to American Indians... projects initially funded in fiscal year (FY) 2007 under the American Indian Vocational...

  6. Using Mental Map Principles to Interpret American Indian Cartography

    Science.gov (United States)

    Mitchell, Martin D.

    2014-01-01

    The understanding of maps drawn or significantly influenced by American Indians fosters critical thinking, cultural diversity, and awareness of a much-neglected topic in cartography. Line styles, scale depiction, and the sizing of individual entities are discussed in the context of applying principles from mental maps to American Indian maps and…

  7. Trajectories of Cognitive Development among American Indian Young Children

    Science.gov (United States)

    Mitchell, Christina M.; Croy, Calvin; Spicer, Paul; Frankel, Karen; Emde, Robert N.

    2011-01-01

    Children who begin kindergarten with stronger skills learn faster than do those who enter with lower skills. Minority children tend to enter kindergarten already at a disadvantage, and the gap widens across time. However, little is known about cognitive development among American Indian young children. In this study, 110 American Indian infants…

  8. American Indians: Presenting Concerns and Considerations for Family Therapists.

    Science.gov (United States)

    Brucker, Penny S.; Perry, Benjamin J.

    1998-01-01

    Provides marriage and family therapists with an overview of issues related to the treatment of clients of American-Indian descent. Discusses a rationale for studying the American-Indian population, presents concerns that therapists are likely to encounter, and identifies considerations when engaging in a therapeutic relationship with an…

  9. Trajectories of Cognitive Development among American Indian Young Children

    Science.gov (United States)

    Mitchell, Christina M.; Croy, Calvin; Spicer, Paul; Frankel, Karen; Emde, Robert N.

    2011-01-01

    Children who begin kindergarten with stronger skills learn faster than do those who enter with lower skills. Minority children tend to enter kindergarten already at a disadvantage, and the gap widens across time. However, little is known about cognitive development among American Indian young children. In this study, 110 American Indian infants…

  10. Adventure Therapy with American Indian Youth. AEE White Papers

    Science.gov (United States)

    Association for Experiential Education (NJ1), 2011

    2011-01-01

    The American Indian population is a young one; the median age is 28.0, with 34% under 18 years old. In contrast, the median age for the overall U.S. population is 35.3, with 26% younger than 18 (Hawkins, Cummins, & Marlatt, 2004). It is difficult to avoid resorting to statistical hyperbole when describing the problems facing American Indian and…

  11. Multicultural Training Intervention to Address American Indian Stereotypes

    Science.gov (United States)

    Steinfeldt, Jesse A.; Steinfeldt, Matthew Clint

    2012-01-01

    This article describes a multicultural training intervention that addresses American Indian stereotypes perpetuated through the use of American Indians and corresponding imagery as mascots by schools and athletic teams. With the Association for Multicultural Counseling and Development's tripartite model of multicultural competence (awareness,…

  12. Culture and Self in Career Development: Working with American Indians

    Science.gov (United States)

    Juntunen, Cindy L.; Cline, Kara

    2010-01-01

    The career development concerns of American Indians continue to receive limited attention in the vocational or career literature. To address this deficit, the current article will apply the cultural formulation approach to career counseling with American Indians. This article presents information on factors related to cultural and self-identity…

  13. American Indians and Native Alaskans. Prevention Resource Guide.

    Science.gov (United States)

    Pinelo, Dora Beatriz

    This guide presents information on research and prevention of substance abuse among American Indians and Native Alaskans. Facts and figures representing findings from key government reports and research studies indicate the wide spread use of alcohol and drugs among American Indians and Native Alaskans. A list of prevention materials and curricula…

  14. Using Mental Map Principles to Interpret American Indian Cartography

    Science.gov (United States)

    Mitchell, Martin D.

    2014-01-01

    The understanding of maps drawn or significantly influenced by American Indians fosters critical thinking, cultural diversity, and awareness of a much-neglected topic in cartography. Line styles, scale depiction, and the sizing of individual entities are discussed in the context of applying principles from mental maps to American Indian maps and…

  15. Prevalence of Musculoskeletal Dysfunctions among Indian Pregnant Women

    Directory of Open Access Journals (Sweden)

    Preetha Ramachandra

    2015-01-01

    Full Text Available Background and Objectives. Pregnancy triggers a wide range of changes in a woman’s body leading to various musculoskeletal dysfunctions. Most commonly reported musculoskeletal discomforts by pregnant women are low back pain and symphysis pubis pain. The culture and the environmental factors may influence the discomforts experienced by a pregnant woman. There is a dearth of literature in India, regarding the common musculoskeletal dysfunctions experienced by a pregnant woman, and hence this study. Method. A questionnaire to identify the musculoskeletal dysfunction was developed; content was validated and was translated to local languages through parallel back translation. 261 primiparous pregnant women participated in the study and filled the questionnaire in their native language. Results. Among the musculoskeletal dysfunctions reported by the pregnant women, 64.6% reported calf muscle cramps, 37.1% reported foot pain, and 33.7% experienced low back pain in their third trimester. In the second trimester, common musculoskeletal dysfunctions experienced by the women were that of calf pain (47.8%, low back pain (42%, and pelvic girdle pain (37%. Conclusion. Musculoskeletal dysfunctions and general discomforts very commonly affect the activities of daily living of pregnant women. Understanding the common discomforts during various trimesters of pregnancy will help to develop a comprehensive program for prevention and cure.

  16. Prevalence of musculoskeletal dysfunctions among Indian pregnant women.

    Science.gov (United States)

    Ramachandra, Preetha; Maiya, Arun G; Kumar, Pratap; Kamath, Asha

    2015-01-01

    Pregnancy triggers a wide range of changes in a woman's body leading to various musculoskeletal dysfunctions. Most commonly reported musculoskeletal discomforts by pregnant women are low back pain and symphysis pubis pain. The culture and the environmental factors may influence the discomforts experienced by a pregnant woman. There is a dearth of literature in India, regarding the common musculoskeletal dysfunctions experienced by a pregnant woman, and hence this study. A questionnaire to identify the musculoskeletal dysfunction was developed; content was validated and was translated to local languages through parallel back translation. 261 primiparous pregnant women participated in the study and filled the questionnaire in their native language. Among the musculoskeletal dysfunctions reported by the pregnant women, 64.6% reported calf muscle cramps, 37.1% reported foot pain, and 33.7% experienced low back pain in their third trimester. In the second trimester, common musculoskeletal dysfunctions experienced by the women were that of calf pain (47.8%), low back pain (42%), and pelvic girdle pain (37%). Musculoskeletal dysfunctions and general discomforts very commonly affect the activities of daily living of pregnant women. Understanding the common discomforts during various trimesters of pregnancy will help to develop a comprehensive program for prevention and cure.

  17. Chicago Indians: The Effects of Urban Migration. The National Study of American Indian Education.

    Science.gov (United States)

    Neog, Prafulla; And Others

    This study reviews the characteristics and service activities of all clients of the St. Augustine's Center for American Indians in Chicago in 1968 and compares them with the clients of 1967. This center focused its attention upon intensive counseling, emergency assistance, and referrals of Indian American in Chicago, or other urban settings. Data…

  18. Predictors of wellness and American Indians.

    Science.gov (United States)

    Hodge, Felicia S; Nandy, Karabi

    2011-08-01

    Wellness is an important American Indian (AI) concept, understood as being in balance with one's body, mind, and environment. Wellness predictors are reported in this paper within the context of health. A cross-sectional randomized household survey of 457 AI adults at 13 rural health care sites in California was conducted. Measures included wellness perceptions, barriers, health status/health conditions, spirituality, cultural connectivity, high-risk behaviors and abuse history. Statistical analysis obtained the best predictive model for wellness. Predictors of wellness were general health status perception, participation in AI cultural practices and suicide ideation. Significant differences in wellness status were observed depending on experience of adverse events in childhood and adulthood (neglect, physical abuse, and sexual abuse). Cultural connectivity (speaking tribal language, participating in AI practices, and feeling connected to community) was also associated with perceptions of wellness. Recommendations are for culturally-appropriate education and interventions emphasizing community and cultural connectivity for improving wellness status.

  19. American Indian working women: correlates of subclinical depression among American Indian women.

    Science.gov (United States)

    Napholz, L

    1999-10-01

    The purpose of this study was to examine the extent to which role conflict, life satisfaction, self-esteem, instrumentality, expressiveness, age and education predicts ambulatory depression among a community based sample of urban American Indian working women. The convenience sample consisted of a total of 148 Midwestern American Indian working women, ranging in age from 18 to 65 years. Participants completed five instruments assessing gender-related traits of instrumentality and expressiveness, self-esteem, depression, life satisfaction, role conflict, and socio-demographic information. A forced entry stepwise multiple regression was conducted which included all the designated predictor variables. The significant negative Beta in Step 1 indicated that women scoring on the Masculinity (instrumentality) sub-scale were less likely to have a high depression score. The prediction of depression by the Masculinity sub-scale was no longer significant after the life satisfaction and self-esteem variables were added to the equation in Step 2. There was a significant inverse relationship for life satisfaction and self-esteem in predicting the criterion variable, depression. Thirty-two percent of the variance in the prediction of the dependent variable (depression scores) was accounted for by the six variables. In counselling urban American Indian women, supporting instrumentality, enhancing self-esteem and life satisfaction, can positively impact on ambulatory dysphoria.

  20. Maria Tallchief: The Story of an American Indian.

    Science.gov (United States)

    Gridley, Marion E.

    Maria Tallchief has earned a lasting place in the history of dance as one of the world's greatest ballerinas. She is also an American Indian. She was born in 1925 in Fairfax, Oklahoma; her father was a full-blooded Osage Indian, her mother was of Scotch-Irish and Dutch ancestry. Discovery of oil on the Osage Reservation had brought wealth to all…

  1. American Indian Adolescent Girls: Vulnerability to Sex Trafficking, Intervention Strategies

    Science.gov (United States)

    Pierce, Alexandra

    2012-01-01

    The Minnesota Indian Women's Resource Center offers harm reduction programming to at-risk adolescent American Indian girls, including outreach, case management, advocacy, healthy sexuality education, and support groups. To evaluate program impact, participants are assessed at intake and every 6 months afterward for current vulnerability to…

  2. Phonetic Stress in Indian English vs. American English.

    Science.gov (United States)

    Wiltshire, Caroline; Moon, Russell

    2003-01-01

    Shows that results of a study that suggests one difference between Indian English (IE) and American English (AE) varieties is the phonetic realization of prominence may be due to misinterpretation of the positioning of stress in Indian English. Shows that by considering the louder syllable to the stressed one, IE stress correlates differ in…

  3. Minority Women's Health: American Indians/Alaska Natives

    Science.gov (United States)

    ... conditions common in American Indian and Alaska Native women For generations, the Indian way of life sought to seek balance — in body, mind, and spirit. Yet displacement, cultural trauma, and high rates of poverty have taken a heavy toll on native peoples ...

  4. Findings from American Indian Needs Assessments.

    Science.gov (United States)

    Burhansstipanov, Linda; Krebs, Linda U; Harjo, Lisa; Ragan, Kathleen; Kaur, Judith Salmon; Marsh, Vickie; Painter, Dewey

    2017-02-18

    Because of decreased access and dismal survival rates, strategies need to be developed to increase cancer awareness and facilitate cancer prevention, early detection, and screening activities within American Indian (AI) populations. The purpose of this study was to develop a locally tailored needs assessment to collect cancer prevention, control, and risk factor information and knowledge, attitude, and perceived behavior (hereafter referred to as "needs assessment") data from 500 community members living in 3 geographically diverse settings: the Southeastern USA, the Rocky Mountain region, and the Northern Plains. Needs assessment data helped identify local health priorities and create a pilot cancer prevention and early detection education intervention. There were two versions of common items of the instrument: short (~35 items) and long (55 items), and each partner added items that were recommended by their local AI Advisory Committee. Each partner collaborated with local AI organizations to identify and recruit participants at community venues. During the sessions, facilitators used Power Point® slides and ARS equipment and software to anonymously collect participants' responses. The partners collected needs assessment data from 677 community members over a 4-year period. Cancer education knowledge was low, barriers to accessing timely cancer screening and care services were excessive, tobacco use was excessive, and daily physical activity was insufficient for most participants. ARS was an effective way to collect needs assessment information. During discussions following the data collection, community members requested more cancer education opportunities, access to patient navigation services, and cultural competency training for healthcare providers.

  5. American Indian Areas Located in Region 2 (CENSUS.AM_INDIAN_AREAS_R2)

    Data.gov (United States)

    U.S. Environmental Protection Agency — There are both legal and statistical American Indian, Alaska Native, and native Hawaiian entities for which the U.S. Census Bureau provides data for Census 2000. The...

  6. Patient satisfaction and ethnic identity among American Indian older adults.

    Science.gov (United States)

    Garroutte, Eva Marie; Kunovich, Robert M; Jacobsen, Clemma; Goldberg, Jack

    2004-12-01

    Work in the field of culturally competent medical care draws on studies showing that minority Americans often report lower satisfaction with care than White Americans and recommends that providers should adapt care to patients' cultural needs. However, empirical evidence in support of cultural competence models is limited by reliance upon measurements of racial rather than ethnic identity and also by a near-total neglect of American Indians. This project explored the relationship between ethnic identity and satisfaction using survey data collected from 115 chronically ill American Indian patients >or=50 years at a Cherokee Nation clinic. Satisfaction scores were high overall and comparable to those found in the general population. Nevertheless, analysis using hierarchical linear modeling showed that patients' self-rated American Indian ethnic identity was significantly associated with satisfaction. Specifically, patients who rated themselves high on the measure of American Indian ethnic identity reported reduced scores on satisfaction with health care providers' social skill and attentiveness, as compared to those who rated themselves lower. Significant associations remained after controlling for patients' sex, age, education, marital status, self-reported health, wait time, and number of previous visits. There were no significant associations between patients' American Indian ethnic identity and satisfaction with provider's technical skill and shared decision-making. Likewise, there were no significant associations between satisfaction and a separate measure of White American ethnic identity, although a suggestive trend was observed for satisfaction with provider's social skill. Our findings demonstrate the importance of including measures of ethnic identity in studies of medical satisfaction in racial minority populations. They support the importance of adapting care to patient's cultural needs, and they highlight the particular significance of interpersonal

  7. The Multi-Missionary Eleanor Roosevelt of American Indian Literatures

    Science.gov (United States)

    Roemer, Kenneth M.

    2005-01-01

    In this tribute to LaVonne Ruoff, the author describes Ruoff as the "Eleanor Roosevelt of Native American Literature," noting her enormous amount of committee and administrative work done to ensure that the infant American Indian studies discipline was saved and would thrive. In addition to Ruoff's own literary works in the field, she furthered…

  8. American Indians, Alaska Natives, and the Flu

    Science.gov (United States)

    ... flu. Protect Indian Country by Getting Your Flu Vaccine A flu vaccine not only protects you but also your ... getting vaccinated against the flu this season. The Flu Vaccine is Safe People have been receiving flu vaccines ...

  9. Alcohol consumption patterns among American Indian and white college students.

    Science.gov (United States)

    Hughes, S P; Dodder, R A

    1984-09-01

    College students in Oklahoma completed a self-administered questionnaire to compare the drinking behaviors of culturally active American Indians (N = 34 men and 24 women) an Whites (N = 181 men and 250 women). Significantly more Indians were classified as drinkers, but they had begun drinking at a somewhat later age. Both groups indicated a preference for beer, and they were quite similar in quantity and frequency of beer consumption. White students reported drinking significantly more wine and distilled spirits, and drinking more often in public places, such as bars, pubs, restaurants and parked cars; Indians drank more in their own homes and in the homes of friends. White students tended to cite hedonistic reasons for drinking whereas Indians reported escapist or social reasons and drinking to "get high." Drinking-related problems were reported somewhat more often by Indian students, notably so by Indian women. Indians were more inclined to report the more serious drinking problems of being arrested, blacking out, interference with school or work, an difficulties in human relationships. White students more often cited problems of nausea or vomiting, drinking and driving, doing something that was later regretted and damaging property. It was suggested that the higher Indian arrest rate could be indicative of police bias and that the reports of problem drinking among Indian women be investigated further.

  10. Indian Play: Students, Wordplay, and Ideologies of Indianness at a School for Native Americans

    Science.gov (United States)

    Neuman, Lisa K.

    2008-01-01

    As neocolonial institutions designed to assimilate American Indians to European American cultural and religious values, social institutions, and economic practices, most schools run by the federal government and missionaries during the first part of the twentieth century sought to suppress all or most aspects of their young students' Indian…

  11. American Indians without Tribes in the 21(st) Century.

    Science.gov (United States)

    Liebler, Carolyn; Zacher, Meghan

    2013-01-01

    Among American Indians and Alaska Natives, most aspects of ethnicity are tightly associated with the person's tribal origins. Language, history, foods, land, and traditions differ among the hundreds of tribes indigenous to the United States. With this in mind, we ask why almost one million American Indians failed to respond to the tribal affiliation part of the Census 2000 race question. We investigate four hypotheses about why one-third of multiracial American Indians and one-sixth of single-race American Indians did not write any response to the tribal affiliation question: (1) survey item non-response which undermines all fill-in-the-blank questions, (2) a non-salient tribal identity, (3) a genealogy-based affiliation, and (4) a mestizo identity which does not require a tribe. We use multivariate logistic regression models and high-density restricted-use Census 2000 data. We find support for the first two hypotheses and note that predictors differ substantially for single-race versus multiple-race American Indians.

  12. Factors Associated with American Indian Cigarette Smoking in Rural Settings

    OpenAIRE

    Karabi Nandy; Felicia Hodge

    2011-01-01

    Introduction: This paper reports on the prevalence, factors and patterns of cigarette smoking among rural California American Indian (AI) adults. Methods: Thirteen Indian health clinic registries formed the random household survey sampling frame (N = 457). Measures included socio-demographics, age at smoking initiation, intention to quit, smoking usage, smoking during pregnancy, health effects of smoking, suicide attempts or ideation, history of physical abuse, neglect and the role of the env...

  13. PREVALENCE OF OVERT AND SUBCLINICAL HYPOTHYROIDISM AMONG INDIAN PREGNANT WOMEN AND ITS EFFECT ON FOETOMATERNAL OUTCOME

    Directory of Open Access Journals (Sweden)

    Deeksha

    2016-06-01

    Full Text Available BACKGROUND Thyroid disorders are amongst the commonest endocrinological disorders encountered in pregnancy. It is now well established that not only overt (OH, but Subclinical Hypothyroidism (SCH also has adverse effects on maternal and foetal outcomes. Most of the studies are from the western population and only a few studies have analysed pregnancy outcome in hypothyroid Indian pregnant women. Presently, there is a paucity of Indian data on the prevalence and effect of hypothyroidism in pregnancy. Keeping all these things in mind, present study was aimed to find prevalence of hypothyroidism in pregnancy and its effect on foetomaternal outcome in Indian pregnant women studying a large population. SETTINGS AND DESIGN This was a cross-sectional study conducted in the Department of Obstetrics and Gynaecology, VMMC and Safdarjung Hospital, Delhi, in collaboration with the Departments of Endocrinology, Laboratory Medicine and Paediatrics. MATERIAL AND METHODS All women attending antenatal clinic between October 2010 and April 2011, underwent thyroid screening using Thyroid Stimulating Hormone (TSH assay. Women with hypothyroidism were grouped into OH and SCH on the basis of Free T4 estimation. Pregnancy outcomes of these women were compared with pregnant women with normal TSH values. STATISTICAL ANALYSIS USED Data was analysed using Pearson Chi square test. Statistical analysis was performed with SPSS 12.0 for windows. RESULTS Overall prevalence of hypothyroidism was found to be 10.2% with SCH (6.4% being commoner than OH (3.8%, 33 hypothyroid women excluded who were already on treatment. Out of 69 remaining hypothyroid women, 48 had SCH (69.56% and 21 had OH (30.43% and were categorised as group A1 and A2 successively. Preeclampsia (PE, Gestational Diabetes Mellitus (GDM and Intrauterine Foetal Demise (IUFD developed in significantly higher number of women in OH group as compared to controls (p=0.009, p=0.002, p=0.002. Anaemia, placental abruption

  14. Stressors, Resources, and Stress Responses in Pregnant African American Women

    Science.gov (United States)

    Giurgescu, Carmen; Kavanaugh, Karen; Norr, Kathleen F.; Dancy, Barbara L.; Twigg, Naomi; McFarlin, Barbara L.; Engeland, Christopher G.; Hennessy, Mary Dawn; White-Traut, Rosemary C.

    2013-01-01

    This research aimed to develop an initial understanding of the stressors, stress responses, and personal resources that impact African American women during pregnancy, potentially leading to preterm birth. Guided by the ecological model, a prospective, mixed-methods, complementarity design was used with 11 pregnant women and 8 of their significant others. Our integrated analysis of quantitative and qualitative data revealed 2 types of stress responses: high stress responses (7 women) and low stress responses (4 women). Patterns of stress responses were seen in psychological stress and cervical remodeling (attenuation or cervical length). All women in the high stress responses group had high depression and/or low psychological well-being and abnormal cervical remodeling at one or both data collection times. All but 1 woman had at least 3 sources of stress (racial, neighborhood, financial, or network). In contrast, 3 of the 4 women in the low stress responses group had only 2 sources of stress (racial, neighborhood, financial, or network) and 1 had none; these women also reported higher perceived support. The findings demonstrate the importance of periodically assessing stress in African American women during pregnancy, particularly related to their support network as well as the positive supports they receive. PMID:23360946

  15. History of Indian Arts Education in Santa Fe: The Institute of American Indian Arts with Historical Background 1890 to 1962.

    Science.gov (United States)

    Garmhausen, Winona

    This book traces the history of the Institute of American Indian Arts in Santa Fe, New Mexico. Sections cover four time periods in the evolution of the Institute: the United States Indian Industrial School at Sante Fe, 1890-1932; the Santa Fe Indian School, 1930-62; and the Institute of American Indian Arts, 1962-70 and 1970-78. The United States…

  16. Roles of American Indian grandparents in times of cultural crisis.

    Science.gov (United States)

    Robbins, Rockey; Scherman, Avraham; Holeman, Heide; Wilson, Jason

    2005-01-01

    This study examined the roles of contemporary American Indian grandparents in the lives of their grandchildren. Structured interviews were conducted with 20 American Indian grandparents. Analysis of interviews followed a sequence of strategies traditionally identified with the process of data reduction and analysis using qualitative methodologies. Participants reported enculturative responsibilities for their grandchildren in regard to traditional tribal values and knowledges such as tribal spirituality and protocol, cooperative interaction, tribal language and appreciation of nature. Methods of enculturation took the form of stories, modeling, direct teaching and playful interaction.

  17. Never-pregnant African American adolescent girls' perceptions of adolescent pregnancy.

    Science.gov (United States)

    Childs, Gwendolyn D; Knight, Candace; White, Reashanda

    2015-01-01

    Despite the decrease in adolescent pregnancy rates, rates among African American girls remain higher than other racial/ethnic adolescent groups. This descriptive qualitative study explored never-pregnant African American adolescent girls' perceptions about adolescent pregnancy. Sixty-four participants participated in individual interviews and focus groups. Individual interviews examined beliefs about adolescent pregnancy and perceptions of life changes resulting from becoming pregnant during adolescence. Focus groups were held to validate findings from the interviews. Participants agreed that becoming pregnant during adolescence would negatively impact their education, family, and peers. Participants anticipated feelings of shame and embarrassment in the event that they became pregnant.

  18. The Performance of American Indian Children on the Draw-A-Man Test. National Study of American Indian Education, Series III, No. 2, Final Report.

    Science.gov (United States)

    Levensky, Kay

    As a part of the National Study of American Indian Education, this document reports on 1700 American Indian primary school children (representing 14 tribal groups and 12 states) who were administered the Goodenough Draw-A-Man Test (DAM) as a measure of mental alertness. A comparison is given of the Indian and white children's scores. It appears…

  19. A Steward of American Indian Education

    Science.gov (United States)

    Pember, Mary Annette

    2008-01-01

    David Gipp, Hunkpapa Lakota and member of the Standing Rock Indian Tribe, is considered by many to be the unofficial historian of tribal colleges and the tribal college movement. He has been president of the United Tribes Technical College (UTTC), one of the first tribal colleges, in Bismarck, North Dakota since 1977 and led the college to its…

  20. PROTAGONISM OF AMERICAN INDIANS IN WALTER LANTZ'S CARTOONS

    Directory of Open Access Journals (Sweden)

    Rafael Duarte Oliveira Venancio

    2011-06-01

    Full Text Available Condemned to a dubious media representation in early cinema through the novels of the late nineteenth century, the North American Indians never had a high profile in films of this period. However, an animator, Walter Lantz, has a high degree of characterization of Native Americans in his work. The aim of this paper is to study the role of Native Americans in these cartoons and analyze the social implications of these choices, using the concepts of apparatus and formula. Furthermore, the analysis will include a portrayal of the American media scene before and after Lantz, seeking disruptions and legacies.

  1. 78 FR 34962 - American Indian Vocational Rehabilitation Services Program; Proposed Waivers and Extensions of...

    Science.gov (United States)

    2013-06-11

    ... CFR Part 75 and Chapter III American Indian Vocational Rehabilitation Services Program; Proposed Waivers and Extensions of the Project Periods AGENCY: Rehabilitation Services Administration, Office of... two sets of grantees under the American Indian Vocational Rehabilitation Services (AIVRS) Program...

  2. Aldehyde dehydrogenase polymorphism in North American, South American, and Mexican Indian populations.

    Science.gov (United States)

    Goedde, H W; Agarwal, D P; Harada, S; Rothhammer, F; Whittaker, J O; Lisker, R

    1986-01-01

    While about 40% of the South American Indian populations (Atacameños, Mapuche, Shuara) were found to be deficient in aldehyde dehydrogenase isozyme I (ALDH2 or E2), preliminary investigations showed very low incidence of isozyme deficiency among North American natives (Sioux, Navajo) and Mexican Indians (mestizo). Possible implications of such trait differences on cross-cultural behavioral response to alcohol drinking are discussed. PMID:3953578

  3. Factors Associated with American Indian Cigarette Smoking in Rural Settings

    Directory of Open Access Journals (Sweden)

    Karabi Nandy

    2011-03-01

    Full Text Available Introduction: This paper reports on the prevalence, factors and patterns of cigarette smoking among rural California American Indian (AI adults. Methods: Thirteen Indian health clinic registries formed the random household survey sampling frame (N = 457. Measures included socio-demographics, age at smoking initiation, intention to quit, smoking usage, smoking during pregnancy, health effects of smoking, suicide attempts or ideation, history of physical abuse, neglect and the role of the environment (smoking at home and at work. Statistical tests included Chi Square and Fisher’s Exact test, as well as multiple logistic regression analysis among never, former, and current smokers. Results: Findings confirm high smoking prevalence among male and female participants (44% and 37% respectively. American Indians begin smoking in early adolescence (age 14.7. Also, 65% of current smokers are less than 50% Indian blood and 76% of current smokers have no intention to quit smoking. Current and former smokers are statistically more likely to report having suicidal ideation than those who never smoked. Current smokers also report being neglected and physically abused in childhood and adolescence, are statistically more likely to smoke ½ pack or less (39% vs. 10% who smoke 1+ pack, smoke during pregnancy, and have others who smoke in the house compared with former and never smokers. Conclusion: Understanding the factors associated with smoking will help to bring about policy changes and more effective programs to address the problem of high smoking rates among American Indians.

  4. The incidence of systemic lupus erythematosus in North American Indians.

    Science.gov (United States)

    Morton, R O; Gershwin, M E; Brady, C; Steinberg, A D

    1976-06-01

    The annual incidence (AI) of systemic lupus erythematosus (SLE) was determined in 75 highly inbred North American Indian tribes, a total of approximately 800,000 people, during the fiscal years 1971-1975. Seventy-two of the Indian tribes had an AI of SLE which was of similar magnitude to previously published studies from Sweden, Rochester (Minn.), Alabama, New York City, and San Francisco. However, Three tribes, the Crow, Arapahoe, and Sioux Indians, had a markedly elevated AI of SLE. These three tribes share common historical, geographic, and cultural characteristics. Further, they all reside in the northern half of the United States, in states that do not receive intense sun exposure, thereby eliminating photosensitivity as a major determinant of this increased prevalence. Finally, the AI of SLE in the Sioux Indians was highest for "full-blooded" members and lowest for genetic admixtures.

  5. Exploitation of American Indian Symbols: A First Amendment Analysis

    Science.gov (United States)

    Hemmer, Joseph J., Jr.

    2008-01-01

    American Indian symbols are used extensively as logos, mascots, nicknames, and trademarks. These images identify postsecondary as well as secondary academic institutions, professional sports franchises, commercial products, and geographic locations. Over the past few decades, efforts have been directed at eliminating or at least reducing the use…

  6. Mental Health and American Indian Women's Multiple Roles.

    Science.gov (United States)

    Napholz, Linda

    1995-01-01

    Survey of 148 college educated, employed American Indian women in urban Wisconsin examined sex role orientation and indicators of mental well-being. Sex-typed respondents had significantly higher depression, higher role conflict, lower self-esteem, and lower life satisfaction than cross-typed or androgynous respondents. Undifferentiated…

  7. Adult social roles and alcohol use among American Indians.

    Science.gov (United States)

    Greene, Kaylin M; Eitle, Tamela McNulty; Eitle, David

    2014-09-01

    American Indians are disproportionately burdened by alcohol-related problems. Yet, research exploring predictors of alcohol use among American Indians has been limited by cross-sectional designs and reservation-based samples. Guided by a life course developmental perspective, the current study used a subsample of American Indians (n=927) from the National Longitudinal Study of Adolescent Health (Add Health) to explore alcohol use (current drinking, usual number of drinks, and binge drinking) among this population. We examined whether adult social roles (i.e., cohabitation, marriage, parenthood, college enrollment, and full-time work) were linked to the rise and fall of alcohol use. Multi-level models demonstrated that adult social roles were linked to alcohol use at the within- and between-person levels. Becoming a parent was linked to a lower likelihood of being a current drinker, fewer alcoholic drinks, and less frequent binge drinking. Transitioning to full-time work was associated with a higher likelihood of being a current drinker and more frequent binge drinking. Results point to the importance of exploring within-group trajectories of alcohol use and highlight the protective and risky nature of adult social roles among American Indians.

  8. Walking in Beauty: An American Indian Perspective on Social Justice

    Science.gov (United States)

    Eason, Evan Allen; Robbins, Rockey

    2012-01-01

    The purpose of this article is to introduce "walking in beauty," an American Indian spiritual perspective related to social justice that emphasizes beauty, harmony, connectedness/unity of experience, and imagination. Walking in beauty includes 3 processes: embodiment, creativity, and appreciation of the sublime. Recommendations are offered for…

  9. "Chief": The American Indian Integration of Baseball, 1897-1945.

    Science.gov (United States)

    Powers-Beck, Jeffrey

    2001-01-01

    Beginning in 1897, American Indians endured their own integration experience in professional baseball. The experience was propelled by government boarding schools, which used baseball as a tool for assimilation and for prestige and profit. But the players on boarding-school teams often found in the sport their own means of cultural resistance and…

  10. Environmental Guidance Program Reference Book: American Indian Religious Freedom Act

    Energy Technology Data Exchange (ETDEWEB)

    1987-11-01

    This Reference Book contains a copy of the American Indian Religious Freedom Act and guidance for DOE compliance with the statute. The document is provided to DOE and contractor staff for informational purposes only and should not be interpreted as legal guidance. Updates that include important new requirements will be provided periodically.

  11. Cancer Prevention and Control in American Indians/Alaska Natives.

    Science.gov (United States)

    Hampton, James W.

    1992-01-01

    Examines differences among American Indian tribes and Alaska Natives with regard to incidence and mortality rates for various types of cancer, particularly lung, cervix, breast, biliary, gastric, colorectal, prostate, and primary hepatic cancer. Discusses the influence of genetic and environmental factors, smoking, and inadequate medical…

  12. Acanthosis Nigricans among Northern Plains American Indian Children

    Science.gov (United States)

    Brown, Blakely; Noonan, Curtis; Bentley, Bonnie; Conway, Kathrene; Corcoran, Mary; FourStar, Kris; Gress, Shannon; Wagner, Sharon

    2010-01-01

    The purpose of this study is to present cross-sectional and prospective data on acanthosis nigricans (AN) prevalence in the context of other risk factors for diabetes including high body mass index (BMI), abnormal blood pressure (BP), physical inactivity and family history of diabetes among Northern Plains American Indian (AI) children.…

  13. Successfully Educating Urban American Indian Students: An Alternative School Format.

    Science.gov (United States)

    Jeffries, Rhonda Baynes; Singer, Lyndon Carson

    2003-01-01

    This case study explored culturally relevant practices in an urban American Indian secondary alternative school and three students' responses to them. The most vital factor contributing to student success was culturally responsive teachers. Other factors were small school size, flexible school formats, and governance structures. Implications for…

  14. Physical Activity and Cervical Cancer Testing among American Indian Women

    Science.gov (United States)

    Muus, Kyle J.; Baker-Demaray, Twyla B.; Bogart, T. Andy; Duncan, Glen E.; Jacobsen, Clemma; Buchwald, Dedra S.; Henderson, Jeffrey A.

    2012-01-01

    Purpose: Studies have shown that women who engage in high levels of physical activity have higher rates of cancer screening, including Papanicalaou (Pap) tests. Because American Indian (AI) women are at high risk for cervical cancer morbidity and mortality, we examined Pap screening prevalence and assessed whether physical activity was associated…

  15. Searching for American Indian Resources on the Internet.

    Science.gov (United States)

    Pollack, Ira; Derby, Amy

    This paper provides basic information on searching the Internet and lists World Wide Web sites containing resources for American Indian education. Comprehensive and topical Web directories, search engines, and meta-search engines are briefly described. Search strategies are discussed, and seven Web sites are listed that provide more advanced…

  16. Predicting an Alcohol Use Disorder in Urban American Indian Youths

    Science.gov (United States)

    Stanley, Linda R.; Miller, Kimberly A.; Beauvais, Fred; Walker, Patricia Silk; Walker, R. Dale

    2014-01-01

    This study examines predictors of alcohol use disorders (AUDs) among an urban American Indian cohort who were followed from approximately age 11 to age 20. Approximately 27% of the sample had a lifetime diagnosis of alcohol abuse or dependence. The results indicated that externalizing, but not internalizing, behaviors, family conflict, and school…

  17. Guide to Reference Sources Dealing with North American Indians.

    Science.gov (United States)

    Swindler, Luke

    This is an annotated bibliography of reference sources dealing with North American Indians and includes selected unpublished resources in the Chester Fritz Library, University of North Dakota. Among the resources presented are encyclopedias, biographical dictionaries, handbooks, general indexes, government publications, theses, and dissertations.…

  18. Historical Trauma among Urban American Indians: Impact on Substance Abuse and Family Cohesion

    Science.gov (United States)

    Wiechelt, Shelly A.; Gryczynski, Jan; Johnson, Jeannette L.; Caldwell, Diana

    2012-01-01

    Historical trauma theory suggests that many American Indians are still affected by the cultural losses and injustices endured by previous generations. The current study examines historical trauma in an urban American Indian sample using validated measures of historical loss and associated symptoms (N = 120). Urban American Indians reported high…

  19. Removing the College Involvement "Research Asterisk": Identifying and Rethinking Predictors of American Indian College Student Involvement

    Science.gov (United States)

    Garland, John L.

    2010-01-01

    The purpose of this study was to identify campus environmental predictors of American Indian college student involvement. The American Indian research asterisk, or not including American Indian data, has prevailed over student development research for decades. As a result, student affairs professionals have been limited in their ability to develop…

  20. Historical Trauma among Urban American Indians: Impact on Substance Abuse and Family Cohesion

    Science.gov (United States)

    Wiechelt, Shelly A.; Gryczynski, Jan; Johnson, Jeannette L.; Caldwell, Diana

    2012-01-01

    Historical trauma theory suggests that many American Indians are still affected by the cultural losses and injustices endured by previous generations. The current study examines historical trauma in an urban American Indian sample using validated measures of historical loss and associated symptoms (N = 120). Urban American Indians reported high…

  1. Playing the Indian Princess? Sarah Winnemucca's Newspaper Career and Performance of American Indian Identities

    Science.gov (United States)

    Sorisio, Carolyn

    2011-01-01

    In an age when American newspapers reported on US-Indian Relations in a sporadic and biased manner, Northern Paiute educator, translator, author, and activist Sarah Winnemucca produced sustained, specific, and often sympathetic coverage. She was well aware of newspapers' power, as demonstrated by the more than four hundred newspaper items by or…

  2. Playing the Indian Princess? Sarah Winnemucca's Newspaper Career and Performance of American Indian Identities

    Science.gov (United States)

    Sorisio, Carolyn

    2011-01-01

    In an age when American newspapers reported on US-Indian Relations in a sporadic and biased manner, Northern Paiute educator, translator, author, and activist Sarah Winnemucca produced sustained, specific, and often sympathetic coverage. She was well aware of newspapers' power, as demonstrated by the more than four hundred newspaper items by or…

  3. Where American Indian Students Go to School: Enrollment in Seven Central Region States. REL 2016-113

    Science.gov (United States)

    Apthorp, Helen S.

    2016-01-01

    This report provides descriptive information about the location and native language use of schools in the REL Central Region with high enrollment of American Indian students, whether Bureau of Indian Education schools or non-Bureau of Indian Education high-density American Indian schools (schools with 25 percent or more American Indian student…

  4. American Indian-Alaska Native Youth Health.

    Science.gov (United States)

    Blum, Robert W.; And Others

    1992-01-01

    Surveyed 13,454 rural Native American adolescents. Found 2 percent reported poor physical health and high rates of health-compromising behaviors, which were significantly correlated with physical or sexual abuse, suicide attempts, substance abuse, poor school performance, and poor nutrition. Academic risk was strongly associated with physical,…

  5. Assimilating American Indians in James Fenimore Cooper’s Novels?

    Directory of Open Access Journals (Sweden)

    Peprník Michal

    2016-07-01

    Full Text Available The article employs critical concepts from sociology and anthropology to examine the stereotype of the Vanishing Indian and disclose its contradictory character. The article argues that in James Fenimore Cooper’s late novels from the 1840s a type of American Indian appears who can be regarded as a Vanishing Indian in many respects as he displays some slight degree of assimilation but at the same time he can be found to reveal a surprising amount of resistance to the process of vanishing and marginalization. His peculiar mode of survival and his mode of living demonstrate a certain degree of acculturation, which comes close to Gerald Vizenor’s survivance and for which I propose a term critical integration. I base my study on Susquesus (alias Trackless, Cooper’s less well-known character from The Littlepage Manuscripts, a three-book family saga.

  6. Food Environments around American Indian Reservations: A Mixed Methods Study

    OpenAIRE

    Chodur, Gwen M.; Shen, Ye; Kodish, Stephen; Oddo, Vanessa M.; Daniel A. Antiporta; Jock, Brittany; Jones-Smith, Jessica C.

    2016-01-01

    Objectives To describe the food environments experienced by American Indians living on tribal lands in California. Methods Geocoded statewide food business data were used to define and categorize existing food vendors into healthy, unhealthy, and intermediate composite categories. Distance to and density of each of the composite food vendor categories for tribal lands and nontribal lands were compared using multivariate linear regression. Quantitative results were concurrently triangulated wi...

  7. Food Environments around American Indian Reservations: A Mixed Methods Study

    OpenAIRE

    Chodur, Gwen M.; Shen, Ye; Kodish, Stephen; Oddo, Vanessa M.; Daniel A. Antiporta; Jock, Brittany; Jones-Smith, Jessica C.

    2016-01-01

    Objectives: To describe the food environments experienced by American Indians living on tribal lands in California. Methods: Geocoded statewide food business data were used to define and categorize existing food vendors into healthy, unhealthy, and intermediate composite categories. Distance to and density of each of the composite food vendor categories for tribal lands and nontribal lands were compared using multivariate linear regression. Quantitative results were concurrently triangulated ...

  8. 77 FR 31637 - Revision of Agency Information Collection for the American Indian and Alaska Native Population...

    Science.gov (United States)

    2012-05-29

    ... Native Population and Labor Force Report AGENCY: Bureau of Indian Affairs, Interior. ACTION: Notice of... the American Indian and Alaska Native Population and Labor Force Report. The survey instrument that is... seeking comments on a survey instrument to collect information for the American Indian Population and...

  9. Isolation and Drainoff: The Case of the American Indian Educational Researcher.

    Science.gov (United States)

    Chavers, Dean

    1980-01-01

    Presents data showing that many American Indians holding doctorates work in administration or service delivery to Indian people, rather than in educational research. Cites funding patterns, the structure of the educational system, and intragroup loyalty as reasons for the shortage of American Indians in a field where they are needed. (GC)

  10. Prevalence and Impact of Thyroid Disorders on Maternal Outcome in Asian-Indian Pregnant Women

    Directory of Open Access Journals (Sweden)

    Vimal Nambiar

    2011-01-01

    Full Text Available Aims. To establish the prevalence and the effect of thyroid dysfunction on pregnancy outcomes in Asian-Indian population. Subjects and Methods. The study cohort comprised of 483 consecutive pregnant women in the first trimester attending the antenatal clinic of a tertiary center in Mumbai, India. Thyroid hormone levels and thyroid peroxidase antibody were estimated. Patients with thyroid dysfunction were assessed periodically or treated depending on the severity. Subjects were followed until delivery. Results. The prevalence of hypothyroidism, Graves' disease, gestational transient thyrotoxicosis, and thyroid autoimmunity (TAI was 4.8% (=24, 0.6% (=3, 6.4 % (=31, and 12.4% (=60, respectively. Forty percent of the hypothyroid patients did not have any high-risk characteristics. Hypothyroidism and TAI were associated with miscarriage (=0.02 and =0.001, resp.. Conclusions. The prevalence of hypothyroidism (4.8% and TAI (12.4% is high. TAI and hypothyroidism were significantly associated with miscarriage.

  11. Independent Living Outcomes for American Indians with Disabilities: A Needs Assessment of American Indians with Disabilities in Northwest New Mexico--Cibola and McKinley Counties.

    Science.gov (United States)

    Sanderson, Priscilla Lansing; And Others

    Interviews were conducted with 32 American Indians with disabilities in Cibola, McKinley, and San Juan counties, New Mexico. The study sought to identify the needs of northwest New Mexico American Indians with disabilities with regard to independently carrying out daily living activities. With an average age of 49, interviewees frequently reported…

  12. Independent Living Outcomes for American Indians with Disabilities: A Needs Assessment of American Indians with Disabilities in Northwestern New Mexico (Cibola, San Juan and McKinley Counties).

    Science.gov (United States)

    Sanderson, Priscilla Lansing; Schacht, Robert M.; Clay, Julie A.

    This fact sheet discusses the outcome of a study designed to understand the needs of American Indians with disabilities who may have problems that limit their ability to carry out daily activities. Thirty-two American Indians with disabilities were interviewed in three counties in northwest New Mexico regarding the things they used or needed…

  13. Partnering in research: a national research trial exemplifying effective collaboration with American Indian Nations and the Indian Health Service.

    Science.gov (United States)

    Chadwick, Jennifer Q; Copeland, Kenneth C; Daniel, Mary R; Erb-Alvarez, Julie A; Felton, Beverly A; Khan, Sohail I; Saunkeah, Bobby R; Wharton, David F; Payan, Marisa L

    2014-12-15

    Despite the fact that numerous major public health problems have plagued American Indian communities for generations, American Indian participation in health research traditionally has been sporadic in many parts of the United States. In 2002, the University of Oklahoma Health Sciences Center (Oklahoma City, Oklahoma) and 5 Oklahoma American Indian research review boards (Oklahoma City Area Indian Health Service, Absentee Shawnee Tribe, Cherokee Nation, Chickasaw Nation, and Choctaw Nation) agreed to participate collectively in a national research trial, the Treatment Options for Type 2 Diabetes in Adolescence and Youth (TODAY) Study. During that process, numerous lessons were learned and processes developed that strengthened the partnerships and facilitated the research. Formal Memoranda of Agreement addressed issues related to community collaboration, venue, tribal authority, preferential hiring of American Indians, and indemnification. The agreements aided in uniting sovereign nations, the Indian Health Service, academics, and public health officials to conduct responsible and ethical research. For more than 10 years, this unique partnership has functioned effectively in recruiting and retaining American Indian participants, respecting cultural differences, and maintaining tribal autonomy through prereview of all study publications and local institutional review board review of all processes. The lessons learned may be of value to investigators conducting future research with American Indian communities. © The Author 2014. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  14. Historic Distrust and the Counseling of American Indians and Alaska Natives.

    Science.gov (United States)

    Lockart, Barbetta

    1981-01-01

    Since establishment of trust is crucial to counseling relationships, American Indian distrust of non-Indians must be dealt with for successful counseling. Available from: White Cloud Center, Gaines Hall UOHSC, 840 Southwest Gaines Road, Portland, OR 97201. (CM)

  15. Reducing weapon-carrying among urban American Indian young people.

    Science.gov (United States)

    Bearinger, Linda H; Pettingell, Sandra L; Resnick, Michael D; Potthoff, Sandra J

    2010-07-01

    To examine the likelihood of weapon-carrying among urban American Indian young people, given the presence of salient risk and protective factors. The study used data from a confidential, self-report Urban Indian Youth Health Survey with 200 forced-choice items examining risk and protective factors and social, contextual, and demographic information. Between 1995 and 1998, 569 American Indian youths, aged 9-15 years, completed surveys administered in public schools and an after-school program. Using logistic regression, probability profiles compared the likelihood of weapon-carrying, given the combinations of salient risk and protective factors. In the final models, weapon-carrying was associated significantly with one risk factor (substance use) and two protective factors (school connectedness, perceiving peers as having prosocial behavior attitudes/norms). With one risk factor and two protective factors, in various combinations in the models, the likelihood of weapon carrying ranged from 4% (with two protective factors and no risk factor in the model) to 80% of youth (with the risk factor and no protective factors in the model). Even in the presence of the risk factor, the two protective factors decreased the likelihood of weapon-carrying to 25%. This analysis highlights the importance of protective factors in comprehensive assessments and interventions for vulnerable youth. In that the risk factor and two protective factors significantly related to weapon-carrying are amenable to intervention at both individual and population-focused levels, study findings offer a guide for prioritizing strategies for decreasing weapon-carrying among urban American Indian young people. Copyright (c) 2010 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  16. Substance abuse prevention in American Indian and Alaska Native communities.

    Science.gov (United States)

    Whitbeck, Les B; Walls, Melissa L; Welch, Melissa L

    2012-09-01

    In this article we review three categories of American Indian/Alaska Native (AIAN) substance abuse prevention programs: (1) published empirical trials; (2) promising programs published and unpublished that are in the process of development and that have the potential for empirical trials; and (3) examples of innovative grassroots programs that originate at the local level and may have promise for further development. AIAN communities are taking more and more independent control of substance abuse prevention. We point out that European American prevention scientists are largely unaware of the numerous grassroots prevention work going on in AIAN communities and urge a paradigm shift from adapting European American prevention science "best practices" to creating cultural "best practices" by working from inside AIAN communities.

  17. 75 FR 36414 - American Indians Into Psychology; Notice of Competitive Grant Applications for American Indians...

    Science.gov (United States)

    2010-06-25

    ... care, or early childhood development services are provided to children. This is consistent with the PHS... psychology career recruitment programs as a means of encouraging Indians to enter the behavioral health field..., Public Law 103-227, the Pro-Children Act of 1994, prohibits smoking in certain facilities (or in...

  18. SKILL PREP Program for American Indian Students. Final report, 1994

    Energy Technology Data Exchange (ETDEWEB)

    McCulloh, S.; Huebner, P.

    1995-10-01

    The Scientific Knowledge for Indian Learning and Leadership (SKILL) precollege college program of the South Dakota School of Mines and Technology concluded the 1994 PREP program on July 22, 1994. The program graduated 22 students from the 4-week residential math/science program for American Indian students. Primary academic focus was physics (30 hours); each student was given a bicycle to solve problems on angular momentum and mechanical advantage. Mathematical calculations and problem solving exercises were done in mathematics class (20 hours). Preliminary results in math, physics, and geology show dramatic increases in student achievement over the 4- week period. The program paired every two students with a faculty member or research scientist, and each team completed a research project.

  19. American Indian and Alaska native aboriginal use of alcohol in the United States.

    Science.gov (United States)

    Abbott, P J

    1996-01-01

    Alcohol beverages prior to White contact originated with the Mayan and the Aztec Nations and spread to the American Indians of the Southwest. Surprisingly, there are a number of accounts of alcohol use among other American Indians and Alaska Natives. Beverages were limited to wine and beer, and included: balche, pulque, and "haren a pitahaya" wines, tulpi beer and other beverages. White contact brought dramatic shifts in the use and function of alcoholic beverages in American Indian and Alaska Native societies.

  20. National Indian Education Study 2015: American Indian and Alaska Native Students at Grades 4 and 8. NCES 2017-161

    Science.gov (United States)

    Ninneman, A. M.; Deaton, J.; Francis-Begay, K.

    2017-01-01

    The National Indian Education Study (NIES) is administered as part of the National Assessment of Educational Progress (NAEP) to allow more in-depth reporting on the achievement and experiences of American Indian/Alaska Native (AI/AN)1 students in grades 4 and 8. This report focuses primarily on two themes identified during the development of the…

  1. A cultural contracts perspective: examining American Indian identity negotiations in academia.

    Science.gov (United States)

    Lamsam, Teresa Trumbly

    2014-01-01

    Education has played a central role in identity confusion, and to this day, it is used to assimilate American Indians. For those American Indians who persist through doctoral degrees and enter academe, resisting assimilation is especially risky and often tiresome. In this conceptual exploration of identity, Cultural Contracts theory serves to illuminate the path of the American Indian academic journey. Although never applied in an American Indian context, cultural contracts theory may provide a bridge between the seemingly disparate strains of identity research and leave us with a sense of scope and potential for the theory's application.

  2. Diabetes and Kidney Disease in American Indians: Potential Role of Sugar-Sweetened Beverages.

    Science.gov (United States)

    Yracheta, Joseph M; Lanaspa, Miguel A; Le, MyPhuong T; Abdelmalak, Manal F; Alfonso, Javier; Sánchez-Lozada, Laura G; Johnson, Richard J

    2015-06-01

    Since the early 20th century, a marked increase in obesity, diabetes, and chronic kidney disease has occurred in the American Indian population, especially the Pima Indians of the Southwest. Here, we review the current epidemic and attempt to identify remediable causes. A search was performed using PubMed and the search terms American Indian and obesity, American Indian and diabetes, American Indian and chronic kidney disease, and American Indian and sugar or fructose, Native American, Alaska Native, First Nations, Aboriginal, Amerind, and Amerindian for American Indian for articles linking American Indians with diabetes, obesity, chronic kidney disease, and sugar; additional references were identified in these publications traced to 1900 and articles were reviewed if they were directly discussing these topics. Multiple factors are involved in the increased risk for diabetes and kidney disease in the American Indian population, including poverty, overnutrition, poor health care, high intake of sugar, and genetic mechanisms. Genetic factors may be especially important in the Pima, as historical records suggest that this group was predisposed to obesity before exposure to Western culture and diet. Exposure to sugar-sweetened beverages may also be involved in the increased risk for chronic kidney disease. In these small populations in severe health crisis, we recommend further studies to investigate the role of excess added sugar, especially sugar-sweetened beverages, as a potentially remediable risk factor.

  3. Blood Politics, Ethnic Identity, and Racial Misclassification among American Indians and Alaska Natives

    Directory of Open Access Journals (Sweden)

    Emily A. Haozous

    2014-01-01

    Full Text Available Misclassification of race in medical and mortality records has long been documented as an issue in American Indian/Alaska Native data. Yet, little has been shared in a cohesive narrative which outlines why misclassification of American Indian/Alaska Native identity occurs. The purpose of this paper is to provide a summary of the current state of the science in racial misclassification among American Indians and Alaska Natives. We also provide a historical context on the importance of this problem and describe the ongoing political processes that both affect racial misclassification and contribute to the context of American Indian and Alaska Native identity.

  4. Blood politics, ethnic identity, and racial misclassification among American Indians and Alaska Natives.

    Science.gov (United States)

    Haozous, Emily A; Strickland, Carolyn J; Palacios, Janelle F; Solomon, Teshia G Arambula

    2014-01-01

    Misclassification of race in medical and mortality records has long been documented as an issue in American Indian/Alaska Native data. Yet, little has been shared in a cohesive narrative which outlines why misclassification of American Indian/Alaska Native identity occurs. The purpose of this paper is to provide a summary of the current state of the science in racial misclassification among American Indians and Alaska Natives. We also provide a historical context on the importance of this problem and describe the ongoing political processes that both affect racial misclassification and contribute to the context of American Indian and Alaska Native identity.

  5. Elevated glycated hemoglobin predicts macrosomia among Asian Indian pregnant women (WINGS-9

    Directory of Open Access Journals (Sweden)

    Balaji Bhavadharini

    2017-01-01

    Full Text Available Aim: The aim of this study was to determine the optimal glycated hemoglobin (HbA1c cut point for diagnosis of gestational diabetes mellitus (GDM and to evaluate the usefulness of HbA1c as a prognostic indicator for adverse pregnancy outcomes. Methods: HbA1c estimations were carried out in 1459 pregnant women attending antenatal care centers in urban and rural Tamil Nadu in South India. An oral glucose tolerance test was carried out using 75 g anhydrous glucose, and GDM was diagnosed using the International Association of the Diabetes and Pregnancy Study Groups criteria. Results: GDM was diagnosed in 195 women. Receiver operating curves showed a HbA1c cut point of ≥ 5.0% (≥31 mmol/mol have a sensitivity of 66.2% and specificity of 56.2% for identifying GDM (area under the curve 0.679, confidence interval [CI]: 0.655–0.703. Women with HbA1c ≥ 5.0% (≥31 mmol/mol were significantly older and had higher body mass index, greater history of previous GDM, and a higher prevalence of macrosomia compared to women with HbA1c < 5.0% (<31 mmol/mol. The adjusted odds ratio for macrosomia in those with HbA1c ≥ 5.0% (≥31 mmol/mol was 1.92 (CI: 1.24–2.97, P = 0.003. However, other pregnancy outcomes were not significantly different. Conclusion: In Asian Indian pregnant women, a HbA1c of 5.0% (31 mmol/mol or greater is associated with increased risk of macrosomia.

  6. Elevated glycated hemoglobin predicts macrosomia among Asian Indian pregnant women (WINGS-9).

    Science.gov (United States)

    Bhavadharini, Balaji; Mahalakshmi, Manni Mohanraj; Deepa, Mohan; Harish, Ranjani; Malanda, Belma; Kayal, Arivudainambi; Belton, Anne; Saravanan, Ponnusamy; Ranjit, Unnikrishnan; Uma, Ram; Anjana, Ranjit Mohan; Mohan, Viswanathan

    2017-01-01

    The aim of this study was to determine the optimal glycated hemoglobin (HbA1c) cut point for diagnosis of gestational diabetes mellitus (GDM) and to evaluate the usefulness of HbA1c as a prognostic indicator for adverse pregnancy outcomes. HbA1c estimations were carried out in 1459 pregnant women attending antenatal care centers in urban and rural Tamil Nadu in South India. An oral glucose tolerance test was carried out using 75 g anhydrous glucose, and GDM was diagnosed using the International Association of the Diabetes and Pregnancy Study Groups criteria. GDM was diagnosed in 195 women. Receiver operating curves showed a HbA1c cut point of ≥ 5.0% (≥31 mmol/mol) have a sensitivity of 66.2% and specificity of 56.2% for identifying GDM (area under the curve 0.679, confidence interval [CI]: 0.655-0.703). Women with HbA1c ≥ 5.0% (≥31 mmol/mol) were significantly older and had higher body mass index, greater history of previous GDM, and a higher prevalence of macrosomia compared to women with HbA1c macrosomia in those with HbA1c ≥ 5.0% (≥31 mmol/mol) was 1.92 (CI: 1.24-2.97, P = 0.003). However, other pregnancy outcomes were not significantly different. In Asian Indian pregnant women, a HbA1c of 5.0% (31 mmol/mol) or greater is associated with increased risk of macrosomia.

  7. Documenting Nursing and Medical Students' Stereotypes about Hispanic and American Indian Patients.

    Science.gov (United States)

    Bean, Meghan G; Focella, Elizabeth S; Covarrubias, Rebecca; Stone, Jeff; Moskowitz, Gordon B; Badger, Terry A

    2014-10-01

    Hispanic Americans and American Indians face significant health disparities compared with White Americans. Research suggests that stereotyping of minority patients by members of the medical community is an important antecedent of race and ethnicity-based health disparities. This work has primarily focused on physicians' perceptions, however, and little research has examined the stereotypes healthcare personnel associate with Hispanic and American Indian patients. The present study assesses: 1) the health-related stereotypes both nursing and medical students hold about Hispanic and American Indian patients, and 2) nursing and medical students' motivation to treat Hispanic and American Indian patients in an unbiased manner. Participants completed a questionnaire assessing their awareness of stereotypes that healthcare professionals associate with Hispanic and American Indian patients then completed measures of their motivation to treat Hispanics and American Indians in an unbiased manner. Despite being highly motivated to treat Hispanic and American Indian individuals fairly, the majority of participants reported awareness of stereotypes associating these patient groups with noncompliance, risky health behavior, and difficulty understanding and/or communicating health-related information. This research provides direct evidence for negative health-related stereotypes associated with two understudied minority patient groups-Hispanics and American Indians-among both nursing and medical personnel.

  8. Atherosclerosis risk factors in American Indians with Alzheimer disease: preliminary findings.

    Science.gov (United States)

    Weiner, Myron F; Rosenberg, Roger N; Womack, Kyle B; Svetlik, Doris A; Fuller, Carey; Fields, Julie; Hynan, Linda S

    2008-01-01

    Factors predisposing to and associated with atherosclerosis may impact the onset and progression of Alzheimer disease (AD). The high prevalence of atherosclerosis and associated risk factors in American Indians makes them ideal subjects to test this association. We compared frequency of history of hypertension, myocardial infarction, stroke, diabetes, and high cholesterol in 34 American Indians with AD with 34 age-matched American Indian controls, and 34 age-matched whites with probable AD. We also measured waist size, height, and weight, and acquired blood for determination of plasma homocysteine and apolipoprotein E genotype. The 3 groups did not differ significantly in age or sex. History of hypertension and diabetes was significantly more common among American Indian AD patients than Indian controls or whites with AD. The 3 groups did not differ in history of stroke or myocardial infarction. Body mass index was significantly greater in both Indian groups than the white AD group. Plasma homocysteine levels were greater, but not significantly so, in the Indian AD than the Indian control group. Thus, there is preliminary evidence of a modest association between history of hypertension and diabetes and AD in a small sample of American Indians. This suggests that changes in lifestyle factors could influence the expression of AD in American Indians.

  9. Divergent models of diabetes among American Indian elders.

    Science.gov (United States)

    Henderson, Linda Carson

    2010-12-01

    The purpose of this study was to examine belief systems about diabetes in American Indian elders, and the effects of culture on care-seeking, adherence, and diabetes self-care. Health belief theory predicts that care-seeking and medical adherence are a function of culturally mediated beliefs that result in behaviors that effect health status. In order to elicit cultural meanings of diabetes, in-depth interviews were conducted with an intensity sample of 30 American Indian diabetic elders (55+). Two models of diabetes were identified, divergent in terms of 1) health behaviors, and 2) cultural identification. One model was characterized by delayed care-seeking, and a non-valuing of adherence to diabetes self-care. Non-adherence to medical recommendations was perceived as being socially desirable, because adherence placed the elder outside their peer group. The second model was characterized by early care-seeking and improved adherence to diabetes self-care. These divergent models of diabetes, in which care-seeking, diabetes self-care, and adherence vary as a function of cultural immersion, has implications for health education and disease management and may contribute substantially to health disparities.

  10. Unconscious Biases: Racial Microaggressions in American Indian Health Care

    Science.gov (United States)

    Walls, Melissa L.; Gonzalez, John; Gladney, Tanya; Onello, Emily

    2015-01-01

    Purpose This paper reports on the prevalence and correlates of microaggressive experiences in healthcare settings reported by American Indian (AI) adults with type 2 diabetes. Methods This community-based participatory research project includes two AI reservation communities. Data were collected via in-person paper-and-pencil survey interviews with 218 AI adults diagnosed with type 2 diabetes. Results Over 1/3 of the sample reported experiencing a microaggression in interactions with their health providers. Reports of microaggressions were correlated with self-reported history of heart attack, worse depressive symptoms, and prior year hospitalization. Depressive symptom ratings appeared to account for some of the association between microaggressions and hospitalization (but not history of heart attack) in multivariate models. Conclusions Microaggressive experiences undermine the ideals of patient-centered care and in this study were correlated with worse mental and physical health reports for American Indians living with a chronic disease. Providers should be cognizant of these subtle, often unconscious forms of discrimination. PMID:25748764

  11. Food Environments around American Indian Reservations: A Mixed Methods Study.

    Science.gov (United States)

    Chodur, Gwen M; Shen, Ye; Kodish, Stephen; Oddo, Vanessa M; Antiporta, Daniel A; Jock, Brittany; Jones-Smith, Jessica C

    2016-01-01

    To describe the food environments experienced by American Indians living on tribal lands in California. Geocoded statewide food business data were used to define and categorize existing food vendors into healthy, unhealthy, and intermediate composite categories. Distance to and density of each of the composite food vendor categories for tribal lands and nontribal lands were compared using multivariate linear regression. Quantitative results were concurrently triangulated with qualitative data from in-depth interviews with tribal members (n = 24). After adjusting for census tract-level urbanicity and per capita income, results indicate there were significantly fewer healthy food outlets per square mile for tribal areas compared to non-tribal areas. Density of unhealthy outlets was not significantly different for tribal versus non-tribal areas. Tribal members perceived their food environment negatively and reported barriers to the acquisition of healthy food. Urbanicity and per capita income do not completely account for disparities in food environments among American Indians tribal lands compared to nontribal lands. This disparity in access to healthy food may present a barrier to acting on the intention to consume healthy food.

  12. Healing pathways: art therapy for American Indian cancer survivors.

    Science.gov (United States)

    Warson, Elizabeth

    2012-04-01

    There is a paucity of research addressing quality of life factors for American Indian and Alaska Native cancer survivors. Complementary forms of therapy, such as art therapy, are beginning to address quality of life factors through the "healing" arts for cancer survivors. The purpose of this mixed methods pilot was to explore the effects of culturally relevant art interventions on stress reduction for American Indian cancer survivors and their family members. Forty-six adult participants attended one of three workshops held within two settlements of the Coharie tribe and one southeastern urban tribal center. The data collected consisted of a pretest and posttest State-Trait Personality Inventory (STPI) and artwork resulting from three directed interventions. The artwork was analyzed using qualitative coding methods; however, the scores from the STPI were inconclusive because the inventory was determined to be culturally biased. While statistical significance was not achieved, the findings from qualitative coding reinforced a native concept of wellness focusing on the complex interaction between mind, body, spirit, and context. This pilot study also demonstrated how a community-driven approach was instrumental in the development of the overall workshop format. An expansion of the pilot study is also presented with preliminary results available in 2012.

  13. Coming-of-Age among Contemporary American Indians as Portrayed in Adolescent Fiction.

    Science.gov (United States)

    Markstrom-Adams, Carol

    1990-01-01

    Reviewed nine contemporary novels (1971-86) to examine dominant themes evident in contemporary novels involving American Indian adolescents. In contrast to earlier novels, these contemporary novels reflected greater realism toward and less stereotyping of American Indians. Most salient themes dealt with prejudice and discrimination, hopelessness…

  14. An Emergent Phenomenon of American Indian Secondary Students' Career Development Process

    Science.gov (United States)

    Flynn, Stephen V.; Duncan, Kelly J.; Evenson, Lori L.

    2013-01-01

    Nine single-race American Indian secondary students' career development experiences were examined through a phenomenological methodology. All 9 participants were in the transition period starting in late secondary school (age 18). Data sources included individual interviews and journal analysis. The phenomenon of American Indian secondary…

  15. Cultural Differences, Nonverbal Regulation, and Classroom Interaction: Sociolinguistic Interference in American Indian Education.

    Science.gov (United States)

    Greenbaum, Paul E.; Greenbaum, Susan D.

    1983-01-01

    Various studies of interaction between teachers and American Indian students indicate that nonverbal behaviors interfere with classroom communication and educational performance. American Indian children exhibit such behaviors as less talking, low voice tones, and averted gaze during conservations. These behaviors seem to hinder students in the…

  16. Cumulative Risk for Early Sexual Initiation among American Indian Youth: A Discrete-Time Survival Analysis

    Science.gov (United States)

    Mitchell, Christina M.; Whitesell, Nancy Rumbaugh; Spicer, Paul; Beals, Janette; Kaufman, Carol E.

    2007-01-01

    Approximately 3 million teens are diagnosed with a sexually transmitted disease (STD) annually; STDs rates for American Indian young adults are among the highest of any racial/ethnic group. An important risk factor for STDs is early initiation of sex. In this study, we examined risk for early initiation with 474 American Indian youth ages 14-18,…

  17. Preferred Drug Resistance Strategies of Urban American Indian Youth of the Southwest

    Science.gov (United States)

    Kulis, Stephen; Brown, Eddie F.

    2011-01-01

    This study explored the drug resistance strategies that urban American Indian adolescents consider the best and worst ways to respond to offers of alcohol, cigarettes, and marijuana. Focus group data were collected from 11 female and 9 male American Indian adolescents attending urban middle schools in the southwest. The youth were presented with…

  18. The Urban Los Angeles American Indian Experience: Perspectives from the Field

    Science.gov (United States)

    Ledesma, Rita

    2007-01-01

    This article reports on the findings from two studies conducted in the Los Angeles urban American Indian/Alaska Native (AIAN) community. The research investigated the relationship between the American Indian and Alaska Native cultural values and the social problems that challenge the urban Native community in the greater Los Angeles and Orange…

  19. Applying Medical Anthropology: Developing Diabetes Education and Prevention Programs in American Indian Cultures.

    Science.gov (United States)

    Olson, Brooke

    1999-01-01

    Medical anthropology provides a broader contextual framework for understanding complex causal factors associated with diabetes among American Indians and how to minimize these factors in education/treatment programs. Discusses historical, epidemiological, and genetic considerations in American Indian diabetes; cultural factors related to foods,…

  20. 2011 Montana Youth Risk Behavior Survey: American Indian Students in Urban Schools

    Science.gov (United States)

    Montana Office of Public Instruction, 2011

    2011-01-01

    This report presents the 2011 Montana Youth Risk Behavior Survey high school student frequency distributions for American Indian students in urban schools. These frequency distributions are based upon surveys with 808 high school American Indian students in urban schools during February of 2011. Frequency distributions may not total 808 due to…

  1. 2011 Montana Youth Risk Behavior Survey: American Indian Students on or near a Reservation

    Science.gov (United States)

    Montana Office of Public Instruction, 2011

    2011-01-01

    This report presents the 2011 Montana Youth Risk Behavior Survey high school student frequency distributions for American Indian students on or near a reservation. These frequency distributions are based upon surveys with 720 high school American Indian students on or near a reservation in Montana during February of 2011. Frequency distributions…

  2. Supporting the Career Aspirations of American Indian Youth. CURA Reporter, Spring 2005

    Science.gov (United States)

    Alliman-Brissett, Annette E; Turner, Sherri L.

    2005-01-01

    Dropout rates among American Indian young people are greater than 50% in some places in the country, and the rate of unemployment and underemployment among American Indians still far exceeds that of the majority population, despite affirmative action and other parity-seeking policies. In addition, U.S. Census trends indicate an influx of American…

  3. Drug Abuse Prevention Research Needs among American Indians and Alaska Natives.

    Science.gov (United States)

    Trimble, Joseph E.

    1984-01-01

    Summarizes the literature regarding alcohol and drug abuse among American Indians and Alaska Natives noting four major knowledge gaps in the literature. Discusses abuse prevention efforts among American Indians and notes research questions to be considered regarding primary, secondary, and tertiary prevention efforts. Makes eight recommendations…

  4. She Has Great Spirit: Insight into Relationships between American Indian Dads and Daughters

    Science.gov (United States)

    Reinhardt, Martin James; Perry Evenstad, Jan; Faircloth, Susan

    2012-01-01

    Data from this preliminary study, the American Indian--Dads and Daughters Survey, shed light on how American Indian fathers think and feel about their relationships with their daughters. Respondents represent an array of tribal affiliations, age, occupations, socioeconomic status, and geographical/geopolitical locations, helping to ensure that…

  5. Native American Indian Adolescents: Response to a Culturally Tailored, School-Based Substance Abuse Intervention

    Science.gov (United States)

    Patchell, Beverly A.

    2011-01-01

    Native American Indian adolescent substance abuse has been a longstanding health concern. There are few culturally tailored interventions for mild to moderate substance users. The purpose of this study was to measure the response of Native American Indian adolescents from the Plains tribal groups to a school-based culturally tailored substance…

  6. The Urban Los Angeles American Indian Experience: Perspectives from the Field

    Science.gov (United States)

    Ledesma, Rita

    2007-01-01

    This article reports on the findings from two studies conducted in the Los Angeles urban American Indian/Alaska Native (AIAN) community. The research investigated the relationship between the American Indian and Alaska Native cultural values and the social problems that challenge the urban Native community in the greater Los Angeles and Orange…

  7. American Indians in South Dakota: A Profile. Update Series C229, No. 22.

    Science.gov (United States)

    Baer, Linda L.; Bennett, Mary A.

    Life is changing for the American Indians of South Dakota and the United States. Nationally, the population is young, growing, and becoming more urban. The South Dakota population exhibits these same traits, except that it remains predominantly rural. In South Dakota, American Indians combat poverty, unemployment, underemployment, and inadequate…

  8. Reference Encyclopedia of the American Indian. Volume 1, 4th Edition.

    Science.gov (United States)

    Klein, Barry T., Ed.

    Volume 1 of the fourth edition of the encyclopedia contains directory and descriptive listings of organizations in the United States and Canada, resource materials concerning North American Indians, and a bibliography of in-print books about the American Indian. The first section of the volume contains source listings of government agencies,…

  9. Making Meaning of Urban American Indian Identity: A Multistage Integrative Process

    Science.gov (United States)

    Lucero, Nancy M.

    2010-01-01

    The cultural identity and tribal connectedness of American Indians are commonly believed to have been negatively affected by the urbanization process in which American Indians have been involved during the past half century. This phenomenological study examined the processes through which cultural identity was formed and maintained by a group of…

  10. 75 FR 35070 - American Indians Into Medicine; Notice of Competitive Grant Applications for American Indians...

    Science.gov (United States)

    2010-06-21

    ... and advance the physical and mental health of the American people. II. Award Information Type of... subject to the availability of funds. In the absence of funding, the agency is under no obligation to make... place all responses and required information in the correct section or they will not be considered...

  11. A longitudinal study of self-esteem, cultural identity, and academic success among American Indian adolescents

    OpenAIRE

    Whitesell, Nancy Rumbaugh; Mitchell, Christina M.; Spicer, Paul

    2009-01-01

    Latent growth curve modeling was used to estimate developmental trajectories of self-esteem and cultural identity among American Indian high school students and to explore the relationships of these trajectories to personal resources, problem behaviors, and academic performance at the end of high school. The sample included 1,611 participants from the Voices of Indian Teens project, a three-year longitudinal study of adolescents from three diverse American Indian cultural groups in the wester...

  12. Exaggerated insulin secretion in Pima Indians and African-Americans but higher insulin resistance in Pima Indians compared to African-Americans and Caucasians.

    Science.gov (United States)

    Stefan, N; Stumvoll, M; Weyer, C; Bogardus, C; Tataranni, P A; Pratley, R E

    2004-10-01

    African-Americans have a higher prevalence of Type 2 diabetes than Caucasians, but a lower prevalence than Pima Indians. Studies suggest that both African-Americans and Pima Indians are more insulin resistant and have higher acute insulin secretory responses to glucose than Caucasians; however, a direct comparison between these three populations is lacking. We measured insulin secretory responses to intravenous glucose (acute insulin response, AIR, 25 g ivGTT); insulin action at physiological (M-low) and supra-physiological (M-high) levels of hyperinsulinaemia (2-step hyperinsulinaemic clamp); basal and insulin-suppressed endogenous glucose production in 30 African-Americans, 30 Pima Indians and 30 Caucasians with normal glucose tolerance who were carefully matched for age, sex, and body fat (hydrodensitometry or DEXA). A subgroup of 24 subjects from each group additionally underwent a standardized mixed meal test. M-low was lower in Pima Indians (0.50 +/- 0.03) compared to Caucasians (0.59 +/- 0.02, P = 0.02) and African-Americans [0.58 +/- 0.03 mg/kgEMBS/min, log10 (means +/- SE), P = 0.03] but was not different between African-Americans and Caucasians. Basal endogenous glucose production was lower in Pima Indians (2.43 +/- 0.06) compared to African-Americans (2.70 +/- 0.06, P = 0.02) and was not different between Pima Indians and Caucasians (2.59 +/- 0.09 mg/kgEMBS/min) or African-Americans and Caucasians (all P > 0.18). Insulin-suppressed endogenous glucose production during the clamp was not different among the groups (all P > 0.40). AIR was higher in both African-Americans (13.51 +/- 0.26) and Pima Indians (13.72 +/- 0.27) compared to Caucasians (12.33 +/- 0.25 pM, log10, both P < 0.01). The areas under the curve for glucose in response to the oral glucose tolerance test and mixed meal test were higher in Pima Indians compared to African-Americans (P = 0.03 and P = 0.03, respectively) and Caucasians (P = 0.01, mixed meal test), but not different between

  13. Suicide among American Indian Adolescents. Some Facts about the Rising Rate of Suicide among American Indian Adolescents; Information on Causes and Warning Signs; and Examples of Effective Efforts and Prevention Resources. Linkages for Indian Child Welfare Programs.

    Science.gov (United States)

    Berlin, Irving N.

    Suicide among American Indian adolescents has increased by almost 1000% over the past 20 years to become, as in Anglo society, the second most frequent cause of death in the 10 to 20 year old age group. The two major causes of adolescent suicide are acute stress and chronic depression. Environmental factors contributing to American Indian suicides…

  14. An assessment of American Indian women's mammography experiences

    Directory of Open Access Journals (Sweden)

    Faseru Babalola

    2010-12-01

    Full Text Available Abstract Background Mortality from breast cancer has increased among American Indian/Alaskan Native (AI/AN women. Despite this alarming reality, AI/AN women have some of the lowest breast cancer screening rates. Only 37% of eligible AI/AN women report a mammogram within the last year and 52% report a mammogram within the last two years compared to 57% and 72% for White women. The experiences and satisfaction surrounding mammography for AI/AN women likely are different from that of women of other racial/ethnic groups, due to cultural differences and limited access to Indian Health Service sponsored mammography units. The overall goals of this study are to identify and understand the mammography experiences and experiential elements that relate to satisfaction or dissatisfaction with mammography services in an AI/AN population and to develop a culturally-tailored AI/AN mammography satisfaction survey. Methods and Design The three project aims that will be used to guide this work are: 1 To compare the mammography experiences and satisfaction with mammography services of Native American/Alaska Native women with that of Non-Hispanic White, Hispanic, and Black women, 2 To develop and validate the psychometric properties of an American Indian Mammography Survey, and 3 To assess variation among AI/AN women's assessments of their mammography experiences and mammography service satisfaction. Evaluations of racial/ethnic differences in mammography patient satisfaction have received little study, particularly among AI/AN women. As such, qualitative study is uniquely suited for an initial examination of their experiences because it will allow for a rich and in-depth identification and exploration of satisfaction elements. Discussion This formative research is an essential step in the development of a validated and culturally tailored AI/AN mammography satisfaction assessment. Results from this project will provide a springboard from which a maximally

  15. Racial discrimination predicts greater systemic inflammation in pregnant African American women.

    Science.gov (United States)

    Giurgescu, Carmen; Engeland, Christopher G; Templin, Thomas N; Zenk, Shannon N; Koenig, Mary Dawn; Garfield, Lindsey

    2016-11-01

    Chronic exposure to racial discrimination by pregnant African American women may lead to allostatic overload; thereby, predisposing women to systemic inflammation. Thus, the goal of this study was to examine if experiences of racial discrimination are related to systemic inflammation in pregnant African Americans. A sample of 96 African American women from Chicago completed questionnaires and had blood drawn during the second trimester of pregnancy (19.7±2.5 weeks). Experiences of racial discrimination were associated with higher cytokine levels of interleukin (IL)-4 (B=2.161, 95% CI = 1.02-3.30, pracial discrimination may cause physiological wear and tear on the body leading to alteration of immune functions. Nurses should inquire about women's experiences of racial discrimination and make referrals for community or church support groups for women who report racial discrimination. Copyright © 2016 Elsevier Inc. All rights reserved.

  16. The Health Status of American Indian and Alaska Native Males

    Science.gov (United States)

    Rhoades, Everett R.

    2003-01-01

    Objectives. This study summarizes current health status information relating to American Indian and Alaska Native (AI/AN) males compared with that of AI/ANfemales. Methods. I analyzed published data from the Indian Health Service for 1994 through 1996 to determine sex differences in morbidity and mortality rates and use of health care facilities. Results. AI/AN males’ death rates exceed those of AI/AN females for every age up to 75 years and for 6 of the 8 leading causes of death. Accidents, suicide, and homicide are epidemic among AI/AN males. Paradoxically, AI/AN males contribute only 37.9% of outpatient visits, versus 62.1% for females, and only 47% of hospitalizations excluding childbirth. Conclusions. AI/AN males suffer inordinately from a combination of increased burden of illness and lack of utilization of health care services. Programs targeted to anomie, loss of traditional male roles, and violence and alcoholism are among the most urgently needed. PMID:12721143

  17. Research with American Indian and Alaska Native populations: Measurement matters.

    Science.gov (United States)

    Walls, Melissa L; Whitesell, Nancy Rumbaugh; Barlow, Allison; Sarche, Michelle

    2017-04-25

    Research is an important tool in addressing myriad American Indian and Alaska Native (AIAN) health disparities; however, tensions exist between common empirical measurement approaches that facilitate cross-cultural comparisons and measurement specificity that may be more valid locally and/or culturally appropriate. The tremendous diversity of AIAN communities, small population sizes of distinct AIAN cultural groups, and varying cultural contexts and worldviews should influence measurement decisions in health research. We provide a framework for guiding measurement in collaboration with AIAN communities using examples from substance abuse research for illustration. Our goal is to build upon ongoing efforts to advance measurement validity for AIAN research by engaging community-researcher partnerships and critical thinking in the selection, adaptation, creation, and implementation of measures.

  18. Eugenics as Indian removal: sociohistorical processes and the de(con)struction of American Indians in the southeast.

    Science.gov (United States)

    Gonzales, Angela; Kertész, Judy; Tayac, Gabrielle

    2007-01-01

    Although research on the history of the eugenics movement in the United States is legion, its impact on state policies that identified and defined American Indians has yet to be fully addressed. The exhibit, Our Lives: Comtemporary Life and Identities (ongoing until September 21, 2014) at the National Museum of the American Indian provides a provocative vehicle for examining how eugenics-informed public policy during the first quarter of the twentieth century served to "remove" from official records Native peoples throughout the Southeast. One century after Indian Removal of the antebellum era, Native peoples in the American Southeast provide an important but often overlooked example of how racial policies, this time rooted in eugenics, effected a documentary erasure of Native peoples and communities.

  19. Applying the Theory of Reasoned Action to Understanding Teen Pregnancy with American Indian Communities.

    Science.gov (United States)

    Dippel, Elizabeth A; Hanson, Jessica D; McMahon, Tracey R; Griese, Emily R; Kenyon, DenYelle B

    2017-07-01

    Objectives American Indian girls have higher teen pregnancy rates than the national rate. Intervention studies that utilize the Theory of Reasoned Action have found that changing attitudes and subjective norms often leads to subsequent change in a variety of health behaviors in young adults. The current study goal is to better understand sexual decision-making among American Indian youth using the Theory of Reasoned Action model and to introduce ways to utilize attitudes and subjective norms to modify risky behaviors. Methods The project collected qualitative data at a reservation site and an urban site through 16 focus groups with American Indian young people aged 16-24. Results Attitudes towards, perceived impact of, and perception of how others felt about teen pregnancy vary between American Indian parents and non-parents. Particularly, young American Indian parents felt more negatively about teen pregnancy. Participants also perceived a larger impact on female than male teen parents. Conclusions There are differences between American Indian parents and non-parents regarding attitudes towards, the perceived impact of, and how they perceived others felt about teen pregnancy. Teen pregnancy prevention programs for American Indian youth should include youth parents in curriculum creation and curriculum that addresses normative beliefs about teen pregnancy and provides education on the ramifications of teen pregnancy to change attitudes.

  20. Embodied meanings of early childbearing among American Indian women: a turning point.

    Science.gov (United States)

    Palacios, Janelle; Chesla, Catherine; Kennedy, Holly; Strickland, June

    2012-01-01

    American Indian women often have poor perinatal outcomes and are at risk for early childbearing. The purpose of this qualitative study was to understand the experience and meaning of early childbearing among American Indian women. Employing interpretive phenomenology and a semistructured interview guide, we interviewed 30 adult American Indian women residing in a northwestern American Indian reservation about their experiences and meaning of early childbearing. Three overarching themes were tied to their eventual positive evaluation of the experience: 1) mourning a lost childhood, 2) seeking fulfillment, and 3) embodying responsibility. Women indicated that despite their tumultuous childhoods, early childbearing presented an opportunity to effect positive change in their lives. Women's health care providers are positioned to help women change their lives, thereby, improving health outcomes. © 2012 by the American College of Nurse-Midwives.

  1. Poverty and health disparities for American Indian and Alaska Native children: current knowledge and future prospects.

    Science.gov (United States)

    Sarche, Michelle; Spicer, Paul

    2008-01-01

    This report explores the current state of knowledge regarding inequalities and their effect on American Indian and Alaska Native children, underscoring gaps in our current knowledge and the opportunities for early intervention to begin to address persistent challenges in young American Indian and Alaska Native children's development. This overview documents demographic, social, health, and health care disparities as they affect American Indian and Alaska Native children, the persistent cultural strengths that must form the basis for any conscientious intervention effort, and the exciting possibilities for early childhood interventions.

  2. Community Background Reports: Three Boarding Schools (Phoenix Indian School, Phoenix, Arizona; Theodore Roosevelt School, Fort Apache, Arizona; Chemawa Indian School, Salem, Oregon). National Study of American Indian Education, Series I, No. 15, Final Report.

    Science.gov (United States)

    Wesemann, Ralph E.; And Others

    Three Bureau of Indian Affairs off-reservation boarding schools (Phoenix Indian School in Phoenix, Arizona; Theodore Roosevelt School in Fort Apache, Arizona; and Chemawa Indian School in Salem, Oregon) are the subjects for this report, which is a part of the National Study of American Indian Education. Brief descriptions of the physical plant,…

  3. Vocational Education for American Indians: Then and Now.

    Science.gov (United States)

    Lockart, Barbetta L.

    Vocational training has traditionally been a part of the services provided to Indian people by the Bureau of Indian Affairs, but for many decades the training offered was inadequate and inappropriate and students completing programs were unemployable either on or off the reservation. In 1975 as Indian education began to move from federal control…

  4. Perceptions and Concerns Regarding Diabetes Mellitus During Pregnancy Among American Indian Women.

    Science.gov (United States)

    Carson, L D; Henderson, J Neil; King, Kama; Kleszynski, Keith; Thompson, David M; Mayer, Patricia

    2014-12-01

    Diabetes among American Indian (AI) people is a. condition that creates excessive morbidity and mortality and is a significant health disparity. This research delineated culturally constructed models of diabetes mellitus (DM) among 97 pregnant women in 2 large AI Nations to Oklahoma. Analysis of data revealed intense anxiety, fear, and dread related to DM during pregnancy. The sample was stratified by DM status: (a) absence of DM (n = 66), (b) DM prior to pregnancy (n = 4), and (c) gestational (n = 27). Structured and semistructured interviews elicited patient culturally based explanatory models (EMs) of etiology, course, and treatment. The research incorporated an integrated phenomenologic and ethnographic approach and yielded both quantitative and qualitative data. General findings comprised the following main categories of patients' concerns regarding DM as an illness: (a) care-seeking behaviors, (b) medical management, (c) adherence and self-management, (d) complications, and (e) the conceptual sense of DM as a "severe" and feared condition. Many findings varied according to acculturation status, but all included significant fear and anxiety surrounding (a) the health and well-being of the unborn child, (b) the use of insulin injections, (c) blindness, (d) amputation, and (e) death, but with (f) a paradoxically lowered anxiety level about diabetes severity overall, while at the same time expressing extreme dread of specific outcomes. The latter finding is considered consistent with the presence of chronic conditions that can usually be managed, yet still having risk if severe.

  5. Investigating Differences between American and Indian Raters in Assessing TOEFL iBT Speaking Tasks

    Science.gov (United States)

    Wei, Jing; Llosa, Lorena

    2015-01-01

    This article reports on an investigation of the role raters' language background plays in raters' assessment of test takers' speaking ability. Specifically, this article examines differences between American and Indian raters in their scores and scoring processes when rating Indian test takers' responses to the Test of English as a Foreign…

  6. Investigating Differences between American and Indian Raters in Assessing TOEFL iBT Speaking Tasks

    Science.gov (United States)

    Wei, Jing; Llosa, Lorena

    2015-01-01

    This article reports on an investigation of the role raters' language background plays in raters' assessment of test takers' speaking ability. Specifically, this article examines differences between American and Indian raters in their scores and scoring processes when rating Indian test takers' responses to the Test of English as a Foreign…

  7. Cultural Discontinuity between Home and School and American Indian and Alaska Native Children's Achievement

    Science.gov (United States)

    Torres, D. Diego

    2017-01-01

    An assumption of culture-based education with respect to American Indian and Alaska Native (AI/AN) children is that discontinuity between home and school cultures is responsible for educational underachievement. Using data from the 2009 round of the National Indian Education Study, a subset of the larger National Assessment of Education Progress…

  8. Listening to Neglected Voices - American Indian Perspectives on Natural Resource Management

    Science.gov (United States)

    David N. Bengston

    2004-01-01

    Forestry agencies must ensure that the views of all citizens in our increasingly diverse society are included in decisionmaking. But gaining clear insights into the perspectives of ethnic and minority communities is often difficult. This article summarizes an analysis of news articles about resource management issues written by American Indians and published in Indian...

  9. Access to Specialty Health Care for Rural American Indians in Two States

    Science.gov (United States)

    Baldwin, Laura-Mae; Hollow, Walter B.; Casey, Susan; Hart, L. Gary; Larson, Eric H.; Moore, Kelly; Lewis, Ervin; Andrilla, C. Holly A.; Grossman, David C.

    2008-01-01

    Context: The Indian Health Service (IHS), whose per capita expenditure for American Indian and Alaska Native (AI/AN) health services is about half that of the US civilian population, is the only source of health care funding for many rural AI/ANs. Specialty services, largely funded through contracts with outside practitioners, may be limited by…

  10. Preventing Substance Abuse in American Indian and Alaska Native Youth: Promising Strategies for Healthier Communities

    Science.gov (United States)

    Hawkins, Elizabeth H.; Cummins, Lillian H.; Marlatt, G. Alan

    2004-01-01

    Substance abuse has had profoundly devastating effects on the health and well-being of American Indians and Alaska Natives. A wide variety of intervention methods has been used to prevent or stem the development of alcohol and drug problems in Indian youth, but there is little empirical research evaluating these efforts. This article is an…

  11. 78 FR 40458 - American Indian Vocational Rehabilitation Services Program; Notice of Tribal Consultation and...

    Science.gov (United States)

    2013-07-05

    ... American Indian Vocational Rehabilitation Services Program; Notice of Tribal Consultation and Request for Comments AGENCY: Rehabilitation Services Administration, Office of Special Education and Rehabilitative... Rehabilitation Services (AIVRS) program. Assistance to Individuals with Disabilities in Reviewing the Record:...

  12. Establishing survey validity and reliability for American Indians through "think aloud" and test-retest methods.

    Science.gov (United States)

    Hauge, Cindy Horst; Jacobs-Knight, Jacque; Jensen, Jamie L; Burgess, Katherine M; Puumala, Susan E; Wilton, Georgiana; Hanson, Jessica D

    2015-06-01

    The purpose of this study was to use a mixed-methods approach to determine the validity and reliability of measurements used within an alcohol-exposed pregnancy prevention program for American Indian women. To develop validity, content experts provided input into the survey measures, and a "think aloud" methodology was conducted with 23 American Indian women. After revising the measurements based on this input, a test-retest was conducted with 79 American Indian women who were randomized to complete either the original measurements or the new, modified measurements. The test-retest revealed that some of the questions performed better for the modified version, whereas others appeared to be more reliable for the original version. The mixed-methods approach was a useful methodology for gathering feedback on survey measurements from American Indian participants and in indicating specific survey questions that needed to be modified for this population.

  13. Utility of Fiction about the American Indian in the Intermediate Social Studies Program

    Science.gov (United States)

    Fisher, Laura

    1974-01-01

    The author advocates the use of American Indian fiction to teach ethnic and sociological concepts. Criteria for analyzing and rating the cultural and sociological worth of the novels are provided. (DE)

  14. FastStats: Health of American Indian or Alaska Native Population

    Science.gov (United States)

    ... Deaths and Mortality Leading Causes of Death Life Expectancy Race and Ethnicity Health of American Indian or ... YouTube Instagram Listen Watch RSS ABOUT About CDC Jobs Funding LEGAL Policies Privacy FOIA No Fear Act ...

  15. A Synthesis of Perceptions About Physical Activity Among Older African American and American Indian Women

    Science.gov (United States)

    Henderson, Karla A.; Ainsworth, Barbara E.

    2003-01-01

    Objectives. In this review of qualitative data from the Cross-Cultural Activity Participation Study (CAPS), we synthesize the major findings of studies designed to identify minority women’s perceptions of physical activity. Methods. We interviewed 30 African American and 26 American Indian women with constant comparison techniques. We analyzed the data with a coding system developed from the data. Results. The women led active, busy lives. Most perceived physical activity as being good for them, identified constraints to time and space for physical activity, and wanted social support for physical activity. Sociocultural issues also were related to physical activity. Conclusions. Both personal and cultural values influenced the women’s physical activity behaviors. (Am J Public Health. 2003;93:313–317) PMID:12554592

  16. Culture, context, and sexual risk among Northern Plains American Indian youth

    OpenAIRE

    Kaufman, Carol; Desserich, Jennifer; Big Crow, Cecelia K.; Rock, Bonnie Holy; Keane, Ellen; Mitchell, Christina M.

    2007-01-01

    American Indian adolescents have two to four times the rate of sexually transmitted diseases (STDs) compared to whites nationally, they shoulder twice the proportion of AIDS compared to their national counterparts, and they have a 25% higher level of teen births. Yet little is known about the contemporary expectations, pressures, and norms that influence American Indian youth or how those might be shaped by today’s lived cultural experiences, which frustrates attempts to mitigate the apparent...

  17. Nicotine dependence and psychiatric and substance use comorbidities in a sample of American Indian male veterans.

    Science.gov (United States)

    Dickerson, Daniel L; O'Malley, Stephanie S; Canive, Jose; Thuras, Paul; Westermeyer, Joseph

    2009-01-01

    American Indians and Alaska Natives have the highest rates of nicotine dependence in the U.S. However, studies analyzing associations between nicotine dependence and psychiatric and substance use disorders in these groups have been limited. This study analyzes the co-occurrence of current and lifetime DSM-III-R nicotine dependence with psychiatric and substance use disorders in a community sample of 480 American Indian male veterans. Lifetime nicotine dependence (23.3%) was associated with all lifetime disorders studied, including alcohol use and drug use disorders, affective and anxiety disorders, PTSD, pathological gambling and antisocial personality disorder. Current nicotine dependence was present in 19% of the sample and significantly associated with current affective and gambling disorder. Substantial co-morbidity exists between nicotine dependence and other substance abuse and psychiatric disorders among this sample of American Indian male veterans, particularly for lifetime diagnoses. Screening for all psychiatric disorders among American Indian/Alaska Native smokers may be warranted. Although these results are similar to those observed among the general U.S. population, unique risk factors exist among American Indians/Alaska Natives which may require further attention. Specific public health and clinical interventions to reduce the rate of nicotine dependence among American Indians/Alaska Natives are recommended.

  18. The Family Spirit trial for American Indian teen mothers and their children: CBPR rationale, design, methods and baseline characteristics.

    Science.gov (United States)

    Mullany, Britta; Barlow, Allison; Neault, Nicole; Billy, Trudy; Jones, Tanya; Tortice, Iralene; Lorenzo, Sherilynn; Powers, Julia; Lake, Kristin; Reid, Raymond; Walkup, John

    2012-10-01

    The purpose of this paper is to describe the rationale, design, methods and baseline results of the Family Spirit trial. The goal of the trial is to evaluate the impact of the paraprofessional-delivered "Family Spirit" home-visiting intervention to reduce health and behavioral risks for American Indian teen mothers and their children. A community based participatory research (CBPR) process shaped the design of the current randomized controlled trial of the Family Spirit intervention. Between 2006 and 2008, 322 pregnant teens were randomized to receive the Family Spirit intervention plus Optimized Standard Care, or Optimized Standard Care alone. The Family Spirit intervention is a 43-session home-visiting curriculum administered by American Indian paraprofessionals to teen mothers from 28 weeks gestation until the baby's third birthday. A mixed methods assessment administered at nine intervals measures intervention impact on parental competence, mother's and children's social, emotional and behavioral risks for drug use, and maladaptive functioning. Participants are young (mean age = 18.1 years), predominantly primiparous, unmarried, and challenged by poverty, residential instability and low educational attainment. Lifetime and pregnancy drug use were ~2-4 times higher and ~5-6 times higher, respectively, than US All Races. Baseline characteristics were evenly distributed between groups, except for higher lifetime cigarette use and depressive symptoms among intervention mothers. If study aims are achieved, the public health field will have new evidence supporting multi-generational prevention of behavioral health disparities affecting young American Indian families and the utility of indigenous paraprofessional interventionists in under-resourced communities.

  19. U.S. Geological Survey activities related to American Indians and Alaska Natives: Fiscal year 2004

    Science.gov (United States)

    ,; Brunstein, F. Craig

    2006-01-01

    The USGS works in cooperation with American Indian and Alaska Native governments to conduct research on (1) water, energy, and mineral resources, (2) animals and plants that are important for traditional lifeways or have environmental or economic significance, and (3) natural hazards. This report describes most of the activities that the USGS conducted with American Indian and Alaska Native governments, educational institutions, and individuals during Federal fiscal year (FY) 2004. Most of these USGS activities were collaborations with Tribes, Tribal organizations, or professional societies. Other activities were conducted cooperatively with the U.S. Bureau of Indian Affairs (BIA) or other Federal entities.

  20. Reducing the Grade Disparities between American Indians and Euro-American Students in Introduction to Psychology through Small-Group, Peer-Mentored, Supplemental Instruction

    Science.gov (United States)

    Okun, Morris Alan; Berlin, Anna; Hanrahan, Jeanne; Lewis, James; Johnson, Kathryn

    2015-01-01

    Supplemental instruction (SI) is a small-group, peer-mentored programme which is compatible with the learning preferences of American Indian students. We tested the hypothesis that SI is a compensatory strategy that reduces the differences in the grades earned in introduction to psychology by Euro-American and American Indian students. The sample…

  1. Making science education meaningful for American Indian students: The effect of science fair participation

    Science.gov (United States)

    Welsh, Cynthia Ann

    Creating opportunities for all learners has not been common practice in the United States, especially when the history of Native American educational practice is examined (Bull, 2006; Chenoweth, 1999; Starnes, 2006a). The American Indian Science and Engineering Society (AISES) is an organization working to increase educational opportunity for American Indian students in science, engineering, and technology related fields (AISES, 2005). AISES provides pre-college support in science by promoting student science fair participation. The purpose of this qualitative research is to describe how American Indian student participation in science fairs and the relationship formed with their teacher affects academic achievement and the likelihood of continued education beyond high school. Two former American Indian students mentored by the principal investigator participated in this study. Four ethnographic research methods were incorporated: participant observation, ethnographic interviewing, search for artifacts, and auto-ethnographic researcher introspection (Eisenhart, 1988). After the interview transcripts, photos documenting past science fair participation, and researcher field notes were analyzed, patterns and themes emerged from the interviews that were supported in literature. American Indian academic success and life long learning are impacted by: (a) the effects of racism and oppression result in creating incredible obstacles to successful learning, (b) positive identity formation and the importance of family and community are essential in student learning, (c) the use of best practice in science education, including the use of curricular cultural integration for American Indian learners, supports student success, (d) the motivational need for student-directed educational opportunities (science fair/inquiry based research) is evident, (e) supportive teacher-student relationships in high school positively influences successful transitions into higher education. An

  2. Assessment of iodine nutrition in pregnant north Indian subjects in three trimesters

    Directory of Open Access Journals (Sweden)

    Emmy Grewal

    2013-01-01

    Full Text Available Objective: The cross-sectional study was carried out to assess the iodine status of pregnant women, using median urinary iodine concentration (MUI as the measure of outcome, to document the impact of advancing gestation on the MUI in normal pregnancy. Materials and Methods: The present study assessed the MUI in casual urine samples from 50 pregnant subjects of each trimester and 50 age-matched non-pregnant controls. Results: The median (range of urinary iodine concentration (UIC in pregnant women was 304 (102-859 μg/L and only 2% of the subjects had prevalence of values under 150 μg/L (iodine insufficiency. With regard to the study cohort, median (range UIC in the first, second, and third trimesters was 285 (102-457, 318 (102-805, and 304 (172-859 μg/L, respectively. Differences between the first, second, and third trimesters were not statistically significant. The MUI in the controls (305 μg/L was not statistically different from the study cohort. Conclusion: The pregnant women had no iodine deficiency, rather had high median urinary iodine concentrations indicating more than adequate iodine intake. Larger community-based studies are required in iodine-sufficient populations, to establish gestation-appropriate reference ranges for UIC in pregnancy.

  3. Myths Versus Data on American Indian Drug Abuse

    Science.gov (United States)

    Streit, Fred; Nicolich, Mark J.

    1977-01-01

    A drug and alcohol use prevalence study was conducted among Montana Indians by Montana Indians. The results raise questions about culture transmission as a drug prevention strategy. Also, there is evidence of a high proportion of youth with deceased fathers. Implications for further prevention needs are presented. (Author)

  4. American Indian Reference Works of 1986: Some of the Best.

    Science.gov (United States)

    Evans, G. Edward

    1986-01-01

    Favorably reviews six reference works: (1) Klein's encyclopedia; (2) Ancient America atlas, Coe and colleagues; (3) Littlefield and Parins' analysis of America Indian newspaper publishing; (4) Kutsch's guide to Cherokee documents; (5) Malval's guide to Hampton Institute archives; and (6) Clements' guide to Indian folklore in nineteenth century…

  5. Excess Frequent Insufficient Sleep in American Indians/Alaska Natives

    Directory of Open Access Journals (Sweden)

    Daniel P. Chapman

    2013-01-01

    Full Text Available Objective. Frequent insufficient sleep, defined as ≥14 days/past 30 days in which an adult did not get enough rest or sleep, is associated with adverse mental and physical health outcomes. Little is known about the prevalence of frequent insufficient sleep among American Indians/Alaska Natives (AI/AN. Methods. We assessed racial/ethnic differences in the prevalence of frequent insufficient sleep from the combined 2009-2010 Behavioral Risk Factor Surveillance Survey among 810,168 respondents who self-identified as non-Hispanic white (NHW, , non-Hispanic black (NHB, , Hispanic (, or AI/AN (. Results. We found significantly higher unadjusted prevalences (95% CI of frequent insufficient sleep among AI/AN (34.2% [32.1–36.4] compared to NHW (27.4% [27.1–27.6]. However, the age-adjusted excess prevalence of frequent insufficient sleep in AI/AN compared to NHW was decreased but remained significant with the addition of sex, education, and employment status; this latter relationship was further attenuated by the separate additions of obesity and lifestyle indicators, but was no longer significant with the addition of frequent mental distress to the model (PR  =  1.05; 95% CI : 0.99–1.13. This is the first report of a high prevalence of frequent insufficient sleep among AI/AN. These results further suggest that investigation of sleep health interventions addressing frequent mental distress may benefit AI/AN populations.

  6. Designing and evaluating culturally specific smoking cessation interventions for American Indian communities.

    Science.gov (United States)

    Fu, Steven S; Rhodes, Kristine L; Robert, Christina; Widome, Rachel; Forster, Jean L; Joseph, Anne M

    2014-01-01

    American Indians have the highest smoking rates in the United States, yet few randomized controlled trials of culturally specific interventions exist. This study assessed American Indians' opinions about evidence-based treatment and attitudes toward participating in clinical trials. Six focus groups were conducted based on smoking status (current/former smoker), sex, and elder status (55 years and older or younger). Meetings were held at local American Indian community organizations. This project was accomplished in partnership with the American Indian Community Tobacco Projects, a community-academic research partnership at the University of Minnesota. Thematic qualitative data analyses were conducted. Participants desired the following: (a) programs led by trained American Indian community members, (b) the opportunity to connect with other American Indian smokers interested in quitting, and (c) programs promoting healthy lifestyles. Strategies desired for treatment included (a) free pharmacotherapy, including nicotine replacement therapy (NRT); (b) nominal incentives, e.g., gift cards for groceries; and (c) culturally specific program components such as American Indian images, education on traditional tobacco use, and quit-smoking messages that target the value of family and include narratives or story telling in recruitment and program materials. Biochemical verification of smoking abstinence, such as salivary cotinine or carbon monoxide breathalyzers, is likely acceptable. Standard treatment or delayed treatment control groups were viewed as potentially acceptable for randomized study designs. Rigorously conducted randomized controlled trials of culturally specific smoking cessation interventions are sorely needed but will only be accomplished with the commitment of funders, researchers, and collaborative trusting relationships with the community.

  7. Process Evaluation of a Store-Based Environmental Obesity Intervention on Two American Indian Reservations

    Science.gov (United States)

    Curran, Sarah; Gittelsohn, Joel; Anliker, Jean; Ethelbah, Becky; Blake, Kelly; Sharma, Sangita; Caballero, Benjamin

    2005-01-01

    Obesity and other diet-related chronic diseases are widespread in American Indian communities. Inadequate access to healthy food on many reservations has led to a high-fat, high-sugar diet. The purpose of this paper is to report on the results of the process evaluation of a food store-based program to improve diet on two American Indian…

  8. A Review of Child Psychiatric Epidemiology With Special Reference to American Indian and Alaska Native Children.

    Science.gov (United States)

    Green, Ben Ezra; And Others

    1981-01-01

    Places the limited knowledge of the psychological problems of American Indian and Alaska Native children in context of general child psychiatric epidemiology, using the taxonomy of the American Psychiatric Association's third "Diagnostic and Statistical Manual." Available from: White Cloud Center, Gaines Hall UOHSC, 840 Southwest Gaines…

  9. "Survival This Way: Interviews with American Indian Poets" by Joseph Bruchac. Book Review.

    Science.gov (United States)

    Presley, John Woodrow

    1987-01-01

    Reviews a volume of 21 interviews with American Indian poets focusing on the issues of the new role of women in Native American poetry; the tension of two cultures, particularly for half-breeds; and cultural, national, and personal survival. The book includes a poem by each poet, with commentaries. (SV)

  10. Reframing Diabetes in American Indian Communities: A Social Determinants of Health Perspective

    Science.gov (United States)

    Mitchell, Felicia M.

    2012-01-01

    American Indians and Alaska Natives (AI/ANs) experience some of the greatest health inequities of any group within the United States. AI/ANs are diagnosed with diabetes more than twice as often as non-Hispanic white Americans. Diabetes is a chronic preventable disease often associated with individual risk factors and behaviors that indicate what…

  11. Reframing Diabetes in American Indian Communities: A Social Determinants of Health Perspective

    Science.gov (United States)

    Mitchell, Felicia M.

    2012-01-01

    American Indians and Alaska Natives (AI/ANs) experience some of the greatest health inequities of any group within the United States. AI/ANs are diagnosed with diabetes more than twice as often as non-Hispanic white Americans. Diabetes is a chronic preventable disease often associated with individual risk factors and behaviors that indicate what…

  12. Breast Cancer--Screening Behavior among Rural California American Indian Women

    Science.gov (United States)

    Hodge, Felicia Schanche

    2009-01-01

    A community-based Wellness Circles Program was designed and implemented at 13 sites in California to evaluate a culturally appropriate community-based health care model for American Indian families. Data obtained from the Behavioral Risk Factor Surveillance System (BRFSS) that was administered to a subset of women demonstrate that American Indian…

  13. Breast Cancer--Screening Behavior among Rural California American Indian Women

    Science.gov (United States)

    Hodge, Felicia Schanche

    2009-01-01

    A community-based Wellness Circles Program was designed and implemented at 13 sites in California to evaluate a culturally appropriate community-based health care model for American Indian families. Data obtained from the Behavioral Risk Factor Surveillance System (BRFSS) that was administered to a subset of women demonstrate that American Indian…

  14. Improving the accuracy of cancer rates for American Indians in New York State

    OpenAIRE

    Boscoe, Francis P.; Kahn, Amy R.; Schymura, Maria J

    2014-01-01

    In the 2000 Census, New York State had about 82,000 single-race American Indians, with about 47,000 indicating a specific tribal affiliation. The largest affiliations were Iroquois (18,000, encompassing Mohawk, Seneca, Onondaga and several other groups, about half of whom were living on or near one of six upstate reservation areas), Latin American Indians (11,000, primarily in New York City), and Cherokee (3,000, also primarily in New York City). Throughout the state, the number of American I...

  15. Initial Feasibility of a Woman-Focused Intervention for Pregnant African-American Women

    Directory of Open Access Journals (Sweden)

    Hendrée E. Jones

    2011-01-01

    Full Text Available African-American women who use crack are vulnerable to HIV because of the complex social circumstances in which they live. Drug-abuse treatment for these women during pregnancy may provide time for changing risk behaviors. This paper examines the initial 6-month feasibility of a women-focused HIV intervention, the Women's CoOp, adapted for pregnant women, relative to treatment-as-usual among 59 pregnant African-American women enrolled in drug-abuse treatment. At treatment entry, the women were largely homeless, unemployed, practicing unsafe sex, and involved in violence. Results indicated marked reductions in homelessness, use of cocaine and illegal drugs, involvement in physical violence, and an increase in knowledge of HIV from baseline to 6-month followup for both conditions. Findings suggest that the Women's CoOp intervention could be successfully adapted to treat this hard-to-reach population. Future studies should examine the efficacy of the pregnancy-adapted Women's CoOp for women not enrolled in drug-abuse treatment.

  16. Initial feasibility of a woman-focused intervention for pregnant african-american women.

    Science.gov (United States)

    Jones, Hendrée E; Berkman, Nancy D; Kline, Tracy L; Ellerson, Rachel Middlesteadt; Browne, Felicia A; Poulton, Winona; Wechsberg, Wendee M

    2011-01-01

    African-American women who use crack are vulnerable to HIV because of the complex social circumstances in which they live. Drug-abuse treatment for these women during pregnancy may provide time for changing risk behaviors. This paper examines the initial 6-month feasibility of a women-focused HIV intervention, the Women's CoOp, adapted for pregnant women, relative to treatment-as-usual among 59 pregnant African-American women enrolled in drug-abuse treatment. At treatment entry, the women were largely homeless, unemployed, practicing unsafe sex, and involved in violence. Results indicated marked reductions in homelessness, use of cocaine and illegal drugs, involvement in physical violence, and an increase in knowledge of HIV from baseline to 6-month followup for both conditions. Findings suggest that the Women's CoOp intervention could be successfully adapted to treat this hard-to-reach population. Future studies should examine the efficacy of the pregnancy-adapted Women's CoOp for women not enrolled in drug-abuse treatment.

  17. Guided Imagery for Stress and Symptom Management in Pregnant African American Women

    Directory of Open Access Journals (Sweden)

    Nancy Jallo

    2014-01-01

    Full Text Available The purpose of this study was to evaluate the efficacy of a guided imagery (GI intervention for stress reduction in pregnant African American women beginning early in the second trimester. This prospective longitudinal study of 72 women used a randomized controlled experimental design with two groups conducted over 12 weeks. The intervention was a CD with 4 professionally recorded tracts designed and sequenced to influence study variables. Participants in both GI and usual care (UC completed measures and donated 5 cc of blood at baseline, 8 weeks and 12 weeks. Participants also completed a daily stress scale. A mixed-effects linear model tested for differences between groups for self-reported measures of stress, anxiety, and fatigue as well as corticotrophin releasing hormone (CRH, a biologic marker of stress. Significant differences in perceived stress daily scores and at week 8 but not week 12 were found in the GI group compared to UC group. The GI group reported significantly less fatigue and anxiety than the UC group at week 8 but not week 12. There were no significant differences in CRH levels between groups. Results suggest that GI intervention may be effective in reducing perceived stress, anxiety, and fatigue measures among pregnant African American women.

  18. The income and health effects of tribal casino gaming on American Indians.

    Science.gov (United States)

    Wolfe, Barbara; Jakubowski, Jessica; Haveman, Robert; Courey, Marissa

    2012-05-01

    The legalization of American Indian casino gaming in the late 1980s allows examination of the relationship between income and health in a quasi-experimental way. Revenue from gaming accrues to individual tribes and has been used both to supplement tribe members' income and to finance tribal infrastructure. We assembled annual data from 1988-2003 on tribal gaming, health care access (from the Area Resource File), and individual health and socioeconomic characteristics data (from the Behavioral Risk Factors Surveillance System). We use this information within a structural, difference-in-differences framework to study the effect of casino gaming on tribal members' income, health status, access to health care, and health-related behaviors. Our difference-in-differences framework relies on before-after comparisons among American Indians whose tribe has at some time operated a casino and with-without comparisons between American Indians whose tribe has and those whose tribe has not initiated gaming. Our results provide identified estimates of the positive effect of gaming on American Indian income and on several indicators of American Indian health, health-related behaviors, and access to health care.

  19. Neuropathic foot ulcer prevention in diabetic American Indians with hallux limitus.

    Science.gov (United States)

    Dannels, E

    1989-09-01

    Infected neuropathic ulcerations are the leading cause of diabetes-related partial foot amputations at the Phoenix Indian Medical Center. Ten hallucal ulcerations in seven American Indian patients with hallux limitus were resolved by local wound care and partial first metatarsophalangeal joint resection. The average length of postsurgical follow-up care was 28.8 months. There have been no recurrences of the plantar hallux ulcerations in any of the patients.

  20. Some thoughts about the epidemiology of alcohol and drug use among American Indian/Alaska Native populations.

    Science.gov (United States)

    Young, Robert S; Joe, Jennie R

    2009-01-01

    Researchers have established that rates of alcohol and illicit drug use among American Indians/Alaska Natives vary by tribe, gender, and age group, making it difficult to get an accurate estimate of the actual extent of the problem of substance abuse within this population group. Although percentage rates of alcohol consumption are higher in non-Hispanic Whites, American Indians/Alaska Natives nevertheless have the highest alcohol-related mortality rates and rates of substance use and dependence of all ethnic groups. Alcohol-related motor vehicle accidents are especially high for American Indian/Alaska Natives. Similarly, illicit drug use is higher among American Indians/Alaska Natives across all age groups compared to non-Indians. Data indicate that American Indians/Alaska Natives have the highest rates of use for marijuana, cocaine, inhalants, hallucinogens, and non-medical use of psychotherapeutics compared to other ethnic groups. Anecdotally, use of amphetamine appears to be high within some American Indian/Alaska Native tribes and has become a serious concern for most American Indian/Alaska Native communities. The percentage of American Indian/Alaska Native women using illicit drugs is lower than that found in men, except in younger age groups, in which percentage rates of illicit drug use by women in some tribes are comparable to rates for men.

  1. The prevalence of anaemia and associated factors in pregnant women in a rural Indian community.

    Directory of Open Access Journals (Sweden)

    Nadeem Ahmad

    2010-05-01

    Full Text Available The authors suggest that the very high prevalence of anaemia early in pregnancy (74.8% is an indication of the failure of World Health Organisation and national programmes to tackle the issue in this group. Those pregnant for the first time are at greatest risk of developing anaemia. A highly significant association was found with the mother‘s age, educational and socio-economic status, religion, parity and Body Mass Index (BMI.

  2. 76 FR 33314 - Epidemiology Program for American Indian/Alaska Native Tribes and Urban Indian Communities

    Science.gov (United States)

    2011-06-08

    ... prevention-oriented research and by promoting public health career pathways. Purpose The purpose of this... systems either from the Bureau of Indian Affairs, IHS, or a Certified Public Accountant and an...

  3. Working for India or against Islam? Islamophobia in Indian American Lobbies

    Directory of Open Access Journals (Sweden)

    Ingrid Therwath

    2007-10-01

    Full Text Available In the past few years, the Indian American community has gained an unprecedented visibility in the international arena. It is indeed often projected as a model community and now constitutes growing and influential ethnic lobbies in Washington. But, in the face of its sheer division, Islamophobia did provide a unifying force sometimes bigger than the interest of Indian Americans or of their country of origin. Other factors can also be summoned. Among them, a leniency of many post-1965 migrants towards Hindu nationalist ideology and the wish to align with Jewish pressure groups in the context of the war against terrorism and to further the India-Israel-US strategic partnership play a major role in explaining Islamophobic overtones in the Indian American lobbies.

  4. Settler colonial power and the American Indian sovereignty movement: forms of domination, strategies of transformation.

    Science.gov (United States)

    Steinman, Erich

    2012-01-01

    The article extends the multi-institutional model of power and change through an analysis of the American Indian Sovereignty Movement. Drawing upon cultural models of the state, and articulating institutionalist conceptions of political opportunities and resources, the analysis demonstrates that this framework can be applied to challenges addressing the state as well as nonstate fields. The rational-legal diminishment of tribal rights, bureaucratic paternalism, commonsense views of tribes as racial/ethnic minorities, and the binary construction of American and Indian as oppositional identities diminished the appeal of "contentious" political action. Instead, to establish tribes' status as sovereign nations, tribal leaders aggressively enacted infrastructural power, transposed favorable legal rulings across social fields to legitimize sovereignty discourses, and promoted a pragmatic coexistence with state and local governments. Identifying the United States as a settler colonial society, the study suggests that a decolonizing framework is more apt than racial/ethnicity approaches in conceptualizing the struggle of American Indians.

  5. Effect of Nutrition Education by Paraprofessionals on Dietary Intake, Maternal Weight Gain, and Infant Birth Weight in Pregnant Native American and Caucasian Adolescents.

    Science.gov (United States)

    Hermann, Janice; Williams, Glenna; Hunt, Donna

    2001-01-01

    Evaluation of nutrition instruction provided to 366 pregnant Native American and Caucasian teens by paraprofessionals determined that it effectively improved their dietary intake, maternal weight gain, and infant birth weight. Further modifications for Native Americans were suggested. (SK)

  6. Prevalence of Clinical Periodontitis and Putative Periodontal Pathogens among South Indian Pregnant Women

    Directory of Open Access Journals (Sweden)

    Chaitanya Tellapragada

    2014-01-01

    Full Text Available In view of recent understanding of the association of periodontal infections and adverse pregnancy outcomes, the present investigation was undertaken to study the periodontal infections among 390 asymptomatic pregnant women and to find an association of bacterial etiologies with the disease. Prevalence of gingivitis was 38% and clinical periodontitis was 10% among the study population. Subgingival plaque specimens were subjected to multiplex PCR targeting ten putative periodontopathogenic bacteria. Among the periodontitis group, high detection rates of Porphyromonas gingivalis (56%, Prevotella nigrescens (44%, Treponema denticola (32%, and Prevotella intermedius (24% were noted along with significant association with the disease (P<0.05.

  7. Sarah Winnemucca. Raintree/Rivilo American Indian Stories Series.

    Science.gov (United States)

    Morrow, Mary Frances

    Sarah Winnemucca was a full-blood Paiute Indian born in 1844 in Nevada. The Paiute hunted and gathered and lived in wigwams constructed of branches, brush, and hides. Sarah's grandfather, Captain Truckee, befriended the explorer John C. Fremont and went with him to California. Captain Truckee admired White people's clothing and houses and,…

  8. American Indian Telecommunications Satellite Demonstration Project. Summary Report.

    Science.gov (United States)

    Lyndon B. Johnson Space Center, Houston, TX.

    The technical feasibility of voice and television communication within and between tribes, between tribes and federal agencies, and between educational institutions and tribes was demonstrated by broadcasts which took place April 10, 12, and 14, 1978, with equipment located at four sites: Crow Agency, Montana; All- Indian Culture Center, New…

  9. Sitting Bull, The Story of an American Indian.

    Science.gov (United States)

    Knoop, Faith Yingling

    Sitting Bull was a complex man, living in complicated times. A Hunkpapa Sioux, he grew up on the Great Plains of South Dakota. His early years, as described in this biography, were taken up with the hunt, forays against Crow Indians, and his development as a warrior and leader through the Vision Quest and Sun Dance. A man of considerable talents,…

  10. Career Education and the American Indian. Fall 1976.

    Science.gov (United States)

    South Dakota Univ., Vermillion. School of Education.

    These materials are for use in the instruction on current occupations existing on the Standing Rock, Cheyenne River, Sisseton, Lower Brule, Crow Creek, Flandreau, Pine Ridge, Rosebud, and Yankton Sioux Indian Reservations in South Dakota. Objectives of the materials are to help learners identify the geographical locations of each of the nine Sioux…

  11. Black Hawk. The Story of an American Indian.

    Science.gov (United States)

    Cunningham, Maggi

    Born in 1767, Black Hawk was the last great war leader of the Sauk Indians, who lived in the Rock River valley in Illinois. By age 25, he was a famed warrior and leader of his people who raided neighboring tribes until a period of peace and prosperity began about 1800. Various treaties of which the Sauk knew and understood very little deprived the…

  12. Crazy Horse, The Story of an American Indian.

    Science.gov (United States)

    Milton, John R.

    A great monument is being blasted out of Thunderhead Mountain near Mount Rushmore in South Dakota. Slowly, Chief Crazy Horse emerges from the stone. One day he will sit on his Indian pony pointing over the Black Hills as though saying, "My lands are where my dead lie buried." This biography of Crazy Horse begins with sculptor Korczak…

  13. American Indian and Alaska Native Children in the 2000 Census. A Kids Count/PRB Report on Census, 2000.

    Science.gov (United States)

    Snipp, C. Matthew

    Because of their unique social, legal, and political status, American Indians and Alaska Natives are subject to legislative oversight unlike any other group in the United States. Census data are used to monitor the size and characteristics of the American Indian and Alaska Native population living on and off reservations. Passed in 1978 to ensure…

  14. 78 FR 10636 - Task Force on Research on Violence Against American Indian and Alaska Native Women; Meeting

    Science.gov (United States)

    2013-02-14

    ... Force on Research on Violence Against American Indian and Alaska Native Women; Meeting AGENCY: Office on Violence Against Women, United States Department of Justice. ACTION: Notice of Meeting. SUMMARY: This... Research on Violence Against American Indian and Alaska Native Women(hereinafter ``the Task Force'')....

  15. Risk and Protective Factors for Substance Use among American Indian or Alaska Native Youths. The NSDUH Report

    Science.gov (United States)

    US Department of Health and Human Services, 2004

    2004-01-01

    Recent reports have shown higher rates of substance use among American Indians or Alaska Natives compared with persons from other racial ethnic groups. Among American Indian or Alaska Native youths aged 12 to 17, the rates of past month cigarette use, binge drinking, and illicit drug use were higher than those from other racial ethnic groups.…

  16. American Indian and Alaska Native Children and Mental Health: Development, Context, Prevention, and Treatment. Child Psychology and Mental Health

    Science.gov (United States)

    Sarche, Michelle C., Ed.; Spicer, Paul, Ed.; Farrell, Patricia, Ed.; Fitzgerald, Hiram E., Ed.

    2011-01-01

    This unique book examines the physical, psychological, social, and environmental factors that support or undermine healthy development in American Indian children, including economics, biology, and public policies. American Indian and Alaska Native youth suffer disproportionately higher rates of trauma, substance abuse, and youth suicide. At the…

  17. San Carlos Apache Indian Reservation and Bylas, Arizona; Fort Thomas Public Schools. National Study of American Indian Education, Series 1, No. 18, Final Report.

    Science.gov (United States)

    Chilcott, John H.; Anderson, Ned

    As part of the Final Report of the National Study of American Indian Education, Part I of this document depicts the demographic, socioeconomic, educational, and social aspects of the San Carlos Apache Indian Reservation and community of Bylas. Part II places specific emphasis on recent history, economy, problems and new programs, and the…

  18. Psychophysiology and posttraumatic stress disorder symptom profile in pregnant African-American women with trauma exposure

    OpenAIRE

    Michopoulos, Vasiliki; Rothbaum, Alex O.; Corwin, Elizabeth; Bradley, Bekh; Kerry J Ressler; Jovanovic, Tanja

    2014-01-01

    While female sex is a robust risk factor for posttraumatic stress disorder (PTSD), pregnant women are an understudied population in regards to PTSD symptom expression profiles. Because circulating hormones during pregnancy affect emotionality, we assessed whether pregnant women would have increased expression of the intermediate phenotypes of hyperarousal and fear-potentiated startle (FPS) compared to non-pregnant women. We examined PTSD symptom profiles in pregnant (n=207) and non-pregnant w...

  19. Maternal correlates of 2-year-old American Indian children's social-emotional development in a Northern Plains tribe.

    Science.gov (United States)

    Sarche, Michelle C; Croy, Calvin D; Crow, Cecelia Big; Mitchell, Christina M; Spicer, Paul

    2009-07-01

    The developmental experiences of very young American Indian children today are not well documented in the current literature. The present study sought to explore the social-emotional development of American Indian toddlers living on a Northern Plains reservation, as a function of maternal variables. Mothers completed self-report questionnaires about their experiences and their children's development. Observer ratings of children's development also were conducted. Maternal stress, substance use/abuse, perceptions of stress in the mother-child relationship, social support, and American Indian cultural identity were significantly related to children's social-emotional development. This study is the first to explore these relationships in a Northern Plains American Indian sample of young children and their mothers. Results suggest possible points of intervention for improving the developmental outcomes of very young American Indian children. Copyright © 2009 Michigan Association for Infant Mental Health.

  20. Epidemiology of the American Indians' burden and its likely genetic origins.

    Science.gov (United States)

    Carey, Martin C; Paigen, Beverly

    2002-10-01

    It was not known until recently whether the endemic of cholesterol gallstones among certain southwestern American Indian tribes was unique among this ethnic group. With use of ultrasonography of the gallbladder and standard diagnostic criteria, gallstones are now found in epidemic proportions in 13 diverse American Indian tribes and communities living in Arizona, Oklahoma, and the Dakotas. We speculate that this predisposition is polygenic involving "thrifty" genes that conferred survival advantages when Paleo-Indians migrated from present-day Siberia to the Americas during the last Great Ice Age approximately 50,000 to 10,000 years ago. A reasonable hypothesis is that functioning of these genes promoted more efficient calorie utilization and storage in the form of adipose tissue. Beneficial results would have been operative during the isolation of Paleo-Indians in the Bering Strait land bridge (Beringia) when thrifty genes would have ensured sufficient fat reserves for survival of prolonged winters, successful pregnancy outcomes, and extended lactation periods. The authors' conjoint work on genetics of experimental cholesterol cholelithiasis in inbred mice promises help in pinpointing orthologous genetic loci (LITH genes) in the human genome. Moreover, the shared environments and homogeneity of American Indian tribes and communities should facilitate discovery of the ensembles of their common and rarer cholesterol gallstone genes. It is anticipated that knowledge of expression, polymorphisms, and functionality of LITH genes will help resolve the molecular mechanisms of this complex heterogeneous trait and thereby provide targets for novel therapies to prevent cholesterol cholelithiasis worldwide.

  1. Cooperation, decision time, and culture: Online experiments with American and Indian participants

    Science.gov (United States)

    Nishi, Akihiro; Christakis, Nicholas A.; Rand, David G.

    2017-01-01

    Two separate bodies of work have examined whether culture affects cooperation in economic games and whether cooperative or non-cooperative decisions occur more quickly. Here, we connect this work by exploring the relationship between decision time and cooperation in American versus Indian subjects. We use a series of dynamic social network experiments in which subjects play a repeated public goods game: 80 sessions for a total of 1,462 subjects (1,059 from the United States, 337 from India, and 66 from other countries) making 13,560 decisions. In the first round, where subjects do not know if connecting neighbors are cooperative, American subjects are highly cooperative and decide faster when cooperating than when defecting, whereas a majority of Indian subjects defect and Indians decide faster when defecting than when cooperating. Almost the same is true in later rounds where neighbors were previously cooperative (a cooperative environment) except decision time among Indian subjects. However, when connecting neighbors were previously not cooperative (a non-cooperative environment), a large majority of both American and Indian subjects defect, and defection is faster than cooperation among both sets of subjects. Our results imply the cultural background of subjects in their real life affects the speed of cooperation decision-making differentially in online social environments. PMID:28231296

  2. Brain MRI, apoliprotein E genotype, and plasma homocysteine in American Indian Alzheimer disease patients and Indian controls.

    Science.gov (United States)

    Weiner, Myron F; de la Plata, Carlos Marquez; Fields, B A Julie; Womack, Kyle B; Rosenberg, Roger N; Gong, Yun-Hua; Qu, Bao-Xi; Diaz-Arrastia, Ramon; Hynan, Linda S

    2009-02-01

    We obtained brain MRIs, plasma homocysteine levels and apolipoprotein E genotyping for 11 American Indian Alzheimer disease (AD) subjects and 10 Indian controls. We calculated white matter hyperintensity volume (WMHV), whole brain volume (WBV), and ratio of white matter hyperintensity volume to whole brain volume (WMHV/WBV). There were no significant differences between AD subjects and controls in gender, history of hypertension, diabetes, or history of high cholesterol, but hypertension and diabetes were more common among AD subjects. There was no difference between AD and control groups in age (range for all subjects was 61-89 years), % Indian heritage, waist size or body mass index. Median Indian heritage was 50% or greater in both groups. Range of education was 5-13 years in the AD group and 12-16 years in controls. Median plasma homocysteine concentration was higher in AD subjects (11 micromol/L vs. 9.8 micromol/L), but did not achieve statistical significance. Significantly more AD subjects had apolipoprotein Eepsilon4 alleles than did controls (63% vs.10%). Neuroimaging findings were not significantly different between the 2 groups, but AD subjects had greater WMHV (median 15.64 vs. 5.52 cc) and greater WMHV/WBV ratio (median 1.63 vs. 0.65 %) and a far greater range of WMHV. In combined AD subjects and controls, WBV correlated with BMI and age. WMHV and WMHV/WBV correlated inversely with MMSE scores (p = 0.001, 0.002, respectively). In addition, WMHV correlated positively with % Indian heritage (p = 0.047).

  3. Where Have All the Indians Gone? American Indian Representation in Secondary History Textbooks

    Science.gov (United States)

    Shadowwalker, Depree M.

    2012-01-01

    This dissertation used a mixed method to develop an analytical model from a random selection of one of eight secondary history textbooks for instances of Indians to determine if the textual content: (1) constructs negative or inaccurate knowledge through word choice or narratives; (2) reinforces stereotype portraits; (3) omits similar minority…

  4. A longitudinal study of self-esteem, cultural identity, and academic success among American Indian adolescents.

    Science.gov (United States)

    Whitesell, Nancy Rumbaugh; Mitchell, Christina M; Spicer, Paul

    2009-01-01

    Latent growth curve modeling was used to estimate developmental trajectories of self-esteem and cultural identity among American Indian high school students and to explore the relationships of these trajectories to personal resources, problem behaviors, and academic performance at the end of high school. The sample included 1,611 participants from the Voices of Indian Teens project, a 3-year longitudinal study of adolescents from 3 diverse American Indian cultural groups in the western United States. Trajectories of self-esteem were clearly related to academic achievement; cultural identity, in contrast, was largely unrelated, with no direct effects and only very small indirect effects. The relationships between self-esteem and success were mediated by personal resources and problem behaviors.

  5. Creating an Instrument to Measure People's Perception of Community Capacity in American Indian Communities

    Science.gov (United States)

    Oetzel, John; Wallerstein, Nina; Solimon, Audrey; Garcia, Bruce; Siemon, Mark; Adeky, Sarah; Apachito, Gracie; Caston, Elissa; Finster, Carolyn; Belone, Lorenda; Tafoya, Greg

    2011-01-01

    The purpose of this study was to develop a measure of community capacity for American Indian communities. The study included development and testing phases to ensure face, content, construct, and predictive validity. There were 500 participants in two southwest tribes who completed a detailed community profile, which contained 21 common items in…

  6. Complex Personhood as the Context for Intimate Partner Victimization: One American Indian Woman's Story

    Science.gov (United States)

    Murphy, Sharon; Lemire, Lynne; Wisman, Mindi

    2009-01-01

    This qualitative case study explores one American Indian (AI) woman's experience of intimate partner violence and the subsequent murder of her abusive partner. The lens of complex personhood (Gordon, 1997) has been applied as a method for understanding "Annie's" multiple identities of AI woman, victim of intimate partner violence, mother, and…

  7. Culture, context, and sexual risk among Northern Plains American Indian Youth.

    Science.gov (United States)

    Kaufman, Carol E; Desserich, Jennifer; Big Crow, Cecelia K; Holy Rock, Bonnie; Keane, Ellen; Mitchell, Christina M

    2007-05-01

    American Indian adolescents have two to four times the rate of sexually transmitted diseases (STDs) compared to whites nationally, they shoulder twice the proportion of AIDS compared to their national counterparts, and they have a 25% higher level of teen births. Yet little is known about the contemporary expectations, pressures, and norms that influence American Indian youth or how those might be shaped by today's lived cultural experiences, which frustrates attempts to mitigate the apparent disparity in sexual health. This paper used data from focus groups, in-depth interviews, and surveys with American Indian adolescents and young male and female adults from a Northern Plains tribe to contextualize sexual risk (and avoidance). Placing the findings within an adapted indigenist stress-coping framework, we found that youth faced intense pressures for early sex, often associated with substance use. Condoms were not associated with stigma, yet few seemed to value their importance for disease prevention. Youth encountered few economic or social recriminations for a teen birth. As such, cultural influences are important to American Indian sexual health and could be a key part of prevention strategies.

  8. An Exploration of American Indian Students' Perceptions of Patterning, Symmetry and Geometry.

    Science.gov (United States)

    Giamati, Claudia; Weiland, Marion

    1997-01-01

    Observation of 56 American Indian students in grades 9-10, including 45 Navajo speakers, during open-ended mathematical patterning exercises revealed that students did not produce typically symmetrical patterns and that their patterns demonstrated a deep command of transformational geometry. The influence of Navajo language and culture are…

  9. Authentic Voices: Advice for Incorporating American Indians and Alaska Natives in the Elementary School Curriculum.

    Science.gov (United States)

    Rains, Frances V.; Swisher, Karen Gayton

    1999-01-01

    Questions the methods in which schools traditionally teach about American Indians and Alaska Natives. Offers alternatives to help eliminate the stereotypes and misconceptions often found in school curricula. Offers four recommendations to help teachers and teacher educators gain more knowledge about these indigenous peoples. (CMK)

  10. A Cardiovascular Risk Reduction Program for American Indians with Metabolic Syndrome: The Balance Study

    Science.gov (United States)

    Lee, Elisa T.; Jobe, Jared B.; Yeh, Jeunliang; Ali, Tauqeer; Rhoades, Everett R.; Knehans, Allen W.; Willis, Diane J.; Johnson, Melanie R.; Zhang, Ying; Poolaw, Bryce; Rogers, Billy

    2012-01-01

    The Balance Study is a randomized controlled trial designed to reduce cardiovascular disease (CVD) risk in 200 American Indian (AI) participants with metabolic syndrome who reside in southwestern Oklahoma. Major risk factors targeted include weight, diet, and physical activity. Participants are assigned randomly to one of two groups, a guided or a…

  11. American Indian Geographies of Identity and Power: At the Crossroads of Indigena and Mestizaje.

    Science.gov (United States)

    Grande, Sandy Marie Anglas

    2000-01-01

    Asserts that critical pedagogy fails to consider indigenous perspectives and calls for critical theorists to reexamine epistemological foundations. Urges American Indian scholars to bring their perspectives into this dialogue in order to redefine identity, democracy, and social justice. (Contains 65 references.) (SK)

  12. Information Processing Patterns of Postsecondary American Indian/Alaska Native Students

    Science.gov (United States)

    Aragon, Steven R.

    2004-01-01

    In the last of a three-part series, this study examined the information processing patterns of postsecondary American Indian/Alaska Native students attending community and tribal colleges in the Southwest. Using a survey design, students completed the Kolb Learning Style Inventory, the Briggs and Myers Myers-Briggs Type Indicator, and the Oltman,…

  13. Index to the Journal of American Indian Education, Vol. 1, No. 1 - Vol. 8, No. 1.

    Science.gov (United States)

    Loomis, Charlotte Ann

    All articles (112) that appeared in the "Journal of American Indian Education" (JAIE), Vol. 1., No. 1 (June 1961) through Vol. 8, No 1 (October 1968) are indexed and annotated. The publication is divided into 3 parts: (1) annotations listed in order of appearance in JAIE by volume, number, and page; (2) author index; and (3) subject index. Later…

  14. Emotional and Behavioral Aspects of Diabetes in American Indians/Alaska Natives: A Systematic Literature Review

    Science.gov (United States)

    Scarton, Lisa J.; de Groot, Mary

    2017-01-01

    American Indians and Alaska Natives (AI/ANs) bear a disproportionate burden of diabetes and associated long-term complications. Behavioral interventions play a vital role in promoting diabetes medical and psychological outcomes, yet the development of interventions for AI/AN communities has been limited. A systematic review was conducted of…

  15. Preparing Teachers as Allies in Indigenous Education: Benefits of an American Indian Content and Pedagogy Course

    Science.gov (United States)

    McInnes, Brian D.

    2017-01-01

    The study explores relationship building and improvements in knowledge, skills, and dispositions of pre-service teachers enrolled in an Indigenous education content and pedagogy methods course. The Teaching American Indian Students in the Elementary Classroom course stands alone from other diversity education offerings at the University of…

  16. Angoon, Alaska. National Study of American Indian Education, Series 1, No. 19, Final Report.

    Science.gov (United States)

    Connelly, John; Barnhardt, Ray

    Part of the National Study of American Indian Education, this community background report describes the Tlingit community of Angoon, Alaska. Demographic characteristics and historical background of the community are presented. Religious and economic climates are discussed. Educational development is traced from missionary influence, through Bureau…

  17. Native American Education vs. Indian Learning: Still Battling Pratt after All These Years

    Science.gov (United States)

    Roppolo, Kimberly; Crow, Chelleye L.

    2007-01-01

    In this article, the authors were asked by the Cheyenne and Arapaho tribes to teach a one-week, three-credit-hour course in American Indian literatures to a group of mostly Cheyenne and Arapaho students in El Reno, Oklahoma, in association with Redlands Community College. Though they knew there would be grueling eight-hour days in the classroom,…

  18. Patterns of substance use initiation among young adolescents in a Northern Plains American Indian tribe.

    Science.gov (United States)

    Whitesell, Nancy Rumbaugh; Kaufman, Carol E; Keane, Ellen M; Crow, Cecelia Big; Shangreau, Carly; Mitchell, Christina M

    2012-09-01

    Substantial evidence documents problematic substance use in Northern Plains American Indian communities. Studies suggest that disparities can be traced to disproportionate rates of early substance use, but most evidence comes from the retrospective reports of adults or older adolescents. To use a prospective longitudinal design to examine substance use initiation patterns as they emerge among young American Indian adolescents. Four waves of data were collected across three consecutive school years from middle school students on a Northern Plains reservation (N = 450). Discrete-time survival analyses were used to estimate risks of initiation of cigarettes, alcohol, and marijuana from age 10 to 13. Risk for cigarette initiation was relatively high at age 10 and stable until age 13. Marijuana risk was low at age 10 but increased sharply by age 12. Alcohol initiation lagged, not surpassing risk for cigarette initiation until age 13 and remaining below risk for marijuana initiation throughout middle school. Hazards for girls trended higher than those for boys across all substances, but differences did not reach significance. Initiation patterns among these American Indian adolescents differed from patterns reported in other US groups, particularly with respect to deviation from the sequence characterized the initiation of marijuana before alcohol that is predicted by the gateway theory. Findings suggest that prevention efforts with youth in this community should begin early with a primary focus on marijuana use. They also suggest the importance of examining sequences of substance initiation among youth in other American Indian communities.

  19. Incorporating the Culture of American Indian/Alaska Native Students into the Classroom

    Science.gov (United States)

    Guillory, Raphael M.; Williams, Garnet L.

    2014-01-01

    Focus group interviews were conducted with educators and stakeholders for American Indian/Alaska Native (AI/AN) students, including teachers, elementary and high school principals, tribal community leaders, and parents, to determine a global definition of culture and ways of infusing culture into curriculum to better educate AI/AN students. Focus…

  20. The Halt of Stereotyping: When Does the American Indian Enter the Mainstream?

    Science.gov (United States)

    Young, Mary L.; Doolittle, Dara L.

    1994-01-01

    Discussion of indexing and cataloging procedures for ethnic and other minorities highlights practices regarding American Indian art. Topics include stereotypes and biases; integrating materials with the rest of the collection versus gathering them in a separate location; and questioning Library of Congress and other institutional authority. (33…

  1. Perceptions and Practices of Culturally Relevant Science Teaching in American Indian Classrooms

    Science.gov (United States)

    Nam, Younkyeong; Roehrig, Gillian; Kern, Anne; Reynolds, Bree

    2013-01-01

    This study explores the perceptions of culturally relevant science teaching of 35 teachers of American Indian students. These teachers participated in professional development designed to help them better understand climate change science content and teaching climate change using both Western science and traditional and cultural knowledge. Teacher…

  2. Involvement in Traditional Cultural Practices and American Indian Children's Incidental Recall of a Folktale

    Science.gov (United States)

    Tsethlikai, Monica; Rogoff, Barbara

    2013-01-01

    This study examined incidental recall of a folktale told to 91 Tohono O'odham American Indian children (average age 9 years) who either were directly addressed or had the opportunity to overhear the telling of the folktale. Learning from surrounding incidental events contrasts with learning through direct instruction common in Western schooling,…

  3. Trauma-Related Nightmares among American Indian Veterans: Views from the Dream Catcher

    Science.gov (United States)

    Shore, Jay H.; Orton, Heather; Manson, Spero M.

    2009-01-01

    Dreams hold particular relevance in mental health work with American Indians (AIs). Nightmares are a common sequelae of trauma and a frequent defining feature of post-traumatic stress disorder (PTSD). Despite mounting evidence of the prevalence of trauma and PTSD among AIs and the important cultural role of dreams, no work to date has directly…

  4. Community-Responsive Interventions to Reduce Cardiovascular Risk in American Indians

    Science.gov (United States)

    Jobe, Jared B.; Adams, Alexandra K.; Henderson, Jeffrey A.; Karanja, Njeri; Lee, Elisa T.; Walters, Karina L.

    2012-01-01

    American Indian and Alaska Native (AI/AN) populations bear a heavy burden of cardiovascular disease (CVD), and they have the highest rates of risk factors for CVD, such as cigarette smoking, obesity, and diabetes, of any U.S. population group. Yet, few randomized controlled trials have been launched to test potential preventive interventions in…

  5. Adaptation and Implementation of Cognitive Behavioral Intervention for Trauma in Schools with American Indian Youth

    Science.gov (United States)

    Goodkind, Jessica R.; LaNoue, Marianna D.; Milford, Jaime

    2010-01-01

    American Indian adolescents experience higher rates of suicide and psychological distress than the overall U.S. adolescent population, and research suggests that these disparities are related to higher rates of violence and trauma exposure. Despite elevated risk, there is limited empirical information to guide culturally appropriate treatment of…

  6. Investigation of Factors Contributing to Diabetes Risk in American Indian/Alaska Native Youth

    Science.gov (United States)

    Islam-Zwart, Kayleen; Cawston, Alvina

    2008-01-01

    This study investigated the relationship between family history, sedentary behaviors, and childhood risk for type 2 diabetes. Participants were 480 students attending schools on or near an American Indian reservation. Data were collected through survey and BMI measurement. Children who frequently watched television or played video games did not…

  7. Emotional and Behavioral Aspects of Diabetes in American Indians/Alaska Natives: A Systematic Literature Review

    Science.gov (United States)

    Scarton, Lisa J.; de Groot, Mary

    2017-01-01

    American Indians and Alaska Natives (AI/ANs) bear a disproportionate burden of diabetes and associated long-term complications. Behavioral interventions play a vital role in promoting diabetes medical and psychological outcomes, yet the development of interventions for AI/AN communities has been limited. A systematic review was conducted of…

  8. Tailoring a Web-Based Weight Maintenance Intervention for Northern Plains American Indian Public University Students

    Science.gov (United States)

    Hemmingson, Kaitlyn; Lucchesi, Roxanne; Droke, Elizabeth; Kattelmann, Kendra K.

    2016-01-01

    Objective: High levels of obesity-related health disparities are common among US American Indian (AI) populations. AI public university students often face unique challenges that may contribute to weight gain and related consequences. Few weight maintenance interventions have been developed that meet the needs of AI public university students. The…

  9. American Indian University Students' Knowledge, Beliefs, and Behaviors Associated with HIV/AIDS

    Science.gov (United States)

    Sileo, Nancy M.; Sileo, Thomas W.

    2008-01-01

    Manuscript considers results of a research study that assesses American Indian university students' factual knowledge, understanding, and perceptions of susceptibility to HIV/AIDS, and relationships between their attitudes and decisions to engage in HIV-risk behaviors. Participants responded to a 57-item scaled survey and several demographic…

  10. The Fundamentals of Vocational Rehabilitation: A Guide for VR Counselors Working with American Indian Clients.

    Science.gov (United States)

    Saravanabhavan, R. C.

    This guide summarizes the important aspects of the history, organization, and process of vocational rehabilitation of American Indian/Alaska Native clients. Specific units cover: (1) history of the state-federal vocational rehabilitation program; (2) organization and administration of rehabilitation programs; (3) fundamentals of vocational…

  11. Reasoning about Family Honour among Two Generations of Hindu Indian-Americans

    Science.gov (United States)

    Kay, Adam

    2012-01-01

    To investigate reasoning about family honour, 128 first generation (mean age = 27.2 years) and second generation Hindu Indian-American adults (mean age = 24.7 years) were presented hypothetical scenarios in which male or female protagonists defied common Hindu customs (e.g., arranged marriage, intra-religion marriage and premarital sexual…

  12. Creating an Instrument to Measure People's Perception of Community Capacity in American Indian Communities

    Science.gov (United States)

    Oetzel, John; Wallerstein, Nina; Solimon, Audrey; Garcia, Bruce; Siemon, Mark; Adeky, Sarah; Apachito, Gracie; Caston, Elissa; Finster, Carolyn; Belone, Lorenda; Tafoya, Greg

    2011-01-01

    The purpose of this study was to develop a measure of community capacity for American Indian communities. The study included development and testing phases to ensure face, content, construct, and predictive validity. There were 500 participants in two southwest tribes who completed a detailed community profile, which contained 21 common items in…

  13. American Indian Geographies of Identity and Power: At the Crossroads of Indigena and Mestizaje.

    Science.gov (United States)

    Grande, Sandy Marie Anglas

    2000-01-01

    Asserts that critical pedagogy fails to consider indigenous perspectives and calls for critical theorists to reexamine epistemological foundations. Urges American Indian scholars to bring their perspectives into this dialogue in order to redefine identity, democracy, and social justice. (Contains 65 references.) (SK)

  14. Factorial Structure of the CES-D among American Indian Adolescents.

    Science.gov (United States)

    Dick, Rhonda Wiegman; And Others

    1994-01-01

    Examined factor structure of Center for Epidemiologic Studies-Depression Scale among American Indian adolescents attending boarding school. Found that Depressed and Somatic factors were highly correlated and should be collapsed into one factor. No differences in factor structure were found by gender. (Author/NB)

  15. "Treaties with American Indians: An Encyclopedia of Rights, Conflicts, and Sovereignty"

    Science.gov (United States)

    Krueger, Karla

    2009-01-01

    This article provides an overview of the three-volume reference set, "Treaties with American Indians: An Encyclopedia of Rights, Conflicts, and Sovereignty" published by ABC-CLIO. This reference work is edited by Donald Fixico, Arizona State University, and dedicated to the people of his tribes: (1) Shawnee; (2) Sac and Fox; (3) Seminole; and (4)…

  16. Death Beliefs and Practices from an Asian Indian American Hindu Perspective

    Science.gov (United States)

    Gupta, Rashmi

    2011-01-01

    The purpose of this article was to explore Asian Indian American Hindu (AIAH) cultural views related to death and dying. Three focus group interviews were conducted with AIAH persons living in the southern region of United States. The focus group consisted of senior citizens, middle-aged adults, and young adults. Both open-ended and semistructured…

  17. Usefulness of a Survey on Underage Drinking in a Rural American Indian Community Health Clinic

    Science.gov (United States)

    Gilder, David A.; Luna, Juan A.; Roberts, Jennifer; Calac, Daniel; Grube, Joel W.; Moore, Roland S.; Ehlers, Cindy L.

    2013-01-01

    This study examined the usefulness of a survey on underage drinking in a rural American Indian community health clinic. One hundred ninety-seven youth (90 male, 107 female; age range 8-20 years) were recruited from clinic waiting rooms and through community outreach. The study revealed that the usefulness of the survey was twofold: Survey results…

  18. Bridging the Challenging Years: Tips for Working with American Indian Teenagers.

    Science.gov (United States)

    Thornbrugh, Cheryl; Fox, Sandra J.

    American Indian teenagers have high rates of suicide, school dropout, alcoholism, and drug usage. Even students who are doing well need to explore new experiences and to develop new skills that challenge them to reach for higher goals and help them cope with today's pressures. This guide is intended to assist counselors and teachers design…

  19. Incorporating the Culture of American Indian/Alaska Native Students into the Classroom

    Science.gov (United States)

    Guillory, Raphael M.; Williams, Garnet L.

    2014-01-01

    Focus group interviews were conducted with educators and stakeholders for American Indian/Alaska Native (AI/AN) students, including teachers, elementary and high school principals, tribal community leaders, and parents, to determine a global definition of culture and ways of infusing culture into curriculum to better educate AI/AN students. Focus…

  20. American Indian Women and Screening Mammography: Findings from a Qualitative Study in Oklahoma

    Science.gov (United States)

    Tolma, Eleni; Batterton, Chasity; Hamm, Robert M.; Thompson, David; Engelman, Kimberly K.

    2012-01-01

    Background: Breast cancer is an important public health issue within the American Indian (AI) community in Oklahoma; however, there is limited information to explain the low screening mammography rates among AI women. Purpose: To identify the motivational factors affecting an AI woman's decision to obtain a mammogram. Methods: Through the use of…

  1. The Nature and Predictive Validity of a Benchmark Assessment Program in an American Indian School District

    Science.gov (United States)

    Payne, Beverly J. R.

    2013-01-01

    This mixed methods study explored the nature of a benchmark assessment program and how well the benchmark assessments predicted End-of-Grade (EOG) and End-of-Course (EOC) test scores in an American Indian school district. Five major themes were identified and used to develop a Dimensions of Benchmark Assessment Program Effectiveness model:…

  2. Authentic Voices: Advice for Incorporating American Indians and Alaska Natives in the Elementary School Curriculum.

    Science.gov (United States)

    Rains, Frances V.; Swisher, Karen Gayton

    1999-01-01

    Questions the methods in which schools traditionally teach about American Indians and Alaska Natives. Offers alternatives to help eliminate the stereotypes and misconceptions often found in school curricula. Offers four recommendations to help teachers and teacher educators gain more knowledge about these indigenous peoples. (CMK)

  3. Reconciling Leadership Paradigms: Authenticity as Practiced by American Indian School Leaders

    Science.gov (United States)

    Henderson, David; Carjuzaa, Jioanna; Ruff, William G.

    2015-01-01

    This phenomenological study examined the complexity American Indian K-12 school leaders face on reservations in Montana, USA The study described how these leaders have to reconcile their Westernized educational leadership training with their traditional ways of knowing, living, and leading. Three major themes emerged that enabled these leaders to…

  4. Body Mass Index and Cancer Screening in Older American Indian and Alaska Native Men

    Science.gov (United States)

    Muus, Kyle J.; Baker-Demaray, Twyla; McDonald, Leander R.; Ludtke, Richard L.; Allery, Alan J.; Bogart, T. Andy; Goldberg, Jack; Ramsey, Scott D.; Buchwald, Dedra S.

    2009-01-01

    Context: Regular screenings are important for reducing cancer morbidity and mortality. There are several barriers to receiving timely cancer screening, including overweight/obesity. No study has examined the relationship between overweight/obesity and cancer screening among American Indian/Alaska Natives (AI/ANs). Purpose: To describe the…

  5. Risk and Protective Factors for Depression and Health Outcomes in American Indian and Alaska Native Adolescents.

    Science.gov (United States)

    Barney, David D.

    2001-01-01

    A study examined whether protective factors reduce the effects of depression in American Indian and Alaska Native adolescents. Surveys of 2,034 Native high school students from 33 states indicated that depression moderately influenced self-perceived health status and that caring and connectedness counteracted the risk factors from depression that…

  6. Teen Pregnancy Prevention Program Recommendations from Urban and Reservation Northern Plains American Indian Community Members

    Science.gov (United States)

    McMahon, Tracey R.; Hanson, Jessica D.; Griese, Emily R.; Kenyon, DenYelle Baete

    2015-01-01

    Despite declines over the past few decades, the United States has one of the highest rates of teen pregnancy compared to other industrialized nations. American Indian youth have experienced higher rates of teen pregnancy compared to the overall population for decades. Although it's known that community and cultural adaptation enhance program…

  7. Teen Pregnancy Prevention Program Recommendations from Urban and Reservation Northern Plains American Indian Community Members

    Science.gov (United States)

    McMahon, Tracey R.; Hanson, Jessica D.; Griese, Emily R.; Kenyon, DenYelle Baete

    2015-01-01

    Despite declines over the past few decades, the United States has one of the highest rates of teen pregnancy compared to other industrialized nations. American Indian youth have experienced higher rates of teen pregnancy compared to the overall population for decades. Although it's known that community and cultural adaptation enhance program…

  8. Turkish, Indian, and American Chemistry Textbooks Use of Inscriptions to Represent "Types of Chemical Reactions"

    Science.gov (United States)

    Aydin, Sevgi; Sinha, Somnath; Izci, Kemal; Volkmann, Mark

    2014-01-01

    The purpose of this study was to investigate inscriptions used in "Types of Chemical Reactions" topic in Turkish, Indian, and American chemistry textbooks. We investigated both the types of inscriptions and how they were used in textbooks to support learning. A conceptual analysis method was employed to determine how those textbooks use…

  9. With All My Relations: Counseling American Indians and Alaska Natives within a Familial Context

    Science.gov (United States)

    Harper, Faith G.

    2011-01-01

    Statistics show that two thirds of American Indians and Alaska Natives (AIs/ANs) live outside of tribal areas, and 50% of those individuals who seek counseling services will not use tribal resources. There is a strong likelihood that counselors will have the opportunity to provide services to AI/AN clients. The review of the academic literature…

  10. Perceptions of Child Neglect among Urban American Indian/Alaska Native Parents

    Science.gov (United States)

    Evans-Campbell, Teresa

    2008-01-01

    A survey of 101 American Indian/Alaska Native (AIAN) parents in Los Angeles was conducted to explore perceptions of child neglect among urban AIAN parents and factors associated with perceptions. Participants rated substance abuse by parents as the most serious type of neglect. Providing material necessities and providing adequate structure were…

  11. American Indian and Alaska Native Substance Abuse: Co-Morbidity and Cultural Issues

    Science.gov (United States)

    Gray, Norma; Nye, Patricia S.

    2001-01-01

    The devastating impact of substance abuse on American Indians and Alaska Natives (AI/ANs) is reviewed with an emphasis on psychological and physical effects. Co-morbidity of substance abuse, trans-generational trauma, Post-Traumatic Stress Disorder, and depression among AI/ANs is also discussed since each condition may cause, impact, and/or…

  12. Predictors of Relapse for American Indian Women after Substance Abuse Treatment

    Science.gov (United States)

    Chong, Jenny; Lopez, Darlene

    2008-01-01

    The objective of this study was to describe the predictors of substance use relapse of American Indian (AI) women up to one year following substance abuse treatment. Relapse is defined as any use of alcohol or drugs in the past 30 days at the follow-up points. Data were collected from AI women in a 45-day residential substance abuse treatment…

  13. Substance Use and Sexual Risk Behaviors among American Indian and Alaska Native High School Students

    Science.gov (United States)

    de Ravello, Lori; Everett Jones, Sherry; Tulloch, Scott; Taylor, Melanie; Doshi, Sonal

    2014-01-01

    Background: We describe the prevalence of behaviors that put American Indian and Alaska Native (AI/AN) high school students at risk for teen pregnancy and sexually transmitted infections (STIs) and the relationships among race/ethnicity and these behaviors. Methods: We analyzed merged 2007 and 2009 data from the national Youth Risk Behavior…

  14. "In Our Voice": Lessons Learned from a Cardiovascular Disease Curriculum for American Indian Students

    Science.gov (United States)

    Sprague, D.; Burgoyne, K.; Vallie, D. La; Buchwald, D.

    2012-01-01

    Background: American Indian children and adolescents are at risk for obesity, type 2 diabetes, hypertension, elevated cholesterol, and smoking, all of which are risk factors for cardiovascular disease. Objective: To address these health issues, we developed, implemented, and evaluated a culturally appropriate cardiovascular disease curriculum…

  15. Effect of Tribal Language Use on Colorectal Cancer Screening among American Indians

    Science.gov (United States)

    Gonzales, Angela A.; Garroutte, Eva; Ton, Thanh G.N.; Goldberg, Jack; Buchwald, Dedra

    2016-01-01

    American Indians have one of the lowest colorectal cancer (CRC) screening rates for any racial/ethnic group in the U.S., yet reasons for their low screening participation are poorly understood. Limited English language use may create barriers to cancer screening in Hispanic and other ethnic minority immigrant populations; the extent to which this hypothesis is generalizable to American Indians is unknown. We examine whether tribal (indigenous) language use is associated with knowledge and use of CRC screening in a community-based sample of American Indians. Using logistic regression to estimate the association between tribal language use and CRC test knowledge and receipt we found participants speaking primarily English were no more aware of CRC screening tests than those speaking primarily a tribal language (OR=1.16 [0.29, 4.63]). Participants who spoke only a tribal language at home (OR=1.09 [0.30, 4.00]) and those who spoke both a tribal language and English (OR=1.74 [0.62, 4.88]) also showed comparable rates of knowledge and receipt of CRC screening. Study findings failed to support the concept that primary use of a tribal language is a barrier to CRC screening among American Indians. PMID:22402926

  16. Exploring Indigenous Identities of Urban American Indian Youth of the Southwest

    Science.gov (United States)

    Kulis, Stephen; Wagaman, M. Alex; Tso, Crescentia; Brown, Eddie F.

    2013-01-01

    This study examined the indigenous identities of urban American Indian youth using measures related to three theoretical dimensions of Markstrom's identity model: identification (tribal and ethnic heritage), connection (reservation ties), and involvement in traditional cultural practices and spirituality. Data came from self-administered…

  17. Spirits of the Air: Birds and American Indians in the South

    Directory of Open Access Journals (Sweden)

    E. N. Anderson

    2010-08-01

    Full Text Available Review of Spirits of the Air: Birds and American Indians in the South. Shepard Krech III. 2009. University of Georgia Press, Athens. Pp. 245, copiously illustrated. $44.95 (hardbound. ISBN-13 978-0-8203-2815-7.

  18. Cancer, Employment, and American Indians: A Participatory Action Research Pilot Study

    Science.gov (United States)

    Johnson, Sharon R.; Finifrock, DeAnna; Marshall, Catherine A.; Jaakola, Julia; Setterquist, Janette; Burross, Heidi L.; Hodge, Felicia Schanche

    2011-01-01

    American Indian cancer survivors are an underserved and understudied group. In this pilot study we attempted to address, through participatory action research, missing information about those factors that serve to either facilitate employment or hinder it for adult cancer survivors. One task of the study was to develop and/or modify…

  19. Contested Conversations: Presentations, Expectations, and Responsibility at the National Museum of the American Indian

    Science.gov (United States)

    Barker, Joanne; Dumont, Clayton

    2006-01-01

    This article interrogates the politics of representation, expectation, and responsibility at the new National Museum of the American Indian (NMAI) in Washington, DC. The authors explore the interpretive contests (between and among Natives and non-Natives) provoked by the museum's representational strategies. They think that NMAI has positioned…

  20. Warrior Spirit: Soul Wound and Coping among American Indians in Law Enforcement

    Science.gov (United States)

    Arndt, Leah M. Rouse; Davis, Amileah R.

    2011-01-01

    This qualitative, exploratory study examined the role vocation played for American Indian non-Tribal law enforcement officers in adaptively coping with historical trauma, or "Soul Wound." Participants' views of career in relationship to its perceived congruence with their Nations' warrior societies and how this vocation may facilitate or constrain…

  1. Scientific Discourse in the Academy: A Case Study of an American Indian Undergraduate

    Science.gov (United States)

    Brandt, Carol B.

    2008-01-01

    This case study explores how an American Indian woman experienced scientific discourse and the issues of language, power, and authority that occurred while she was an undergraduate student at a university in the southwestern United States. This ethnographic research, using a phenomenological perspective, describes her experiences as she searched…

  2. Look Local: The Value of Cancer Surveillance and Reporting by American Indian Clinics

    Science.gov (United States)

    Creswell, Paul D.; Stephenson, Laura; Pierce-Hudson, Kimmine; Matloub, Jacqueline; Waukau, Jerry; Adams, Alexandra; Kaur, Judith; Remington, Patrick L.

    2013-01-01

    Introduction Cancer incidence and mortality rates for American Indians in the Northern Plains region of the United States are among the highest in the nation. Reliable cancer surveillance data are essential to help reduce this burden; however, racial data in state cancer registries are often misclassified, and cases are often underreported. Methods We used a community-based participatory research approach to conduct a retrospective ascertainment of cancer cases in clinic medical records over a 9-year period (1995–2003) and compared the results with the state cancer registry to evaluate missing or racially misclassified cases. Six tribal and/or urban Indian clinics participated in the study. The project team consisted of participating clinics, a state cancer registry, a comprehensive cancer center, an American Indian/Alaska Native Leadership Initiative on Cancer, and a set of diverse organizational partners. Clinic personnel were trained by project staff to accurately identify cancer cases in clinic records. These records were then matched with the state cancer registry to assess misclassification and underreporting. Results Forty American Indian cases were identified that were either missing or misclassified in the state registry. Adding these cases to the registry increased the number of American Indian cases by 21.3% during the study period (P = .05). Conclusions Our results indicate that direct reporting of cancer cases by tribal and urban Indian health clinics to a state cancer registry improved the quality of the data available for cancer surveillance. Higher-quality data can advance the efforts of cancer prevention and control stakeholders to address disparities in Native communities. PMID:24286271

  3. Evaluation of American Indian Science and Engineering Society Intertribal Middle School Science and Math Bowl Project

    Energy Technology Data Exchange (ETDEWEB)

    AISES, None

    2013-09-25

    The American Indian Science and Engineering Society (AISES) has been funded under a U.S. Department of Energy (DOE) grant (Grant Award No. DE-SC0004058) to host an Intertribal Middle-School Science and Math Bowl (IMSSMB) comprised of teams made up of a majority of American Indian students from Bureau of Indian Education-funded schools and public schools. The intent of the AISES middle school science and math bowl is to increase participation of American Indian students at the DOE-sponsored National Science Bowl. Although national in its recruitment scope, the AISES Intertribal Science and Math Bowl is considered a “regional” science bowl, equivalent to the other 50 regional science bowls which are geographically limited to states. Most regional bowls do not have American Indian student teams competing, hence the AISES bowl is meant to encourage American Indian student teams to increase their science knowledge in order to participate at the national level. The AISES competition brings together teams from various American Indian communities across the nation. Each team is provided with funds for travel to and from the event, as well as for lodging and meals. In 2011 and 2012, there were 10 teams participating; in 2013, the number of teams participating doubled to 20. Each Science and Math Bowl team is comprised of four middle school — grades 6 through 8 — students, one alternate, and a teacher who serves as advisor and coach — although in at least two cases, the coach was not a teacher, but was the Indian Education Coordinator. Each team member must have at least a 3.0 GPA. Furthermore, the majority of students in each team must be comprised of American Indian, Alaska Native or Native Hawaiian students. Under the current DOE grant, AISES sponsored three annual middle school science bowl competitions over the years 2011, 2012 and 2013. The science and math bowls have been held in late March concurrently with the National American Indian Science and

  4. Indian boarding school experience, substance use, and mental health among urban two-spirit American Indian/Alaska natives.

    Science.gov (United States)

    Evans-Campbell, Teresa; Walters, Karina L; Pearson, Cynthia R; Campbell, Christopher D

    2012-09-01

    Systematic efforts of assimilation removed many Native children from their tribal communities and placed in non-Indian-run residential schools. To explore substance use and mental health concerns among a community-based sample of 447 urban two-spirit American Indian/Alaska Native adults who had attended boarding school as children and/or who were raised by someone who attended boarding school. Eighty-two respondents who had attended Indian boarding school as children were compared to respondents with no history of boarding school with respect to mental health and substance use. Former boarding school attendees reported higher rates of current illicit drug use and living with alcohol use disorder, and were significantly more likely to have attempted suicide and experienced suicidal thoughts in their lifetime compared to non-attendees. About 39% of the sample had been raised by someone who attended boarding school. People raised by boarding school attendees were significantly more likely to have a general anxiety disorder, experience posttraumatic stress disorder symptoms, and have suicidal thoughts in their lifetime compared to others.

  5. Sleep Moderates and Mediates the Relationship Between Acculturation and Depressive Symptoms in Pregnant Mexican-American Women.

    Science.gov (United States)

    D'Anna-Hernandez, Kimberly L; Garcia, Esmeralda; Coussons-Read, Mary; Laudenslager, Mark L; Ross, Randal G

    2016-02-01

    Greater acculturation is associated with adverse perinatal outcomes in Mexican-American women, but the mechanisms by which acculturation influences perinatal outcomes are unclear. Pregnant acculturated Mexican-American women are more likely to engage in unhealthy prenatal behaviors relative to those less acculturated, including poor sleep. As sleep disruptions are associated with acculturation and negative perinatal outcomes, particularly maternal depression, alterations in sleep may adversely affect pregnant Mexican-American women. Sixty pregnant women of Mexican descent completed surveys about sleep, acculturation, depressive symptoms and potential protective factor of social support. Acculturation, but not social support, significantly predicted increased sleep disruptions as well as overall feeling less refreshed upon waking across pregnancy. Moderation analysis indicated that more acculturated women who took longer to fall asleep reported increased depressive symptoms. Feeling refreshed upon waking also mediated the relationship between increased acculturation and elevated maternal depressive symptoms. Acculturation and altered sleep contribute to greater risk in Mexican-American women for maternal depressive symptoms in the perinatal period. These findings have implications for prevention and treatment of maternal mental health disorders, which may adversely affect perinatal outcomes in the vulnerable Mexican-American population.

  6. Sleep moderates and mediates the relationship between acculturation and depressive symptoms in pregnant Mexican-American women

    Science.gov (United States)

    D’Anna-Hernandez, Kimberly L.; Garcia, Esmeralda; Coussons-Read, Mary; Laudenslager, Mark L.; Ross, Randal G.

    2016-01-01

    Purpose Greater acculturation is associated with adverse perinatal outcomes in Mexican-American women, but the mechanisms by which acculturation influences perinatal outcomes are unclear. Pregnant acculturated Mexican-American women are more likely to engage in unhealthy prenatal behaviors relative to those less acculturated, including poor sleep. As sleep disruptions are associated with acculturation and negative perinatal outcomes, particularly maternal depression, alterations in sleep may adversely affect pregnant Mexican-American women. Methods Sixty pregnant women of Mexican descent completed surveys about sleep, acculturation, depressive symptoms and potential protective factor of social support. Results Acculturation, but not social support, significantly predicted increased sleep disruptions as well as overall feeling less refreshed upon waking across pregnancy. Moderation analysis indicated that more acculturated women who took longer to fall asleep reported increased depressive symptoms. Feeling refreshed upon waking also mediated the relationship between increased acculturation and elevated maternal depressive symptoms. Conclusions Acculturation and altered sleep contribute to greater risk in Mexican-American women for maternal depressive symptoms in the perinatal period. These findings have implications for prevention and treatment of maternal mental health disorders, which may adversely affect perinatal outcomes in the vulnerable Mexican-American population. PMID:26728897

  7. Perceived social stress, pregnancy-related anxiety, depression and subjective social status among pregnant Mexican and Mexican American women in south Texas.

    Science.gov (United States)

    Fleuriet, K Jill; Sunil, T S

    2014-05-01

    The purpose of this study was to determine differences in subjective social status, perceived social stress, depressive symptoms, and pregnancy-related anxiety between pregnant Mexican American and Mexican immigrant women. Three hundred pregnant Mexican immigrant and Mexican American women in South Texas were surveyed for pregnancy-related anxiety, perceived social stress, depressive symptoms, and subjective social status. Pregnant Mexican immigrant women had higher levels of pregnancy-related anxiety and lower levels of depression and perceived social stress than pregnant Mexican American women. Change in these variables among Mexican immigrant women was relatively linear as time of residence in the United States increased. Mexican immigrant and Mexican American women had significantly different correlations between subjective social status, self-esteem and perceived social stress. Results indicate that subjective social status is an important psychosocial variable among pregnant Hispanic women. Results contribute to ongoing efforts to provide culturally responsive prenatal psychosocial support services.

  8. Cherokee Choices: a diabetes prevention program for American Indians.

    Science.gov (United States)

    Bachar, Jeffrey J; Lefler, Lisa J; Reed, Lori; McCoy, Tara; Bailey, Robin; Bell, Ronny

    2006-07-01

    In 1999, the Centers for Disease Control and Prevention (CDC) provided Racial and Ethnic Approaches to Community Health 2010 (REACH 2010) funds to the Eastern Band of Cherokee Indians to develop a community-based intervention to improve the health of this rural, mountainous community in North Carolina. During the first year of the Cherokee Choices program, team members conducted formative research, formed coalitions, and developed a culturally appropriate community action plan for the prevention of type 2 diabetes, particularly among children. The Eastern Band of Cherokee Indians has higher rates of obesity and type 2 diabetes than the U.S. and North Carolina general populations. The Cherokee Choices program includes three main components: elementary school mentoring, worksite wellness for adults, and church-based health promotion. A social marketing strategy, including television advertisements and a television documentary series, supports the three components. School policy was altered to allow Cherokee Choices to have class time and after-school time devoted to health promotion activities. School staff have shown an interest in improving their health through attendance at fitness sessions. The credibility of the program has been validated through multiple invitations to participate in school events. Participants in the worksite wellness program have met dietary and physical activity goals, had reductions in body fat, and expressed enthusiasm for the program. A subcoalition has been formed to expand the worksite wellness component and link prevention efforts to health care cost reduction. Participants in the church program have walked more than 31,600 miles collectively.

  9. Tribal Colleges and Universities/American Indian Research and Education Initiatives Advanced Manufacturing Technical Assistance Project

    Energy Technology Data Exchange (ETDEWEB)

    Atcitty, Stanley [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2017-02-01

    The overall goal of this project is to establish a network of TCUs with essential advanced manufacturing (AM) facilities, associated training and education programs, and private sector and federal agency partnerships to both prepare an American Indian AM workforce and create economic and employment opportunities within Tribal communities through design, manufacturing, and marketing of high quality products. Some examples of high quality products involve next generation grid components such as mechanical energy storage, cabling for distribution of energy, and electrochemical energy storage enclosures. Sandia National Laboratories (Sandia) is tasked to provide technical advising, planning, and academic program development support for the TCU/American Indian Higher Education Consortium (AIHEC) Advanced Manufacturing Project. The TCUs include Bay Mills Community College (BMCC), Cankdeska Cikana Community College (CCCC), Navajo Technical University (NTU), Southwestern Indian Polytechnic Institute (SIPI), and Salish Kooteani College. AIHEC and Sandia, with collaboration from SIPI, will be establishing an 8-week summer institute on the SIPI campus during the summer of 2017. Up to 20 students from TCUs are anticipated to take part in the summer program. The goal of the program is to bring AM science, technology, engineering, and mathematics (STEM) awareness and opportunities for the American Indian students. Prior to the summer institute, Sandia will be providing reviews on curriculum plans at the each of the TCUs to ensure the content is consistent with current AM design and engineering practice. In addition, Sandia will provide technical assistance to each of the TCUs in regards to their current AM activities.

  10. Epidemiology of Ehrlichiosis and Anaplasmosis among American Indians in the United States, 2000–2007

    Science.gov (United States)

    Folkema, Arianne M.; Holman, Robert C.; Dahlgren, F. Scott; Cheek, James E.; McQuiston, Jennifer H.

    2012-01-01

    Ehrlichiosis and anaplasmosis infections among American Indians (AIs) have never been specifically examined, despite high rates of other tick-borne rickettsial diseases among AIs. The epidemiology of ehrlichiosis and anaplasmosis among AIs was analyzed using the National Electronic Telecommunications System for Surveillance (NETSS), Case Report Forms (CRFs), and Indian Health Service (IHS) inpatient and outpatient visits. The 2000–2007 average annual ehrlichiosis and anaplasmosis incidence among AIs reported to NETSS was almost 4-fold lower (4.0/1,000,000) than that using IHS data (14.9). American Indian cases reported from CRFs had a higher proportion of hospitalization (44%) compared with IHS (10%). American Indian incidence of ehrlichiosis and anaplasmosis was higher and showed a different age and geographical distribution than other races. These results highlight the need to improve collaboration between the ehrlichiosis and anaplasmosis surveillance systems for AIs so as to develop interventions that target the unique epidemiology and mitigate the burden of disease among this high-risk population. PMID:22826495

  11. Organization and financing of alcohol and substance abuse programs for American Indians and Alaska Natives.

    Science.gov (United States)

    McFarland, Bentson H; Gabriel, Roy M; Bigelow, Douglas A; Walker, R Dale

    2006-08-01

    Although American Indians and Alaska Natives have high rates of substance abuse, few data about treatment services for this population are available. We used national data from 1997-2002 to describe recent trends in organizational and financial arrangements. Using data from the Indian Health Service (IHS), the Substance Abuse and Mental Health Services Administration, the National Institute on Alcohol Abuse and Alcoholism, the Henry J. Kaiser Family Foundation, and the Census Bureau, we estimated the number of American Indians served by substance abuse treatment programs that apparently are unaffiliated with either the IHS or tribal governments. We compared expected and observed IHS expenditures. Half of the American Indians and Alaska Natives treated for substance abuse were served by programs (chiefly in urban areas) apparently unaffiliated with the IHS or tribal governments. IHS substance abuse expenditures were roughly what we expected. Medicaid participation by tribal programs was not universal. Many Native people with substance abuse problems are served by programs unaffiliated with the IHS. Medicaid may be key to expanding needed resources.

  12. U.S. Geological Survey Activities Related to American Indians and Alaska Natives: Fiscal Year 2005

    Science.gov (United States)

    Marcus, Susan M.

    2007-01-01

    Introduction This report describes the activities that the U.S. Geological Survey (USGS) conducted with American Indian and Alaska Native governments, educational institutions, and individuals during Federal fiscal year (FY) 2005. Most of these USGS activities were collaborations with Tribes, Tribal organizations, or professional societies. Others were conducted cooperatively with the Bureau of Indian Affairs (BIA) or other Federal entities. The USGS is the earth and natural science bureau within the U.S. Department of the Interior (DOI). The USGS does not have regulatory or land management responsibilities. As described in this report, there are many USGS activities that are directly relevant to American Indians, Alaska Natives, and to Native lands. A USGS website, dedicated to making USGS more accessible to American Indians, Alaska Natives, their governments, and institutions, is available at www.usgs.gov/indian. This website includes information on how to contact USGS American Indian/Alaska Native Liaisons, training opportunities, and links to other information resources. This report and previous editions are also available through the website. The USGS realizes that Native knowledge and cultural traditions of living in harmony with nature result in unique Native perspectives that enrich USGS studies. USGS seeks to increase the sensitivity and openness of its scientists to the breadth of Native knowledge, expanding the information on which their research is based. USGS scientific studies include data collection, mapping, natural resource modeling, and research projects. These projects typically last 2 or 3 years, although some are parts of longer-term activities. Some projects are funded cooperatively, with USGS funds matched or supplemented by individual Tribal governments, or by the BIA. These projects may also receive funding from the U.S. Environmental Protection Agency (USEPA), the Indian Health Service (part of the Department of Health and Human Services

  13. Wendigos, Eye Killers, Skinwalkers: The Myth of the American Indian Vampire and American Indian “Vampire” Myths

    National Research Council Canada - National Science Library

    Corinna Lenhardt

    2016-01-01

    ... Meyer’s sparkling beau, Edward Cullen. In fact, the Euro-American vampire myth has long become one of the most reliable and bestselling fun-rides the entertainment industries around the world have to offer...

  14. Maria Tallchief. Raintree/Rivilo American Indian Stories Series.

    Science.gov (United States)

    Erdrich, Heidi Ellen

    The great American ballerina, Maria Tallchief, was born in 1925 in Fairfax, Oklahoma. Her mother was White and her father was a full-blood Osage. Her younger sister, Marjorie, also became a famous dancer. The Osage originally lived in western Missouri. They lived in lodges or tepees and were farmers and hunters. The U.S. Government moved them to…

  15. Handbook of Middle American Indians. Volume 5, Linguistics.

    Science.gov (United States)

    Wauchope, Robert, Ed.; McQuown, Norman A., Ed.

    This volume presents a summary of work accomplished since the Spanish conquest in the contemporary description and historical reconstruction of the indigenous languages and language families of Mexico and Central America. Contents are (1) "History of Studies in Middle American Linguistics" by N.A. McQuown; (2) "Inventory of…

  16. Beyond Tradition: Culture, Symbolism, and Practicality in American Indian Art

    Science.gov (United States)

    Sorensen, Barbara Ellen

    2013-01-01

    Indigenous people have always created what colonial language labels art. Yet there is no Native word for "art" as defined in a Euro-American sense. Art, as the dominant culture envisions, is mostly ornamental. This is in sharp juxtaposition to a Native perspective, which sees art as integrative, inclusive, practical, and constantly…

  17. Establishing a Timeline to Discontinue Routine Testing of Asymptomatic Pregnant Women for Zika Virus Infection - American Samoa, 2016-2017.

    Science.gov (United States)

    Hancock, W Thane; Soeters, Heidi M; Hills, Susan L; Link-Gelles, Ruth; Evans, Mary E; Daley, W Randolph; Piercefield, Emily; Anesi, Magele Scott; Mataia, Mary Aseta; Uso, Anaise M; Sili, Benjamin; Tufa, Aifili John; Solaita, Jacqueline; Irvin-Barnwell, Elizabeth; Meaney-Delman, Dana; Wilken, Jason; Weidle, Paul; Toews, Karrie-Ann E; Walker, William; Talboy, Phillip M; Gallo, William K; Krishna, Nevin; Laws, Rebecca L; Reynolds, Megan R; Koneru, Alaya; Gould, Carolyn V

    2017-03-24

    The first patients with laboratory-confirmed cases of Zika virus disease in American Samoa had symptom onset in January 2016 (1). In response, the American Samoa Department of Health (ASDoH) implemented mosquito control measures (1), strategies to protect pregnant women (1), syndromic surveillance based on electronic health record (EHR) reports (1), Zika virus testing of persons with one or more signs or symptoms of Zika virus disease (fever, rash, arthralgia, or conjunctivitis) (1-3), and routine testing of all asymptomatic pregnant women in accordance with CDC guidance (2,3)(.) All collected blood and urine specimens were shipped to the Hawaii Department of Health Laboratory for Zika virus testing and to CDC for confirmatory testing. Early in the response, collection and testing of specimens from pregnant women was prioritized over the collection from symptomatic nonpregnant patients because of limited testing and shipping capacity. The weekly numbers of suspected Zika virus disease cases declined from an average of six per week in January-February 2016 to one per week in May 2016. By August, the EHR-based syndromic surveillance (1) indicated a return to pre-outbreak levels. The last Zika virus disease case detected by real-time, reverse transcription-polymerase chain reaction (rRT-PCR) occurred in a patient who had symptom onset on June 19, 2016. In August 2016, ASDoH requested CDC support in assessing whether local transmission had been reduced or interrupted and in proposing a timeline for discontinuation of routine testing of asymptomatic pregnant women. An end date (October 15, 2016) was determined for active mosquito-borne transmission of Zika virus and a timeline was developed for discontinuation of routine screening of asymptomatic pregnant women in American Samoa (conception after December 10, 2016, with permissive testing for asymptomatic women who conceive through April 15, 2017).

  18. Mentor relationships and the career development of pregnant and parenting African-American teenagers.

    Science.gov (United States)

    Klaw, E L; Rhodes, J E

    1995-12-01

    This study examined data from an alternative school among African-American pregnant and parenting teenagers in order to gauge the extent to which mentors were associated with positive educational and career outcomes. Interviews were conducted during 1992-93 among most who were attending the school at that time. The study included 204 African-American adolescents aged 11-19 years. 61% were expecting their first birth, 34% had a child already, and 5% had 2 or more prior children. No one was ever married. 66.2% lived on welfare benefits. A mentor is one who was an older adult, who was someone the child could count on, who believed or cared deeply about the child, who inspired the child to do the best, and the relationship affected the choices made. Mentors are looked up to as role models for the kind of person one would like to be or for the kind of career one would like to have. Study participants rated mentors on a scale of 1-5 on each characteristic. Other measures include the occupational aspiration-expectation gap, career related activities, opportunity structure beliefs, and life optimism. Findings show that 57.8% had adult mentors, and 46.3% knew their mentors for at least 15 years or more. 80% expected to maintain their relationship with the mentor indefinitely. 32% nominated aunts, and 25.7% nominated grandmothers. 47.7% reported seeing mentors daily. 48% saw their mentors at least once a week. 66% reported expectations that were equal to aspirations. The path analysis indicates that all paths between career activities, beliefs about opportunities, and life optimism were significantly associated with mentor support. The model suggests that increased life optimism from mentor support may directly and indirectly lead to beliefs in education as an opportunity structure and career related activities. The authors suggest encouraging adolescents to reach out to supportive adults.

  19. Genetic variants of human T-lymphotrophic virus type II in American Indian groups.

    Science.gov (United States)

    Biggar, R J; Taylor, M E; Neel, J V; Hjelle, B; Levine, P H; Black, F L; Shaw, G M; Sharp, P M; Hahn, B H

    1996-02-01

    The human T-lymphotropic virus type II (HTLV-II) is found in many New World Indian groups in North and South America and may have entered the New World from Asia with the earliest migration of ancestral Amerindians over 15,000 years ago. To characterize the phylogenetic relationships of HTLV-II strains infecting geographically diverse Indian populations, we used polymerase chain reaction to amplify HTLV-II sequences from lymphocytes of seropositive Amerindians from Brazil (Kraho, Kayapo, and Kaxuyana), Panama (Guaymi), and the United States (the Navajo and Pueblo tribes of the southwestern states and the Seminoles of Florida). Sequence analysis of a 780-base pair fragment (located between the env gene and the second exons of tax/rex) revealed that Amerindian viruses clustered in the same two genetic subtypes (IIa and IIb) previously identified for viruses from intravenous drug users. Most infected North and Central American Indians had subtype IIb, while HTLV-II infected members of three remote Amazonian tribes clustered as a distinct group within subtype IIa. These findings suggest that the ancestral Amerindians migrating to the New World brought at least two genetic subtypes, IIa and IIb. Because HTLV-II strains from Amazonian Indians form a distinct group within subtype HTLV-IIa, these Brazilian tribes are unlikely to be the source of IIa viruses in North American drug users. Finally, the near identity of viral sequences from geographically diverse populations indicate that HTLV-II is a very ancient virus of man.

  20. American Indian Students' Perceptions of Actual and Ideal Dormitory Aide Pupil Control Behavior, and Students' Attitudes Regarding Their Dormitory Aides.

    Science.gov (United States)

    Davis, Jim L.

    Two hundred and eleven American Indian students (106 males and 105 females) attending an off-reservation BIA elementary boarding school in a predominantly non-Indian community in the midwest were tested to examine the relationship between the congruence of students' perception of and preferences for dormitory aide pupil control behavior and…

  1. Manifest Meanings: The Selling (Not Telling) of American Indian History and the Case of "The Black Horse Ledger"

    Science.gov (United States)

    Gercken, Becca

    2010-01-01

    What is the value or perceived necessity--for an Indian or for a white man--of changing Northern Cheyenne history? How are a reader's conclusions affected by her perception of the race of the person altering that history? Why is it acceptable to sell but not tell American Indian history? An examination of the visual and discursive rhetoric of "The…

  2. Connecting the Dots for Youth Development in American Indian Communities: A Story of the Reach for the Sky Project

    Science.gov (United States)

    Carlson, Stephan; Hardman, Alisha M.; Marczak, Mary S.

    2011-01-01

    This second article in "JAIE'"s new "Reports from the Field" section1 explores a culturally based science, technology, engineering, and mathematics (STEM) program at a northern Minnesota Bureau of Indian Education high school. Engaging American Indian youth from disenfranchised communities in STEM programs has been challenging.…

  3. 78 FR 54678 - Establishment of the Attorney General's Advisory Committee of the Task Force on American Indian...

    Science.gov (United States)

    2013-09-05

    ... to Violence, Office of Juvenile Justice and Delinquency Prevention, Room 5312, 810 Seventh Street NW... American Indian/Alaska Native Children Exposed to Violence AGENCY: Office of Juvenile Justice and... Indian/Alaska Native Children Exposed to Violence (hereinafter, the ``AI/AN Advisory Committee''). The...

  4. Manifest Meanings: The Selling (Not Telling) of American Indian History and the Case of "The Black Horse Ledger"

    Science.gov (United States)

    Gercken, Becca

    2010-01-01

    What is the value or perceived necessity--for an Indian or for a white man--of changing Northern Cheyenne history? How are a reader's conclusions affected by her perception of the race of the person altering that history? Why is it acceptable to sell but not tell American Indian history? An examination of the visual and discursive rhetoric of "The…

  5. A Few Cautions at the Millennium on the Merging of Feminist Studies with American Indian Women's Studies.

    Science.gov (United States)

    Mihesuah, Devon A.

    2000-01-01

    Discusses possible intersections between feminist studies and American Indian women's studies, noting the complexity of identity politics when most contemporary Indians have mixed blood. No single authoritative Native women's position or feminist theory of Native women exists. These labels are often umbrella terms that inadequately represent those…

  6. SUSTAINABILITY REPORTING QUALITY OF INDIAN AND AMERICAN MANUFACTURING FIRMS: A COMPARATIVE ANALYSIS

    Directory of Open Access Journals (Sweden)

    Diganta Munshi

    2016-11-01

    Full Text Available The content analysis method has been adopted to study the pattern of reporting on sustainability indicators by 10 American and 10 Indian manufacturing firms in their sustainability reports prepared as per the GRI framework and published during 2011-2013. Scores of 2, 1 and 0 have been respectively assigned for full, partial and non disclosure of sub clauses of economic, environmentand social indicators to compute a SDI (sustainability disclosure index. Independent t test found a significant difference in the quality of sustainability disclosure of the sampled American and Indian manufacturing firms during 2011-13. The improvement/ deterioration in the quality of disclosure over the period were correlated with changes in performance parameters like EPS and ROA to examine if betterment in quality of sustainability reporting translates into financial performance of the firms. Multiple regression analysis was performed to determine the variables which explain the variation in the sustainability reporting quality of firms.

  7. Fostering Social Determinants of Health Transdisciplinary Research: The Collaborative Research Center for American Indian Health.

    Science.gov (United States)

    Elliott, Amy J; White Hat, Emily R; Angal, Jyoti; Grey Owl, Victoria; Puumala, Susan E; Baete Kenyon, DenYelle

    2015-12-22

    The Collaborative Research Center for American Indian Health (CRCAIH) was established in September 2012 as a unifying structure to bring together tribal communities and health researchers across South Dakota, North Dakota and Minnesota to address American Indian/Alaska Native (AI/AN) health disparities. CRCAIH is based on the core values of transdisciplinary research, sustainability and tribal sovereignty. All CRCAIH resources and activities revolve around the central aim of assisting tribes with establishing and advancing their own research infrastructures and agendas, as well as increasing AI/AN health research. CRCAIH is comprised of three divisions (administrative; community engagement and innovation; research projects), three technical cores (culture, science and bioethics; regulatory knowledge; and methodology), six tribal partners and supports numerous multi-year and one-year pilot research projects. Under the ultimate goal of improving health for AI/AN, this paper describes the overarching vision and structure of CRCAIH, highlighting lessons learned in the first three years.

  8. Adaptation and implementation of cognitive behavioral intervention for trauma in schools with American Indian youth.

    Science.gov (United States)

    Goodkind, Jessica R; Lanoue, Marianna D; Milford, Jaime

    2010-01-01

    American Indian adolescents experience higher rates of suicide and psychological distress than the overall U.S. adolescent population, and research suggests that these disparities are related to higher rates of violence and trauma exposure. Despite elevated risk, there is limited empirical information to guide culturally appropriate treatment of trauma and related symptoms. We report a pilot study of an adaptation to the Cognitive Behavioral Intervention for Trauma in Schools in a sample of 24 American Indian adolescents. Participants experienced significant decreases in anxiety and posttraumatic stress disorder symptoms, and avoidant coping strategies, as well as a marginally significant decrease in depression symptoms. Improvements in anxiety and depression were maintained 6 months postintervention; improvements in posttraumatic stress disorder and avoidant coping strategies were not.

  9. Fostering Social Determinants of Health Transdisciplinary Research: The Collaborative Research Center for American Indian Health

    Directory of Open Access Journals (Sweden)

    Amy J. Elliott

    2015-12-01

    Full Text Available The Collaborative Research Center for American Indian Health (CRCAIH was established in September 2012 as a unifying structure to bring together tribal communities and health researchers across South Dakota, North Dakota and Minnesota to address American Indian/Alaska Native (AI/AN health disparities. CRCAIH is based on the core values of transdisciplinary research, sustainability and tribal sovereignty. All CRCAIH resources and activities revolve around the central aim of assisting tribes with establishing and advancing their own research infrastructures and agendas, as well as increasing AI/AN health research. CRCAIH is comprised of three divisions (administrative; community engagement and innovation; research projects, three technical cores (culture, science and bioethics; regulatory knowledge; and methodology, six tribal partners and supports numerous multi-year and one-year pilot research projects. Under the ultimate goal of improving health for AI/AN, this paper describes the overarching vision and structure of CRCAIH, highlighting lessons learned in the first three years.

  10. Adapting an evidence-based HIV prevention intervention for pregnant African-American women in substance abuse treatment

    Directory of Open Access Journals (Sweden)

    Winona Poulton

    2011-02-01

    Full Text Available Wendee M Wechsberg1, Felicia A Browne1, Winona Poulton1, Rachel Middlesteadt Ellerson1, Ashley Simons-Rudolph1, Deborah Haller2,  1RTI International,* Research Triangle Park, NC, USA; 2Columbia University College of Physicians and Surgeons, New York, NY, USA,  *RTI International is a trade name of Research Triangle InstituteAbstract: An adaptation of an evidence-based, woman-focused intervention designed to reduce HIV risk behaviors was conducted for pregnant, African-American women in substance abuse treatment in North Carolina. The intervention adaptation process included focus groups, expert panels, and the filming of women who spoke about their experiences with pregnancy, drug use, sex risk behaviors, HIV testing and treatment, need for substance abuse treatment, violence, and victimization. The assessment instrument was adapted for pregnant women and the intervention was organized into a 4-session PowerPoint presentation, with an additional session if a woman tested positive for HIV. All sessions and assessment instrument were installed on laptop computers for portability in treatment programs. We pilot tested our adaptation with 59 pregnant African-American women who had used an illicit drug within the past year and were enrolled in substance abuse treatment. At baseline, 41% were currently homeless, 76% were unemployed, 90% had not planned their current pregnancy, and approximately 70% reported drug use since finding out about the pregnancy. This sample of participants rated the intervention sessions and were highly satisfied with their experience, resulting in a mean satisfaction score of 6.5 out of 7. Pregnant African-American women who use drugs need substance abuse treatment that they do not currently access. Woman-focused HIV interventions help to address intersecting risk behaviors and need for treatment prevalent among this vulnerable group.Keywords: African-American woman, HIV prevention pregnancy, drug use, violence, sexual

  11. The Impact of Neighborhood Environment, Social Support and Avoidance Coping on Depressive Symptoms of Pregnant African American Women

    Science.gov (United States)

    Giurgescu, Carmen; Zenk, Shannon N.; Templin, Thomas; Engeland, Christopher G.; Dancy, Barbara L.; Park, Chang; Kavanaugh, Karen; Dieber, William; Misra, Dawn

    2015-01-01

    Background Although depressive symptoms during pregnancy have been related to negative maternal and child health outcomes such as preterm birth, low birthweight infants, postpartum depression and maladaptive mother-infant interactions, studies on the impact of neighborhood environment on depressive symptoms in pregnant women are limited. Pregnant women residing in disadvantaged neighborhoods reported higher levels of depressive symptoms and lower levels of social support. No researchers have examined the relationship between neighborhood environment and avoidance coping in pregnant women. Guided by the Ecological model and Lazarus and Folkman’s transactional model of stress and coping, we examined whether social support and avoidance coping mediated associations between the neighborhood environment and depressive symptoms in pregnant African American women. Methods Pregnant African American women (N = 95) from a medical center in Chicago completed the instruments twice during pregnancy between 15-25 weeks and 25-37 weeks. The self-administered instruments measured perceived neighborhood environment, social support, avoidance coping, and depressive symptoms using items from existing scales. Objective measures of the neighborhood environment were derived using geographic information systems. Findings Perceived neighborhood environment, social support, avoidance coping and depressive symptoms were significantly correlated in the expected directions. Objective physical disorder and crime were negatively related to social support. Social support at time one (20 ± 2.6 weeks) mediated associations between the perceived neighborhood environment at time one and depressive symptoms at time two (29 ± 2.7 weeks). An increase in avoidance coping between time one and time two also mediated the effects of perceived neighborhood environment at time one on depressive symptoms at time two. Conclusion Pregnant African American women’s negative perceptions of their neighborhoods

  12. George Gustav Heye and the National Museum of the American Indian - Collecting the Collector

    Directory of Open Access Journals (Sweden)

    Zittlau, Andrea

    2007-01-01

    Full Text Available On September 21, 2004 the National Museum of the American Indian (NMAI opened its doors to the public. This essay will look at the institution's history, especially its collector, George Gustav Heye, and his representation inside the museum walls. Oscillating between honored patron and greedy businessman, the labels and objects explore his personality but conceal his relationship to the cultures he collected that remained extraordinarily superficial. The problem will be illustrated by using museum labels to explore their implicit rhetoric.

  13. Pathways to Care: Narratives of American Indian Adolescents Entering Substance Abuse Treatment

    OpenAIRE

    Novins, Douglas K.; Spicer, Paul; Fickenscher, Alexandra; Pescosolido, Bernice

    2012-01-01

    Using data from 89 American Indian adolescents and guided by the Network Episode Model, this paper analyses pathways to residential substance abuse treatment and their correlates. These adolescents were recruited at admission to a tribally-operated substance abuse treatment program in the southern United States from October 1998 to May 2001. Results from the qualitative analyses of these adolescent’s pathways to care narratives indicated that 35% ultimately agreed with the decision for their ...

  14. Residential Substance Abuse Treatment for Urban American Indians and Alaska Natives, Part II: Costs.

    Science.gov (United States)

    McFarland, Bentson H; Walker, Dale; Silk-Walker, Patricia

    2017-01-01

    The present study examined costs of two residential substance abuse treatment programs designed for urban American Indians and Alaska Natives (AI/ANs). Costs for one agency were well within national norms, while costs at the other program were less than expected from nationwide data. Economies of scale accounted for much of the difference between observed and expected costs. Culturally specific residential substance abuse treatment services can be provided to urban AI/ANs within budgets typically found at mainstream programs.

  15. American Indian and Alaska Native Heritage Month: November 2013. Facts for Features. U.S. Census Bureau News. CB13-FF.26

    Science.gov (United States)

    US Census Bureau, 2013

    2013-01-01

    The first American Indian Day was celebrated in May 1916 in New York. Red Fox James, a Blackfeet Indian, rode horseback from state to state, getting endorsements from 24 state governments, to have a day to honor American Indians. In 1990, President George H.W. Bush signed a joint congressional resolution designating November 1990 as "National…

  16. Formal Education on the White Mountain Apache Reservation; Report of a Self-Study Conference. The National Study of American Indian Education, Series I, No. 25, Final Report.

    Science.gov (United States)

    Anderson, Ned; Chilcott, John H.

    In one phase of the National Study of American Indian Education, local Indian communities were encouraged to conduct their own self-studies of American Indian education. In keeping with this, a conference was held to determine the attitudinal responses of White Mountain Apaches (aged 20-48) to the following general topics concerning Indian…

  17. American Indian tribes and electric industry restructuring: Issues and opportunities

    Energy Technology Data Exchange (ETDEWEB)

    Howarth, D. [Morse, Richard, and Weisenmiller, and Associates Inc., Oakland, CA (United States); Busch, J. [Lawrence Berkeley National Lab., CA (United States); Starrs, T. [Kelso, Starrs, and Associates LLC, Vashon, WA (United States)

    1997-07-01

    The US electric utility industry is undergoing a period of fundamental change that has significant implications for Native American tribes. Although many details remain to be determined, the future electric power industry will be very different from that of the present. It is anticipated that the new competitive electric industry will be more efficient, which some believe will benefit all participants by lowering electricity costs. Recent developments in the industry, however, indicate that the restructuring process will likely benefit some parties at the expense of others. Given the historical experience and current situation of Native American tribes in the US, there is good reason to pay attention to electric industry changes to ensure that the situation of tribes is improved and not worsened as a result of electric restructuring. This paper provides a review of electricity restructuring in the US and identifies ways in which tribes may be affected and how tribes may seek to protect and serve their interests. Chapter 2 describes the current status of energy production and service on reservations. Chapter 3 provides an overview of the evolution of the electric industry to its present form and introduces the regulatory and structural changes presently taking place. Chapter 4 provides a more detailed discussion of changes in the US electric industry with a specific focus on the implications of these changes for tribes. Chapter 5 presents a summary of the conclusions reached in this paper.

  18. The Racial and Ethnic Identity Formation Process of Second-Generation Asian Indian Americans: A Phenomenological Study

    Science.gov (United States)

    Iwamoto, Derek Kenji; Negi, Nalini Junko; Partiali, Rachel Negar; Creswell, John W.

    2014-01-01

    This phenomenological study elucidates the identity development processes of 12 second-generation adult Asian Indian Americans. The results identify salient sociocultural factors and multidimensional processes of racial and ethnic identity development. Discrimination, parental, and community factors seemed to play a salient role in influencing participants’ racial and ethnic identity development. The emergent Asian Indian American racial and ethnic identity model provides a contextualized overview of key developmental periods and turning points within the process of identity development. PMID:25298617

  19. The Racial and Ethnic Identity Formation Process of Second-Generation Asian Indian Americans: A Phenomenological Study

    OpenAIRE

    Iwamoto, Derek Kenji; Negi, Nalini Junko; Partiali, Rachel Negar; Creswell, John W.

    2013-01-01

    This phenomenological study elucidates the identity development processes of 12 second-generation adult Asian Indian Americans. The results identify salient sociocultural factors and multidimensional processes of racial and ethnic identity development. Discrimination, parental, and community factors seemed to play a salient role in influencing participants’ racial and ethnic identity development. The emergent Asian Indian American racial and ethnic identity model provides a contextualized ove...

  20. The Racial and Ethnic Identity Formation Process of Second-Generation Asian Indian Americans: A Phenomenological Study.

    Science.gov (United States)

    Iwamoto, Derek Kenji; Negi, Nalini Junko; Partiali, Rachel Negar; Creswell, John W

    2013-10-01

    This phenomenological study elucidates the identity development processes of 12 second-generation adult Asian Indian Americans. The results identify salient sociocultural factors and multidimensional processes of racial and ethnic identity development. Discrimination, parental, and community factors seemed to play a salient role in influencing participants' racial and ethnic identity development. The emergent Asian Indian American racial and ethnic identity model provides a contextualized overview of key developmental periods and turning points within the process of identity development.

  1. Spirituality and religion: intertwined protective factors for substance use among urban American Indian youth.

    Science.gov (United States)

    Kulis, Stephen; Hodge, David R; Ayers, Stephanie L; Brown, Eddie F; Marsiglia, Flavio F

    2012-09-01

    This article explores the aspects of spirituality and religious involvement that may be the protective factors against substance use among urban American Indian (AI) youth. Data come from AI youth (N = 123) in five urban middle schools in a southwestern metropolis. Ordinary least squares regression analyses indicated that following Christian beliefs and belonging to the Native American Church were associated with lower levels of substance use. Following AI traditional spiritual beliefs was associated with antidrug attitudes, norms, and expectancies. Having a sense of belonging to traditions from both AI cultures and Christianity may foster integration of the two worlds in which urban AI youth live.

  2. Effect of tribal language use on colorectal cancer screening among American Indians.

    Science.gov (United States)

    Gonzales, Angela A; Garroutte, Eva; Ton, Thanh G N; Goldberg, Jack; Buchwald, Dedra

    2012-12-01

    American Indians have one of the lowest colorectal cancer (CRC) screening rates for any racial/ethnic group in the U.S., yet reasons for their low screening participation are poorly understood. We examine whether tribal language use is associated with knowledge and use of CRC screening in a community-based sample of American Indians. Using logistic regression to estimate the association between tribal language use and CRC test knowledge and receipt we found participants speaking primarily English were no more aware of CRC screening tests than those speaking primarily a tribal language (OR = 1.16 [0.29, 4.63]). Participants who spoke only a tribal language at home (OR = 1.09 [0.30, 4.00]) and those who spoke both a tribal language and English (OR = 1.74 [0.62, 4.88]) also showed comparable odds of receipt of CRC screening. Study findings failed to support the concept that use of a tribal language is a barrier to CRC screening among American Indians.

  3. Tobacco use and cardiovascular disease among American Indians: the strong heart study.

    Science.gov (United States)

    Eichner, June E; Wang, Wenyu; Zhang, Ying; Lee, Elisa T; Welty, Thomas K

    2010-10-01

    Tobacco use among American Indians has a long and complicated history ranging from its utilization in spiritual ceremonies to its importance as an economic factor for survival. Despite this cultural tradition and long history, there are few studies of the health effects of tobacco in this population. The Strong Heart Study is a prospective observational study of cardiovascular disease (CVD) in 13 American Indian tribes in Arizona, Oklahoma, and North and South Dakota with 4,549 participants. Baseline examinations were followed by two examinations at regular intervals and 16 years of morbidity and mortality follow-up. Hazard ratios (HRs) for non-fatal CVD for current smokers vs. non-smokers after adjusting for other risk factors were significant in women (HR = 1.94, 95% CI 1.54 to 2.45) and men (HR = 1.59, 95% CI 1.16 to 2.18). Hazard ratios for fatal CVD for current smokers vs. non-smokers after adjusting for other risk factors were significant in women (HR = 1.64, 95% CI 1.04 to 2.58), but not in men. Individuals who smoked and who were diagnosed with diabetes mellitus, hypertension or renal insufficiency were more likely to quit smoking than those without these conditions. On average, American Indians smoke fewer cigarettes per day than other racial/ethnic groups; nevertheless, the ill effects of habitual tobacco use are evident in this population.

  4. Tobacco Use and Cardiovascular Disease among American Indians: The Strong Heart Study

    Directory of Open Access Journals (Sweden)

    Thomas K. Welty

    2010-10-01

    Full Text Available Tobacco use among American Indians has a long and complicated history ranging from its utilization in spiritual ceremonies to its importance as an economic factor for survival. Despite this cultural tradition and long history, there are few studies of the health effects of tobacco in this population. The Strong Heart Study is a prospective observational study of cardiovascular disease (CVD in 13 American Indian tribes in Arizona, Oklahoma, and North and South Dakota with 4,549 participants. Baseline examinations were followed by two examinations at regular intervals and 16 years of morbidity and mortality follow-up. Hazard ratios (HRs for non-fatal CVD for current smokers vs. non-smokers after adjusting for other risk factors were significant in women (HR = 1.94, 95% CI 1.54 to 2.45 and men (HR = 1.59, 95% CI 1.16 to 2.18. Hazard ratios for fatal CVD for current smokers vs. non-smokers after adjusting for other risk factors were significant in women (HR = 1.64, 95% CI 1.04 to 2.58, but not in men. Individuals who smoked and who were diagnosed with diabetes mellitus, hypertension or renal insufficiency were more likely to quit smoking than those without these conditions. On average, American Indians smoke fewer cigarettes per day than other racial/ethnic groups; nevertheless, the ill effects of habitual tobacco use are evident in this population.

  5. Culturally-Tailored Smoking Cessation for American Indians: Study protocol for a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Shireman Theresa I

    2011-05-01

    Full Text Available Abstract Background Cigarette smoking is the number one cause of preventable death among American Indian and Alaska Natives, AI/ANs. Two out of every five AI/AN will die from tobacco-related diseases if the current smoking rates of AI/ANs (40.8% persist. Currently, there is no proven, effective culturally-tailored smoking cessation program designed specifically for a heterogeneous population of AI. The primary aim of this group randomized clinical trial is to test the efficacy of "All Nations Breath of Life" (ANBL program compared to a non-tailored "Current Best Practices" smoking cessation program among AI smokers. Methods We will randomize 56 groups (8 smokers per group to the tailored program or non-tailored program for a total sample size of 448 American Indian smokers. All participants in the proposed study will be offered pharmacotherapy, regardless of group assignment. This study is the first controlled trial to examine the efficacy of a culturally-tailored smoking cessation program for American Indians. If the intervention is successful, the potential health impact is significant because the prevalence of smoking is the highest in this population. Trial Registration ClinicalTrials.gov: NCT01106456

  6. American Indian culture as substance abuse treatment: pursuing evidence for a local intervention.

    Science.gov (United States)

    Gone, Joseph P; Looking, Patrick E Calf

    2011-01-01

    Contemporary tribal commitments to traditional cultural reclamation and revitalization find continued expression by recent generational cohorts of American Indians who, when it comes to matters of recovery, healing, and wellness in the context of substance abuse, routinely assert that "our culture is our treatment." And yet, empirical investigations of this culture-as-treatment hypothesis--namely, that a (post)colonial return to indigenous cultural orientations and practices is sufficient for effecting abstinence and recovery from substance use disorders for many American Indians--have yet to appear in the scientific literature. Preliminary activities of a research partnership dedicated to the empirical exploration of this hypothesis for reducing Native American substance use disorders are summarized. Specifically, collaboration between a university-based research psychologist and a reservation-based substance abuse treatment program staff has thus far resulted in a detailed blueprint for a radically alternative, culturally-grounded intervention developed for reservation residents. This proposed alternative intervention--a seasonal cultural immersion camp designed to approximate the day-to-day experiences of prereservation ancestors--was designed for eventual implementation and evaluation with adult clients referred for residential treatment on the Blackfeet Indian reservation. It is anticipated that the proposed intervention will eventually afford empirical evaluation of the culture-as-treatment hypothesis.

  7. Tobacco Use and Cardiovascular Disease among American Indians: The Strong Heart Study

    Science.gov (United States)

    Eichner, June E.; Wang, Wenyu; Zhang, Ying; Lee, Elisa T.; Welty, Thomas K.

    2010-01-01

    Tobacco use among American Indians has a long and complicated history ranging from its utilization in spiritual ceremonies to its importance as an economic factor for survival. Despite this cultural tradition and long history, there are few studies of the health effects of tobacco in this population. The Strong Heart Study is a prospective observational study of cardiovascular disease (CVD) in 13 American Indian tribes in Arizona, Oklahoma, and North and South Dakota with 4,549 participants. Baseline examinations were followed by two examinations at regular intervals and 16 years of morbidity and mortality follow-up. Hazard ratios (HRs) for non-fatal CVD for current smokers vs. non-smokers after adjusting for other risk factors were significant in women (HR = 1.94, 95% CI 1.54 to 2.45) and men (HR = 1.59, 95% CI 1.16 to 2.18). Hazard ratios for fatal CVD for current smokers vs. non-smokers after adjusting for other risk factors were significant in women (HR = 1.64, 95% CI 1.04 to 2.58), but not in men. Individuals who smoked and who were diagnosed with diabetes mellitus, hypertension or renal insufficiency were more likely to quit smoking than those without these conditions. On average, American Indians smoke fewer cigarettes per day than other racial/ethnic groups; nevertheless, the ill effects of habitual tobacco use are evident in this population. PMID:21139862

  8. The Differential Impact of Alcohol and Interpersonal Violence on the Severity of Violent Traumatic Brain Injuries among American Indians.

    Science.gov (United States)

    Linton, Kristen F; Perrin, Paul B

    2017-04-03

    Research shows connections between substance use and traumatic brain injury (TBI), high rates of substance use and interpersonal violence (IPV) in American Indians with TBI, and connections between IPV and TBI. This study assessed the effects of substance use at the time of a violent TBI and possible mediators such as American Indian race on injury severity (injury severity score [ISS]). A secondary data analysis of 3,351 individuals who experienced a TBI due to violence was conducted. American Indians with TBI were more likely to experience IPV (χ(2) = 4.19; p = .04) and had significantly higher blood alcohol content level (BAC) scores (t = - 16.78; p = .000) than other racial groups. A regression model explained 27% of the variance in ISS. Significant interaction terms uncovered positive relationships between: (a) American Indian race and ISS when the injury aetiology was not IPV and BAC scores were lower than the legal limit, and (b) IPV and ISS when patients were not American Indian. Alcohol was negatively associated with ISS among American Indians, suggesting that BAC may impact individuals with TBI differentially as a function of race.

  9. Native Americans in Cold War Public Diplomacy: Indian Politics, American History, and the US Information Agency

    Science.gov (United States)

    Denson, Andrew

    2012-01-01

    This essay examines the depiction of Native Americans by the US Information Agency (USIA), the bureau charged with explaining American politics to the international public during the Cold War. In the 1950s and 1960s, the USIA broadcast the message that Americans had begun to acknowledge their nation's history of conquest and were working to…

  10. Native Americans in Cold War Public Diplomacy: Indian Politics, American History, and the US Information Agency

    Science.gov (United States)

    Denson, Andrew

    2012-01-01

    This essay examines the depiction of Native Americans by the US Information Agency (USIA), the bureau charged with explaining American politics to the international public during the Cold War. In the 1950s and 1960s, the USIA broadcast the message that Americans had begun to acknowledge their nation's history of conquest and were working to…

  11. Age of onset of first alcohol intoxication and subsequent alcohol use among urban American Indian adolescents.

    Science.gov (United States)

    Henry, Kimberly L; McDonald, James N; Oetting, Eugene R; Walker, Patricia Silk; Walker, R Dale; Beauvais, Fred

    2011-03-01

    The objective was to assess the effect of early onset intoxication on subsequent alcohol involvement among urban American Indian youth. The data come from the American Indian Research (AIR) project, a panel study of urban Indian youth residing in King County, Washington. Data were collected annually from the adolescent and his/her primary caregiver from the 1988-89 school year to the 1996-97 school year, providing a total of nine waves of data. Early intoxication (by age 14) was related to delinquency, family history of alcohol abuse or dependence, poverty, broken family structure, less family cohesiveness, and more family conflict. The effects of these characteristics were, therefore, partialed out in testing effects of early intoxication on later alcohol involvement. Two-part latent growth models of alcohol use and alcohol problems were specified. Effects of early onset intoxication on these trajectories, as well as lifetime alcohol abuse or dependence by the transition to young adulthood, were examined. Findings indicate that adolescents who experienced their first intoxication early (by age 14), used alcohol more heavily from the ages of 16 to 18, experienced more problems related to the alcohol's use from the ages of 16 to 18, and were more likely to have a diagnosed alcohol disorder by the final wave of data collection. Congruent with similar studies in the general population, early intoxication appears to be associated with a deleterious course of alcohol involvement during adolescence and into the transition to young adulthood among urban American Indian youth. Implications for prevention are discussed.

  12. Umbilical hernia repair in pregnant patients: review of the American College of Surgeons National Surgical Quality Improvement Program.

    Science.gov (United States)

    Haskins, I N; Rosen, M J; Prabhu, A S; Amdur, R L; Rosenblatt, S; Brody, F; Krpata, D M

    2017-07-22

    Umbilical hernias present commonly during pregnancy secondary to increased intra-abdominal pressure. As a result, umbilical hernia incarceration or strangulation may affect pregnant females. The purpose of this study is to detail the operative management and 30-day outcomes of umbilical hernias in pregnant patients using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP). All female patients undergoing umbilical hernia repair during pregnancy were identified within the ACS-NSQIP. Preoperative patient variables, intraoperative variables, and 30-day patient morbidity and mortality outcomes were investigated using a variety of statistical tests. A total of 126 pregnant patients underwent umbilical hernia repair from 2005 to 2014; 73 (58%) had incarceration or strangulation at the time of surgical intervention. The majority of patients (95%) underwent open umbilical hernia repair. Superficial surgical site infection was the most common morbidity in patients undergoing open umbilical hernia repair. Based on review of the ACS-NSQIP database, the incidence of umbilical hernia repair during pregnancy is very low; however, the majority of patients required repair for incarceration of strangulation. When symptoms develop, these hernias can be repaired with minimal 30-day morbidity to the mother. Additional studies are needed to determine the long-term recurrence rate of umbilical hernia repairs performed in pregnant patients and the effects of surgical intervention and approach on the fetus.

  13. Antepartum cardiorespiratory fitness (CRF) quantification by estimation of maximal oxygen consumption (Vo2 max) in pregnant South Indian women.

    Science.gov (United States)

    Chakaravertty, Biswajit; Parkavi, K; Coumary, Sendhil A; Felix, A J W

    2012-04-01

    The aim of the study was to calculate the maximal oxygen consumption (Vo2max) for pregnant women of varying trimesters and to quantify the cardiorespiratory fitness (CRF)with the objective of being able to determine the exercise dose for antenatal women which can be prescribed to achieve optimal exercise benefits during various trimesters. A study group comprising 64 pregnant women with uncomplicated singleton pregnancy and control group with 77 non-pregnant women were subjected to Cooper's 12 minutes walk test. From the distance covered in 12 minutes, Vo2max was calculated. The Vo2max values were statistically analysed between the non-pregnant and pregnant and also its variability among the trimesters. Percentile tables of Vo2max were drawn and multiple comparisons were applied. Results show that the Vo2max values among non-pregnant and first trimester ranges between 18 and 22 ml/kg/minute. Trimesters II and III had a range of Vo2max values between 16-20 and 14-18 ml/kg/minute respectively. The CRF of pregnant women significantly reduced to 6%, 9% and 18% in each trimester respectively when compared with the reference table framed out of non-pregnant Vo2max values. Among the study group the reduction in Vo2max values had no statistical significance between first 2 trimesters but trimester III significantly differs from other trimesters. The exercise prescription cannot be the same for pregnant and non-pregnant women. Even among the pregnant women, III trimester needs separate exercise prescription from the other two trimesters as CRF is markedly compromised towards term.

  14. Risk Factors for Preterm Birth and Low Birth Weight Among Pregnant Indian Women: A Hospital-based Prospective Study

    Science.gov (United States)

    Bhat, Parvati; Acharya, Shashidhar; Kamath, Asha; Bhat, Shashikala; Rao, Chythra; Nayak, Sathisha; Mukhopadhyay, Chiranjay

    2016-01-01

    Objectives: The present study was undertaken to study the maternal risk factors for preterm birth (PTB) and low birth weight (LBW) with a special emphasis on assessing the proportions of maternal genitourinary and periodontal infections among Indian women and their association with adverse pregnancy outcomes. Methods: A hospital-based prospective study comprising 790 pregnant women visiting the obstetrics clinic for a routine antenatal check-up was undertaken. Once recruited, all study participants underwent clinical and microbiological investigations for genitourinary infections followed by a dental check-up for the presence of periodontitis. The study participants were followed up until their delivery to record the pregnancy outcomes. Infectious and non-infectious risk factors for PTB and LBW were assessed using univariate and multivariate Cox regression analysis. Independent risk factors for PTB and LBW were reported in terms of adjusted relative risk (ARR) with the 95% confidence interval (CI). Results: Rates of PTB and LBW in the study population were 7.6% and 11.4%, respectively. Previous preterm delivery (ARR, 5.37; 95% CI, 1.5 to 19.1), periodontitis (ARR, 2.39; 95% CI, 1.1 to 4.9), Oligohydramnios (ARR, 5.23; 95% CI, 2.4 to 11.5), presence of Nugent’s intermediate vaginal flora (ARR, 2.75; 95% CI, 1.4 to 5.1), gestational diabetes mellitus (ARR, 2.91; 95% CI, 1.0 to 8.3), and maternal height <1.50 m (ARR, 2.21; 95% CI, 1.1 to 4.1) were risk factors for PTB, while periodontitis (ARR, 3.38; 95% CI, 1.6 to 6.9), gestational hypertension (ARR, 3.70; 95% CI, 1.3 to 10.8), maternal height <1.50 m (ARR, 2.66; 95% CI, 1.3 to 5.1) and genital infection during later stages of pregnancy (ARR, 2.79; 95% CI, 1.2 to 6.1) were independent risk factors for LBW. Conclusions: Our study findings underscore the need to consider screening for potential genitourinary and periodontal infections during routine antenatal care in developing countries. PMID:27255075

  15. Risk Factors for Preterm Birth and Low Birth Weight Among Pregnant Indian Women: A Hospital-based Prospective Study.

    Science.gov (United States)

    Tellapragada, Chaitanya; Eshwara, Vandana Kalwaje; Bhat, Parvati; Acharya, Shashidhar; Kamath, Asha; Bhat, Shashikala; Rao, Chythra; Nayak, Sathisha; Mukhopadhyay, Chiranjay

    2016-05-01

    The present study was undertaken to study the maternal risk factors for preterm birth (PTB) and low birth weight (LBW) with a special emphasis on assessing the proportions of maternal genitourinary and periodontal infections among Indian women and their association with adverse pregnancy outcomes. A hospital-based prospective study comprising 790 pregnant women visiting the obstetrics clinic for a routine antenatal check-up was undertaken. Once recruited, all study participants underwent clinical and microbiological investigations for genitourinary infections followed by a dental check-up for the presence of periodontitis. The study participants were followed up until their delivery to record the pregnancy outcomes. Infectious and non-infectious risk factors for PTB and LBW were assessed using univariate and multivariate Cox regression analysis. Independent risk factors for PTB and LBW were reported in terms of adjusted relative risk (ARR) with the 95% confidence interval (CI). Rates of PTB and LBW in the study population were 7.6% and 11.4%, respectively. Previous preterm delivery (ARR, 5.37; 95% CI, 1.5 to 19.1), periodontitis (ARR, 2.39; 95% CI, 1.1 to 4.9), Oligohydramnios (ARR, 5.23; 95% CI, 2.4 to 11.5), presence of Nugent's intermediate vaginal flora (ARR, 2.75; 95% CI, 1.4 to 5.1), gestational diabetes mellitus (ARR, 2.91; 95% CI, 1.0 to 8.3), and maternal height <1.50 m (ARR, 2.21; 95% CI, 1.1 to 4.1) were risk factors for PTB, while periodontitis (ARR, 3.38; 95% CI, 1.6 to 6.9), gestational hypertension (ARR, 3.70; 95% CI, 1.3 to 10.8), maternal height <1.50 m (ARR, 2.66; 95% CI, 1.3 to 5.1) and genital infection during later stages of pregnancy (ARR, 2.79; 95% CI, 1.2 to 6.1) were independent risk factors for LBW. Our study findings underscore the need to consider screening for potential genitourinary and periodontal infections during routine antenatal care in developing countries.

  16. The history and politics of US health care policy for American Indians and Alaskan Natives.

    Science.gov (United States)

    Kunitz, S J

    1996-10-01

    This paper traces the development of the US federal government's program to provide personal and public health services to American Indians and Alaska Natives since the 1940s. Minimal services had been provided since the mid 19th century through the Bureau of Indian Affairs of the Department of the Interior. As a result of attempts by western congressmen to weaken and destroy the bureau during the 1940s, responsibility for health services was placed with the US Public Health Service. The transfer thus created the only US national health program for civilians, providing virtually the full range of personal and public health services to a defined population at relatively low cost. Policy changes since the 1970s have led to an emphasis on self-determination that did not exist during the 1950s and 1960s. Programs administered by tribal governments tend to be more expensive than those provided by the Indian Health Service, but appropriations have not risen to meet the rising costs, nor are the appropriated funds distributed equitably among Indian Health Service regions. The result is likely to be an unequal deterioration in accessibility and quality of care.

  17. Pregnancy-related health information-seeking behaviors among rural pregnant women in India: validating the Wilson model in the Indian context.

    Science.gov (United States)

    Das, Ashavaree; Sarkar, Madhurima

    2014-09-01

    Understanding health information-seeking behaviors and barriers to care and access among pregnant women can potentially moderate the consistent negative associations between poverty, low levels of literacy, and negative maternal and child health outcomes in India. Our seminal study explores health information needs, health information-seeking behaviors, and perceived information support of low-income pregnant women in rural India. Using the Wilson Model of health information-seeking framework, we designed a culturally tailored guided interview to assess information-seeking behaviors and barriers to information seeking among pregnant women. We used a local informant and health care worker to recruit 14 expectant women for two focus group interviews lasting 45 minutes to an hour each. Thirteen other related individuals including husbands, mothers, mothers-in-law, and health care providers were also recruited by hospital counselors for in-depth interviews regarding their pregnant wives/daughters and daughters-in-law. Interviews were transcribed and analyzed by coding the data into thematic categories. The data were coded manually and emerging themes included pregnancy-related knowledge and misconceptions and personal, societal, and structural barriers, as well as risk perceptions and self-efficacy. Lack of access to health care and pregnancy-related health information led participants to rely heavily on information and misconceptions about pregnancy gleaned from elder women, friends, and mothers-in-law and husbands. Doctors and para-medical staff were only consulted during complications. All women faced personal, societal, and structural level barriers, including feelings of shame and embarrassment, fear of repercussion for discussing their pregnancies with their doctors, and inadequate time with their doctors. Lack of access and adequate health care information were of primary concern to pregnant women and their families. Our study can help inform policies and multi

  18. Native Agency and the Making of "The North American Indian": Alexander B. Upshaw and Edward S. Curtis

    Science.gov (United States)

    Zamir, Shamoon

    2007-01-01

    The twenty volumes of ethnographic text and pictorial photography and the twenty portfolios of large, finely printed photogravures that together comprise "The North American Indian" were the product of an extraordinary labor by Edward S. Curtis, an extensive and shifting team of co-workers, and the participation of hundreds of Native Americans. By…

  19. Respect for Life: Report of a Conference at Harper's Ferry, West Virginia on The Traditional Upbringing of American Indian Children.

    Science.gov (United States)

    Morey, Sylvester M., Ed.; Gilliam, Olivia L., Ed.

    In recognition of the past and potential contributions of American Indian philosophy, this book presents discussions which came out of a week long conference at Harper's Ferry, West Virginia. Conference participants included Native American elders (representatives from the Navajo, Mohawk, Crow, Kiowa, Pueblo, and Arapaho tribes) and officials of…

  20. Unraveling Cultural Threads: A Qualitative Study of Culture and Ethnic Identity among Urban Southwestern American Indian Youth Parents and Elders

    Science.gov (United States)

    House, Laura E.; Stiffman, Arlene R.; Brown, Eddie

    2006-01-01

    We utilized qualitative methods to explore ethnic and cultural identity among urban Southwestern American Indian youth, parents, and elders. Twenty-four respondents ranging in age from approximately 13 to 90 years were interviewed in focus groups divided by age. Six major themes and seventeen sub-themes related to tribal and pan-American Indian…

  1. Healthy nations: reducing substance abuse in American Indian and Alaska Native communities.

    Science.gov (United States)

    Noe, Tim; Fleming, Candace; Manson, Spero

    2003-01-01

    Since 1993, 14 American Indian and Alaska Native (AIAN) communities have worked diligently to reduce the harm due to substance abuse in their communities. Funded by the Robert Wood Johnson Foundation's Healthy Nations Initiative I, these communities implemented creative strategies that span the continuum from community-wide prevention, early identification and treatment to aftercare. Drawing upon the unique strengths of their own cultural traditions to find solutions to local substance abuse problems, these efforts have identified important and useful lessons for not only other AIAN communities, but also for sponsors of substance abuse programming in Indian country and elsewhere. Described here are successful strategies for developing and sustaining substance abuse programs in AIAN communities and an assessment of their impacts and accomplishments.

  2. American Indian/Alaska Native cancer policy: systemic approaches to reducing cancer disparities.

    Science.gov (United States)

    Warne, Donald; Kaur, Judith; Perdue, David

    2012-04-01

    Members of American Indian and Alaska Native (AI/AN) tribes have a unique political status in the United States in terms of citizenship, and that political status determines eligibility for certain unique healthcare services. The AI/AN population has a legal right to healthcare services based on treaties, court decisions, acts of Congress, Executive Orders, and other legal bases. Although the AI/AN population has a right to healthcare services, the Indian Health Service (the federal agency responsible for providing healthcare to AI/ANs) is severely underfunded, limiting access to services (including cancer care). In order to overcome distinct cancer health disparities, policy changes will be needed. This paper reviews the historical pattern of AI/AN healthcare and the challenges of the complex care needed from prevention through end-of-life care for cancer.

  3. Indian Writers and Indian Lives

    Science.gov (United States)

    Stensland, Anna Lee

    1974-01-01

    A discussion of popular Indian stereotypes and counter-stereotypes in literature, based on the thesis that the introduction of the literature of the American Indian, traditional and modern, will help to increase the Indian child's pride in his culture and add to the understanding of the non-Indian child. (EH)

  4. Crystal methamphetamine use among American Indian and White youth in Appalachia: Social context, masculinity, and desistance

    Science.gov (United States)

    BROWN, RYAN A.

    2010-01-01

    Rural areas and American Indian reservations are hotspots for the use of crystal methamphetamine (“meth”) in the United States, yet there is little ethnographic data describing meth use in these areas. This study draws upon three years of ethnographic work conducted with American Indian and White youth in Appalachia during the height of the meth epidemic. It describes how historical, cultural, and socioeconomic processes influence vulnerability to meth use in Appalachia, and highlights the role of social relationships and meaning-making in facilitating desistance and recovery from meth use. The first section shows how crystal meth filled a particular functional niche in the lives of many young men, alleviating boredom and anomie linked to recent socioeconomic changes and labor opportunities in the region, and intersecting with local understandings of masculinity and forms of military identity. Here, ethnographic and interview data converge to illustrate how social role expectations, recent socioeconomic change, and meth’s pharmacological properties converge to create vulnerability to meth use in Appalachia. The second section draws upon two American Indian narratives of desistance. These youth described recently severed social relationships and acute feelings of social isolation during the initiation of meth use. Both also described dramatic close calls with death that facilitated their eventual desistance from use, involving repaired social relationships and the establishment of new lives and hope. These interviews illustrate how changes in social relationships were linked with both initiation and desistance from meth use, and how religious interpretations of near-death experiences structured narratives of cessation and redemption. PMID:21637733

  5. Substance Use Profiles of Urban American Indian Adolescents: A Latent Class Analysis.

    Science.gov (United States)

    Kulis, Stephen S; Jager, Justin; Ayers, Stephanie L; Lateef, Husain; Kiehne, Elizabeth

    2016-07-28

    A growing majority of American Indian adolescents now live in cities and are at high risk of early and problematic substance use and its negative health effects. This study used latent class analysis to empirically derive heterogeneous patterns of substance use among urban American Indian adolescents, examined demographic correlates of the resulting latent classes, and tested for differences among the latent classes in other risk behavior and prosocial outcomes. The study employed a representative sample of 8th, 10th, and 12th grade American Indian adolescents (n = 2,407) in public or charter schools in metropolitan areas of Arizona in 2012. Latent class analysis examined eight types of last 30 day substance use. Four latent classes emerged: a large group of "nonusers" (69%); a substantial minority using alcohol, tobacco, and/or marijuana [ATM] (17%); a smaller group of polysubstance users consuming, alcohol, tobacco, marijuana, other illicit drugs, and prescription or OTC drugs in combination (6%); and a "not alcohol" group reporting combinations of tobacco, marijuana, and prescription drug use, but rarely alcohol use (4%). The latent classes varied by age and grade level, but not by other demographic characteristics, and aligned in highly consistent patterns on other non-substance use outcomes. Polysubstance users reported the most problematic and nonusers the least problematic outcomes, with ATM and "not alcohol" users in the middle. Urban AI adolescent substance use occurs in three somewhat distinctive patterns of combinations of recent alcohol and drug consumption, covarying in systematic ways with other problematic risk behaviors and attitudes.

  6. Trajectories of substance use among young American Indian adolescents: patterns and predictors.

    Science.gov (United States)

    Whitesell, Nancy Rumbaugh; Asdigian, Nancy L; Kaufman, Carol E; Big Crow, Cecelia; Shangreau, Carly; Keane, Ellen M; Mousseau, Alicia C; Mitchell, Christina M

    2014-03-01

    Substance use often begins earlier among American Indians compared to the rest of the United States, a troubling reality that puts Native youth at risk for escalating and problematic use. We need to understand more fully patterns of emergent substance use among young American Indian adolescents, risk factors associated with escalating use trajectories, and protective factors that can be parlayed into robust prevention strategies. We used growth mixture modeling with longitudinal data from middle-school students on a Northern Plains reservation (Wave 1 N = 381, M age at baseline = 12.77, 45.6% female) to identify subgroups exhibiting different trajectories of cigarette, alcohol, and marijuana use. We explored how both risk (e.g., exposure to stressful events, deviant peers) and protective (e.g., positive parent-child relationships, cultural identity) factors were related to these trajectories. For all substances, most youth showed trajectories characterized by low rates of substance use (nonuser classes), but many also showed patterns characterized by high and/or escalating use. Across substances, exposure to stress, early puberty, and deviant peer relationships were associated with the more problematic patterns, while strong relationships with parents and prosocial peers were associated with nonuser classes. Our measures of emergent cultural identity were generally unrelated to substance use trajectory classes among these young adolescents. The findings point to the importance of early substance use prevention programs for American Indian youth that attenuate the impact of exposure to stressful events, redirect peer relationships, and foster positive parent influences. They also point to the need to explore more fully how cultural influences can be captured.

  7. Through the Eyes of the Eagle (American Indian translation in Shoshone)

    Centers for Disease Control (CDC) Podcasts

    2009-04-09

    The Eagle Books are a series of four books that are brought to life by wise animal characters - Mr. Eagle, Miss Rabbit, and Coyote - who engage Rain That Dances and his young friends in the joy of physical activity, eating healthy foods, and learning from their elders about health and diabetes prevention. Through the Eyes of the Eagle tells children about looking to the healthy ways and wisdom of their elders (Listen to the American Indian translation in Shoshone).  Created: 4/9/2009 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 4/9/2009.

  8. Through the Eyes of the Eagle (American Indian translation in Paiute)

    Centers for Disease Control (CDC) Podcasts

    2009-04-09

    The Eagle Books are a series of four books that are brought to life by wise animal characters - Mr. Eagle, Miss Rabbit, and Coyote - who engage Rain That Dances and his young friends in the joy of physical activity, eating healthy foods, and learning from their elders about health and diabetes prevention. Through the Eyes of the Eagle tells children about looking to the healthy ways and wisdom of their elders (Listen to the American Indian translation in Paiute).  Created: 4/9/2009 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 4/9/2009.

  9. Through the Eyes of the Eagle (American Indian translation in Chickasaw)

    Centers for Disease Control (CDC) Podcasts

    2009-04-09

    The Eagle Books are a series of four books that are brought to life by wise animal characters - Mr. Eagle, Miss Rabbit, and Coyote - who engage Rain That Dances and his young friends in the joy of physical activity, eating healthy foods, and learning from their elders about health and diabetes prevention. Through the Eyes of the Eagle tells children about looking to the healthy ways and wisdom of their elders (American Indian translation in Chickasaw).  Created: 4/9/2009 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 4/9/2009.

  10. Native Generations: A campaign addressing infant mortality among American Indians and Alaska Natives in urban areas.

    Science.gov (United States)

    Rutman, Shira; Loughran, Julie; Tanner, Leah; Randall, Leslie L

    2016-01-01

    This study describes the development and evaluation of Native Generations, a campaign addressing high rates of infant mortality (IM) among American Indians and Alaska Natives (AI/ANs) in urban areas. Campaign development included reviews of literature and previous campaigns, an advisory council, and focus groups. Campaign messages are strength-based, encouraging AI/AN caregivers to utilize available Native-specific resources, including health care, support services, and programming as IM protective factors. The primary campaign material is an 11-minute video. Pilot survey data indicate the video may help increase awareness of IM and Native-specific resources, and increase connection to Native identity, culture, and community.

  11. Gender, Race, and Delinquent Behavior: An Extension of Power-Control Theory to American Indian Adolescents.

    Science.gov (United States)

    Eitle, David; Niedrist, Fallon; Eitle, Tamela McNulty

    2014-01-01

    Research testing Hagan's power-control theory has largely been tested with samples of non-Hispanic whites. We extend prior research by testing the theory's merits with a sample of American Indian (AI) adolescents. Overall, we find mixed support for the theory's merits. However, we find that our measure of patriarchy is a robust predictor of AI female delinquent activity. We also find that a grandparent in the household serves to greatly reduce involvement in violent behavior among AI females. Compared to a sample of non-Hispanic whites, these results reveal the importance of testing explanations of deviant behavior across racial and ethnic groups.

  12. High prevalence of human papillomavirus infection in American Indian women of the Northern Plains

    Science.gov (United States)

    Bell, Maria C.; Schmidt-Grimminger, Delf; Patrick, Sarah; Ryschon, Tim; Linz, Laurie; Chauhan, Subhash C.

    2008-01-01

    Objectives Cervical cancer is the leading gynecological malignancy worldwide, and the incidence of this disease is very high in American Indian women. Infection with the Human Papillomavirus (HPV) is responsible for more than 95% of cervical squamous carcinomas. Therefore, the main objective of this study was to analyze oncogenic HPV infections in American Indian women residing in the Northern Plains. Methods Cervical samples were collected from 287 women attending a Northern Plains American Indian reservation outpatient clinic. DNA was extracted from the cervical samples and HPV specific DNA were amplified by polymerase chain reaction (PCR) using the L1 consensus primer sets. The PCR products were hybridized with the Roche HPV Line Blot assay for HPV genotyping to detect 27 different low and high-risk HPV genotypes. The chi-square test was performed for statistical analysis of the HPV infection and cytology diagnosis data. Results Of the total 287 patients, 61 women (21.25%) tested positive for HPV infection. Among all HPV-positive women, 41 (67.2%) were infected with high-risk HPV types. Of the HPV infected women, 41% presented with multiple HPV genotypes. Additionally, of the women infected with oncogenic HPV types, 20 (48.7%) were infected with HPV 16 and 18 and the remaining 21 (51.3%) were infected with other oncogenic types (i.e., HPV59, 39, 73). Women infected with oncogenic HPV types had significantly higher (p=0.001) abnormal Papanicolaou smear tests (Pap test) compared to women who were either HPV negative or positive for non-oncogenic HPV types. The incidence of HPV infection was inversely correlated (p<0.05) with the age of the patients, but there was no correlation (p=0.33) with seasonal variation. Conclusions In this study, we observed a high prevalence of HPV infection in American Indian women residing on Northern Plains Reservations. In addition, a significant proportion of the oncogenic HPV infections were other than HPV16 and 18. PMID:17659767

  13. Advancing suicide prevention research with rural American Indian and Alaska Native populations.

    Science.gov (United States)

    Wexler, Lisa; Chandler, Michael; Gone, Joseph P; Cwik, Mary; Kirmayer, Laurence J; LaFromboise, Teresa; Brockie, Teresa; O'Keefe, Victoria; Walkup, John; Allen, James

    2015-05-01

    As part of the National Action Alliance for Suicide Prevention's American Indian and Alaska Native (AI/AN) Task Force, a multidisciplinary group of AI/AN suicide research experts convened to outline pressing issues related to this subfield of suicidology. Suicide disproportionately affects Indigenous peoples, and remote Indigenous communities can offer vital and unique insights with relevance to other rural and marginalized groups. Outcomes from this meeting include identifying the central challenges impeding progress in this subfield and a description of promising research directions to yield practical results. These proposed directions expand the alliance's prioritized research agenda and offer pathways to advance the field of suicide research in Indigenous communities and beyond.

  14. American Indian Elders' resilience: Sources of strength for building a healthy future for youth.

    Science.gov (United States)

    Kahn, Carmella B; Reinschmidt, Kerstin; Teufel-Shone, Nicolette I; Oré, Christina E; Henson, Michele; Attakai, Agnes

    2016-01-01

    This study examined American Indian (AI) elders' resilience to support an intervention to build resilience among AI urban youth. A literature review of peer-reviewed articles that address resilience in AI and other Indigenous elders yielded six studies that focused on intergenerational relationships, culture, and self-identity. In addition, a qualitative research project collected narratives with urban AI elders to document perceptions of resilience and resilience strategies. The combined outcomes of the literature search and research project revealed how resilience is exemplified in elders' lives and how resilience strategies are linked to cultural teachings and values, youth activities, and education.

  15. Residential Substance Abuse Treatment for Urban American Indians and Alaska Natives, Part I: Services and Staff.

    Science.gov (United States)

    McFarland, Bentson H; Walker, Dale; Silk-Walker, Patricia

    2017-01-01

    Although residential substance abuse treatment is utilized extensively by urban American Indians and Alaska Natives (AI/ANs), there are few detailed descriptions of this care. This study delineated services provided by and interviewed staff working at residential programs designed for chemically dependent urban AI/ANs. Study agencies were compared to national data from residential programs serving general population clients. Study agencies delivered arrays of services substantially broader than those provided by general population programs. As well as culturally specific programs tailored for AI/ANs plus so-called "mainstream" substance abuse treatments, study facilities provided numerous ancillary services, such as care for clients' children.

  16. Rates of delay and probability discounting of northern plains American Indians discounting Indian and majority culture-specific outcomes.

    Science.gov (United States)

    Weatherly, Jeffrey N; McDonald, J Douglas; Derenne, Adam

    2013-01-01

    Discounting occurs when the value of an outcome changes because its delivery is delayed or uncertain. Discounting provides insight into how individuals make decisions, with rates of discounting being related to a number of behavioral disorders. In this study, 39 American Indians (AIs), 29 female, were recruited from the psychology department participant pool at a university in the Northern Plains to complete an acculturation inventory and delay- and probability-discounting tasks related to money, health care, and education reform. Results from ANOVAs showed that participants did not differentially discount the delayed outcomes, but discounted the probabilistic monetary outcomes to a greater extent than probabilistic outcomes involving education reform, suggesting that participants were more risk averse with the monetary, than the education, outcomes. Differences in discounting were not observed as a function of whether the outcome would occur on or off a tribal reservation. Results from regression analyses showed that participants' affiliation with the majority culture was also related to how they discounted probabilistic monetary outcomes. The present study represents the first attempt to measure probability discounting in AI participants and is the first to show differences in this type of decision making. The results, therefore, represent a step forward in understanding when risk-averse versus risk-prone decisions (i.e., a small but certain outcome vs. a better but uncertain outcome) may be made, and how those decisions are related to acculturation in AIs.

  17. Obesity and Overweight in American Indian and Alaska Native Children, 2006-2015.

    Science.gov (United States)

    Bullock, Ann; Sheff, Karen; Moore, Kelly; Manson, Spero

    2017-09-01

    To estimate obesity and overweight prevalence in American Indian and Alaska Native (AI/AN) children across genders, ages, and geographic regions in the Indian Health Service active clinical population. We obtained data from the Indian Health Service National Data Warehouse. At least 184 000 AI/AN children aged 2 to 19 years had body mass index data for each year studied, 2006 to 2015. We calculated body mass index percentiles with the 2000 Centers for Disease Control and Prevention growth charts. In 2015, the prevalence of overweight and obesity in AI/AN children aged 2 to 19 years was 18.5% and 29.7%, respectively. Boys had higher obesity prevalence than girls (31.5% vs 27.9%). Children aged 12 to 19 years had a higher prevalence of overweight and obesity than younger children. The AI/AN children in our study had a higher prevalence of obesity than US children overall in the National Health and Nutrition Examination Survey. Results for 2006 through 2014 were similar. The prevalence of overweight and obesity among AI/AN children in this population may have stabilized, while remaining higher than prevalence for US children overall.

  18. American Indian youths' perceptions of their environment and their reports of depressive symptoms and alcohol/marijuana use.

    Science.gov (United States)

    Nails, A Mercedes; Mullis, Ronald L; Mullis, Ann K

    2009-01-01

    The role of neighborhood and school environments in adolescent development has been explored over the years, yet few have examined these relationships with an American Indian sample. The purpose of this study was to explore the role of American Indian adolescents' sense of safety in their neighborhood and school environments and how this relates to their experience of depressive symptoms and alcohol/marijuana use. The data were drawn from a southwestern state's dataset containing survey results of adolescent well-being. Responses from a total of 148 American Indian 8th, 10th, and 12th grade students were analyzed. The findings indicated that neighborhood safety, especially the presence of crime and drug sales, was the strongest predictor of depressive symptoms and alcohol/marijuana use. Implications for future research and work with this population are discussed.

  19. A cross-cultural study of self-image: Indian, American, Australian, and Irish adolescents.

    Science.gov (United States)

    Agrawal, P

    1978-03-01

    Planning for research and youth welfare programs in every developed and developing country is essential if man envisages the normalization of sick adolescents. Adolescent unit programs are needed in India, as in all parts of the United States, and should be an integral part of medical institutes in every university. Actually, the problem of generation gap, ego identity, and subcultures (i.e., peer group pressure) creating negative attitudes in youth is one of the most explosive problems that behavioral scientists face in the modern era. The present project is an attempt to study the self-image, ego strength, self-esteem, or level of psychological well-being of a normal adolescent group of Indians and to compare this with youth of three other nationalities-American, Irish, and Australian. To measure the self-esteem of an individual, 11 areas of conflict including impulse control, emotional tone, body and self-image, social attitudes, morals, sexual attitudes, family relations, external mastery, vocational and educational goals, psychopathology, and superior adjustment have been examined. The Hindi version of the Offer Self-image Questionnaire has been used. The sample consists of 400 boys and 400 girls, ages 14 to 18, of middle class socioeconomic status; the educational level is high school/intermediate. It is concluded that American and Australian adolescents, in general, have higher self-esteem or ego strength than do Indian and Irish adolescents, respectively.

  20. Ensuring Healthy American Indian Generations for Tomorrow through Safe and Healthy Indoor Environments

    Directory of Open Access Journals (Sweden)

    Joseph A. Pacheco

    2015-03-01

    Full Text Available American Indians (AI have the highest rate of severe physical housing problems in the U.S. (3.9%. Little information exists about the environmental hazards in AI homes. The purposes of this paper are to discuss challenges that were encountered when recruiting AI for a home-and employment-based environmental health assessments, highlight major successes, and propose recommendations for future indoor environmental health studies. The Center for American Indian Community Health (CAICH and Children’s Mercy Hospital’s Center for Environmental Health and Allergy and Immunology Research Lab collaborated to provide educational sessions and healthy home assessments for AI. Through educational trainings, more than 240 AI were trained on the primary causes of health problems in homes. A total of 72 homes and places of employment were assessed by AI environmental health specialists. The top three categories with the most concerns observed in the homes/places of employment were allergens/dust (98%, safety/injury (89% and chemical exposure (82%. While some information on smoking inside the home was collected, these numbers may have been underreported due to stigma. This was CAICH’s first endeavor in environmental health and although challenges arose, many more successes were achieved.

  1. Social Marketing Risk-Framing Approaches for Dental Sealants in Rural American Indian Children.

    Science.gov (United States)

    Larsson, Laura S; Champine, Dorothy; Hoyt, Dee; Lin, Lillian; Salois, Emily; Silvas, Sharon; Tail, Terri Weasel; Williams, Matthew

    2015-01-01

    To compare three variants of a culturally relevant and theoretically based message to determine the most influential risk-framing approach for improving intention to place dental sealants for preschool children. A convenience sample of adult, American Indian participants (n = 89) attending a community health fair were assigned to view a gain-framed, loss-framed, or mix-framed dental sealant message. We compared participants' scores on a 46-item survey to determine the relative effect of the frame assignment on seven indices of behavior change. The mean difference in participants' stage-of-change scores (x = 1.17, n = 89, SD = 1.90) demonstrated a significant improvement for all groups after watching the dental sealant message t88  = 5.81, p mix-framed message resulted in the highest scores. The gain-framed message was the least influential on four constructs. This finding is in contrast to findings that gain-framed oral health messages are most influential (Gallagher & Updegraff, 2012; O'Keefe & Jensen, 2007). Community advisory board members determined to use the mix-framed approach in an oral health social marketing campaign with a rural, American Indian audience. © 2015 Wiley Periodicals, Inc.

  2. Stress, trauma, and risky sexual behaviour among American Indians in young adulthood.

    Science.gov (United States)

    Kaufman, Carol E; Beals, Janette; Mitchell, Christina M; Lemaster, Pamela; Fickenscher, Alexandra

    2004-07-01

    This paper examines the relationship of risky sexual behaviour to stress and trauma-often the mediators of the content and structure of everyday life-among young American Indians. School, work, social life, and home life bring about demands and stresses for youth; choices young people make may depend on the quantity and content of those demands. Traumatic events or highly distressing situations may shatter fragile (or even resilient) systems of external and internal support from which youth may draw. American Indians live in some of the most impoverished areas of the country, where everyday life includes a heavy burden of stress and trauma. Using data from a representative sample of youth from a Northern Plains tribe, bivariate and adjusted ordered logit models are used to show that stress and trauma do play a role in the sexual decision-making of young people, especially young women. For example, young women who have experienced a trauma have a 20% probability of having had multiple casual partners in the prior year compared to 9% for those who have not experiences a trauma. Types and levels of stress and trauma also make a difference by gender.

  3. “Exploring Effects of Climate Change on Northern Plains American Indian Health”

    Science.gov (United States)

    Redsteer, Margaret Hiza; Eggers, Margaret J.

    2013-01-01

    American Indians have unique vulnerabilities to the impacts of climate change because of the links among ecosystems, cultural practices, and public health, but also as a result of limited resources available to address infrastructure needs. On the Crow Reservation in south-central Montana, a Northern Plains American Indian Reservation, there are community concerns about the consequences of climate change impacts for community health and local ecosystems. Observations made by Tribal Elders about decreasing annual snowfall and milder winter temperatures over the 20th century initiated an investigation of local climate and hydrologic data by the Tribal College. The resulting analysis of meteorological data confirmed the decline in annual snowfall and an increase in frost free days. In addition, the data show a shift in precipitation from winter to early spring and a significant increase in days exceeding 90° F (32° C). Streamflow data show a long-term trend of declining discharge. Elders noted that the changes are affecting fish distribution within local streams and plant species which provide subsistence foods. Concerns about warmer summer temperatures also include heat exposure during outdoor ceremonies that involve days of fasting without food or water. Additional community concerns about the effects of climate change include increasing flood frequency and fire severity, as well as declining water quality. The authors call for local research to understand and document current effects and project future impacts as a basis for planning adaptive strategies. PMID:24265512

  4. "Exploring Effects of Climate Change on Northern Plains American Indian Health"

    Science.gov (United States)

    Doyle, John T; Redsteer, Margaret Hiza; Eggers, Margaret J

    2013-10-01

    American Indians have unique vulnerabilities to the impacts of climate change because of the links among ecosystems, cultural practices, and public health, but also as a result of limited resources available to address infrastructure needs. On the Crow Reservation in south-central Montana, a Northern Plains American Indian Reservation, there are community concerns about the consequences of climate change impacts for community health and local ecosystems. Observations made by Tribal Elders about decreasing annual snowfall and milder winter temperatures over the 20(th) century initiated an investigation of local climate and hydrologic data by the Tribal College. The resulting analysis of meteorological data confirmed the decline in annual snowfall and an increase in frost free days. In addition, the data show a shift in precipitation from winter to early spring and a significant increase in days exceeding 90° F (32° C). Streamflow data show a long-term trend of declining discharge. Elders noted that the changes are affecting fish distribution within local streams and plant species which provide subsistence foods. Concerns about warmer summer temperatures also include heat exposure during outdoor ceremonies that involve days of fasting without food or water. Additional community concerns about the effects of climate change include increasing flood frequency and fire severity, as well as declining water quality. The authors call for local research to understand and document current effects and project future impacts as a basis for planning adaptive strategies.

  5. Metabolic Profiles of Obesity in American Indians: The Strong Heart Family Study.

    Science.gov (United States)

    Zhao, Qi; Zhu, Yun; Best, Lyle G; Umans, Jason G; Uppal, Karan; Tran, ViLinh T; Jones, Dean P; Lee, Elisa T; Howard, Barbara V; Zhao, Jinying

    2016-01-01

    Obesity is a typical metabolic disorder resulting from the imbalance between energy intake and expenditure. American Indians suffer disproportionately high rates of obesity and diabetes. The goal of this study is to identify metabolic profiles of obesity in 431 normoglycemic American Indians participating in the Strong Heart Family Study. Using an untargeted liquid chromatography-mass spectrometry, we detected 1,364 distinct m/z features matched to known compounds in the current metabolomics databases. We conducted multivariate analysis to identify metabolic profiles for obesity, adjusting for standard obesity indicators. After adjusting for covariates and multiple testing, five metabolites were associated with body mass index and seven were associated with waist circumference. Of them, three were associated with both. Majority of the obesity-related metabolites belongs to lipids, e.g., fatty amides, sphingolipids, prenol lipids, and steroid derivatives. Other identified metabolites are amino acids or peptides. Of the nine identified metabolites, five metabolites (oleoylethanolamide, mannosyl-diinositol-phosphorylceramide, pristanic acid, glutamate, and kynurenine) have been previously implicated in obesity or its related pathways. Future studies are warranted to replicate these findings in larger populations or other ethnic groups.

  6. Culture and context: buffering the relationship between stressful life events and risky behaviors in American Indian youth.

    Science.gov (United States)

    Baldwin, Julie A; Brown, Betty G; Wayment, Heidi A; Nez, Ramona Antone; Brelsford, Kathleen M

    2011-01-01

    The Sacred Mountain Youth Project was conducted to investigate risk and protective factors related to alcohol and drug use among American Indian youth. Findings indicated that stressful life events were positively associated with depressed mood, substance use, and risky behavior; cultural identity had no direct effects, but a secondary model showed that social support and protective family and peer influences were related to cultural identity. These findings suggest that the relationships between stressors and their negative sequelae are complex. Emphasis on protective processes that are culturally specific to American Indian youth may lead to effective alcohol and drug use prevention programs.

  7. Potential use of food/activity, parenting style, and caregiver feeding style measurement tools with American Indian families: A brief report

    Science.gov (United States)

    To provide preliminary descriptive data on caregiver and child weight status, parenting styles, feeding styles, and feeding practices of a small American Indian sample. Participants included a subsample of American Indian caregivers (n = 23) identified from a larger study that was conducted in five ...

  8. Nonsuicidal Self-Injury in an American Indian Reservation Community: Results from the White Mountain Apache Surveillance System, 2007-2008

    Science.gov (United States)

    Cwik, Mary F.; Barlow, Allison; Tingey, Lauren; Larzelere-Hinton, Francene; Goklish, Novalene; Walkup, John T.

    2011-01-01

    Objective: To describe characteristics and correlates of nonsuicidal self-injury (NSSI) among the White Mountain Apache Tribe. NSSI has not been studied before in American Indian samples despite associated risks for suicide, which disproportionately affect American Indian youth. Method: Apache case managers collected data through a tribally…

  9. The Dropout/Graduation Crisis among American Indian and Alaska Native Students: Failure to Respond Places the Future of Native Peoples at Risk

    Science.gov (United States)

    Faircloth, Susan C.; Tippeconnic, John W., III

    2010-01-01

    This paper examines the graduation/dropout crisis among American Indian and Alaska Native students using data from the National Center for Education Statistics. Data from 2005 is drawn from the seven states with the highest percentage of American Indian and Alaska Native students as well as five states in the Pacific and Northwestern regions of…

  10. [Control of Chagas disease in pregnant Latin-American women and her children].

    Science.gov (United States)

    Merino, Francisco J; Martínez-Ruiz, Rocío; Olabarrieta, Iciar; Merino, Paloma; García-Bujalance, Silvia; Gastañaga, Teresa; Flores-Chavez, María

    2013-09-01

    Chagas disease is a chronic and systemic infection caused by Trypanosoma cruzi. According to estimates from WHO, 10 million people are affected by this parasite. In the last years, birthrate among the immigrant women from Latin America settled in the Comunidad Autónoma de Madrid has been increasing, and as T. cruzi can be transmitted from mother to child, in fact 11 cases of congenital Chagas disease have been confirmed. Therefore, the aim of this paper is encouraging improvements in the coverage of the anti-T. cruzi antibodies detection in pregnant women from endemic areas. By this strategy, an active search for infected pregnant women and early detection of her infected newborns could be conducted, and then an early specific treatment could be administrated. Thus, there could be an important contribution to the control of Chagas disease in non-endemic area.

  11. Ten years' trend of HIV seroprevalence among Indian pregnant women attending antenatal clinic at tertiary hospital in Dhule, Maharashtra, India

    Directory of Open Access Journals (Sweden)

    Vaishali Milind Patil

    2016-05-01

    Conclusions: Declining HIV seroprevalence rate is noted among pregnant women attending the antenatal clinics from 2004 to 2013. The effective implementation of prevention of parent to child transmission of HIV/AIDS (PPTCT programmed is helping in control of the spread of HIV. [Int J Reprod Contracept Obstet Gynecol 2016; 5(5.000: 1514-1519

  12. Impact of Periodic Follow-Up Testing Among Urban American Indian Women With Impaired Fasting Glucose

    Directory of Open Access Journals (Sweden)

    Peg Allen, MPH

    2008-07-01

    Full Text Available IntroductionImpaired fasting glucose (IFG often progresses to type 2 diabetes. Given the severity and prevalence of this disease, primary prevention is important. Intensive lifestyle counseling interventions have delayed or prevented the onset of type 2 diabetes, but it is not known whether less intensive, more easily replicable efforts can also be effective.MethodsIn a lifestyle intervention study designed to reduce risks for type 2 diabetes, 200 American Indian women without diabetes, aged 18 to 40 years, were recruited from an urban community without regard to weight or IFG and block-randomized into intervention and control groups on the basis of fasting blood glucose (FBG. Dietary and physical activity behaviors were reported, and clinical metabolic, fitness, and body composition measures were taken at baseline and at periodic follow-up through 18 months. American Indian facilitators used a group-discussion format during the first 6 months to deliver a culturally influenced educational intervention on healthy eating, physical activity, social support, and goal setting. We analyzed a subset of young American Indian women with IFG at baseline (n = 42, selected from both the intervention and control groups.ResultsAmong the women with IFG, mean FBG significantly decreased from baseline to follow-up (P < .001 and converted to normal (<5.6 mmol/L or <100 mg/dL in 62.0% of the 30 women who completed the 18-month follow-up, irrespective of participation in the group educational sessions. Other improved metabolic values included significant decreases in mean fasting blood total cholesterol and low-density lipoprotein cholesterol levels. The women reported significant overall mean decreases in intake of total energy, saturated fat, total fat, total sugar, sweetened beverages, proportion of sweet foods in the diet, and hours of TV watching.ConclusionVolunteers with IFG in this study benefited from learning their FBG values and reporting their dietary

  13. Depression symptoms associated with cannabis dependence in an adolescent American Indian community sample.

    Science.gov (United States)

    Gilder, David A; Ehlers, Cindy L

    2012-01-01

    Depression and substance use disorders, including cannabis dependence, arise during adolescence, are frequently comorbid, and represent major health burdens in the general US population. Yet little is known about the association of depression symptoms with cannabis and other substance use and use disorders in Native American adolescents. To investigate the comorbidity of cannabis use and depression symptoms in Native American adolescents. This study used the Children's Semi-Structured Assessment for the Genetics of Alcoholism (Adolescent Version) to obtain lifetime DSM-III-R diagnoses from a community sample of 202 (98 boys, 104 girls) American Indian adolescents living on contiguous reservations. Thirteen percent of boys and 38% of girls had a lifetime DSM-III-R major depression disorder (MDD) independent of substance use. Fifteen percent of boys and 41% of girls had a major depression episode (MDE) either coincident with or independent of cannabis use. MDE and several individual depression symptoms were significantly associated with cannabis dependence in boys but not in girls. The median ages of onset of MDE were the same in the boys and girls who had experienced both depression and cannabis use. These findings suggest that the association of depression with cannabis dependence is more significant in boys than girls in this population of adolescents. Understanding comorbidity between depression and cannabis use is important in order to disentangle the etiological relationship between the two and also for designing more effective treatment and prevention strategies, particularly in Native Americans who are at high risk for both disorders. Copyright © American Academy of Addiction Psychiatry.

  14. Intimate Partner Violence and Alcohol, Drug, and Mental Disorders among American Indian Women from Southwest Tribes in Primary Care

    Science.gov (United States)

    Duran, Bonnie; Oetzel, John; Parker, Tassy; Malcoe, Lorraine Halinka; Lucero, Julie; Jiang, Yizhou

    2009-01-01

    The relationship of intimate partner violence (IPV) with mental disorders was investigated among 234 American Indian/Alaska Native female primary care patients. Results indicated that unadjusted prevalence ratios for severe physical or sexual abuse (relative to no IPV) were significant for anxiety, PTSD, mood, and any mental disorder. Adjusted…

  15. Development of a Culturally Appropriate, Home-Based Nutrition and Physical Activity Curriculum for Wisconsin American Indian Families

    Directory of Open Access Journals (Sweden)

    Tara L. LaRowe, PhD

    2007-10-01

    Full Text Available We designed an obesity prevention intervention for American Indian families called Healthy Children, Strong Families using a participatory approach involving three Wisconsin tribes. Healthy Children, Strong Families promotes healthy eating and physical activity for preschool children and their caregivers while respecting each community’s cultural and structural framework. Academic researchers, tribal wellness staff, and American Indian community mentors participated in development of the Healthy Children, Strong Families educational curriculum. The curriculum is based on social cognitive and family systems theories as well as on community eating and activity patterns with adaptation to American Indian cultural values. The curricular materials, which were delivered through a home-based mentoring model, have been successfully received and are being modified so that they can be tailored to individual family needs. The curriculum can serve as a nutrition and physical activity model for health educators that can be adapted for other American Indian preschool children and their families or as a model for development of a culturally specific curriculum.

  16. Attitudes toward HPV Vaccination among Rural American Indian Women and Urban White Women in the Northern Plains

    Science.gov (United States)

    Buchwald, Dedra; Muller, Clemma; Bell, Maria; Schmidt-Grimminger, Delf

    2013-01-01

    Background: American Indian women in the Northern Plains have a high incidence of cervical cancer. We assessed attitudes on vaccination against human papillomavirus (HPV) in this population. Method: In partnership with two tribal communities, from 2007 to 2009, we surveyed women 18 to 65 years old attending two reservation clinics ("n" =…

  17. The Racial and Ethnic Identity Formation Process of Second-Generation Asian Indian Americans: A Phenomenological Study

    Science.gov (United States)

    Iwamoto, Derek Kenji; Negi, Nalini Junko; Partiali, Rachel Negar; Creswell, John W.

    2013-01-01

    This phenomenological study elucidates the identity development processes of 12 second-generation adult Asian Indian Americans. The results identify salient sociocultural factors and multidimensional processes of racial and ethnic identity development. Discrimination, parental, and community factors seemed to play a salient role in influencing…

  18. The Racial and Ethnic Identity Formation Process of Second-Generation Asian Indian Americans: A Phenomenological Study

    Science.gov (United States)

    Iwamoto, Derek Kenji; Negi, Nalini Junko; Partiali, Rachel Negar; Creswell, John W.

    2013-01-01

    This phenomenological study elucidates the identity development processes of 12 second-generation adult Asian Indian Americans. The results identify salient sociocultural factors and multidimensional processes of racial and ethnic identity development. Discrimination, parental, and community factors seemed to play a salient role in influencing…

  19. Efficacy and Utility Beliefs of Mothers and Children as Predictors of Mathematics Achievement for American Indian Students

    Science.gov (United States)

    Orona, Cynthia C.

    2013-01-01

    American Indians have the largest high school dropout rates of all ethnic groups in the United States. Though drop outs technically occur in high school, they actually begin with lowered academic achievement during elementary school years. Looking to mothers as the primary caretakers, this study sought to explore the correlations between American…

  20. triADD: The Risk for Alcohol Abuse, Depression, and Diabetes Multimorbidity in the American Indian and Alaska Native Population

    Science.gov (United States)

    Tann, Sheila S.; Yabiku, Scott T.; Okamoto, Scott K.; Yanow, Jessica

    2007-01-01

    This study examined the risk for alcoholism, diabetes, and depression (triADD) in American Indian/Alaska Native (AI/AN) populations in the U.S. Using the Behavioral Risk Factor Surveillance System, a series of descriptive statistics and regression models were used to examine the interrelationships among these disorders in AI/AN populations.…

  1. 78 FR 69876 - Hearing of the Advisory Committee of the Attorney General's Task Force on American Indian/Alaska...

    Science.gov (United States)

    2013-11-21

    ... issues of domestic violence, and child physical and sexual abuse. The final agenda is subject to... American Indian/Alaska Native Children Exposed to Violence AGENCY: Office of Juvenile Justice and... Native Children Exposed to Violence (hereafter referred to as the AIAN Advisory Committee). The...

  2. Ethnic Groups: Negroes, Spanish Speaking, American Indians, and Eskimos. Part 4 of a Bibliographic Series on Meeting Special Educational Needs.

    Science.gov (United States)

    Poliakoff, Lorraine, Comp.

    This bibliography on ethnic groups cites 117 documents acquired and processed by the ERIC Clearinghouse on Teacher Education from July 1968 to December 1969. Organization is in three sections: Negroes--58 items; Spanish Speaking People--33 items; and American Indians and Eskimos--26 items. Each section is further broken down by document type:…

  3. Once in Contact, Always in Contact: Contagious Essence and Conceptions of Purification in American and Hindu Indian Children

    Science.gov (United States)

    Hejmadi, Ahalya; Rozin, Paul; Siegal, Michael

    2004-01-01

    Cultural and age differences in responses to contamination and conceptions of purification were examined in Hindu Indian (N = 125) and American (N = 106) 4- to 5-year-olds and 8-year-olds, who were provided with stories of juice contaminated by contact with a cockroach, a human hair, and a stranger (via sipping). Children who rejected the juice as…

  4. The Association of Resilience with Mental and Physical Health among Older American Indians: The Native Elder Care Study

    Science.gov (United States)

    Schure, Marc B.; Odden, Michelle; Goins, R. Turner

    2013-01-01

    We examined the association of resilience with measures of mental and physical health in a sample of older American Indians (AIs). A validated scale measuring resilience was administered to 185 noninstitutionalized AIs aged greater than or equal to 55 years. Unadjusted analyses revealed that higher levels of resilience were associated with lower…

  5. Developing an Engaged Institution: South Dakota State University's 2+2+2 Project and American Indian Students

    Science.gov (United States)

    Kayongo-Male, Diane; Nichols, Laurie Stenberg; Nichols, Timothy

    2003-01-01

    The authors examine South Dakota's 2+2+2 Project, a collaborative effort between South Dakota State University (SDSU) and the state's tribal colleges designed to enhance educational opportunities for American Indians, through the W. K. Kellogg Foundation's indicators of an engaged institution. Indicators include responsiveness, respect for…

  6. Relations among Ethnic Identity, Parenting Style, and Adolescent Psychosocial Outcomes in European American and East Indian Immigrants.

    Science.gov (United States)

    Bhadha, Bakhtawar

    The challenges of identity formation are particularly difficult for minority youth because of the clash of traditional culture and the host culture. This study examined the effects of parenting style, acculturation, and parent and adolescent ethnic identity on the self-esteem and school performance of East Indian and European American adolescents.…

  7. An Assessment of Agriculture and Natural Resource Extension Program Needs on American Indian Reservations in Idaho, Nevada, Oregon, and Washington

    Science.gov (United States)

    Singletary, Loretta; Emm, Staci; Hill, George

    2011-01-01

    This article summarizes the results of a needs assessment involving American Indians and outreach professionals on reservations in Idaho, Nevada, Oregon and Washington. The survey featured 36 questions about agricultural and natural resource issues that may pose challenges on reservation lands. A comparison between reservation residents and…

  8. The microbiome, intestinal function, and arginine metabolism of healthy Indian women are different from those of American and Jamaican women

    Science.gov (United States)

    Indian women have slower arginine flux during pregnancy compared with American and Jamaican women. Arginine is a semi-essential amino acid that becomes essential during periods of rapid lean tissue deposition. It is synthesized only from citrulline, a nondietary amino acid produced mainly in the gut...

  9. Attitudes toward HPV Vaccination among Rural American Indian Women and Urban White Women in the Northern Plains

    Science.gov (United States)

    Buchwald, Dedra; Muller, Clemma; Bell, Maria; Schmidt-Grimminger, Delf

    2013-01-01

    Background: American Indian women in the Northern Plains have a high incidence of cervical cancer. We assessed attitudes on vaccination against human papillomavirus (HPV) in this population. Method: In partnership with two tribal communities, from 2007 to 2009, we surveyed women 18 to 65 years old attending two reservation clinics ("n" =…

  10. Results of an Assessment to Identify Potential Barriers to Sustainable Agriculture on American Indian Reservations in the Western United States

    Science.gov (United States)

    Singletary, Loretta; Emm, Staci; Brummer, Fara Ann; Hill, George C.; Lewis, Steve; Hebb, Vicki

    2016-01-01

    Purpose: This paper reports the results of survey research conducted with tribal producers between 2011 and 2012 on 19 of the largest American Indian reservations in Idaho, Nevada, North Dakota, Oregon, South Dakota, and Washington. The purpose of the research was to identify potential barriers to sustainable agriculture on reservation lands. This…

  11. A Program Evaluation of a Summer Research Training Institute for American Indian and Alaska Native Health Professionals

    Science.gov (United States)

    Zaback, Tosha; Becker, Thomas M.; Dignan, Mark B.; Lambert, William E.

    2010-01-01

    In this article, the authors describe a unique summer program to train American Indian/Alaska Native (AI/AN) health professionals in a variety of health research-related skills, including epidemiology, data management, statistical analysis, program evaluation, cost-benefit analysis, community-based participatory research, grant writing, and…

  12. EFFECT OF JOB SKILLS TRAINING ON EMPLOYMENT AND JOB SEEKING BEHAVIORS IN AN AMERICAN INDIAN SUBSTANCE ABUSE TREATMENT SAMPLE.

    Science.gov (United States)

    Foley, K; Pallas, D; Forcehimes, A A; Houck, J M; Bogenschutz, M P; Keyser-Marcus, L; Svikis, D

    2010-10-26

    Employment difficulties are common among American Indian individuals in substance abuse treatment. To address this problem, the Southwest Node of NIDA's Clinical Trials Network conducted a single-site adaptation of its national Job Seekers Workshop study in an American Indian treatment program, Na'Nizhoozhi Center (NCI). 102 (80% men, 100% American Indian) participants who were in residential treatment and currently unemployed were randomized to (1) a three session, manualized program (Job seekers workshop: JSW) or (2) a 40-minute Job Interviewing Video: JIV). Outcomes were assessed at 3-month follow up: 1) number of days to a new taxed job or enrollment in a job-training program, and 2) total hours working or enrolled in a job-training program. No significant differences were found between the two groups for time to a new taxed job or enrollment in a job-training program. There were no significant differences between groups in substance use frequency at 3-month follow-up. These results do not support the use of the costly and time-consuming JSW intervention in this population and setting. Despite of the lack of a demonstrable treatment effect, this study established the feasibility of including a rural American Indian site in a rigorous CTN trial through a community-based participatory research approach.

  13. Results of an Assessment to Identify Potential Barriers to Sustainable Agriculture on American Indian Reservations in the Western United States

    Science.gov (United States)

    Singletary, Loretta; Emm, Staci; Brummer, Fara Ann; Hill, George C.; Lewis, Steve; Hebb, Vicki

    2016-01-01

    Purpose: This paper reports the results of survey research conducted with tribal producers between 2011 and 2012 on 19 of the largest American Indian reservations in Idaho, Nevada, North Dakota, Oregon, South Dakota, and Washington. The purpose of the research was to identify potential barriers to sustainable agriculture on reservation lands. This…

  14. Trends in Perinatal and Infant Health Disparities Between Rural American Indians and Alaska Natives and Rural Whites

    Science.gov (United States)

    Grossman, David C.; Murowchick, Elise; Larson, Eric H.; Hollow, Walter B.; Sugarman, Jonathan R.; Freeman, William L.; Hart, L. Gary

    2009-01-01

    Objectives. We examined disparities in perinatal care, birth outcomes, and infant health between rural American Indian and Alaska Native (AIAN) persons and rural Whites over time. Methods. We compared perinatal and infant health measures for 217 064 rural AIAN births and 5 032 533 rural non-Hispanic White births. Results. Among American Indians and Alaska Natives, unadjusted rates of inadequate prenatal care (1985–1987, 36.3%; 1995–1997, 26.3%) and postneonatal death (1985–1987, 7.1 per 1000; 1995–1997, 4.8 per 1000) improved significantly. However, disparities between American Indians and Alaska Natives and Whites in adjusted odds ratios (AORs) of postneonatal death (1985–1987, AOR = 1.55; 95% confidence interval [CI] = 1.41, 1.71; 1995–1997, AOR = 1.46; 95% CI = 1.31, 1.64) and adjusted risk ratios (ARRs) of inadequate prenatal care (1985–1987, ARR = 1.67; 95% CI = 1.65, 1.69; 1995–1997, ARR = 1.84; 95% CI = 1.81, 1.87) persisted. Conclusions. Despite significant decreases in inadequate prenatal care and postneonatal death among American Indians and Alaska Natives, additional measures are needed to close persistent health gaps for this group. PMID:18703453

  15. Conceptualizing American Indian/Alaska Native College Student's Classroom Experiences: Negotiating Cultural Identity between Faculty and Students

    Science.gov (United States)

    Burk, Nanci M.

    2007-01-01

    The U.S. dominant culture's values and ways of knowing depicted in college curriculum assume that American Indian/Alaska Native college students will assimilate to dominant cultural beliefs and values in order to acquire a degree in higher education. Representative of this hegemonic pedagogical paradigm is the prescribed basic communication course…

  16. The impact of patient and provider factors on depression screening of american Indian and alaska native people in primary care.

    Science.gov (United States)

    Dillard, Denise A; Muller, Clemma J; Smith, Julia J; Hiratsuka, Vanessa Y; Manson, Spero M

    2012-04-01

    The US Preventive Services Task Force recommends routine depression screening in primary care, yet regular screening does not occur in most health systems serving Alaska Native and American Indian people. The authors examined factors associated with administration of depression screening among Alaska Native and American Indian people in a large urban clinic. Medical records of 18 625 Alaska Native and American Indian adults were examined 1 year after implementation of a depression screening initiative. Multilevel logistic regression models examined associations between patient and provider factors and administration of the Patient Health Questionnaire-9. Forty-seven percent of patients were screened. Women were more likely than men to be screened (50% vs 43%, P substance abuse disorders or prior antidepressant dispensation. Women previously diagnosed with depression had higher odds of screening (P = .002). Men seen by male providers had higher odds of screening than did men seen by female providers (P = .040). Screening rates peaked among providers with 2 to 5 years of employment with the clinic. Cross-sectional analysis of medical record data was of unknown reliability; there were limited sociodemographic data. Even with significant organizational support for annual depression screening, primary care providers systematically missed men and patients with infrequent primary care visits. Outreach to male patients and additional supports for primary care providers, especially in the first years of practice, may improve screening and treatment for depression among Alaska Native and American Indian people.

  17. Expanding Urban American Indian Youths' Repertoire of Drug Resistance Skills: Pilot Results from a Culturally Adapted Prevention Program

    Science.gov (United States)

    Kulis, Stephen; Dustman, Patricia A.; Brown, Eddie F.; Martinez, Marcos

    2013-01-01

    This article examines changes in the drug resistance strategies used by urban American Indian (UAI) middle school students during a pilot test of a substance use prevention curriculum designed specifically for UAI youth, "Living in 2 Worlds" (L2W). L2W teaches four drug resistance strategies (refuse, explain, avoid, leave [R-E-A-L]) in…

  18. English Learners (ELs) Who Are American Indian and/or Alaska Native (AI/AN). Fast Facts

    Science.gov (United States)

    Office of English Language Acquisition, US Department of Education, 2016

    2016-01-01

    The Office of English Language Acquisition (OELA) has synthesized key data on English learners (ELs) into two-page PDF sheets, by topic, with graphics, plus key contacts. The topics for this report on English Learners (ELs) Who Are American Indian and/or Alaska Native (AI/AN) include: (1) States With the Highest Percentage of ELs Who Were AI/AN:…

  19. Incorporating Traditional Healing into an Urban American Indian Health Organization: A Case Study of Community Member Perspectives

    Science.gov (United States)

    Hartmann, William E.; Gone, Joseph P.

    2012-01-01

    Facing severe mental health disparities rooted in a complex history of cultural oppression, members of many urban American Indian (AI) communities are reaching out for indigenous traditional healing to augment their use of standard Western mental health services. Because detailed descriptions of approaches for making traditional healing available…

  20. Images of American Indians in Environmental Education: Anthropological Reflections on the Politics and History of Cultural Representation

    Science.gov (United States)

    Willow, Anna J.

    2010-01-01

    For hundreds of years, North America's colonizers worked systematically to eradicate the indigenous cultural practices, religious beliefs, and autonomous political systems many venerate. This article illustrates that imperialist nostalgia underlies and directs portrayals of American Indians in environmental education today. Whether unconsciously…

  1. Molluscum contagiosum in a pediatric American Indian population: incidence and risk factors.

    Directory of Open Access Journals (Sweden)

    Andrea M McCollum

    Full Text Available Molluscum contagiosum virus (MCV causes an innocuous yet persistent skin infection in immunocompetent individuals and is spread by contact with lesions. Studies point to atopic dermatitis (AD as a risk factor for MCV infection; however, there are no longitudinal studies that have evaluated this hypothesis.Outpatient visit data from fiscal years 2001-2009 for American Indian and Alaska Native (AI/AN children were examined to describe the incidence of molluscum contagiosum (MC. We conducted a case-control study of patients <5 years old at an Indian Health Service (IHS clinic to evaluate dermatological risk factors for infection.The incidence rate for MC in children <5 years old was highest in the West and East regions. MC cases were more likely to have a prior or co-occurring diagnosis of eczema, eczema or dermatitis, impetigo, and scabies (p<0.05 compared to controls; 51.4% of MC cases had a prior or co-occurring diagnosis of eczema or dermatitis.The present study is the first demonstration of an association between AD and MC using a case-control study design. It is unknown if the concurrent high incidence of eczema and MC is related, and this association deserves further investigation.

  2. High prevalence of maternal hypothyroidism despite adequate iodine status in Indian pregnant women in the first trimester.

    Science.gov (United States)

    Jaiswal, Nidhi; Melse-Boonstra, Alida; Thomas, Tinku; Basavaraj, Chetana; Sharma, Surjeet Kaur; Srinivasan, Krishnamachari; Zimmermann, Michael B

    2014-09-01

    Iodine requirements are increased during pregnancy to maintain maternal and fetal euthyroidism. There have been recent improvements in iodized salt coverage in India, but whether iodized salt is sufficient to sustain iodine requirements during pregnancy remains uncertain. Our aims were to measure thyroid status in first trimester pregnant women in southern India and assess potential determinants of thyroid function, including iodine status, thyroid autoimmunity, dietary patterns, body weight, and anemia. This was a cross-sectional study among 334 pregnant women of ≤ 14 weeks' gestation, in Bangalore, India. We measured anthropometrics, urinary iodine concentration (UIC), maternal thyroid volume (by ultrasound), and thyroid function. We applied a thyrotropin (TSH) upper limit of 2.5 mIU/L to classify thyroid insufficiency. Using a questionnaire, we obtained sociodemographic and dietary data, obstetric history, and use of iodized salt and iodine supplements. Among the women, the mean (standard deviation) gestational age was 10.3 (2.5) weeks, 67% were nulliparous, 21% were vegetarian, 19% were anemic, and 23% were overweight or obese. Iodized salt was used by 98% of women, and they were iodine sufficient: median UIC (range) was 184.2 μg/L (8.1-1152 μg/L) and all had a normal thyroid volume. However, 18% of the women had thyroid insufficiency: 3.7% had overt hypothyroidism (83% with positive TPO-Ab), 9.2% had subclinical hypothyroidism, and 5.2% had hypothyroxinemia. Women consuming vegetarian diets did not have significantly lower iodine intakes or higher risk of hypothyroidism than those consuming mixed diets, but overweight/obesity and anemia predicted thyroid insufficiency. In this urban population of southern India, pregnant women have adequate iodine status in the first trimester. Despite this, many have thyroid insufficiency, and the prevalence of overt hypothyroidism is more than fivefold higher than reported in other iodine sufficient populations of

  3. Mental Health and the Elderly: Issues in Service Delivery to the American Indian and the Hispanic Communities. Part II. Hearing before the Select Committee on Aging. House of Representatives, One Hundredth Congress, Second Session (Denver, Colorado).

    Science.gov (United States)

    Congress of the U.S., Washington, DC. House Select Committee on Aging.

    This field hearing by the House Select Committee on Aging produced testimony on the mental health problems and service delivery needs of American Indian and Hispanic American elderly. A director of research and two American Indian advocates: (1) pointed out the high rate of depression among Indian elderly due to physical impairments and deprived…

  4. Exploring sexual risk taking among American Indian adolescents through protection motivation theory.

    Science.gov (United States)

    Chambers, Rachel; Tingey, Lauren; Mullany, Britta; Parker, Sean; Lee, Angelita; Barlow, Allison

    2016-09-01

    This paper examines decision-making around sexual behavior among reservation-based American Indian youth. Focus group discussions were conducted with youth ages 13-19 years old. Through these discussions, we explored youth's knowledge, attitudes and behaviors related to sexual risk taking through the lens of the protection motivation theory to inform the adaptation of an evidence-based HIV prevention intervention. Findings suggest that condom use self-efficacy and HIV prevention knowledge is low, vulnerability to sexually transmitted infections is lacking and alcohol plays a significant role in sexual risk taking in this population. In addition, parental monitoring and peer influence may contribute to or protect against sexual risk taking. Results suggest that future HIV prevention interventions should be delivered to gender-specific peer groups, include a parental component, teach sexual health education and communication skills, integrate substance-use prevention, and work to remove stigma around obtaining and using condoms.

  5. Gender, Race, and Delinquent Behavior: An Extension of Power-Control Theory to American Indian Adolescents

    Science.gov (United States)

    Eitle, David; Niedrist, Fallon; Eitle, Tamela McNulty

    2014-01-01

    Research testing Hagan’s power-control theory has largely been tested with samples of non-Hispanic whites. We extend prior research by testing the theory’s merits with a sample of American Indian (AI) adolescents. Overall, we find mixed support for the theory’s merits. However, we find that our measure of patriarchy is a robust predictor of AI female delinquent activity. We also find that a grandparent in the household serves to greatly reduce involvement in violent behavior among AI females. Compared to a sample of non-Hispanic whites, these results reveal the importance of testing explanations of deviant behavior across racial and ethnic groups. PMID:25342866

  6. Complex personhood as the context for intimate partner victimization: one American Indian woman's story.

    Science.gov (United States)

    Murphy, Sharon; Lemire, Lynne; Wisman, Mindi

    2009-01-01

    This qualitative case study explores one American Indian (AI) woman's experience of intimate partner violence and the subsequent murder of her abusive partner. The lens of complex personhood (Gordon, 1997) has been applied as a method for understanding "Annie's" multiple identities of AI woman, victim of intimate partner violence, mother, and convicted felon. The aim of the current case study was to uncover implicit and explicit meanings embedded in the experiences of moving from a victim of IPV to an off ender by applying a framework of hermeneutic phenomenology as the methodology. Three relational themes emerged from the interview data: "Getting out of Hand," "They're in my Footstep all the Way Now," and "What's a Miranda Right"? Lastly, this article begins an exploration into the complex link between victimization and offending as it applies to one battered woman.

  7. AMERICAN INDIAN AND ALASKA NATIVE BOYS: EARLY CHILDHOOD RISK AND RESILIENCE AMIDST CONTEXT AND CULTURE.

    Science.gov (United States)

    Sarche, Michelle; Tafoya, Greg; Croy, Calvin D; Hill, Kyle

    2017-01-01

    American Indian and Alaska Native (AIAN) adolescent and adult men experience a range of health disparities relative to their non-AIAN counterparts and AIAN women. Given the relatively limited literature on early development in tribal contexts, however, indicators of risk during early childhood specific to AIAN boys are not well-known. The current article reviews sources of strength and challenge within AIAN communities for AIAN children in general, including cultural beliefs and practices that support development, and contextual challenges related to socioeconomic and health disparities and historical trauma affecting the AIAN population as a whole. The research literature on early development is reviewed, highlighting what this literature reveals about early gender differences. The article concludes with calls to action on behalf of AIAN boys that align with each of the five tiers of R. Frieden's (2010) Public Health Pyramid. © 2016 Michigan Association for Infant Mental Health.

  8. Why do teens smoke? American Indian and Hispanic adolescents' perspectives on functional values and addiction.

    Science.gov (United States)

    Quintero, Gilbert; Davis, Sally

    2002-12-01

    Tobacco use by the young is one of the greatest public health concerns in the United States and is targeted by a number of prevention and control programs. A fuller understanding of the social and cultural values that youths attach to smoking is important in achieving focused, effective prevention strategies. Drawing on data collected through individual and focus group interviews, this article examines reasons that Hispanic and American Indian youths give to explain their smoking. The analysis presented here focuses on two interrelated sets of reasons: the functional values of tobacco use (including mood management, peer influences, and image maintenance) and addiction. This article concludes with a discussion of the implications these data may have for prevention and cessation programs aimed at youth and outlines ideas for an anthropological research agenda on youth and tobacco.

  9. Family and Friend Influence on Urban-Dwelling American Indian Adolescent Girl's Sexual Risk Behavior.

    Science.gov (United States)

    Saftner, Melissa A

    2016-09-01

    Previous research with American Indian (AI) adolescent sexual risk behavior primarily focused on reservation-dwelling youth despite 70% of AIs living off Native lands. Using grounded theory methodology, I sampled 20 adolescent AI girls via talking circles and interviews to explore the perceptions of AI adolescent girls living in an urban, Midwest area about the influence of family and friends on their sexual behavior. Similar to research with other racial groups, participants cited their family and friends as a major influence. Five unique themes emerged related to family and friend influence. Urban-dwelling AI girls rely on their female family members and peers for information related to sex and receive varying messages from their networks of family and friends, which often overlap. AI youth have unique family groups yet have some similarities to other ethnic groups with regard to family and friend relationships that may allow for enhanced intervention development. © The Author(s) 2015.

  10. The prostitution and trafficking of American Indian/Alaska Native women in Minnesota.

    Science.gov (United States)

    Farley, Melissa; Deer, Sarah; Golding, Jacqueline M; Matthews, Nicole; Lopez, Guadalupe; Stark, Christine; Hudon, Eileen

    2016-01-01

    We examined social and physical violence experienced by American Indian/Alaska Native (AI/AN) women in prostitution and their impacts on the mental and physical health of 105 women (81% Anishinaabe, mean age = 35 years) recruited through service agencies in three Minnesota cities. In childhood, abuse, foster care, arrests, and prostitution were typical. Homelessness, rape, assault, racism, and pimping were common. The women's most prevalent physical symptoms included muscle pain, impaired memory or concentration, and headaches. Symptoms of post-traumatic stress disorder and dissociation were common, with more severe psychological symptoms associated with worse health. Most of the women wanted to leave prostitution and they most often identified counseling and peer support as necessary to accomplish this. Most saw colonization and prostitution of AI/AN women as connected.

  11. Advancing American Indian and Alaska Native substance abuse research: current science and future directions.

    Science.gov (United States)

    Etz, Kathleen E; Arroyo, Judith A; Crump, Aria D; Rosa, Carmen L; Scott, Marcia S

    2012-09-01

    American Indians and Alaska Natives (AI/AN) have disproportionately high rates of substance abuse yet there is little empirical research addressing this significant public health problem. This paper is an introduction to a special issue that includes cutting edge science in this research area. We identify several areas that require consideration in this field and indicate how the papers in the special issue address these gaps. These overarching areas of need, which should be considered in any substantive research, include attention to heterogeneity within the population, research that has tangible health benefits, continued work on research methods and strategies, increased focus on strength based and community oriented approaches, and the need for strong research partnerships. The special issue marks a major step forward for AI/AN substance abuse research. However, articles also highlight where more work is need to improve public health in AI/AN communities by addressing identified gap areas.

  12. A longitudinal study of structural risk factors for obesity and diabetes among American Indian young adults, 1994-2008.

    Science.gov (United States)

    Marley, Tennille L; Metzger, Molly W

    2015-05-07

    American Indian young adults have higher rates of obesity and type 2 diabetes than the general US population. They are also more likely than the general population to have higher rates of structural risk factors for obesity and diabetes, such as poverty, frequent changes of residence, and stress. The objective of this study was to investigate possible links between these 2 sets of problems. Data from the American Indian subsample of the National Longitudinal Study of Adolescent to Adult Health (Add Health) were used to examine potential links between obesity and type 2 diabetes and structural risk factors such as neighborhood poverty, housing mobility, and stress. We used logistic regression to explore explanatory factors. American Indians in the subsample had higher rates of poor health, such as elevated hemoglobin A1c levels, self-reported high blood glucose, self-reported diabetes, and overweight or obesity. They also had higher rates of structural risk factors than non-Hispanic whites, such as residing in poorer and more transient neighborhoods and having greater levels of stress. Self-reported stress partially mediated the increased likelihood of high blood glucose or diabetes among American Indians, whereas neighborhood poverty partially mediated their increased likelihood of obesity. Neighborhood poverty and stress may partially explain the higher rates of overweight, obesity, and type 2 diabetes among American Indian young adults than among non-Hispanic white young adults. Future research should explore additional neighborhood factors such as access to grocery stores selling healthy foods, proximity and safety of playgrounds or other recreational space, and adequate housing.

  13. Lung function in North American Indian children: reference standards for spirometry, maximal expiratory flow volume curves, and peak expiratory flow.

    Science.gov (United States)

    Wall, M A; Olson, D; Bonn, B A; Creelman, T; Buist, A S

    1982-02-01

    Reference standards of lung function was determined in 176 healthy North American Indian children (94 girls, 82 boys) 7 to 18 yr of age. Spirometry, maximal expiratory flow volume curves, and peak expiratory flow rate were measured using techniques and equipment recommended by the American Thoracic Society. Standing height was found to be an accurate predictor of lung function, and prediction equations for each lung function variable are presented using standing height as the independent variable. Lung volumes and expiratory flow rates in North American Indian children were similar to those previously reported for white and Mexican-American children but were greater than those in black children. In both boys and girls, lung function increased in a curvilinear fashion. Volume-adjusted maximal expiratory flow rates after expiring 50 or 75% of FVC tended to decrease in both sexes as age and height increased. Our maximal expiratory flow volume curve data suggest that as North American Indian children grow, lung volume increases at a slightly faster rate than airway size does.

  14. Use of the evidence base in substance abuse treatment programs for American Indians and Alaska Natives: pursuing quality in the crucible of practice and policy.

    Science.gov (United States)

    Novins, Douglas K; Aarons, Gregory A; Conti, Sarah G; Dahlke, Dennis; Daw, Raymond; Fickenscher, Alexandra; Fleming, Candace; Love, Craig; Masis, Kathleen; Spicer, Paul

    2011-06-16

    A variety of forces are now shaping a passionate debate regarding the optimal approaches to improving the quality of substance abuse services for American Indian and Alaska Native communities. While there have been some highly successful efforts to meld the traditions of American Indian and Alaska Native tribes with that of 12-step approaches, some American Indian and Alaska Natives remain profoundly uncomfortable with the dominance of this Euro-American approach to substance abuse treatment in their communities. This longstanding tension has now been complicated by the emergence of a number of evidence-based treatments that, while holding promise for improving treatment for American Indian and Alaska Natives with substance use problems, may conflict with both American Indian and Alaska Native and 12-step healing traditions. We convened a panel of experts from American Indian and Alaska Native communities, substance abuse treatment programs serving these communities, and researchers to discuss and analyze these controversies in preparation for a national study of American Indian and Alaska Native substance abuse services. While the panel identified programs that are using evidence-based treatments, members still voiced concerns about the cultural appropriateness of many evidence-based treatments as well as the lack of guidance on how to adapt them for use with American Indians and Alaska Natives. The panel concluded that the efforts of federal and state policymakers to promote the use of evidence-based treatments are further complicating an already-contentious debate within American Indian and Alaska Native communities on how to provide effective substance abuse services. This external pressure to utilize evidence-based treatments is particularly problematic given American Indian and Alaska Native communities' concerns about protecting their sovereign status. Broadening this conversation beyond its primary focus on the use of evidence-based treatments to other

  15. Use of the evidence base in substance abuse treatment programs for American Indians and Alaska natives: pursuing quality in the crucible of practice and policy

    Directory of Open Access Journals (Sweden)

    Fleming Candace

    2011-06-01

    Full Text Available Abstract Background A variety of forces are now shaping a passionate debate regarding the optimal approaches to improving the quality of substance abuse services for American Indian and Alaska Native communities. While there have been some highly successful efforts to meld the traditions of American Indian and Alaska Native tribes with that of 12-step approaches, some American Indian and Alaska Natives remain profoundly uncomfortable with the dominance of this Euro-American approach to substance abuse treatment in their communities. This longstanding tension has now been complicated by the emergence of a number of evidence-based treatments that, while holding promise for improving treatment for American Indian and Alaska Natives with substance use problems, may conflict with both American Indian and Alaska Native and 12-step healing traditions. Discussion We convened a panel of experts from American Indian and Alaska Native communities, substance abuse treatment programs serving these communities, and researchers to discuss and analyze these controversies in preparation for a national study of American Indian and Alaska Native substance abuse services. While the panel identified programs that are using evidence-based treatments, members still voiced concerns about the cultural appropriateness of many evidence-based treatments as well as the lack of guidance on how to adapt them for use with American Indians and Alaska Natives. The panel concluded that the efforts of federal and state policymakers to promote the use of evidence-based treatments are further complicating an already-contentious debate within American Indian and Alaska Native communities on how to provide effective substance abuse services. This external pressure to utilize evidence-based treatments is particularly problematic given American Indian and Alaska Native communities' concerns about protecting their sovereign status. Summary Broadening this conversation beyond its primary

  16. Measuring historical trauma in an American Indian community sample: contributions of substance dependence, affective disorder, conduct disorder and PTSD.

    Science.gov (United States)

    Ehlers, Cindy L; Gizer, Ian R; Gilder, David A; Ellingson, Jarrod M; Yehuda, Rachel

    2013-11-01

    The American Indian experience of historical trauma is thought of as both a source of intergenerational trauma responses as well as a potential causative factor for long-term distress and substance abuse among communities. The aims of the present study were to evaluate the extent to which the frequency of thoughts of historical loss and associated symptoms are influenced by: current traumatic events, post traumatic stress disorder (PTSD), cultural identification, percent Native American Heritage, substance dependence, affective/anxiety disorders, and conduct disorder/antisocial personality disorder (ASPD). Participants were American Indians recruited from reservations that were assessed with the Semi-Structured Assessment for the Genetics of Alcoholism (SSAGA), The Historical Loss Scale and The Historical Loss Associated Symptoms Scale (to quantify frequency of thoughts and symptoms of historical loss) the Stressful-Life-Events Scale (to assess experiences of trauma) and the Orthogonal Cultural Identification Scale (OCIS). Three hundred and six (306) American Indian adults participated in the study. Over half of them indicated that they thought about historical losses at least occasionally, and that it caused them distress. Logistic regression revealed that significant increases in how often a person thought about historical losses were associated with: not being married, high degrees of Native Heritage, and high cultural identification. Additionally, anxiety/affective disorders and substance dependence were correlated with historical loss associated symptoms. In this American Indian community, thoughts about historical losses and their associated symptomatology are common and the presence of these thoughts are associated with Native American Heritage, cultural identification, and substance dependence. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  17. Preventing baby bottle tooth decay in American Indian and Alaska native communities: a model for planning.

    Science.gov (United States)

    Bruerd, B; Kinney, M B; Bothwell, E

    1989-01-01

    Baby bottle tooth decay (BBTD) is a preventable dental disease which surveys have shown affects more than 50 percent of Native American children. An experimental program to prevent BBTD was implemented in 12 Native American communities. The project represented a cooperative effort by three Department of Health and Human Service agencies: Administration for Children, Youth, and Families, Head Start Bureau; Indian Health Service, Dental Program; and Centers for Disease Control, Dental Disease Prevention Activity. Intervention strategies included the training of parent volunteers, health professionals, and the tribal employees who counseled caretakers of young children and made group presentations. There was also a media campaign in each community that ran for a 3-year period. Numerous educational materials were developed including training manuals, counseling booklets, tippee cups, posters, and bumper stickers. The BBTD project's planners encouraged tailoring the education materials and strategies to fit each community. Preliminary results documented statistically significant decreases in the prevalence of BBTD at the pilot sites. This multidisciplinary, comprehensive intervention offers a model for organizing members of minority communities to prevent health problems. Images p634-a p635-a p635-b PMID:2511598

  18. American Indian prehistory as written in the mitochondrial DNA: a review.

    Science.gov (United States)

    Wallace, D C; Torroni, A

    1992-06-01

    Native Americans have been divided into three linguistic groups: the reasonably well-defined Eskaleut and Nadene of northern North America and the highly heterogeneous Amerind of North, Central, and South America. The heterogeneity of the Amerinds has been proposed to be the result of either multiple independent migrations or a single ancient migration with extensive in situ radiation. To investigate the origin and interrelationship of the American Indians, we examined the mitochondrial DNA (mtDNA) variation in 87 Amerinds (Pima, Maya, and Ticuna of North, Central, and South America, respectively), 80 Nadene (Dogrib and Tlingit of northwest North America and Navajo of the southwest North America), and 153 Asians from 7 diverse populations. American Indian mtDNAs were found to be directly descended from five founding Asian mtDNAs and to cluster into four lineages, each characterized by a different rare Asian mtDNA marker. Lineage A is defined by a HaeIII site gain at np 663, lineage B by a 9-bp deletion between the COII and tRNA(Lys) genes, lineage C by a HincII site loss at np 13259, and lineage D by an AluI site loss at np 5176. The North, Central, and South America Amerinds were found to harbor all four lineages, demonstrating that the Amerinds originated from a common ancestral genetic stock. The genetic variation of three of the four Amerind lineages (A, C, and D) was similar with a mean value of 0.084%, whereas the sequence variation in the fourth lineage (B) was much lower, raising the possibility of an independent arrival. By contrast, the Nadene mtDNAs were predominantly from lineage A, with 27% of them having a Nadene-specific RsaI site loss at np 16329. The accumulated Nadene variation was only 0.021%. These results demonstrate that the Amerind mtDNAs arose from one or maybe two Asian migrations that were distinct from the migration of the Nadene and that the Amerind populations are about four times older than the Nadene.

  19. Cancer among American Indians and Alaska Natives in the United States, 1999-2004.

    Science.gov (United States)

    Wiggins, Charles L; Espey, David K; Wingo, Phyllis A; Kaur, Judith S; Wilson, Robin Taylor; Swan, Judith; Miller, Barry A; Jim, Melissa A; Kelly, Janet J; Lanier, Anne P

    2008-09-01

    Cancer incidence rates vary among American Indian and Alaska Native (AI/AN) populations and often differ from rates among non-Hispanic whites (NHWs). However, the misclassification of race for AI/AN cancer cases in central cancer registries may have led to underestimates of the AI/AN cancer burden in previous reports. Cases diagnosed during 1999 through 2004 were identified from population-based cancer registries in the United States. Age-adjusted rates were calculated for the 25 most common sites for AI/ANs and NHWs. To minimize the misclassification of race, cancer registry records were linked with patient registration files from the Indian Health Service (IHS). Analyses were restricted to Contract Health Service Delivery Area (CHSDA) counties and were stratified by IHS region. In CHSDA counties, cancer incidence rates among AI/ANs varied widely by region, whereas rates among NHWs did not. For all cancer sites combined, AI/AN rates were higher than NHW rates among both males and females in the Northern and Southern Plains, and among Alaska Native Females; AI/AN rates were lower than NHW rates in the Southwest, the Pacific Coast, and the East. Lung cancer and colorectal cancer rates for AI/ANs exceeded rates for NHWs in Alaska and the Northern Plains. Rates for stomach, gallbladder, kidney, and liver cancer were higher among AI/ANs than among NHWs overall, in Alaska, in the Plains regions, and in the Southwest. Regional differences in cancer incidence rates among AI/AN populations were not obvious from nationwide data and highlighted opportunities for cancer control and prevention. It is unlikely that such differences are explained by race misclassification.

  20. Gallbladder cancer incidence among American Indians and Alaska Natives, US, 1999-2004.

    Science.gov (United States)

    Lemrow, Shannon M; Perdue, David G; Stewart, Sherri L; Richardson, Lisa C; Jim, Melissa A; French, Helen T; Swan, Judith; Edwards, Brenda K; Wiggins, Charles; Dickie, Lois; Espey, David K

    2008-09-01

    Gallbladder cancer (GBC) is rare; however, it disproportionately affects the American Indian and Alaska Natives (AI/AN) population. The purpose of the study was to characterize GBC among AI/AN in the US population. Cases of GBC diagnosed between 1999 and 2004 and collected by state-based cancer registries were included. Registry records were linked with Indian Health Service (IHS) administration records to decrease race misclassification of AI/AN. GBC rates and/or percent distributions for AI/AN and non-Hispanic whites (NHW) were calculated by sex, IHS region, age, and stage for all US counties and IHS Contract Health Service Delivery Area (CHSDA) counties, in which approximately 56% of US AI/AN individuals reside. In CHSDA counties, the GBC incidence rate among AI/AN was 3.3 per 100,000, which was significantly higher than that among NHW (P < .05). Rates varied widely among IHS regions and ranged from 1.5 in the East to 5.5 in Alaska. Rates were higher among AI/AN females than males in all regions, except the Northern Plains. Higher percentages of GBC were diagnosed among AI/AN aged <65 years compared with NHW. GBC was most often diagnosed at the regional stage among AI/AN, whereas GBC was most often diagnosed at regional or distant stages among NHW. To the authors' knowledge to date, this is the most comprehensive study of GBC incidence among AI/AN in the US. The accurate characterization of GBC in this population could help inform the development of interventions aimed at reducing morbidity and mortality from this disease.

  1. Improving health promotion to American Indians in the midwest United States: preferred sources of health information and its use for the medical encounter.

    Science.gov (United States)

    Geana, Mugur V; Greiner, K Allen; Cully, Angelia; Talawyma, Myrietta; Daley, Christine Makosky

    2012-12-01

    American Indians and Alaska Natives suffer significant health disparities for many infectious and chronic diseases as compared to the general population. Providing accurate and culturally tailored health information to underserved groups has been shown to influence health behaviors and health outcomes. Little prior research has explored American Indians health information use and preferences. National representative sample surveys such as the Health Information National Trends Survey provide some data on minority groups but are underpowered to provide useful information on American Indians. The present study analyzes data from a survey of over 900 American Indians from the Midwest United States and explores their sources of health information, their preferences for information presentation, and their use of health information prior to and during medical encounters. We conclude that campaigns targeting Natives should be narrowly focused and be community driven or employing community resources. American Indians use a diversity of media sources to obtain health information, with the Internet being underutilized compared to the general population. Partnership with Indian Health Service providers and pharmacists, as well as traditional healers, in the development and dissemination of new health information for Natives may provide the "expert" tone needed to promote health improvements in American Indians.

  2. Social and Psychological Status of the American Indian Elderly: Past Research, Current Advocacy, and Future Inquiry.

    Science.gov (United States)

    Manson, Spero M.; Pambrun, Audra M.

    1979-01-01

    Examined past efforts to improve the Indian elderly's quality of life, summarized mental health issues, critically reviewed relevant literature, and reported results from a needs assessment survey of Indian elderly. Journal availability: see RC 503 481. (DS)

  3. Adoption and the American Indian Child: A Manual for Social Service Workers.

    Science.gov (United States)

    Zokan delos Reyes, Louise

    Written for social service workers involved with Indian child welfare cases in which adoption through a state court is being considered, this manual presents basic information about the requirements of the Indian Child Welfare Act of 1978 (ICWA) in cases of Indian adoption. Background material explains that the ICWA--intended to establish…

  4. Some Resources in Indian Literature.

    Science.gov (United States)

    Marken, Jack W.

    This paper discusses some of the resources in the literature by and about the American Indian and lists numerous anthologies and bibliographies in this area. More than 40 publications are listed, including "Reference Encyclopedia of the American Indian,""American Indian Almanac,""Ethnographic Bibliography of North America,""American Indian Prose…

  5. American Indian grand families: a qualitative study conducted with grandmothers and grandfathers who provide sole care for their grandchildren.

    Science.gov (United States)

    Cross, Suzanne L; Day, Angelique G; Byers, Lisa G

    2010-12-01

    A qualitative study was conducted to determine the rationale for 31 American Indian grandparents' who provide sole care of their grandchildren, the impact of historical trauma on their decision making process in accessing services, the value of American Indian Child Welfare policies in addressing care issues, and custody status of the grand families. Indian Outreach Workers, Community Health Representatives, Elder Program Directors, and tribal community leaders were key in the recruitment of participants. The grandparents were informed of the purpose of the study and participated in face-to-face, paper and pencil, individual interviews. The subjects included 29 grandmothers and two grandfathers; age 43-86 years, with 20 who lived off reservation land and 11 who lived on reservation land in Michigan. A phenomenological approach of the "world of the lived experience" informed the design of the study. The researchers recorded the subjects' responses via field notes, conducted a comparison of responses to assess internal reliability, and entered the responses into the qualitative data analysis Nvivo program. Findings included; (1) reasons for providing sole care of grandchildren (2) stressors and rewards of providing sole care (3) grandparents decisions affected by historical traumas which focused on the boarding school issues and the removal of children from their homes due to cultural differences causing a reluctance to seek and access national and state programs (4) grandparents preference was to seek and access services provided by their Tribal Nations, and/or American Indian urban agencies (5) most lacked legal custodial status which is an indicator the grandparents' may have benefited from knowledge of the Indian Child Welfare Act (ICWA).

  6. The Virtues of Cultural Resonance, Competence, and Relational Collaboration with Native American Indian Communities: A Synthesis of the Counseling and Psychotherapy Literature

    Science.gov (United States)

    Trimble, Joseph E.

    2010-01-01

    The article extends the scholarship, observations, and recommendations provided in Joseph Gone's article, "Psychotherapy and Traditional Healing for American Indians: Prospects for Therapeutic Integration" (2010 [this issue]). The overarching thesis is that for many Indian and Native clients, interpersonal and interethnic problems can emerge when…

  7. Health Promotion and Substance Abuse Prevention among American Indian and Alaska Native Communities: Issues in Cultural Competence. Cultural Competence Series 9. Special Collaborative Edition.

    Science.gov (United States)

    Trimble, Joseph E., Ed.; Beauvais, Fred, Ed.

    Substance abuse continues to be one of the most damaging and chronic health problems faced by Indian people. American Indian and Alaska Native (AI/AN) substance abuse prevention and treatment programs must be framed within the broader context of the widening health disparities between AI/AN communities and the general population. Successful…

  8. EXPLAINING THE ASSOCIATION BETWEEN GENDER AND SUBSTANCE USE AMONG AMERICAN INDIAN ADOLESCENTS: AN APPLICATION OF POWER-CONTROL THEORY.

    Science.gov (United States)

    Eitle, Tamela McNulty; Eitle, David

    2015-12-01

    This study evaluates the utility of Hagan's power-control theory for explaining substance use behaviors for a sample of American Indian adolescent males and females. Consistent with the theory, we found that patriarchal family form and the affective bond between father and daughter were significant predictors of female substance use behaviors. Compared to results from an analysis of non-Hispanic whites, these results reveal the importance of testing generalist explanations of deviant behavior across racial and ethnic groups. Our findings encourage a more in depth consideration of the gendered nature of work, it's association with socialization and control in American Indian families, and it's impact on gender differences in substance use and delinquent behaviors.

  9. Assessment of elder mistreatment in two American Indian samples: psychometric characteristics of the HS-EAST and the Native Elder Life-Financial Exploitation and -Neglect measures.

    Science.gov (United States)

    Jervis, Lori L; Fickenscher, Alexandra; Beals, Janette

    2014-04-01

    Although elder mistreatment among ethnic minorities is increasingly gaining attention, our empirical knowledge of this phenomenon among American Indians remains quite limited, especially with respect to measurement. The Shielding American Indian Elders (SAIE) Project used a collaborative approach to explore culturally informed measurement of elder mistreatment in two American Indian elder samples (a Northern Plains reservation and a South Central metropolitan area). The project sought to investigate the performance characteristics of the commonly used Hwalek-Sengstock Elder Abuse Screening Test (HS-EAST), as well as to examine the psychometric properties of a new measure developed to capture culturally salient aspects of mistreatment in American Indian contexts--the Native Elder Life Scale (NELS). Using methods and samples comparable to those in the literature, the HS-EAST performed adequately in these Native samples. The NELS also shows promise for use with this population and assesses different aspects of elder mistreatment than does the HS-EAST.

  10. [Impact of the application of the American Thyroid Association criteria on the diagnosis of hypothyroidism in pregnant women in Vigo, Spain].

    Science.gov (United States)

    Pombar-Pérez, Marta; Penín-Álvarez, Manuel; Vélez-Castillo, María; Trigo-Barros, Cristina; Álvarez-García, Elías; Rodríguez-Ferro, Rosa

    2013-07-01

    In order to determine the impact of the application of the American Thyrold Associations (ATA) criteria for the diagnosis of hypothyroidism in pregnant women in the health district of Vigo, Spain, concentrations of serum thyrotropin (TSH), free thyroxine (T4L) and anti-thyroid antibodies were analyzed, comparing the frequency of pregnant women diagnosed with hypothyroidism and applying the criteria used in the hormone laboratory at Xeral Hospital and referential criteria established by ATA. The application of ATA referential criteria increased by 29.6% the number of female patients diagnosed with hypothyroidism. The application of ATA guidelines had an impact on the measurement of TSH concentrations in pregnant women, which calls for an evaluation of referential values of TSH based on the population and the local diagnostic methods.

  11. Using Community Advisory Boards to Reduce Environmental Barriers to Health in American Indian Communities, Wisconsin, 2007–2012

    OpenAIRE

    Adams, Alexandra K.; Scott, Jamie R.; Prince, Ron; Williamson, Amy

    2014-01-01

    Background American Indian communities have a high prevalence of chronic diseases including diabetes, obesity, cardiovascular disease, and cancer. Innovative community-based approaches are needed to identify, prioritize, and create sustainable interventions to reduce environmental barriers to healthy lifestyles and ultimately improve health. Community Context Healthy Children, Strong Families was a family-based and community-based intervention to increase healthy lifestyles on Wisconsin Ameri...

  12. The Relationship Between Pregnancy Prevention and STI/HIV Prevention and Sexual Risk Behavior Among American Indian Men.

    Science.gov (United States)

    Rink, Elizabeth; FourStar, Kristofer; Anastario, Michael P

    2017-01-01

    We examined the relationship between American Indian men's attitudes toward pregnancy prevention, STI/HIV prevention, and sexual risk behavior. Attention was given to: (1) attitudes and intentions to use condoms and sexual risk behavior; (2) STI/HIV prevention characteristics and sexual risk behavior; (3) attitudes toward abstinence and monogamy and sexual risk behavior; and (4) decision-making in relationships and sexual risk behavior. Our sample included 120 heterosexual American Indian men aged 18 to 24 living on a reservation. Data were collected during in-depth interviews. A community-based participatory research framework was used to ensure the relevancy and acceptability of the study given the sensitivity of the topic. Results demonstrated that attitudinal factors were associated with sexual risk behavior, particularly inconsistent condom use. Attitudes associated with consistent condom use suggested greater levels of positive dispositions toward prevention and intention to use condoms. Consistent condom use was associated with more cautious attitudes toward sex with multiple sex partners. Study results suggested that American Indian men who reported sex with multiple partners exhibited a set of attitudes and beliefs toward pregnancy prevention and STI/HIV prevention that corresponded with a disposition resulting from their behaviors, in that engaging in sexual risk behavior elevated their levels of risk perception. Our findings suggest that heterosexual American Indian men living in rural environments need sexual and reproductive health programs and clinical services that address differing attitudes toward condom use within the context of multiple sex partners and sexual risk behavior. © 2015 National Rural Health Association.

  13. A Review of the Experience, Epidemiology, and Management of Pain among American Indian, Alaska Native, and Aboriginal Canadian Peoples

    OpenAIRE

    Jimenez, Nathalia; Garroutte, Eva; Kundu, Anjana; Morales, Leo; Buchwald, Dedra

    2011-01-01

    Substantial literature suggests that diverse biological, psychological, and sociocultural mechanisms account for differences by race and ethnicity in the experience, epidemiology, and management of pain. Many studies have examined differences between Whites and minority populations, but American Indians (AIs), Alaska Natives (ANs), and Aboriginal peoples of Canada have been neglected both in studies of pain and in efforts to understand its bio-psychosocial and cultural determinants. This arti...

  14. Influences and Practices in Colorectal Cancer Screening Among Health Care Providers Serving Northern Plains American Indians, 2011-2012.

    Science.gov (United States)

    Nadeau, Melanie; Walaszek, Anne; Perdue, David G; Rhodes, Kristine L; Haverkamp, Donald; Forster, Jean

    2016-12-15

    The epidemiology of colorectal cancer, including incidence, mortality, age of onset, stage of diagnosis, and screening, varies regionally among American Indians. The objective of the Improving Northern Plains American Indian Colorectal Cancer Screening study was to improve understanding of colorectal cancer screening among health care providers serving Northern Plains American Indians. Data were collected, in person, from a sample of 145 health care providers at 27 health clinics across the Northern Plains from May 2011 through September 2012. Participants completed a 32-question, self-administered assessment designed to assess provider practices, screening perceptions, and knowledge. The proportion of providers who ordered or performed at least 1 colorectal cancer screening test for an asymptomatic, average-risk patient in the previous month was 95.9% (139 of 145). Of these 139 providers, 97.1% ordered colonoscopies, 12.9% ordered flexible sigmoidoscopies, 73.4% ordered 3-card, guaiac-based, fecal occult blood tests, and 21.6% ordered fecal immunochemical tests. Nearly two-thirds (64.7%) reported performing in-office guaiac-based fecal occult blood tests using digital rectal examination specimens. Providers who reported receiving a formal update on colorectal cancer screening during the previous 24 months were more likely to screen using digital rectal exam specimens than providers who had received a formal update on colorectal cancer screening more than 24 months prior (73.9% vs 56.9%, respectively, χ(2) = 4.29, P = .04). Despite recommendations cautioning against the use of digital rectal examination specimens for colorectal cancer screening, the practice is common among providers serving Northern Plains American Indian populations. Accurate up-to-date, ongoing education for patients, the community, and health care providers is needed.

  15. A National Study of American Indian and Alaska Native Substance Abuse Treatment: Provider and Program Characteristics.

    Science.gov (United States)

    Rieckmann, Traci; Moore, Laurie A; Croy, Calvin D; Novins, Douglas K; Aarons, Gregory

    2016-09-01

    American Indians and Alaska Natives (AIANs) experience major disparities in accessing quality care for mental health and substance use disorders. There are long-standing concerns about access to and quality of care for AIANs in rural and urban areas including the influence of staff and organizational factors, and attitudes toward evidence-based treatment for addiction. We conducted the first national survey of programs serving AIAN communities and examined workforce and programmatic differences between clinics located in urban/suburban (n=50) and rural (n=142) communities. We explored the correlates of openness toward using evidence-based treatments (EBTs). Programs located in rural areas were significantly less likely to have nurses, traditional healing consultants, or ceremonial providers on staff, to consult outside evaluators, to use strategic planning to improve program quality, to offer pharmacotherapies, pipe ceremonies, and cultural activities among their services, and to participate in research or program evaluation studies. They were significantly more likely to employ elders among their traditional healers, offer AA-open group recovery services, and collect data on treatment outcomes. Greater openness toward EBTs was related to a larger clinical staff, having addiction providers, being led by directors who perceived a gap in access to EBTs, and working with key stakeholders to improve access to services. Programs that provided early intervention services (American Society of Addiction Medicine level 0.5) reported less openness. This research provides baseline workforce and program level data that can be used to better understand changes in access and quality for AIAN over time. Copyright © 2016. Published by Elsevier Inc.

  16. Substance Use Patterns among High-Risk American Indians/Alaska Natives in Los Angeles County

    Science.gov (United States)

    Dickerson, Daniel L.; Fisher, Dennis G.; Reynolds, Grace L.; Baig, Safia; Napper, Lucy E.; Anglin, M. Douglas

    2015-01-01

    Background Substance abuse among American Indians/Alaska Natives (AI/ANs) is a significant and longstanding health problem in the U.S. Two-thirds of American AIs/ANs reside in the urban setting. However, studies analyzing substance use characteristics among urban AI/ANs are very limited. One reason is due to the shortage of available data with regard to substance abuse characteristics among urban AI/ANs. Methods Three datasets from programs targeting individuals at high risk for substance abuse and risky sexual behaviors within Los Angeles County were analyzed. Among a sample of AI/ANs (n = 77) and other ethnic/racial groups in Los Angeles County at high risk of substance abuse, the purposes of this study are to: (1) analyze and compare age of first drug and alcohol use, (2) compare the correlation of subjective methamphetamine craving (reinforcement) and age of onset of methamphetamine use, and (3) analyze injection drug use patterns. Results Compared to all other ethnic/racial groups, AI/ANs demonstrated significantly younger age of onset of alcohol, marijuana, methamphetamine, and “other” drug use, higher correlations of age of first use of amphetamine with a measure of the drug’s reinforcement, and higher mean number of illicit drug injections in the 30 days before being interviewed. Conclusions Results from this study highlight a critical need for furthering our understanding of substance abuse problems among urban AI/ANs. Potentially useful strategies are provided which may assist towards decreasing substance use among urban AIs/ANs. PMID:22882395

  17. Utilizing drumming for American Indians/Alaska Natives with substance use disorders: a focus group study.

    Science.gov (United States)

    Dickerson, Daniel; Robichaud, Francis; Teruya, Cheryl; Nagaran, Kathleen; Hser, Yih-Ing

    2012-09-01

    Drumming has been utilized among American Indian/Alaska Native (AI/AN) tribes for centuries to promote healing and self-expression. Drum-Assisted Recovery Therapy for Native Americans (DARTNA), currently under development, is a substance abuse treatment utilizing drumming as a core component. Focus groups were conducted to assist in the development of the DARTNA protocol. Feedback obtained from these focus groups will inform a subsequent pretest of DARTNA and an empirical study analyzing its effectiveness. Three focus groups were conducted among AIs/ANs with substance use disorders (n = 6), substance abuse treatment providers (n = 8), and a community advisory board (n = 4) to solicit feedback prior to a pretest of the DARTNA protocol. Overall, participants indicated that DARTNA could be beneficial for AIs/ANs with substance use disorders. Four overarching conceptual themes emerged across the focus groups: (1) benefits of drumming, (2) importance of a culture-based focus, (3) addressing gender roles in drumming activities, and (4) providing a foundation of common AI/AN traditions. The DARTNA protocol is a potentially beneficial and culturally appropriate substance abuse treatment strategy for AIs/ANs. In order to optimize the potential benefits of a substance abuse treatment protocol utilizing drumming for AIs/ANs, adequate attention to tribal diversity and gender roles is needed. Due to the shortage of substance abuse treatments utilizing traditional healing activities for AIs/ANs, including drumming, results from this study provide an opportunity to develop an intervention that may meet the unique treatment needs of AIs/ANs.

  18. Challenges Faced in Engaging American Indian Mothers in an Early Childhood Caries Preventive Trial.

    Science.gov (United States)

    Tiwari, Tamanna; Albino, Judith; Batliner, Terrence S

    2015-01-01

    Objective. This study explores the challenges faced by the research implementation team in engaging new mothers in a community oral health prevention intervention in an American Indian (AI) reservation community. Methods. Qualitative methods in the form of in-depth interviews were used in the study. Qualitative data were collected from research staff workers at a field site, who were involved in the implementation of a culturally tailored, randomized controlled trial of a behavioral intervention utilizing Motivational Interviewing (MI). Results. Several challenges were described by the field staff in engaging new mothers, including low priority placed on oral health, lack of knowledge, and distractions that reduced their ability to engage in learning about oral health of their child. Other difficulties faced in engaging the mothers and the AI community at large were distrust related to racial differences and physical and environmental barriers including poor road conditions, lack of transportation and communication, and remoteness of data collection sites. The field staff developed and applied many strategies, including conducting home visits, applying new communication strategies, and interacting with the community at various venues. Conclusion. Prevention interventions for ECC need to target AI mothers. Strategies developed by the field staff were successful for engaging mothers in the study.

  19. Resilience in American Indian and Alaska Native Public Health: An Underexplored Framework.

    Science.gov (United States)

    Teufel-Shone, Nicolette I; Tippens, Julie A; McCrary, Hilary C; Ehiri, John E; Sanderson, Priscilla R

    2016-08-29

    To conduct a systematic literature review to assess the conceptualization, application, and measurement of resilience in American Indian and Alaska Native (AIAN) health promotion. We searched 9 literature databases to document how resilience is discussed, fostered, and evaluated in studies of AIAN health promotion in the United States. The article had to (1) be in English; (2) peer reviewed, published from January 1, 1980, to July 31, 2015; (3) identify the target population as predominantly AIANs in the United States; (4) describe a nonclinical intervention or original research that identified resilience as an outcome or resource; and (5) discuss resilience as related to cultural, social, and/or collective strengths. Sixty full texts were retrieved and assessed for inclusion by 3 reviewers. Data were extracted by 2 reviewers and verified for relevance to inclusion criteria by the third reviewer. Attributes of resilience that appeared repeatedly in the literature were identified. Findings were categorized across the lifespan (age group of participants), divided by attributes, and further defined by specific domains within each attribute. Nine articles (8 studies) met the criteria. Currently, resilience research in AIAN populations is limited to the identification of attributes and pilot interventions focused on individual resilience. Resilience models are not used to guide health promotion programming; collective resilience is not explored. Attributes of AIAN resilience should be considered in the development of health interventions. Attention to collective resilience is recommended to leverage existing assets in AIAN communities. © The Author(s) 2016.

  20. Food Insecurity and Chronic Diseases Among American Indians in Rural Oklahoma: The THRIVE Study

    Science.gov (United States)

    Wetherill, Marianna S.; Hearod, Jordan; Jacob, Tvli; Salvatore, Alicia L.; Cannady, Tamela; Grammar, Mandy; Standridge, Joy; Fox, Jill; Spiegel, Jennifer; Wiley, AnDina; Noonan, Carolyn; Buchwald, Dedra

    2017-01-01

    Objectives. To examine food insecurity and cardiovascular disease–related health outcomes among American Indians (AIs) in rural Oklahoma. Methods. We surveyed a cross-sectional sample of 513 AI adults to assess food insecurity domains (i.e., food quality and quantity) and obesity, diabetes, and hypertension. Results. Among AIs surveyed, 56% reported inadequate food quantity and 62% reported inadequate food quality. The unadjusted prevalence of diabetes (28.4% vs 18.4%), obesity (60.0% vs 48.3%), and hypertension (54.1% vs 41.6%) was higher among participants with inadequate food quantity than among those with adequate food quantity. These associations did not reach statistical significance after adjustment for age, gender, study site, education, and income. The unadjusted prevalence of obesity (60.7% vs 45.8%), diabetes (27.3% vs 18.8%), and hypertension (52.5% vs 42.5%) was higher among those with inadequate food quality than among those with adequate food quality, even after adjustment for age, gender, study site, education, and income. Conclusions. Tribal, federal, and state policymakers, as well as businesses and nonprofit organizations, must collaboratively take aggressive action to address food insecurity and its underlying causes, including improving tribal food environments, reducing barriers to healthy foods, and increasing living wages. PMID:28103070

  1. Implementing women's cancer screening programs in American Indian and Alaska Native populations.

    Science.gov (United States)

    Lantz, Paula M; Orians, Carlyn E; Liebow, Edward; Joe, Jennie R; Burhansstipanov, Linda; Erb, Julie; Kenyon, Kathryn

    2003-01-01

    The National Breast and Cervical Cancer Early Detection Program provides funding to tribes and tribal organizations to implement comprehensive cancer screening programs using a program model developed for state health departments. We conducted a multiple-site case study using a participatory research process to describe how 5 tribal programs implemented screening services, and to identify strategies used to address challenges in delivering services to American Indian and Alaska Native women. We analyzed data from semistructured interviews with 141 key informants, 16 focus groups with 132 program-eligible women, and program documents. Several challenges regarding the delivery of services were revealed, including implementing screening programs in busy acute-care environments, access to mammography, providing culturally sensitive care, and providing diagnostic/treatment services in rural and remote locations. Strategies perceived as successful in meeting program challenges included identifying a "champion" or main supporter of the program in each clinical setting, using mobile mammography, using female providers, and increasing the capacity to provide diagnostic services at screening sites. The results should be of interest to an international audience, including those who work with health-related programs targeting indigenous women or groups that are marginalized because of culture, geographic isolation, and/or socioeconomic position.

  2. The Importance of Geographic Data Aggregation in Assessing Disparities in American Indian Prenatal Care

    Science.gov (United States)

    Call, Kathleen Thiede; Blewett, Lynn A.

    2010-01-01

    Objectives. We sought to determine whether aggregate national data for American Indians/Alaska Natives (AIANs) mask geographic variation and substantial subnational disparities in prenatal care utilization. Methods. We used data for US births from 1995 to 1997 and from 2000 to 2002 to examine prenatal care utilization among AIAN and non-Hispanic White mothers. The indicators we studied were late entry into prenatal care and inadequate utilization of prenatal care. We calculated rates and disparities for each indicator at the national, regional, and state levels, and we examined whether estimates for regions and states differed significantly from national estimates. We then estimated state-specific changes in prevalence rates and disparity rates over time. Results. Prenatal care utilization varied by region and state for AIANs and non-Hispanic Whites. In the 12 states with the largest AIAN birth populations, disparities varied dramatically. In addition, some states demonstrated substantial reductions in disparities over time, and other states showed significant increases in disparities. Conclusions. Substantive conclusions about AIAN health care disparities should be geographically specific, and conclusions drawn at the national level may be unsuitable for policymaking and intervention at state and local levels. Efforts to accommodate the geographically specific data needs of AIAN health researchers and others interested in state-level comparisons are warranted. PMID:19910356

  3. Racial discrimination associated with higher diastolic blood pressure in a sample of American Indian adults.

    Science.gov (United States)

    Thayer, Zaneta M; Blair, Irene V; Buchwald, Dedra S; Manson, Spero M

    2017-05-01

    Hypertension prevalence is high among American Indians (AIs). AIs experience a substantial burden of interpersonal racial discrimination, which in other populations has been associated with higher blood pressure. The purpose of this study is to understand whether racial discrimination experiences are associated with higher blood pressure in AIs. We used the Everyday Discrimination Scale to evaluate the relationship between discrimination and measured blood pressure among 77 AIs from two reservation communities in the Northern Plains. We used multivariate linear regression to evaluate the association of racial discrimination with systolic and diastolic blood pressure, respectively. Racial discrimination, systolic blood pressure, and diastolic blood pressure were analyzed as continuous variables. All analyses adjusted for sex, waist circumference, age, posttraumatic stress disorder status, and education. We found that 61% of participants experienced discrimination that they attributed to their race or ancestry. Racial discrimination was associated with significantly higher diastolic blood pressure (β = 0.22, SE = 0.09, p = .02), and with a similar non-significant trend toward higher systolic blood pressure (β = 0.25, SE = 0.15, p = .09). The results of this analysis suggest that racial discrimination may contribute to higher diastolic blood pressure within Native communities. These findings highlight one pathway through which the social environment can shape patterns of biology and health in AI and other socially and politically marginalized groups. © 2017 Wiley Periodicals, Inc.

  4. NIJ's Program of Research on Violence Against American Indian and Alaska Native women.

    Science.gov (United States)

    Crossland, Christine; Palmer, Jane; Brooks, Alison

    2013-06-01

    The Violence Against Women Act of 2005 (Public Law Number 109-162), at Title IX, Section 904(a) (codified at 42 U.S.C. § 3796gg-10 note) mandates that the National Institute of Justice (NIJ), in consultation with the U.S. Department of Justice's Office on Violence Against Women (OVW), conduct a national baseline study on violence against American Indian and Alaska Native (AI and AN) women living in tribal communities. As a result, NIJ has developed a comprehensive research program consisting of multiple projects that will be accomplished over an extended period of time to address this much needed research. The purpose of the research program is to: examine violence against AI and AN women (including domestic violence, dating violence, sexual assault, stalking, and murder) and identify factors that place AI and AN women at risk for victimization; evaluate the effectiveness of federal, state, tribal, and local responses to violence against AI and AN women; and propose recommendations to improve effectiveness of these responses.

  5. Children's Depression Inventory: A unidimensional factor structure for American Indian and Alaskan native youth.

    Science.gov (United States)

    Scott, Walter D; Clapp, Joshua; Mileviciute, Inga; Mousseau, Alicia

    2016-01-01

    Given that American Indian and Alaskan Native (AI/AN) youth are at increased risk for a variety of depression-related outcomes and may experience depression uniquely, the fact that the factor structure of the Children's Depression Inventory (CDI; Kovacs, 1992) is unknown for these populations represents a significant obstacle. In Study 1 with an AI youth sample, we conducted confirmatory factor analyses and failed to find support for either of the 2 predominant CDI multifactor models (Craighead, Smucker, Craighead, & Ilardi, 1998; Kovacs, 1992). In subsequent exploratory structural equation modeling, we found the most support for a unidimensional factor structure. In Study 2, using confirmatory modeling with independent AI/AN youth samples, we found further support for this unidimensional model. Finally, in Study 3, we found support across AI/AN groups varying in gender and age for measurement invariance with respect to both factor structure and factor loadings. Overall, for these AI/AN youth populations, our findings support the practice of calculating total CDI scores, and they suggest a unique construction of the depression experience.

  6. “All My Tears Were Gone”: Suffering and Cancer Pain in Southwest American Indians

    Science.gov (United States)

    Haozous, Emily A; Knobf, M. Tish

    2012-01-01

    Context Although minority patients with cancer pain are more likely to be undermedicated for cancer pain than non-Hispanic Whites, little is known about the experience of cancer pain in American Indians (AIs). Objectives To describe the experience of cancer and cancer pain in a sample of southwestern AIs. Methods Ethnographic interviews were conducted with 13 patients and 11 health care providers, caregivers, and community members; two questionnaires were used to collect demographic and pain data. Results Barriers to pain control among AIs included difficulties describing pain, a belief that cancer pain is inevitable and untreatable, and an aversion to taking opioid pain medication. Prescriber inexperience also was cited as a barrier to pain management. AIs described a strong desire to protect their privacy regarding their illness, and many felt that expressing pain was a sign of weakness. The inability to participate in spiritual and cultural activities caused AIs distress, and some discontinued treatment or missed chemotherapy appointments to engage in these activities. Conclusion Results revealed new knowledge about the cancer pain experience in AIs. The observation of the close relationship between treatment compliance and the patient’s ability to participate in ceremonial and spiritual activities provides new insight into the problem of incomplete cancer treatment in this population. The finding that AI patients have a multidimensional conceptualization of pain will assist clinicians with obtaining more detailed and informative pain assessments. PMID:22940564

  7. Outcome expectancies, descriptive norms, and alcohol use: American Indian and white adolescents.

    Science.gov (United States)

    Dieterich, Sara E; Stanley, Linda R; Swaim, Randall C; Beauvais, Fred

    2013-08-01

    This study examined the relationships between adolescent alcohol use and outcome expectancies and descriptive norms for a sample of American Indian and white youth living on or near reservations. Three outcome expectancies proposed by the theory of normative social behavior (perceived benefits to self, perceived benefits to others, and anticipatory socialization) were examined. Survey data were collected from high school students in the 2009-2010, 2010-2011, and 2011-2012 school years. Stronger descriptive norms for use and higher perceived benefits to self from use were associated with alcohol use in the last month, drunkenness in the last month, and binge drinking. Perceived benefits to self also moderated the relationship between descriptive norms and both alcohol use in the last month and binge drinking, and the effect of descriptive norms on use became more robust as perceived benefits to self increased. Outcome expectancies of perceived benefits to others and anticipatory socialization did not moderate the relationship between norms and alcohol use. Implications for prevention are discussed.

  8. Hepatitis C Virus in American Indian/Alaskan Native and Aboriginal Peoples of North America

    Directory of Open Access Journals (Sweden)

    Julia Uhanova

    2012-12-01

    Full Text Available Liver diseases, such as hepatitis C virus (HCV, are “broken spirit” diseases. The prevalence of HCV infection for American Indian/Alaskan Native (AI/AN in the United States and Canadian Aboriginals varies; nonetheless, incidence rates of newly diagnosed HCV infection are typically higher relative to non-indigenous people. For AI/AN and Aboriginal peoples risk factors for the diagnosis of HCV can reflect that of the general population: predominately male, a history of injection drug use, in midlife years, with a connection with urban centers. However, the face of the indigenous HCV infected individual is becoming increasingly female and younger compared to non-indigenous counterparts. Epidemiology studies indicate that more effective clearance of acute HCV infection can occur for select Aboriginal populations, a phenomenon which may be linked to unique immune characteristics. For individuals progressing to chronic HCV infection treatment outcomes are comparable to other racial cohorts. Disease progression, however, is propelled by elevated rates of co-morbidities including type 2 diabetes and alcohol use, along with human immunodeficiency virus (HIV co-infection relative to non-indigenous patients. Historical and personal trauma has a major role in the participation of high risk behaviors and associated diseases. Although emerging treatments provide hope, combating HCV related morbidity and mortality will require interventions that address the etiology of broken spirit diseases.

  9. Impact of targeted health promotion on cardiovascular knowledge among American Indians and Alaska Natives.

    Science.gov (United States)

    Brega, Angela G; Pratte, Katherine A; Jiang, Luohua; Mitchell, Christina M; Stotz, Sarah A; Loudhawk-Hedgepeth, Crystal; Morse, Brad D; Noe, Tim; Moore, Kelly R; Beals, Janette

    2013-06-01

    The National Heart, Lung, and Blood Institute developed the Honoring the Gift of Heart Health (HGHH) curriculum to promote cardiovascular knowledge and heart-healthy lifestyles among American Indians and Alaska Natives (AI/ANs). Using data from a small randomized trial designed to reduce diabetes and cardiovascular disease (CVD) risk among overweight/obese AI/ANs, we evaluated the impact of an adapted HGHH curriculum on cardiovascular knowledge. We also assessed whether the curriculum was effective across levels of health literacy (defined as the 'capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions'). We examined change in knowledge from baseline to 3 months for two groups: HGHH (N = 89) and control (N = 50). Compared with controls, HGHH participants showed significant improvement in heart attack knowledge and marginally significant improvement in stroke and general CVD knowledge. HGHH participants attending ≥1 class showed significantly greater improvement than controls on all three measures. Although HGHH participants with inadequate health literacy had worse heart attack and stroke knowledge at baseline and 3 months than did participants with adequate skills, the degree of improvement in knowledge did not differ by health literacy level. HGHH appears to improve cardiovascular knowledge among AI/ANs across health literacy levels.

  10. Evaluating disparities in inpatient surgical cancer care among American Indian/Alaska Native patients.

    Science.gov (United States)

    Simianu, Vlad V; Morris, Arden M; Varghese, Thomas K; Porter, Michael P; Henderson, Jeffrey A; Buchwald, Dedra S; Flum, David R; Javid, Sara H

    2016-08-01

    American Indian/Alaska Native (AI/AN) patients with cancer have the lowest survival rates of all racial and ethnic groups, possibly because they are less likely to receive "best practice" surgical care than patients of other races. Prospective cohort study comparing adherence with generic and cancer-specific guidelines on processes of surgical care between AI/AN and non-Hispanic white (NHW) patients in Washington State (2010 to 2014) was conducted. A total of 156 AI/AN and 6,030 NHW patients underwent operations for 10 different cancers, and had similar mean adherence to generic surgical guidelines (91.5% vs 91.9%, P = .57). AI/AN patients with breast cancer less frequently received preoperative diagnostic core needle biopsy (81% vs 94%, P = .004). AI/AN patients also less frequently received care adherent to prostate cancer-specific guidelines (74% vs 92%, P = .001). Although AI/ANs undergoing cancer operations in Washington receive similar overall best practice surgical cancer care to NHW patients, there remain important, modifiable disparities that may contribute to their lower survival. Copyright © 2016 Elsevier Inc. All rights reserved.

  11. Perinatal and Infant Health Among Rural and Urban American Indians/Alaska Natives

    Science.gov (United States)

    Baldwin, Laura-Mae; Grossman, David C.; Casey, Susan; Hollow, Walter; Sugarman, Jonathan R.; Freeman, William L.; Hart, L. Gary

    2002-01-01

    Objectives. We sought to provide a national profile of rural and urban American Indian/Alaska Native (AI/AN) maternal and infant health. Methods. In this cross-sectional study of all 1989–1991 singleton AI/AN births to US residents, we compared receipt of an inadequate pattern of prenatal care, low birthweight (< 2500 g), infant mortality, and cause of death for US rural and urban AI/AN and non-AI/AN populations. Results. Receipt of an inadequate pattern of prenatal care was significantly higher for rural than for urban mothers of AI/AN infants (18.1% vs 14.4%, P ≤ .001); rates for both groups were over twice that for Whites (6.8%). AI/AN postneonatal death rates (rural = 6.7 per 1000; urban = 5.4 per 1000) were more than twice that of Whites (2.6 per 1000). Conclusions. Preventable disparities between AI/ANs and Whites in maternal and infant health status persist. PMID:12197982

  12. Correlates of Motivational Interviewing Use Among Substance Use Treatment Programs Serving American Indians/Alaska Natives.

    Science.gov (United States)

    Dickerson, Daniel; Moore, Laurie A; Rieckmann, Traci; Croy, Calvin D; Venner, Kamilla; Moghaddam, Jacquelene; Gueco, Rebekah; Novins, Douglas K

    2017-02-24

    Motivational interviewing (MI) offers a treatment modality that can help meet the treatment needs of American Indians/Alaska Natives (AI/ANs) with substance use disorders. This report presents results from a national survey of 192 AI/AN substance abuse treatment programs with regard to their use of MI and factors related to its implementation, including program characteristics, workforce issues, clinician perceptions of MI, and how clinicians learned about MI. Sixty-six percent of programs reported having implemented the use of MI in their programs. In the final logistic regression model, the odds of implementing MI were significantly higher when programs were tribally owned (OR = 2.946; CI95 1.014, 8.564), where more than 50% of staff were Certified Alcohol and Drug Counselors (CADCs) (OR = 5.469; CI95 1.330, 22.487), and in programs in which the survey respondent perceived that MI fit well with their staff's expertise and training (OR = 3.321; CI95 1.287, 8.569).

  13. Treatment eligibility in Alaska Native and American Indian persons with hepatitis C virus infection.

    Science.gov (United States)

    Livingston, Stephen E; Townshend-Bulson, Lisa J; Bruden, Dana L; McMahon, Brian J; Homan, Chriss E; Gove, James E; Deubner, Heike; Bruce, Michael G; Robinson, Renee F; Gretch, David R

    2012-04-24

    Treatment with pegylated interferon and ribavirin may prevent progression of liver disease among patients with chronic hepatitis C virus infection (HCV). Treatment initiation is based on published clinical eligibility criteria, patients' willingness to undergo treatment and likelihood of success. We examined treatment eligibility in a cohort of Alaska Native and American Indian persons with chronic HCV infection. Retrospective cohort study. Medical records of all treatment naïve HCV RNA positive patients given an appointment by hepatology specialty clinic staff in 2003 and 2007 were evaluated by a hepatology provider to investigate documented reasons for treatment deferral. Treatment was initiated in 4 of 94 patients (4%) in 2003 and 14 of 146 patients (10%) in 2007. Major reasons for treatment deferral in 2003 versus 2007 included inconsistent appointment attendance (36% of deferrals vs. 18%), active substance abuse (17% vs. 22%), patient decision (17% vs. 27%), liver biopsy without fibrosis or normal ALT (8% vs. 3%), uncontrolled psychiatric condition (7% vs. 7%) and concurrent medical condition (6% vs. 9%). There was significant improvement in proportion of appointments attended in 2007 versus 2003 (76% vs. 67%, p = 0.04) and the percentage of patients attending at least 1 appointment (84% vs. 66%, p = 0.002). Multiple reasons for treatment deferral were documented. Despite a significant improvement in hepatology clinic attendance and an increase in the number of patients started on treatment in 2007 compared to 2003, the overall percentage of those treated remained low.

  14. American Indian Substance Abuse Prevention Efforts: A Review of Programs, 2003-2013.

    Science.gov (United States)

    Walsh, Margaret L; Baldwin, Julie A

    2015-01-01

    The purpose of the review was to assess substance abuse prevention (SAP) efforts in American Indian and Alaska Native (AI/AN) communities from 2003-2013. In the past, many SAP programs were unable to meet the unique cultural needs of AI/AN communities adequately. It has been suggested that a disconnect may exist between the theories that are used to guide development of prevention programs in AI/AN communities and culturally appropriate theoretical constructs of AI/AN worldviews. To explore this possible disconnect further, Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used to assess a total of 18 articles (N = 31 programs) on program location and method, participant characteristics, described program cultural elements, use of theory, program outcomes, program measures, and future recommendations. Results indicated that SAP programs in AI/AN communities vary widely in their use of theory, implementation strategies, view and definition of cultural constructs, overall evaluational rigor, and reporting methods. Future research is needed to integrate appropriate theory and cultural elements into SAP programs to tie them to measurable outcomes for AI/AN communities.

  15. Beyond the Mohawk Warrior: Reinterpreting Benjamin West’s Evocations of American Indians

    Directory of Open Access Journals (Sweden)

    Julia A. Sienkewicz

    2009-11-01

    Full Text Available This essay offers a reinterpretation of the narratives in John Galt’s 'The Life and Studies of Benjamin West' (1816 that introduce the artist’s encounters with, or evocations of, American Indians. This study grapples, in particular, with the iconic status of the narrative in which the young artist, newly arrived in Rome from the British Colony of Pennsylvania, is said to have exclaimed ‘My God, how like it is to a young Mohawk warrior!’ when he first encountered the 'Apollo Belvidere'. It questions whether West actually did liken the 'Apollo Belvidere ' to a Mohawk warrior in 1760, and instead resituates the narrative within concerns of transatlantic audience and international politics in 1816. Rather than the naïve exclamation of a provincial visitor to a European metropolis, this article contends that West’s remark, at least as retold within Galt’s narrative, was the calculated reflection of a cosmopolitan intellectual on matters of intercultural and transatlantic concern.

  16. Multicultural training on American Indian issues: testing the effectiveness of an intervention to change attitudes toward Native-themed mascots.

    Science.gov (United States)

    Steinfeldt, Jesse A; Wong, Y Joel

    2010-04-01

    This study investigated attitudes toward Native-themed mascots in the context of color-blind racial attitudes. Results indicate that higher color-blind racial attitudes are related to lower awareness of the offensiveness of Native-themed mascots. The researchers tested the effectiveness of a training intervention designed to produce attitudinal change among master's level counseling students. Results demonstrate that the training intervention produced significantly greater attitudinal change than did a general training session on culturally sensitive counseling practices with American Indian clients, particularly among students with high color-blind racial attitudes. Results also indicate that this training intervention on Native-themed mascots contributed to lower color-blind racial attitudes, thus increasing the students' awareness of societal racism. Psychological training programs may benefit from augmenting their multicultural counseling curriculum by specifically addressing the offensive nature of Native-themed mascots. An awareness of the marginalization of American Indians, particularly as it involves racialized mascots, can reduce color-blind racial attitudes, and may provide psychologists with a more comprehensive understanding of aspects of the reality of American Indian clients that contribute to their worldview.

  17. A perinatal intervention program for urban american indians part 2: the story of a program and its implications for practice.

    Science.gov (United States)

    Prater, Sandra L; Davis, Carol L

    2002-01-01

    This is the story of how a culturally aware staff successfully intervened with a clientele of another culture. A high infant mortality rate for American Indians in Milwaukee, WI, prompted a community health agency to initiate a program to address the problem. Efforts were made to educate the American Indian community about the importance of both prenatal and postnatal care. Part 1 of this report was published (Davis & Prater, 2001) and presented the design and implementation of the program, as well as program outcomes. Here, Part 2 describes aspects of the same program, including the personal story of a client and the results of an evaluation conducted by a three-person research team. Implications for practice are also presented. Among these are suggestions for hiring and retaining staff, locating and retaining clients, addressing cultural sensitivity, and identifying administrative actions that enhance program operation. The personal stories of two additional clients are included to illustrate the difficult reality of some clients' lives and the resulting necessity for flexibility and resourcefulness on the part of program staff. This program represents the positive impact that program workers had on the problem of American Indian infant mortality.

  18. On the Pursuit of Sound Science for the Betterment of the American Indian Community: Reply to Beals et al.

    Science.gov (United States)

    Spillane, Nichea S; Smith, Gregory T

    2009-03-01

    We argue that ongoing criticism of existing theories, the development of alternative theories, and empirical theory tests offer the best chance for advancing American Indian research. We, therefore note our appreciation for Beals et al.'s comments. We nevertheless did disagree with many of Beals et al.'s specific claims, noting that (a) our characterization of the existing literature on reservation-dwelling American Indian drinking was accurate; (b) no argument made by Beals et al. undermines their theoretical contention that there is a relative lack of contingency between access to basic life reinforcers and sobriety on many reservations; (c) our theory was developed in a responsible manner: a reservation-tied American Indian developed the theory, which was reviewed by a reservation leadership team, a cultural consultant, and reviewers for this journal, at least one of whom consulted leaders of other reservations; and (d) our theory was based on previous interdisciplinary theory development. We encourage the development and testing of new, alternative theories.

  19. A framework for conducting a national study of substance abuse treatment programs serving American Indian and Alaska native communities.

    Science.gov (United States)

    Novins, Douglas K; Moore, Laurie A; Beals, Janette; Aarons, Gregory A; Rieckmann, Traci; Kaufman, Carol E

    2012-09-01

    Because of their broad geographic distribution, diverse ownership and operation, and funding instability, it is a challenge to develop a framework for studying substance abuse treatment programs serving American Indian and Alaska Native communities at a national level. This is further complicated by the historic reluctance of American Indian and Alaska Native communities to participate in research. We developed a framework for studying these substance abuse treatment programs (n ≈ 293) at a national level as part of a study of attitudes toward, and use of, evidence-based treatments among substance abuse treatment programs serving AI/AN communities with the goal of assuring participation of a broad array of programs and the communities that they serve. Because of the complexities of identifying specific substance abuse treatment programs, the sampling framework divides these programs into strata based on the American Indian and Alaska Native communities that they serve: (1) the 20 largest tribes (by population); (2) urban AI/AN clinics; (3) Alaska Native Health Corporations; (4) other Tribes; and (5) other regional programs unaffiliated with a specific AI/AN community. In addition, the recruitment framework was designed to be sensitive to likely concerns about participating in research. This systematic approach for studying substance abuse and other clinical programs serving AI/AN communities assures the participation of diverse AI/AN programs and communities and may be useful in designing similar national studies.

  20. A Probe into American Indian Poetry in Native American Renaissance%论美国印第安文艺复兴时期的诗歌创作

    Institute of Scientific and Technical Information of China (English)

    陈文益; 邹惠玲

    2013-01-01

      美国印第安文艺复兴时期,涌现出一批具有民族自豪感的作家与诗人,他们把写作当作政治解放的武器,在其诗歌创作中强调对同化的抵制,表达出认同祖先文化传统的愿望。作为这一时期诗人的代表人物,乔伊·哈娇(Joy Harjo)、西蒙·欧提斯(Simon Ortiz)以及琳达·荷根(Linda Hogan)将诗歌创作建立在印第安口述文化传统之上,强调土地是印第安的记忆和文化之根,并透过灵性传统彰显异于主流文学的叙述模式、神话体系和信仰体系。%American Indian Renaissance marks the first milestone in the development of American Indian literature written in English. With a strong sense of national pride, a new generation of Indian writers and poets in this period took up writing as a weapon of political liberation, proclaiming their dismissal of assimilation and articulating the desire to identify with their ancestral heritages. As part of them, Joy Harjo, Simon Ortiz and Linda Hogan infused their poem composition with traditional Indian culture such as affiliation with land, storytelling and vision so as to highlight Indian narrative discourse and mythology that are different from the dominant culture.

  1. Prevention and treatment of type 2 diabetes mellitus in children, with special emphasis on American Indian and Alaska Native children. American Academy of Pediatrics Committee on Native American Child Health.

    Science.gov (United States)

    Gahagan, Sheila; Silverstein, Janet

    2003-10-01

    The emergence of type 2 diabetes mellitus in the American Indian/Alaska Native pediatric population presents a new challenge for pediatricians and other health care professionals. This chronic disease requires preventive efforts, early diagnosis, and collaborative care of the patient and family within the context of a medical home.

  2. North American Indians in the Canadian Labour Market: A Decomposition of Wage Differentials.

    Science.gov (United States)

    Patrinos, Harry Anthony; Sakellariou, Chris N.

    1992-01-01

    Empirically determines the components of the gross wage differential between employed Canadian Indians and non-Indians that can be a result of human capital attributes and that which is a result of unexplained factors and labor market discrimination. It is found that much of the wage gap is unexplained by human capital and other observable…

  3. Issues and Problems in the Needs Assessment of Unique Target Groups: The Adult American Indian.

    Science.gov (United States)

    Kovach, John A.

    A basic survey was conducted to determine the need for educational services of adult Indians throughout the continental United States plus Alaska and Hawaii. The study involved three survey instruments: (1) a field interview administered to over 4,100 Indian adults; (2) a survey of state education association directors; and (3) a survey of Indian…

  4. Instructor's Manual: Education for Social Work Practice with American Indian Families.

    Science.gov (United States)

    Brown, Eddie F., Ed.; Shaughnessy, Timothy F., Ed.

    Numerous and varied learning activities are provided in this instructor's manual for a course designed to help non-Indian social work students and social service providers expand their understanding of Indian culture with the purpose of achieving greater transcultural appreciation and, consequently, more effective social work practices appropriate…

  5. Asymmetrical Warfare on the Great Plains, A Review of the American Indian Wars - 1865-1891

    Science.gov (United States)

    2007-11-02

    John Wayne , at the end of his career and his last fight against the Indians before his retirement from Army service. This movie, along with so many...Atkinson and Leavenworth on the Missouri, Forts Gibson and Smith on the Arkansas, 9 Fort Towson on the Red, and Fort Jesup in Louisiana to keep the Indians

  6. Balancing Two Cultures: American Indian/Alaska Native Medical Students' Perceptions of Academic Medicine Careers.

    Science.gov (United States)

    Sánchez, John Paul; Poll-Hunter, Norma; Stern, Nicole; Garcia, Andrea N; Brewster, Cheryl

    2016-08-01

    American Indians and Alaska Natives (AI/AN) remain underrepresented in the academic medicine workforce and little is known about cultivating AI/AN medical students' interest in academic medicine careers. Five structured focus groups were conducted including 20 medical students and 18 physicians. The discussion guide explored factors influencing AI/AN trainees' academic medicine career interest and recommended approaches to increase their pursuit of academia. Consensual qualitative research was employed to analyze transcripts. Our research revealed six facilitating factors, nine dissuading factors, and five recommendations towards cultivating AI/AN pursuit of academia. Facilitators included the opportunity to teach, serving as a role model/mentor, enhancing the AI/AN medical education pipeline, opportunities to influence institution, collegiality, and financial stability. Dissuading factors included limited information on academic career paths, politics, lack of credit for teaching and community service, isolation, self-doubt, lower salary, lack of positions in rural areas, lack of focus on clinical care for AI/AN communities, and research obligations. Recommendations included heighten career awareness, recognize the challenges in balancing AI/AN and academic cultures, collaborate with IHS on faculty recruitment strategies, identify concordant role models/mentors, and identify loan forgiveness programs. Similar to other diverse medical students', raising awareness of academic career opportunities especially regarding teaching and community scholarship, access to concordant role models/mentors, and supportive institutional climates can also foster AI/AN medical students' pursuit of academia. Unique strategies for AI/AN trainees include learning how to balance AI/AN and academic cultures, collaborating with IHS on faculty recruitment strategies, and increasing faculty opportunities in rural areas.

  7. ELMO1 variants and susceptibility to diabetic nephropathy in American Indians.

    Science.gov (United States)

    Hanson, Robert L; Millis, Meredith P; Young, Naomi J; Kobes, Sayuko; Nelson, Robert G; Knowler, William C; DiStefano, Johanna K

    2010-12-01

    Variants in the engulfment and cell motility 1 gene, ELMO1, have previously been associated with kidney disease attributed to type 2 diabetes. The Pima Indians of Arizona have high rates of diabetic nephropathy, which is strongly dependent on genetic determinants; thus, we sought to investigate the role of ELMO1 polymorphisms in mediating susceptibility to this disease in this population. Genotype distributions were compared among 141 individuals with nephropathy and 416 individuals without heavy proteinuria in a family study of 257 sibships, and 107 cases with diabetic ESRD and 108 controls with long duration diabetes and no nephropathy. We sequenced 17.4 kb of ELMO1 and identified 19 variants. We genotyped 12 markers, excluding those in 100% genotypic concordance with other variants or with a minor allele frequency <0.05, plus 21 additional markers showing association with ESRD in earlier studies. In the family study, the strongest evidence for association was with rs1345365 (odds ratio [OR]=2.42 per copy of A allele [1.35-4.32]; P=0.001) and rs10951509 (OR=2.42 per copy of A allele [1.31-4.48]; P=0.002), both of which are located in intron 13 and are in strong pairwise linkage disequilibrium (r(2)=0.97). These associations were in the opposite direction from those observed in African Americans, which suggests that the relationship between diabetic kidney disease and ELMO1 variation may involve as yet undiscovered functional variants or complex interactions with other biological variables.

  8. Seatbelt Use Among American Indians/Alaska Natives and Non-Hispanic Whites

    Science.gov (United States)

    Garcia, Andrea N.; Patel, Kushang V.; Guralnik, Jack M.

    2009-01-01

    Background Accidents (including motor vehicle accidents) are a leading cause of death among American Indians/Alaskan Natives (AI/AN). The purpose of this study was to examine geographic variation and the existence of a seatbelt law on seatbelt use among AI/AN and non-Hispanic Whites (NHW). Methods Self-reported seatbelt behavior data from the 1997 and 2002 Behavioral Risk Factor Surveillance System (BRFSS) were analyzed in 2006–2007 and were restricted to AI/AN (n=4,310 for 2002, and n=1,758 for 1997) and NHW (n=193,617 for 2002, and n=108,551 for 1997) aged 18 years and older. Results Seatbelt non-use varied significantly across geographic regions for both AI/AN and NHW. For example, AI/AN living in the Northern Plains [odds ratio (OR)=12.4 (95% confidence interval (CI): 6.5, 23.7)] and Alaska [OR=10.3 (95%CI: 5.3, 19.9)] had significantly higher seatbelt non-use compared to AI/AN living in the West. In addition, compared to those residing in urban areas, those living in rural areas were 60% more likely in NHW and 2.6 times more likely in AI/AN not to wear a seatbelt. Both AI/AN and NHW living in states without primary seatbelt laws were approximately twice as likely to report seatbelt non-use in 2002 as those living in states with primary laws. In states with primary laws enacted between 1997 and 2002, AI/AN experienced greater decline in seatbelt non-use than NHW. Conclusions Seatbelt use among AI/AN and NHW varied significantly by region and urban-rural residency in 2002. Primary seatbelt laws appear to help reduce regional and racial disparities in seatbelt non-use. PMID:17826579

  9. EEG alpha phenotypes: linkage analyses and relation to alcohol dependence in an American Indian community study

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    Phillips Evelyn

    2010-03-01

    Full Text Available Abstract Background Evidence for a high degree of heritability of EEG alpha phenotypes has been demonstrated in twin and family studies in a number of populations. However, information on linkage of this phenotype to specific chromosome locations is still limited. This study's aims were to map loci linked to EEG alpha phenotypes and to determine if there was overlap with loci previously mapped for alcohol dependence in an American Indian community at high risk for substance dependence. Methods Each participant gave a blood sample and completed a structured diagnostic interview using the Semi Structured Assessment for the Genetics of Alcoholism. Bipolar EEGs were collected and spectral power determined in the alpha (7.5-12.0 Hz frequency band for two composite scalp locations previously identified by principal components analyses (bilateral fronto-central and bilateral centro-parietal-occipital. Genotypes were determined for a panel of 791 micro-satellite polymorphisms in 410 members of multiplex families using SOLAR. Results Sixty percent of this study population had a lifetime diagnosis of alcohol dependence. Analyses of multipoint variance component LOD scores, for the EEG alpha power phenotype, revealed two loci that had a LOD score of 3.0 or above for the fronto-central scalp region on chromosomes 1 and 6. Additionally, 4 locations were identified with LOD scores above 2.0 on chromosomes 4, 11, 14, 16 for the fronto-central location and one on chromosome 2 for the centro-parietal-occipital location. Conclusion These results corroborate the importance of regions on chromosome 4 and 6 highlighted in prior segregation studies in this and other populations for alcohol dependence-related phenotypes, as well as other areas that overlap with other substance dependence phenotypes identified in previous linkage studies in other populations. These studies additionally support the construct that EEG alpha recorded from fronto-central scalp areas may

  10. Risk Factors for HPV Infection among American Indian and White Women in the Northern Plains

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    Bell, Maria C.; Schmidt-Grimminger, Delf; Jacobsen, Clemma; Chauhan, Subhash C.; Maher, Diane M.; Buchwald, Dedra S.

    2015-01-01

    Objective American Indian (AI) women living in the Northern Plains have high incidence and mortality rates for cervical cancer. We assessed risk factors for human papillomavirus (HPV) infection among AI and White women. Methods We tested cervical samples for HPV infection obtained from women ages 18-65 years attending 2 rural AI reservation clinics in South Dakota (n = 235) and an urban clinic serving predominantly White women (n = 246). Patients self-reported information on HPV risk factors. We used percentages and chi-square tests to compare risk factors, and logistic regression with HPV status as the outcome to quantify the association between HPV and risk factors. Results AI women had more risk factors than White women, including younger age, less education, less vegetable consumption, more sexual partners, younger age at first sexual experience and first pregnancy, and more pregnancies (p values ≤ 0.003). AI women more often endorsed recreational drug use, history of sexually transmitted diseases, and current smoking; White women reported more alcohol consumption (p values < 0.001). In multivariate analysis, younger age and current smoking were associated with higher odds of HPV infection in AI women, whereas a higher number of sexual partners was associated with higher odds of HPV infection in White women. Conclusions AI women have a high burden of risk factors for HPV disease, and associations with HPV infection appear to differ by community. Knowledge of specific risk factors in AI populations may provide targets for public health officials to decrease HPV infection and disease. PMID:21414655

  11. The role of culture in substance abuse treatment programs for American Indian and Alaska Native communities.

    Science.gov (United States)

    Legha, Rupinder Kaur; Novins, Douglas

    2012-07-01

    Culture figures prominently in discussions regarding the etiology of alcohol and substance abuse in American Indian and Alaska Native (AI/AN) communities, and a substantial body of literature suggests that it is critical to developing meaningful treatment interventions. However, no study has characterized how programs integrate culture into their services. Furthermore, reports regarding the associated challenges are limited. Twenty key informant interviews with administrators and 15 focus groups with clinicians were conducted in 18 alcohol and substance abuse treatment programs serving AI/AN communities. Transcripts were coded to identify relevant themes. Substance abuse treatment programs for AI/AN communities are integrating culture into their services in two discrete ways: by implementing specific cultural practices and by adapting Western treatment models. More important, however, are the fundamental principles that shape these programs and their interactions with the people and communities they serve. These foundational beliefs and values, defined in this study as the core cultural constructs that validate and incorporate AI/AN experience and world view, include an emphasis on community and family, meaningful relationships with and respect for clients, a homelike atmosphere within the program setting, and an “open door” policy for clients. The primary challenges for integrating these cultural practices include AI/AN communities' cultural diversity and limited socioeconomic resources to design and implement these practices. The prominence of foundational beliefs and values is striking and suggests a broader definition of culture when designing services. This definition of foundational beliefs and values should help other diverse communities culturally adapt their substance abuse interventions in more meaningful ways.

  12. Community-based game intervention to improve South Asian Indian Americans' engagement with advanced care planning.

    Science.gov (United States)

    Radhakrishnan, Kavita; Van Scoy, Lauren Jodi; Jillapalli, Regina; Saxena, Shubhada; Kim, Miyong T

    2017-07-27

    Advance care planning (ACP) allows individuals to express their preferences for medical treatment in the event that they become incapable of making their own decisions. This study assessed the efficacy of a conversation game intervention for increasing South Asian Indian Americans' (SAIAs') engagement in ACP behaviors as well as the game's acceptability and cultural appropriateness among SAIAs. Eligible community-dwelling SAIAs were recruited at SAIA cultural events held in central Texas during the summer of 2016. Pregame questionnaires included demographics and the 55-item ACP Engagement Survey. Played in groups of 3-5, the game consists of 17 open-ended questions that prompt discussions of end-of-life issues. After each game session, focus groups and questionnaires were used to examine the game's cultural appropriateness and self-rated conversation quality. Postintervention responses on the ACP Engagement Survey and rates of participation in ACP behaviors were collected after 3 months through phone interviews or online surveys. Data were analyzed using descriptive statistics, frequencies, and paired t-tests comparing pre/post averages at a .05 significance level. Of the 47 participants, 64% were female, 62% had graduate degrees, 92% had lived in the U.S. for >10 years, 87% were first-generation immigrants, and 74% had no advance directive prior to the game. At the 3-month follow-up, 58% of participants had completed at least one ACP behavior, 42% had discussed end-of-life issues with loved ones, 15% did so with their healthcare providers, and 18% had created an advanced directive. ACP Engagement Survey scores increased significantly on all four of the process subscales by 3 months postgame. SAIA individuals who played a conversation game had a relatively high rate of performing ACP behaviors 3 months after the intervention. These findings suggest that conversation games may be useful tools for motivating people from minority communities to engage in ACP behaviors.

  13. Genotypic characterization of initial acquisition of Streptococcus mutans in American Indian children

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    David J. Lynch

    2015-04-01

    Full Text Available Background: Severe-early childhood caries (S-ECC is one of the most common infectious diseases in children and is prevalent in lower socio-economic populations. American Indian children suffer from the highest levels of S-ECC in the United States. Members of the mutans streptococci, Streptococcus mutans, in particular, are key etiologic agents in the development of caries. Children typically acquire S. mutans from their mothers and early acquisition is often associated with higher levels of tooth decay. Methods: We have conducted a 5-year birth cohort study with a Northern Plains Tribe to determine the temporality and fidelity of S. mutans transmission from mother to child in addition to the genotypic diversity of S. mutans in this community. Plaque samples were collected from 239 mother/child dyads at regular intervals from birth to 36 months and S. mutans were isolated and genotyped by arbitrarily primed-polymerase chain reaction (AP-PCR. Results: Here we present preliminary findings from a subset of the cohort. The focus for this paper is on initial acquisition events in the children. We identified 17 unique genotypes in 711 S. mutans isolates in our subset of 40 children, 40 mothers and 14 primary caregivers. Twelve of these genotypes were identified in more than one individual. S. mutans colonization occurred by 16 months in 57.5% of the children and early colonization was associated with higher decayed, missing and filled surface (DMFS scores (p=0.0007. Children colonized by S. mutans shared a common genotype with their mothers 47.8% of the time. While multiple genotypes were common in adults, only 10% of children harbored multiple genotypes. Conclusion: These children acquire S. mutans at an earlier age than the originally described ‘window of infectivity’ and often, but not exclusively, from their mothers. Early acquisition is associated with both the caries status of the children and the mothers.

  14. The Epidemic of Extreme Obesity Among American Indian and Alaska Native Adults With Diabetes

    Directory of Open Access Journals (Sweden)

    Charlton Wilson, MD

    2007-01-01

    Full Text Available IntroductionThe purpose of this study was to describe the prevalence of obesity among American Indian and Alaska Native (AI/AN adults with diabetes and to examine the temporal trends for class I, II, and III obesity in this high-risk group during a 10-year period.MethodsWe used data on body mass index (BMI from the annual Diabetes Care and Outcomes Audit to estimate the prevalence of class I, II, and III obesity (class I = 30.0–34.9 kg/m2, class II = 35.0–39.9 kg/m2, and class III ≥40.0 kg/m2 in each year from 1995 through 2004. We also investigated trends in mean BMI during the 10-year period and the role of treatment in these trends using multivariable linear regression models.ResultsObesity was highly prevalent in this population in 2004 (class I, 28.9%; class II, 20.4%; class III, 20.3%. From 1995 through 2004, the percentage of obese adults increased from 16.7% to 20.4% in class II and 11.5% to 20.3% in class III (P <.001, and the mean BMI increased from 32.1 kg/m2 to 34.4 kg/m2. The increase in BMI was greater in the younger age groups. Adjusted mean BMI increased significantly over 10 years for each of three treatment categories.ConclusionExtreme degrees of obesity are a common and increasing problem among AI/AN adults with diabetes. We did not find an association between the type of diabetes treatment and the trend toward extreme degrees of obesity. The increase in extreme obesity could potentially affect the burden of morbidity and mortality among AI/AN adults with diabetes. Effective and culturally appropriate weight management interventions are needed.

  15. Treatment eligibility in Alaska Native and American Indian persons with hepatitis C virus infection

    Directory of Open Access Journals (Sweden)

    Stephen E. Livingston

    2012-04-01

    Full Text Available Objectives. Treatment with pegylated interferon and ribavirin may prevent progression of liver disease among patients with chronic hepatitis C virus infection (HCV. Treatment initiation is based on published clinical eligibility criteria, patients’ willingness to undergo treatment and likelihood of success. We examined treatment eligibility in a cohort of Alaska Native and American Indian persons with chronic HCV infection. Study design. Retrospective cohort study. Methods. Medical records of all treatment naïve HCV RNA positive patients given an appointment by hepatology specialty clinic staff in 2003 and 2007 were evaluated by a hepatology provider to investigate documented reasons for treatment deferral. Results. Treatment was initiated in 4 of 94 patients (4% in 2003 and 14 of 146 patients (10% in 2007. Major reasons for treatment deferral in 2003 versus 2007 included inconsistent appointment attendance (36% of deferrals vs. 18%, active substance abuse (17% vs. 22%, patient decision (17% vs. 27%, liver biopsy without fibrosis or normal ALT (8% vs. 3%, uncontrolled psychiatric condition (7% vs. 7% and concurrent medical condition (6% vs. 9%. There was significant improvement in proportion of appointments attended in 2007 versus 2003 (76% vs. 67%, p = 0.04 and the percentage of patients attending at least 1 appointment (84% vs. 66%, p = 0.002. Conclusions. Multiple reasons for treatment deferral were documented. Despite a significant improvement in hepatology clinic attendance and an increase in the number of patients started on treatment in 2007 compared to 2003, the overall percentage of those treated remained low.

  16. Posttraumatic Stress Disorder and Symptoms among American Indians and Alaska Natives: A Review of the Literature

    Science.gov (United States)

    Bassett, Deborah; Buchwald, Dedra; Manson, Spero

    2013-01-01

    Purpose: American Indians and Alaska Natives (AI/ANs) experience high rates of trauma and posttraumatic stress disorder (PTSD). We reviewed existing literature to address three interrelated questions: 1) What is the prevalence of PTSD and PTSD symptoms among AI/ANs? 2) What are the inciting events, risk factors, and comorbidities in AI/ANs, and do they differ from those in the general U.S. population? 3) Are studies available to inform clinicians about the course and treatment of PTSD in this population? Methods: We searched the PubMed and Web of Science databases and a database on AI/AN health, capturing an initial sample of 77 original English-language articles published 1992-2010. After applying exclusion criteria, we retained 37 articles on prevalence of PTSD and related symptoms among AI/AN adults. We abstracted key information and organized it in tabular format. Results: AI/ANs experience a substantially greater burden of PTSD and related symptoms than U.S. Whites. Combat experience and interpersonal violence were consistently cited as leading causes of PTSD and related symptoms. PTSD was associated with bodily pain, lung disorders, general health problems, substance abuse, and pathological gambling. In general, inciting events, risk factors, and comorbidities appear similar to those in the general U.S. population. Conclusions: Substantial research indicates a strikingly high incidence of PTSD in AI/AN populations. However, inciting events, risk factors, and comorbidities in AI/ANs, and how they may differ from those in the general population, are poorly understood. Very few studies are available on the clinical course and treatment of PTSD in this vulnerable population. PMID:24022752

  17. Identifying Protective Factors to Promote Health in American Indian and Alaska Native Adolescents: A Literature Review.

    Science.gov (United States)

    Henson, Michele; Sabo, Samantha; Trujillo, Aurora; Teufel-Shone, Nicolette

    2017-04-01

    Exposure to protective factors, conditions that protect against the occurrence of an undesirable outcome or promote the occurrence of a desirable outcome within an adolescent's environment, can foster healthy adolescent behaviors and reduce adult morbidity and mortality. Yet, little is known about the nature and effect of protective factors on the positive social and health outcomes among American Indian and Alaska Native (AIAN) adolescents. We conducted a review of the literature to identify the protective factors associated with positive health outcomes among AIAN adolescents. We consulted Elsevier Science Direct, ERIC EBSCOhost, PubMed, and the Web of Science databases. A total of 3421 articles were encountered. Excluded publications were those that did not focus on AIAN adolescents (n = 3341), did not identify protective factors (n = 56), were not original research studies (n = 8), or were not written in the English language. We identified nine categories of protective factors positively associated with health and social outcomes, including: current and/or future aspirations, personal wellness, positive self-image, self-efficacy, non-familial connectedness, family connectedness, positive opportunities, positive social norms, and cultural connectedness. Such factors positively influenced adolescent alcohol, tobacco, and substance use; delinquent and violent behavior; emotional health including depression, suicide attempt; resilience; and academic success. Protective factors spanned multiple domains of the socio-ecological model. Strengths-based health promotion efforts that leverage local, innate protective factors and work with AIANs to create environments rich in protective factors are key to improving the health and wellbeing of AIAN adolescents.

  18. Cultural Identity Among Urban American Indian/Alaska Native Youth: Implications for Alcohol and Drug Use.

    Science.gov (United States)

    Brown, Ryan A; Dickerson, Daniel L; D'Amico, Elizabeth J

    2016-10-01

    American Indian / Alaska Native (AI/AN) youth exhibit high rates of alcohol and other drug (AOD) use, which is often linked to the social and cultural upheaval experienced by AI/ANs during the colonization of North America. Urban AI/AN youth may face unique challenges, including increased acculturative stress due to lower concentrations of AI/AN populations in urban areas. Few existing studies have explored cultural identity among urban AI/AN youth and its association with AOD use. This study used systematic qualitative methods with AI/AN communities in two urban areas within California to shed light on how urban AI/AN youth construct cultural identity and how this relates to AOD use and risk behaviors. We conducted 10 focus groups with a total of 70 youth, parents, providers, and Community Advisory Board members and used team-based structured thematic analysis in the Dedoose software platform. We identified 12 themes: intergenerational stressors, cultural disconnection, AI/AN identity as protective, pan-tribal identity, mixed racial-ethnic identity, rural vs. urban environments, the importance of AI/AN institutions, stereotypes and harassment, cultural pride, developmental trajectories, risks of being AI/AN, and mainstream culture clash. Overall, youth voiced curiosity about their AI/AN roots and expressed interest in deepening their involvement in cultural activities. Adults described the myriad ways in which involvement in cultural activities provides therapeutic benefits for AI/AN youth. Interventions that provide urban AI/AN youth with an opportunity to engage in cultural activities and connect with positive and healthy constructs in AI/AN culture may provide added impact to existing interventions.

  19. The role of goal representations, cultural identity, and dispositional optimism in the depressive experiences of American Indian youth from a Northern Plains tribe.

    Science.gov (United States)

    Tyser, Jason; Scott, Walter D; Readdy, Tucker; McCrea, Sean M

    2014-03-01

    American Indian researchers and scholars have emphasized the importance of identifying variables that promote resilience and protect against the development of psychopathology in American Indian youth. The present study examined the role of self-regulation, specifically goal characteristics (i.e., goal self-efficacy, goal specificity, intrinsic vs. extrinsic motivation, and goal conflict) and dispositional optimism, as well as cultural identity and self-reported academic grades in the depressive experiences of American Indian youth from a North American plains tribe. One hundred and sixty-four participants (53% female) completed measures of goal representations, cultural identity, dispositional optimism, academic performance, and depressive symptoms. Results supported a model in which higher goal self-efficacy, American Indian cultural identity, grade point average, and dispositional optimism each significantly predicted fewer depressive symptoms. Moreover, grade point average and goal self-efficacy had both direct and indirect (through dispositional optimism) relationships with depressive symptoms. Our findings underscore the importance of cognitive self-regulatory processes and cultural identity in the depressive experiences for these American Indian youth and may have implications for youth interventions attempting to increase resiliency and decrease risk for depressive symptoms.

  20. "We never was happy living like a Whiteman" : mental health disparities and the postcolonial predicament in American Indian communities.

    Science.gov (United States)

    Gone, Joseph P

    2007-12-01

    In the context of increasing attention to disparities in health status between U.S. ethnoracial groups, this article examines the dilemma of divergent cultural practices for redressing disparities in mental health status in American Indian communities. Drawing upon an ethnographic interview with a tribal elder from a northern Plains Indian reservation, a prototypical discourse of distress is presented and analyzed as one exemplar of the divergence between the culture of the clinic and the culture of the community. Situated in the context of continuing power asymmetries between tribal nations and the U.S. federal government, the implications of this cultural divergence for the efforts of mental health professionals, practitioners, and policymakers are identified as a predicament that only the conventions and commitments of a robust community psychology have the potential to resolve.

  1. History, law, and policy as a foundation for health care delivery for American Indian and Alaska native children.

    Science.gov (United States)

    Thierry, Judith; Brenneman, George; Rhoades, Everett; Chilton, Lance

    2009-12-01

    Most American Indian and Alaska Native Children (AIAN) receive health care that is based on the unique historical legacy of tribal treaty obligations and a trust relationship of sovereign nation to sovereign nation. From colonial America to the early 21st century, the wellbeing of AIAN children has been impacted as federal laws were crafted for the health, education and wellbeing of its AIAN citizens. Important public laws are addressed in this article, highlighting the development of the Indian Health Service (IHS), a federal agency designed to provide comprehensive clinical and public health services to citizens of federally recognized tribes. The context during which various acts were made into law are described to note the times during which the policy making process took place. Policies internal and external to the IHS are summarized, widening the lens spanning the past 200 years and into the future of these first nations' youngest members.

  2. Self-Determination and American Indian Education: An Illusion of Control.

    Science.gov (United States)

    Senese, Guy

    1986-01-01

    Self-determination and community control of education as envisioned in the Indian Self-Determination and Education Assistance Act of 1975 have been severely compromised, the author maintains. Flaws in the law and its administration are discussed. (MT)

  3. Entrepreneurship education: A strength-based approach to substance use and suicide prevention for American Indian adolescents.

    Science.gov (United States)

    Tingey, Lauren; Larzelere-Hinton, Francene; Goklish, Novalene; Ingalls, Allison; Craft, Todd; Sprengeler, Feather; McGuire, Courtney; Barlow, Allison

    2016-01-01

    American Indian (AI) adolescents suffer the largest disparities in substance use and suicide. Predominating prevention models focus primarily on risk and utilize deficit-based approaches. The fields of substance use and suicide prevention research urge for positive youth development frameworks that are strength based and target change at individual and community levels. Entrepreneurship education is an innovative approach that reflects the gap in available programs. This paper describes the development and evaluation of a youth entrepreneurship education program in partnership with one AI community. We detail the curriculum, process evaluation results, and the randomized controlled trial evaluating its efficacy for increasing protective factors. Lessons learned may be applicable to other AI communities.

  4. The changing influences of self-worth and peer deviance on drinking problems in urban American Indian adolescents.

    Science.gov (United States)

    Radin, Sandra M; Neighbors, Clayton; Walker, Patricia Silk; Walker, R Dale; Marlatt, G Alan; Larimer, Mary

    2006-06-01

    This study explored the changing relations among self-worth, peer deviance, and alcohol-related problems in a sample of 224 urban-dwelling, American Indian adolescents. Data were collected annually at 7 time points to test a proposed mediational model. As expected, peer deviance mediated the relation between low self-worth and alcohol-related problems in younger adolescents; however, this relation did not hold as participants became older. In older adolescents, low self-worth and peer deviance directly and independently contributed to alcohol problems. Possible explanations for and implications of these findings are discussed in terms of developmental changes during adolescence.

  5. TRIADD: THE RISK FOR ALCOHOL ABUSE, DEPRESSION, AND DIABETES MULTIMORBIDITY IN THE AMERICAN INDIAN AND ALASKA NATIVE POPULATION

    OpenAIRE

    Tann, Sheila S.; Yabiku, Scott T.; Okamoto, Scott K.; Yanow, Jessica

    2007-01-01

    This study examined the risk for alcoholism, diabetes, and depression (triADD) in American Indian/Alaska Native (AI/AN) populations in the U.S. Using the Behavioral Risk Factor Surveillance System, a series of descriptive statistics and regression models were used to examine the interrelationships among these disorders in AI/AN populations. Despite a small sample size, results indicate that AI/ANs are at elevated risk for the individual and combined presence of triADD (OR=12.5) when compared ...

  6. triADD: the risk for alcohol abuse, depression, and diabetes multimorbidity in the American Indian and Alaska Native populations.

    Science.gov (United States)

    Tann, Sheila S; Yabiku, Scott T; Okamoto, Scott K; Yanow, Jessica

    2007-01-01

    This study examined the risk for alcoholism, diabetes, and depression (triADD) in American Indian/Alaska Native (AI/AN) populations in the U.S. Using the Behavioral Risk Factor Surveillance System, a series of descriptive statistics and regression models were used to examine the interrelationships among these disorders in AI/AN populations. Despite a small sample size, results indicate that AI/ANs are at elevated risk for the individual and combined presence of triADD (OR=12.5) when compared to the White population. These findings indicate the need for further investigation and prevention focused on effective, culturally appropriate interventions with these populations.

  7. Shaping a Stories of Resilience Model from urban American Indian elders' narratives of historical trauma and resilience.

    Science.gov (United States)

    Reinschmidt, Kerstin M; Attakai, Agnes; Kahn, Carmella B; Whitewater, Shannon; Teufel-Shone, Nicolette

    2016-01-01

    American Indians (AIs) have experienced traumatizing events but practice remarkable resilience to large-scale and long-term adversities. Qualitative, community-based participatory research served to collect urban AI elders' life narratives on historical trauma and resilience strategies. A consensus group of 15 elders helped finalize open-ended questions that guided 13 elders in telling their stories. Elders shared multifaceted personal stories that revealed the interconnectedness between historical trauma and resilience, and between traditional perceptions connecting past and present, and individuals, families, and communities. Based on the elders' narratives, and supported by the literature, an explanatory Stories of Resilience Model was developed.

  8. Latent class analysis of substance use and aggressive behavior in reservation-based American Indian youth who attempted suicide.

    Science.gov (United States)

    Ballard, Elizabeth D; Musci, Rashelle J; Tingey, Lauren; Goklish, Novalene; Larzelere-Hinton, Francene; Barlow, Allison; Cwik, Mary

    2015-01-01

    American Indian (AI) adolescents who attempt suicide are heterogeneous. A latent class analysis was used to identify subgroups of reservation-based AI adolescents with recent suicide attempts. Indicators of class membership were substance abuse and aggressive behaviors; clinical correlates of subgroup membership included risky sexual behavior and recent exposure to suicidal behavior. Three subgroups were identified, representing low, medium, and high substance use and aggressive behavior. Suicide exposure was associated with membership in the lowest risk behavior subgroup; risky sexual behavior was associated with membership the highest risk behaviors subgroup. Findings suggest a continuum of risk behaviors in reservation-based AI youth who attempt suicide.

  9. Keeping our hearts from touching the ground: HIV/AIDS in American Indian and Alaska Native women.

    Science.gov (United States)

    Walters, Karina L; Beltran, Ramona; Evans-Campbell, Tessa; Simoni, Jane M

    2011-11-01

    HIV/AIDS is a critical and growing challenge to American Indian and Alaska Native (AIAN) women's health. Conceptually guided by the Indigenist Stress-Coping Model, this paper explores the historical and contemporary factors implicated in the HIV epidemic among AIAN women and the co-occurring epidemics of sexual violence and substance abuse. The authors also outline multiple indicators of resiliency in AIAN communities and stress the need for HIV prevention interventions for AIAN women to capitalize on cultural and community strengths. Copyright © 2011 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  10. Guideline-Concordant Cancer Care and Survival Among American Indian/Alaskan Native Patients

    Science.gov (United States)

    Javid, Sara H.; Varghese, Thomas K.; Morris, Arden M.; Porter, Michael P.; He, Hao; Buchwald, Dedra; Flum, David R.

    2014-01-01

    BACKGROUND American Indians/Alaskan Natives (AI/ANs) have the worst 5-year cancer survival of all racial/ethnic groups in the United States. Causes for this disparity are unknown. The authors of this report examined the receipt of cancer treatment among AI/AN patients compared with white patients. METHODS This was a retrospective cohort study of 338,204 patients who were diagnosed at age ≥65 years with breast, colon, lung, or prostate cancer between 1996 and 2005 in the Surveillance, Epidemiology, and End Results-Medicare database. Nationally accepted guidelines for surgical and adjuvant therapy and surveillance were selected as metrics of optimal, guideline-concordant care. Treatment analyses compared AI/ANs with matched whites. RESULTS Across cancer types, AI/ANs were less likely to receive optimal cancer treatment and were less likely to undergo surgery (P ≤ .025 for all cancers). Adjuvant therapy rates were significantly lower for AI/AN patients with breast cancer (P <.001) and colon cancer (P = .001). Rates of post-treatment surveillance also were lower among AI/ANs and were statistically significantly lower for AI/AN patients with breast cancer (P = .002) and prostate cancer (P <.001). Nonreceipt of optimal cancer treatment was associated with significantly worse survival across cancer types. Disease-specific survival for those who did not undergo surgery was significantly lower for patients with breast cancer (hazard ratio [HR], 0.62), colon cancer (HR, 0.74), prostate cancer (HR, 0.52), and lung cancer (HR, 0.36). Survival rates also were significantly lower for those patients who did not receive adjuvant therapy for breast cancer (HR, 0.56), colon cancer (HR, 0.59), or prostate cancer (HR, 0.81; all 95% confidence intervals were <1.0). CONCLUSIONS Fewer AI/AN patients than white patients received guideline-concordant cancer treatment across the 4 most common cancers. Efforts to explain these differences are critical to improving cancer care and

  11. gidakiimanaaniwiagamig, an informal science camp for mixed age American Indian students

    Science.gov (United States)

    Ito, E.; Kowalczak, C.; Dalbotten, D. M.; Pellerin, H.; Greensky, L.

    2016-12-01

    Gidakiimanaaniwiagamig('Our Earth Lodge' in Ojibwe; gidaa, for short) camp program at Fond du Lac Reservation was started in 1989 by Pellerin and Greensky to help reservation students stay in school and graduate from middle school. As more students successfully completed middle school, the purpose of the program evolved to help students graduate from high school and go to college. Starting in 2003, various NSF awards funded the camps and STEM focus became explicit. The current gidaa camps are funded by NASA (Kowalczak) and NSF (Ito & Dalbotten) funds and focus on learning about the effect of climate change on the reservation and treaty lands. From its inception, the gidaa camps served a mixed age group of students (K through 12) who were mentored by elders, local school teachers and college students (camp alumni). A few university scientists provided support and acted as resources. The inclusion of students of all ages and their families is a deliberate one, based on the American Indian learning practice that "everyone teaches and everyone learns". This approach supports the development of the whole person and not just increased climate or general STEM literacy. Evidence for the success of this approach can be seen in 100% high school graduation rate of students who have been with the camp for more than a few years even if they did not attend every camp. Currently, weekend gidaa camps meet 6 times during the academic year with an additional week-long summer camp. Reservation Natural Resource managers share their concerns about the effect of climate change and what they already see and how they try to mitigate or adjust to these effects. Students thus immediately grasp the relevance of climate change to their lives while simultaneously being introduced to the work being done to help protect their land. Students are divided into small color groups (each group is of mixed ages) and group members help each other learn new concepts and vocabulary assisted by 1 or 2

  12. Psychosocial Predictors of Weight Loss among American Indian and Alaska Native Participants in a Diabetes Prevention Translational Project

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    Edward J. Dill

    2016-01-01

    Full Text Available The association of psychosocial factors (psychological distress, coping skills, family support, trauma exposure, and spirituality with initial weight and weight loss among American Indians and Alaska Natives (AI/ANs in a diabetes prevention translational project was investigated. Participants (n=3,135 were confirmed as prediabetic and subsequently enrolled in the Special Diabetes Program for Indians Diabetes Prevention (SDPI-DP demonstration project implemented at 36 Indian health care programs. Measures were obtained at baseline and after completing a 16-session educational curriculum focusing on weight loss through behavioral changes. At baseline, psychological distress and negative family support were linked to greater weight, whereas cultural spirituality was correlated with lower weight. Furthermore, psychological distress and negative family support predicted less weight loss, and positive family support predicted greater weight loss, over the course of the intervention. These bivariate relationships between psychosocial factors and weight remained statistically significant within a multivariate model, after controlling for sociodemographic characteristics. Conversely, coping skills and trauma exposure were not significantly associated with baseline weight or change in weight. These findings demonstrate the influence of psychosocial factors on weight loss in AI/AN communities and have substantial implications for incorporating adjunctive intervention components.

  13. Psychosocial Predictors of Weight Loss among American Indian and Alaska Native Participants in a Diabetes Prevention Translational Project.

    Science.gov (United States)

    Dill, Edward J; Manson, Spero M; Jiang, Luohua; Pratte, Katherine A; Gutilla, Margaret J; Knepper, Stephanie L; Beals, Janette; Roubideaux, Yvette

    2016-01-01

    The association of psychosocial factors (psychological distress, coping skills, family support, trauma exposure, and spirituality) with initial weight and weight loss among American Indians and Alaska Natives (AI/ANs) in a diabetes prevention translational project was investigated. Participants (n = 3,135) were confirmed as prediabetic and subsequently enrolled in the Special Diabetes Program for Indians Diabetes Prevention (SDPI-DP) demonstration project implemented at 36 Indian health care programs. Measures were obtained at baseline and after completing a 16-session educational curriculum focusing on weight loss through behavioral changes. At baseline, psychological distress and negative family support were linked to greater weight, whereas cultural spirituality was correlated with lower weight. Furthermore, psychological distress and negative family support predicted less weight loss, and positive family support predicted greater weight loss, over the course of the intervention. These bivariate relationships between psychosocial factors and weight remained statistically significant within a multivariate model, after controlling for sociodemographic characteristics. Conversely, coping skills and trauma exposure were not significantly associated with baseline weight or change in weight. These findings demonstrate the influence of psychosocial factors on weight loss in AI/AN communities and have substantial implications for incorporating adjunctive intervention components.

  14. Comparison of maternal and fetal outcomes among Asian Indian pregnant women with or without gestational diabetes mellitus: A situational analysis study (WINGS-3

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    Manni Mohanraj Mahalakshmi

    2016-01-01

    Full Text Available Aim: To compare the existing maternal and fetal outcomes in Asian Indian women with or without gestational diabetes mellitus (GDM before the development of the Women in India with GDM Strategy (WINGS GDM model of care (MOC. Materials and Methods: Records of pregnant women were extracted retrospectively from three maternity centers in Chennai. GDM was diagnosed using the International Association for Pregnancy Study Groups criteria or the Carpenter and Coustan criteria. Demographic details, obstetric history, antenatal follow-up, treatment for GDM, and outcomes of delivery were collected from the electronic medical records. Results: Of the 3642 records analyzed, 799 (21.9% had GDM, of whom 456 (57.1% were treated with insulin and medical nutrition therapy (MNT, 339 (42.4% with MNT alone, and 4 (0.5% with metformin. Women with GDM were older than those without (28.5 ± 4.5 vs. 27.1 ± 4.5 years; P < 0.001 and had higher mean body mass index at first booking (26.4 ± 5.2 kg/m2 vs. 25.2 ± 5.1 kg/m2; P < 0.001. Rates of cesarean section (26.2% vs. 18.7%; P < 0.001, preeclampsia (1.8% vs. 0.8%; P = 0.04, and macrosomia (13.9% vs. 10.8%; P = 0.02 were significantly higher among women with GDM. In women with GDM treated with insulin and MNT, emergency cesarean section (16.2% vs. 36.6%; P < 0.0001, preeclampsia (0.7% vs. 3.2%; P = 0.015, and macrosomia (9.9% vs. 18.6%; P = 0.0006 were significantly lesser compared to those treated with MNT alone. Conclusion: Pregnancy outcomes were in general worse in GDM women. Treatment with insulin was associated with a significantly lower risk of complications. However, in countries with limited access to insulin and other medicines may lead to poor follow-up and management of GDM. Data from this retrospective study will form the basis for the development of the WINGS GDM MOC, which will address these gaps in GDM care in low-resource settings.

  15. Comparison of maternal and fetal outcomes among Asian Indian pregnant women with or without gestational diabetes mellitus: A situational analysis study (WINGS-3).

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    Mahalakshmi, Manni Mohanraj; Bhavadharini, Balaji; Maheswari, Kumar; Kalaiyarasi, Gunasekaran; Anjana, Ranjit Mohan; Ranjit, Unnikrishnan; Mohan, Viswanathan; Joseph, Kurian; Rekha, Kurian; Nallaperumal, Sivagnanam; Malanda, Belma; Kayal, Arivudainambi; Belton, Anne; Uma, Ram

    2016-01-01

    To compare the existing maternal and fetal outcomes in Asian Indian women with or without gestational diabetes mellitus (GDM) before the development of the Women in India with GDM Strategy (WINGS) GDM model of care (MOC). Records of pregnant women were extracted retrospectively from three maternity centers in Chennai. GDM was diagnosed using the International Association for Pregnancy Study Groups criteria or the Carpenter and Coustan criteria. Demographic details, obstetric history, antenatal follow-up, treatment for GDM, and outcomes of delivery were collected from the electronic medical records. Of the 3642 records analyzed, 799 (21.9%) had GDM, of whom 456 (57.1%) were treated with insulin and medical nutrition therapy (MNT), 339 (42.4%) with MNT alone, and 4 (0.5%) with metformin. Women with GDM were older than those without (28.5 ± 4.5 vs. 27.1 ± 4.5 years; P < 0.001) and had higher mean body mass index at first booking (26.4 ± 5.2 kg/m(2) vs. 25.2 ± 5.1 kg/m(2); P < 0.001). Rates of cesarean section (26.2% vs. 18.7%; P < 0.001), preeclampsia (1.8% vs. 0.8%; P = 0.04), and macrosomia (13.9% vs. 10.8%; P = 0.02) were significantly higher among women with GDM. In women with GDM treated with insulin and MNT, emergency cesarean section (16.2% vs. 36.6%; P < 0.0001), preeclampsia (0.7% vs. 3.2%; P = 0.015), and macrosomia (9.9% vs. 18.6%; P = 0.0006) were significantly lesser compared to those treated with MNT alone. Pregnancy outcomes were in general worse in GDM women. Treatment with insulin was associated with a significantly lower risk of complications. However, in countries with limited access to insulin and other medicines may lead to poor follow-up and management of GDM. Data from this retrospective study will form the basis for the development of the WINGS GDM MOC, which will address these gaps in GDM care in low-resource settings.

  16. Comparison of maternal and fetal outcomes among Asian Indian pregnant women with or without gestational diabetes mellitus: A situational analysis study (WINGS-3)

    Science.gov (United States)

    Mahalakshmi, Manni Mohanraj; Bhavadharini, Balaji; Maheswari, Kumar; Kalaiyarasi, Gunasekaran; Anjana, Ranjit Mohan; Ranjit, Unnikrishnan; Mohan, Viswanathan; Joseph, Kurian; Rekha, Kurian; Nallaperumal, Sivagnanam; Malanda, Belma; Kayal, Arivudainambi; Belton, Anne; Uma, Ram

    2016-01-01

    Aim: To compare the existing maternal and fetal outcomes in Asian Indian women with or without gestational diabetes mellitus (GDM) before the development of the Women in India with GDM Strategy (WINGS) GDM model of care (MOC). Materials and Methods: Records of pregnant women were extracted retrospectively from three maternity centers in Chennai. GDM was diagnosed using the International Association for Pregnancy Study Groups criteria or the Carpenter and Coustan criteria. Demographic details, obstetric history, antenatal follow-up, treatment for GDM, and outcomes of delivery were collected from the electronic medical records. Results: Of the 3642 records analyzed, 799 (21.9%) had GDM, of whom 456 (57.1%) were treated with insulin and medical nutrition therapy (MNT), 339 (42.4%) with MNT alone, and 4 (0.5%) with metformin. Women with GDM were older than those without (28.5 ± 4.5 vs. 27.1 ± 4.5 years; P < 0.001) and had higher mean body mass index at first booking (26.4 ± 5.2 kg/m2 vs. 25.2 ± 5.1 kg/m2; P < 0.001). Rates of cesarean section (26.2% vs. 18.7%; P < 0.001), preeclampsia (1.8% vs. 0.8%; P = 0.04), and macrosomia (13.9% vs. 10.8%; P = 0.02) were significantly higher among women with GDM. In women with GDM treated with insulin and MNT, emergency cesarean section (16.2% vs. 36.6%; P < 0.0001), preeclampsia (0.7% vs. 3.2%; P = 0.015), and macrosomia (9.9% vs. 18.6%; P = 0.0006) were significantly lesser compared to those treated with MNT alone. Conclusion: Pregnancy outcomes were in general worse in GDM women. Treatment with insulin was associated with a significantly lower risk of complications. However, in countries with limited access to insulin and other medicines may lead to poor follow-up and management of GDM. Data from this retrospective study will form the basis for the development of the WINGS GDM MOC, which will address these gaps in GDM care in low-resource settings. PMID:27366715

  17. American Education Policy Towards Indian Tribes (the End of the 18th – Beginning of 19th Century

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    Nelin Timur Vladimirovich-

    2014-03-01

    Full Text Available This article studies the policy of the first presidential administrations of the USA in relation to the Native Americans. The policy was established during the period of George Washington’s presidency. The key factor of this policy was the education of aboriginals, the inurement of skills necessary for the integration with white people. The development of trade relations between nations became the beginning of this process. Trade relations required competent management and special laws regulating the process of trade and intercourse with the Native Americans. Government trading houses (factories had to urge the process of civilization. The author shows the influence of the Enlightenment philosophy of Thomas Jefferson on his idea to educate the aboriginals. The close attention is paid not only to the political views of the third president of the USA, but also to his activity in the process of realizing the educational policy towards the Natives. Educational programs had a purpose to integrate aboriginal tribes into the US society. It was uneasy task and the government tried to find more constructive forms of working instead of common trade and intercourse acts with the Indians. The Louisiana Purchase gave new opportunities for developing the federal policy. Lewis and Clark explored the West and collected comprehensive information about its tribes, their habits and way of life. It was very useful for the government in its idea to civilize the indigenous peoples. The author studies the letters of Thomas Jefferson to some American politics and to the Natives, that the president wrote about his plans about the future of the American Indians. Revival movement of the Second Great Awaking found good allies for the US government. The author shows the role of protestant missionaries in the educational policy of the USA towards the Natives.

  18. Potential Use of Food/Activity, Parenting Style, and Caregiver Feeding Style Measurement Tools with American Indian Families: A Brief Report.

    Science.gov (United States)

    Hughes, Sheryl O; Hayes, Jenna T; Sigman-Grant, Madeleine; VanBrackle, Angela

    2017-02-01

    Objective To provide preliminary descriptive data on caregiver and child weight status, parenting styles, feeding styles, and feeding practices of a small American Indian sample. Methods Participants included a subsample of American Indian caregivers (n = 23) identified from a larger study that was conducted in five states. Using previously validated instruments, means, standard deviations, and ranges for general parenting styles, feeding styles, and feeding practices were explored. Results In general, most caregivers reported healthy feeding practices. Most caregivers scored higher on responsive compared to restrictive or permissive in general parenting. Of the sample, 12 caregivers (52.2 %) were classified in the indulgent feeding style category, 5 caregivers (21.7 %) were classified as authoritative, 5 (21.7 %) uninvolved, and 1 (4.3 %) authoritarian. Conclusions More investigations are needed to explore questions raised by this study about using common tools that measure childhood obesity with American Indian families.

  19. Multilevel Prevention Trial of Alcohol Use Among American Indian and White High School Students in the Cherokee Nation

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    Livingston, Melvin D.; Wagenaar, Alexander C.; Kominsky, Terrence K.; Pettigrew, Dallas W.; Garrett, Brady A.

    2017-01-01

    Objectives. To evaluate the effectiveness of a multilevel intervention designed to prevent underage alcohol use among youths living in the Cherokee Nation. Methods. We randomly assigned 6 communities to a control, Communities Mobilizing for Change on Alcohol (CMCA; a community-organizing intervention targeting alcohol access) only, CONNECT (a school-based universal screening and brief intervention) only, or a combined condition. We collected quarterly surveys 2012–2015 from students starting in 9th and 10th grades and ending in 11th and 12th grades. Response rates ranged from 83% to 90%; 46% of students were American Indian (of which 80% were Cherokee) and 46% were White only. Results. Students exposed to CMCA, CONNECT, and both showed a significant reduction in the probability over time of 30-day alcohol use (25%, 22%, and 12% reduction, respectively) and heavy episodic drinking (24%, 19%, and 13% reduction) compared with students in the control condition, with variation in magnitude of effects over the 2.5-year intervention period. Conclusions. CMCA and CONNECT are effective interventions for reducing alcohol use among American Indian and other youths living in rural communities. Challenges remain for sustaining intervention effects. PMID:28103073

  20. Diabetes-specific genetic effects on obesity traits in American Indian populations: the Strong Heart Family Study

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    Howard Barbara V

    2008-10-01

    Full Text Available Abstract Background Body fat mass distribution and deposition are determined by multiple environmental and genetic factors. Obesity is associated with insulin resistance, hyperinsulinemia, and type 2 diabetes. We previously identified evidence for genotype-by-diabetes interaction on obesity traits in Strong Heart Family Study (SHFS participants. To localize these genetic effects, we conducted genome-wide linkage scans of obesity traits in individuals with and without type 2 diabetes, and in the combined sample while modeling interaction with diabetes using maximum likelihood methods (SOLAR 2.1.4. Methods SHFS recruited American Indians from Arizona, North and South Dakota, and Oklahoma. Anthropometric measures and diabetes status were obtained during a clinic visit. Marker allele frequencies were derived using maximum likelihood methods estimated from all individuals and multipoint identity by descent sharing was estimated using Loki. We used variance component linkage analysis to localize quantitative trait loci (QTLs influencing obesity traits. We tested for evidence of additive and QTL-specific genotype-by-diabetes interactions using the regions identified in the diabetes-stratified analyses. Results Among 245 diabetic and 704 non-diabetic American Indian individuals, we detected significant additive gene-by-diabetes interaction for weight and BMI (P P Conclusion These results suggest distinct genetic effects on body mass in individuals with diabetes compared to those without diabetes, and a possible role for one or more genes on chromosome 1 in the pathogenesis of obesity.