Future Directions in Disseminating Research Findings to Urban Alaska Native People

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Authors: Aliassa L. Shane et al.

Publication Year: 2018

Last Updated:

Journal: American Indian and Alaska Native Mental Health Research

Keywords: Cultural Sensitivity and Appropriateness; Research Dissemination; Communication Strategies

 

Short Abstract: Southcentral Foundation (SCF), a tribal health organization based in Anchorage, Alaska, operates and plans health care services in response to the priorities and tribal values of Alaska Native and American Indian (AN/AI) people, including traditional concepts of wellness, reciprocity, and working in relationship.

 

Abstract: Southcentral Foundation (SCF), a tribal health organization based in Anchorage, Alaska, operates and plans health care services in response to the priorities and tribal values of Alaska Native and American Indian (AN/AI) people, including traditional concepts of wellness, reciprocity, and working in relationship. In an effort to better incorporate AN/AI priorities and values in research dissemination, the SCF Research Department hosted the Alaska Native Health Research Forum (Forum) in May 2016. In this paper, we describe the communication strategies used by the SCF Public Relations Department, which were shared with Forum attendees, describe attendee recommendations for researchers to consider and implement, and then discuss future directions for dissemination. Lessons learned through the Forum were 1) customer-owners are interested in learning more about research, 2) dissemination should be done throughout all stages of projects using a variety of media channels, and 3) SCF Research Department dissemination should continue to shape health care.

 

Source: Link to Original Article.

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Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369693/pdf/nihms-1009748.pdf

Type of Resource: Peer-reviewed scientific article

Food Insecurity Trajectories in the US During the First Year of the COVID-19 Pandemic

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Authors: Jin E. Kim-Mozeleski; Stephanie N. Pike Moore; Erika S. Trapl; Adam T. Perzynski; Janice Y. Tsoh; Douglas D. Gunzler

Publication Year: 2023

Last Updated: January 19, 2023

Journal: CDC Preventing Chronic Disease

Keywords: Covid-19; Nutrition

 

Short Abstract: The objective of this study was to characterize population-level trajectories in the probability of food insecurity in the US during the first year of the COVID-19 pandemic and to examine sociodemographic correlates associated with identified trajectories.

 

Abstract: Introduction The objective of this study was to characterize population-level trajectories in the probability of food insecurity in the US during the first year of the COVID-19 pandemic and to examine sociodemographic correlates associated with identified trajectories. Methods We analyzed data from the Understanding America Study survey, a nationally representative panel (N = 7,944) that assessed food insecurity every 2 weeks from April 1, 2020, through March 16, 2021. We used latent class growth analysis to determine patterns (or classes) of pandemic-related food insecurity during a 1-year period. Results We found 10 classes of trajectories of food insecurity, including 1 class of consistent food security (64.7%), 1 class of consistent food insecurity (3.4%), 5 classes of decreasing food insecurity (15.8%), 2 classes of increasing food insecurity (4.6%), and 1 class of stable but elevated food insecurity (11.6%). Relative to the class that remained food secure, other classes were younger, had a greater proportion of women, and tended to identify with a racial or ethnic minority group. Conclusion We found heterogeneous longitudinal patterns in the development, resolution, or persistence of food insecurity during the first year of the COVID-19 pandemic. Experiences of food insecurity were highly variable across the US population, with one-third experiencing some form of food insecurity risk. Findings have implications for identifying population groups who are at increased risk of food insecurity and related health disparities beyond the first year of the pandemic.

 

Source: Link to Original Article.

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Source: https://www.cdc.gov/Pcd/issues/2023/22_0212.htm#print

Type of Resource: Peer-reviewed scientific article

Reaching Unvaccinated Urban Native Americans: A COVID-19 Study for the Department of Indian Work

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Authors: Maria Robisnon

Publication Year: 2022

Last Updated: June 2022

Journal:

Keywords: Covid-19; Cultural Sensitivity and Appropriateness; Health Disparities; Vaccination/Immunization; Messaging; Mistrust

 

Short Abstract: Through interviews with experts in the field, unvaccinated individuals, and a scan of what other organizations around the U.S. that serve urban Native American populations are doing, we found that COVID-19 vaccine-related messaging and strategies should use a culturally based approach centering the Native American community.

 

Abstract: Through interviews with experts in the field, unvaccinated individuals, and a scan of what other organizations around the U.S. that serve urban Native American populations are doing, we found that COVID-19 vaccine-related messaging and strategies should use a culturally based approach centering the Native American community. Organizations should focus their efforts on targeting messages and strategies to those who may be on the fence about vaccinations and should not waste time and resources trying to convince those who feel strongly that they will not get vaccinated. With this in mind, some key findings are:  Communities of color, especially Native American communities, experience significant health disparities, such as higher rates of infectious and chronic diseases including COVID-19. Disparities have always existed but have been exacerbated by COVID-19.  Those least like to get vaccinated in the Native American community are: people age 20-50; those who identify as traditionalists or religious; women who are pregnant, nursing, or breastfeeding; and community members who are transient.  There is a lack of trust in government and western medical entities among the Native American community rooted in multigenerational experiences of racism and discrimination.  Use trusted messengers like family and friends to disseminate information about COVID-19 and the vaccine.  Education and understanding of how vaccines are created and approved would help address common misconceptions and concerns in the Native American community.

 

Source: Link to Original Article.

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Source: https://www.wilder.org/sites/default/files/imports/InterfaithAction_COVIDHotlineEvaluation_6-22revised.pdf

Type of Resource: Wilder Research Study Report

Causes and Disparities in Death Rates Among Urban American Indian and Alaska Native Populations, 1999–2009

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Authors: Jasmine L. Jacobs-Wingo

Publication Year: 2016

Last Updated:

Journal: American Journal of Public Health

Keywords: Cancer; Data Collection; Diabetes; Health Disparities; Heart Disease; IHS; Injury and Trauma; Liver Disease; Misclassification of AI/AN; Population Information; Death Rates

 

Short Abstract: Objectives. To characterize the leading causes of death for the urban American Indian/Alaska Native (AI/AN) population and compare with urban White and rural AI/AN populations.

 

Abstract: Objectives. To characterize the leading causes of death for the urban American Indian/Alaska Native (AI/AN) population and compare with urban White and rural AI/AN populations. Methods. We linked Indian Health Service patient registration records with the National Death Index to reduce racial misclassification in death certificate data. We calculated age-adjusted urban AI/AN death rates for the period 1999–2009 and compared those with corresponding urban White and rural AI/AN death rates. Results. The top-5 leading causes of death among urban AI/AN persons were heart disease, cancer, unintentional injury, diabetes, and chronic liver disease and cirrhosis. Compared with urban White persons, urban AI/AN persons experienced significantly higher death rates for all top-5 leading causes. The largest disparities were for diabetes and chronic liver disease and cirrhosis. In general, urban and rural AI/AN persons had the same leading causes of death, although urban AI/AN persons had lower death rates for most conditions. Conclusions. Urban AI/AN persons experience significant disparities in death rates compared with their White counterparts. Public health and clinical interventions should target urban AI/AN persons to address behaviors and conditions contributing to health disparities.

 

Source: Link to Original Article.

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Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4985112/pdf/AJPH.2015.303033.pdf

Type of Resource: Peer-reviewed scientific article

Association of death or illness from COVID-19 among family and friends on vaccine uptake within four months of the Emergency Use Authorization. Findings from a national survey in the United States

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Authors: Sauralb Kalra, Deepak Kalra, Irina Grafova, Julia Sass Rubin, Alan Monheit, Joel Cantor, Paul Duberstein, Soumitra S. Bhuyan

Publication Year: 2023

Last Updated: January 13, 2023

Journal: Vaccine

Keywords: Covid-19; Vaccination/Immunization

 

Short Abstract: Objective To examine the relationship between knowing that a friend or family member became ill with, or died from, COVID-19 and receiving a vaccine dose within four months of the FDA’s Emergency Use Authorization.

 

Abstract: Objective To examine the relationship between knowing that a friend or family member became ill with, or died from, COVID-19 and receiving a vaccine dose within four months of the FDA’s Emergency Use Authorization. Methods A national sample of 1,517 respondents were surveyed from April 7 to April 12, 2021, 1,193 of whom were eligible for the vaccine when the data were collected. Results Respondents who knew someone who became ill with COVID-19 (AOR = 2.32, 95 % CI 1.74–3.09) or knew someone who died (AOR = 2.29, 95 % CI 1.32–3.99) from COVID-19 were more likely to receive at least a single COVID-19 vaccine dose. Conclusion Encouraging people to share their COVID-19 illness and bereavement experiences with their local network such as friends, families, social-networks and via social media might help increase vaccine uptake.

 

Source: Link to Original Article.

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Source: https://www.sciencedirect.com/science/article/pii/S0264410X2300035X?via%3Dihub

Type of Resource: Peer-reviewed scientific article

Montana’s Urban Indians Face Health Care Barriers

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Authors: Carrie Tracy

Publication Year: 2007

Last Updated:

Journal:

Keywords: Data Collection; Health Disparities; Minority Groups; Population Information; Structural Racism

 

Short Abstract: Montana’s health care providers and elected officials are closing their eyes to a health care crisis in our state. Montana’s Indian people suffer elevated rates of disease, mortality, and infant mortality compared to people of other races.

 

Abstract: Montana’s health care providers and elected officials are closing their eyes to a health care crisis in our state. Montana’s Indian people suffer elevated rates of disease, mortality, and infant mortality compared to people of other races. These health disparities are not unique to Montana; Indian people across the United States, like other people of color, suffer disparate levels of illness and mortality. These health disparities are not based on genetic differences or income levels; they are the result of racism on many levels. Such racism manifests itself in interpersonal encounters between patients and health care providers, institutional policies and practices that create barriers, and structural racism underlying health care institutions, our system of health coverage, and other factors outside the health care system. Indian people in Montana have long confronted barriers that prevent them from accessing needed care. The Northwest Federation of Community Organizations conducted research to determine what these barriers are and how commonly people encounter them. Research staff conducted a review of data, articles, and research studies and conducted in-depth interviews with 46 Missoula residents. This research shows that barriers are both

 

Source: Link to Original Article.

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Source: https://www.allianceforajustsociety.org/wp-content/uploads/2021/07/2007-0625_MTs-Urban-Indians.pdf

Type of Resource: Report

Content Analysis Informing the Development of Adapted Harm Reduction Talking Circles (HaRTC) with Urban American Indians and Alaska Natives Experiencing Alcohol Use Disorder

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Authors: Lonnie A. Nelson et al.

Publication Year: 2022

Last Updated:

Journal: International Journal of Indigenous Health

Keywords: Cultural Sensitivity and Appropriateness; Harm Reduction; Talking Circles; Alcohol Use; Qualitative Analysis

 

Short Abstract: Prior studies with Native populations have highlighted concerns about the cultural acceptability of highly directive, Eurocentric approaches, such as cognitive behavioral therapy and 12-step programs in treating alcohol use disorder (AUD).

 

Abstract: Prior studies with Native populations have highlighted concerns about the cultural acceptability of highly directive, Eurocentric approaches, such as cognitive behavioral therapy and 12-step programs in treating alcohol use disorder (AUD). When asked in a prior qualitative study how they would redesign AUD treatment, urban American Indian and Alaska Native (AI/AN) participants reported wanting more low-barrier, harm-reduction treatment options, Native treatment providers, and culturally relevant practices. Talking Circles, which are gatherings where people share what is on their hearts, were the most requested Native cultural practice. After developing and piloting its initial iteration, researchers, community members, and traditional health professionals collaborated on the present qualitative research study to further refine an adapted Harm Reduction Talking Circle (HaRTC) protocol to address AUD with urban AI/ANs. This study features a conventional content analysis of 31 patient interviews, 6 key informant interviews with management and traditional health professionals, and 5 staff and provider focus groups to inform the development of the HaRTC. Specifically, this study describes staff, management, traditional health professionals, provider, and patient participants’ a) perspectives on HaRTC, including potential benefits, risks and mitigating factors, b) preferred traditional medicines and practices, c) preferred approaches/Circle Facilitator stance for engagement and facilitation, and d) HaRTC logistics (e.g., timing, frequency). Analyses indicated a central tendency preference for 8, weekly HaRTC sessions. Although participants expressed concerns about the potential inclusion of intoxicated people in HaRTC sessions, a large majority of staff, management and patient participants felt it was important to have HaRTC be as inclusive and accepting of community members as possible. Participants provided suggestions for how to structure facilitation of the HaRTC and mitigate risks of intoxication and patient escalation. Participants preferred an approach that is acceptance-based, respects individuals’ autonomy and culture, and creates a safe space for recovery. Most participants felt the specific traditions and medicines applied in the HaRTC should be maximally inclusive to honor the diversity of tribal affiliations and backgrounds represented among urban AI/ANs. In conclusion, participants largely supported an integration of harm-reduction principles and the North American Indigenous tradition of the Talking Circle to provide a compassionate, culturally appropriate healing practice to a larger spectrum of AI/ANs with AUD. Future research is planned to test the efficacy of this community-informed approach.

 

Source: Link to Original Article.

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Source: https://jps.library.utoronto.ca/index.php/ijih/article/view/36677

Type of Resource: Peer-reviewed scientific article

Development and evaluation of an enhanced diabetes prevention program with psychosocial support for urban American Indians and Alaska natives: A randomized controlled trial

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Authors: Lisa G. Rosas et al.

Publication Year: 2016

Last Updated: September 2016

Journal: Contemporary Clinical Trials

Keywords: Cultural Sensitivity and Appropriateness; Diabetes; Nutrition; Population Information; Weight Management and Obesity; Prevention; Prediabetes; Community-based Participatory Research

 

Short Abstract: Diabetes is highly prevalent, affecting over 25 million adults in the US, yet it can be effectively prevented through lifestyle interventions, including the well-tested Diabetes Prevention Program (DPP).

 

Abstract: Diabetes is highly prevalent, affecting over 25 million adults in the US, yet it can be effectively prevented through lifestyle interventions, including the well-tested Diabetes Prevention Program (DPP). American Indian/Alaska Native (AIAN) adults, the majority of whom live in urban settings, are more than twice as likely to develop diabetes as non-Hispanic whites. Additionally, prevalent mental health issues and psychosocial stressors may facilitate progression to diabetes and hinder successful implementation of lifestyle interventions for AIAN adults. This 2-phased study first engaged community stakeholders to develop culturally-tailored strategies to address mental health concerns and psychosocial stressors. Pilot testing (completed) refined those strategies that increase engagement in an enhanced DPP for urban AIAN adults. Second, the enhanced DPP will be compared to a standard DPP in a randomized controlled trial (ongoing) with a primary outcome of body mass index (BMI) and a secondary outcome of quality of life (QoL) over 12 months. Obese self-identified AIAN adults residing in an urban setting with one or more components of the metabolic syndrome (excluding waist circumference) will be randomized to the enhanced or standard DPP (n = 204). They hypothesized that addressing psychosocial barriers within a culturally-tailored DPP will result in clinical (BMI) and superior patient-centered (QoL) outcomes as compared to a standard DPP. Exploratory outcomes will include cardiometabolic risk factors (e.g., waist circumference, blood pressure, fasting glucose) and health behaviors (e.g., diet, physical activity). Results of this trial may be applicable to other urban AIAN or minority communities or even diabetes prevention in general.

 

Source: Link to Original Article.

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Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691492/pdf/nihms-1044257.pdf

Type of Resource: Peer-reviewed scientific article

Indigenous Evaluation Toolkit: An Actionable Guide for Organizations Serving American Indian / Alaska Native Communities through Opioid Prevention Programming

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Authors: Seven Directions: A Center for Indigenous Public Health

Publication Year: 2023

Last Updated:

Journal:

Keywords: Awareness; Cultural Sensitivity and Appropriateness; Data Collection; Ethnicity; Mental and Behavioral Health; Race; Substance Use; Data Collection; Research Methodology; Toolkit

 

Short Abstract: Indigenous communities have always engaged in review and reflection. Western research and evaluation frameworks may not align with ancestral and cultural wisdom, and we hope to address this through our Indigenous Evaluation Toolkit.

 

Abstract: Indigenous communities have always engaged in review and reflection. Western research and evaluation frameworks may not align with ancestral and cultural wisdom, and we hope to address this through our Indigenous Evaluation Toolkit. As Indigenous communities continue to shape programming to reflect their own stories, ways of knowing, and cultural perspectives, there is a growing need for frameworks that support the infusion of this knowledge into the evaluation of their programs focused on substance use prevention, treatment, and recovery support. Through step-by-step guidance, worksheets, and storytelling, this toolkit offers communities an iterative, reflective, continuous learning process for beginning or incorporating Indigenous evaluation.

 

Source: Link to Original Article.

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Source: https://www.indigenousphi.org/tribal-opioid-use-disorders-prevention/indigenous-evaluation-toolkit

Type of Resource: Toolkit

Social Determinants of Cancer Risk Among American Indian and Alaska Native Populations: An Evidence Review and Map

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Authors: Stephanie Melkonian, Jolie Crowder, Emily Adam, Mary White, Lucy Peipins

Publication Year: 2022

Last Updated: September 21, 2022

Journal: Health Equity

Keywords: Cancer; Health Disparities; Social Determinants of Health

 

Short Abstract: Objectives: To explore current literature on social determinants of health (SDOH) and cancer among American Indian and Alaska Native (AI/AN) populations.

 

Abstract: Objectives: To explore current literature on social determinants of health (SDOH) and cancer among American Indian and Alaska Native (AI/AN) populations. Methods: We searched Ovid MEDLINE®️, CINAHL, and PsycINFO databases for articles published during 2000 to 2020, which included terms for SDOH and cancer occurrence in AI/AN populations. We derived the data extraction elements from the PROGRESS-Plus framework. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)-Equity extension guided the evidence map. Results: From 2180 screened articles, 297 were included. Most were observational (93.9%), employed a cross-sectional design (83.2%), were categorized as cancer occurrence and surveillance research (62%), and included no cancer-related risk factors (70.7%). Race, gender, and place were the most frequently included PROGRESS-Plus categories. Religion, relationship features, and characteristics of discrimination were least common. Only 12% of articles mentioned historical/current trauma or historical context. Conclusions: Gaps exist in our understanding of SDOH as drivers of cancer disparities in AI/AN populations. Future studies in health equity science may incorporate historical and cultural factors into SDOH frameworks tailored for AI/AN populations.

 

Source: Link to Original Article.

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Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9536331/#!po=1.19048

Type of Resource: Best Practices Newsletter