Authors: American Academy of Pediatrics
Publication Year: 1999
Last Updated: 2010-01-21 08:14:08
Journal: Pediatrics
Keywords: injury mortality and morbidity; American Indian and Alaska Native children; Indian Health Service; injury prevention; death; motor vehicle safety; drowning; fire safety; reservation and urban environments; community-based coalitions

Short Abstract:

Among ethnic groups in the U.S., American Indian and Alaska Native (AI/AN) children experience the highest rates of injury mortality and morbidity.  Injury mortality rates for AI/AN children have decreased during the past quater century, but remain almost double the rate for all children in the United States.  The Indian Health Service (IHS), the federal agency with the primary responsibility for the health care of AI/AN people, has sponsored an internationally recognized injury prevention program designed to reduce the risk of injury death by addressing community-specific risk factors.

Abstract: Among ethnic groups in the U.S., American Indian and Alaska Native (AI/AN) children experience the highest rates of injury mortality and morbidity. Injury mortality rates for AI/AN children have decreased during the past quarter century, but remain almost double the rate for all children in the United States. The Indian Health Service (IHS), the federal agency with the primary responsibility for the health care of AI/AN people, has sponsored an internationally recognized injury prevention program designed to reduce the risk of injury death by addressing community-specific risk factors. Model programs developed by the IHS and tribal governments have led to successful outcomes in motor vehicle occupant safety, drowning prevention, and fire safety. Injury prevention programs in tribal communities require special attention to the sovereignty of tribal governments and the unique cultural aspects of health care and communication. Pediatricians working with AI/AN children on reservations or in urban environments are strongly urged to collaborate with tribes and the IHS to create community-based coalitions and develop programs to address highly preventable injury-related mortality and morbidity. Strong advocacy also is needed to promote childhood injury prevention as an important priority for federal agencies and tribes.

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Funding:
Code: 163
Source: Na

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Authors: Scott D
Publication Year: 2002
Last Updated: 2010-01-21 08:14:08
Journal: National Native American AIDS Prevention Center Needs Assessment Survey
Keywords: HIV/AIDS prevention; community planning; Native Americans

Short Abstract: In July 2002, a total of 35 telephone interviews were conducted, 24 with appointed or elected community planning group (CPG) co-chairs and eleven with Native CPG members, in thirteen states in order to complete a needs assessment for Natives involved in HIV prevention planning.

Abstract: In July 2002, a total of 35 telephone interviews were conducted, 24 with appointed or elected community planning group (CPG) co-chairs and eleven with Native CPG members, in thirteen states in order to complete a needs assessment for Natives involved in HIV prevention planning.  States included in the study were: Alaska, Arizona, California, Minnesota, Montana, New York, New Mexico, North Carolina, Oklahoma, South Dakota, Texas, Washington, and Wisconsin.  CPGs are organized in a variety of ways; those with the greatest representation of Native were either Regional Advisory Committees (RACs) or Native American Advisory Committess (NAACs).  Appointed co-chairs typically had served twice as long as the elected co-chairs.  The learning curve for a new CPG member averaged about twelve months.

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Funding: National Native American AIDS Prevention Center, Inc.
Code: 2028
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Authors: Hendrix LR
Publication Year: 2003
Last Updated: 2010-01-21 08:14:08
Journal: Care Management Journals
Keywords: American Indian elderly; long-term care; culturally appropriate

Short Abstract:

An approach to American Indian elderly requires some understading of Indian ways in order to be effective therapeutically and acceptable to the older Indian.  Multiple interviews, a focus group, and a survey conducted in an uran Indian comuunity revealed the consistent perception by American Indian elderly and their families that health care providers lacked information, understanding, and respect for Indian culture.

Abstract: Most long term care of older urban American Indians is provided in the community by family, extended family, or fictive kin, and American Indians are rarely found in long term care facilities. An approach to American Indian elderly requires some understanding of Indian ways in order to be effective therapeutically and acceptable to the older Indian. Multiple interviews, a focus group, and a survey conducted in an urban Indian community revealed the consistent perception by American Indian elderly and their families that health care providers lacked information, understanding, and respect for Indian culture.

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Funding:
Code: 66
Source: Na