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Authors: Sherwood NE, Harnack L., Story M
Publication Year: 2000
Last Updated: 2010-01-21 08:14:08
Journal: Journal of the American Dietetic Association
Keywords: Anti-Obesity Agents; Diet, Reducing; Fasting; Obesity/Prevention & Control; Weight Loss
Short Abstract: Objective. To describe health beliefs, weight concern, dieting practices, and weight-loss program preferences of American Indian women residing in an urban setting.
Abstract: OBJECTIVE: To describe health beliefs, weight concern, dieting practices, and weight-loss program preferences of American Indian women residing in an urban setting. DESIGN: Face-to-face interviews using a semistructured questionnaire were conducted and height and weight were measured. SUBJECTS/SETTING: Subjects were 203 American Indian adult women in an urban community setting. STATISTICAL ANALYSIS: Frequency distributions and chi 2 analysis were performed using the Statistical Analysis System software. RESULTS: About two-thirds of the subjects were overweight. Most women were concerned about obesity and reported attempting to manage their weight. Healthful weight-loss practices (e.g., eating more fruits and vegetables, increasing physical activity) were used most frequently. However, unhealthful practices, such as skipping meals/fasting, using laxatives/diuretics, and self-induced vomiting were also mentioned. Regular bingeing was reported by 10% of respondents. APPLICATIONS: Weight-management intervention efforts should focus on helping clients modify their diet and physical activity patterns. Low-cost programs offered in convenient locations would attract more participants, as would the provision of child care. Education about the dangers and ineffectiveness of unhealthful weight-loss practices will be necessary, given the high rates of such behaviors in this population.
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Authors: Burhansstipanov L
Publication Year: 2000
Last Updated: 2010-01-21 08:14:08
Journal: Cancer Supplement
Keywords: Breast Neoplasms/Prevention and Control; Health Care Needs and Demands; Health Expenditures; Health Services, Indigenous; Health Services Accessibility; Urban Health Services
Short Abstract: This article presents an overview of urban-dwelling American Indians and Alaska Natives, including a summary of data issues and a brief overview of historical and related social changes resulting in migration from reservations to urban areas.
Abstract: BACKGROUND. This article presents an overview of urban-dwelling American Indians and Alaska Natives, including a summary of data issues and a brief overview of historical and related social changes resulting in migration from reservations to urban areas. METHODS. A literature search was performed and documented focus groups were held; in addition, Native Sisters’ field records from Los Angeles, California, and Denver, Colorado, were reviewed. RESULTS. Urban Indian communities are intertribal and represent over half of the Native American population in the U.S., yet they lack access to sufficient health services. Urban Indian clinics are greatly underfunded. CONCLUSIONS. A greater proportion of funding needs to be allocated to community-driven, culturally respectful, multiyear behavioral research to improve the screening, treatment, and survival of American Indian women with breast carcinoma.
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Authors: Foster-Jones M., Hunter J., Shanda M, Arsten M, Marquez-Baines C
Publication Year: 1993
Last Updated: 2010-01-21 08:14:08
Journal: American Indian Health Care Association
Keywords: Urban Indian population; Indian Health Service; demographic users profile; poverty density; leading causes of death; age distribution; tribal affiliation
Short Abstract: In response to the needs of the growing urban Indian population, this report identifies the Indian Health Service (IHS)-funded urban Indian health programs, providing an overview of the program and the services offered.
Abstract: In response to the needs of the growing urban Indian population, this report identifies the Indian Health Service (IHS)-funded urban Indian health programs, providing an overview of the program and the services offered. Data obtained from statistics collected by each health program provided the following information: 1) demographic users profile; 2) poverty density in each urbanized area; 3) leading causes of death for each program; 4) age distribution of users; 5) number of encounters at each program; 6) percent of Indian users by type of service at each urban program; 7) tribal affiliation of program users; and 8) the staffing requirements of each program along with current staffing assignments. This report provided Native Americans and their health care providers with an outreach and referral services directory. The Urban Indian Health Program was designed to bridge the special needs of the growing urban Indian population
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Code: 3100
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Authors: Sugarman JR., Grossman DC.
Publication Year: 1996
Last Updated: 2010-01-21 08:14:08
Journal: Public Health Reports
Keywords: Adolescence; Adult; Aged; Alcoholism/Complications; Female; Headache; Hospitalization/Statistics & Numerical Data; Incidence; Male; Middle Age; Multiple Trauma/Etiology; Registries; Risk Factors; Trauma Centers; Urban Health; Violence; Wounds and Injuries/Epidemiology
Short Abstract: The authors describe patterns of serious injury among American Indians in an urban area by comparing characteristics of injuries leading to hospitalization among American Indians and persons of other races. Data are collected from the Harborview Medical Center Trauma Registry.
Abstract: American Indians have been reported to have high injury morbidity and mortality rates. Data describing serious injuries among American Indians not using Indian Health Service (IHS) or tribal facilities in Washington State are sparse. The authors describe patterns of serious injury among American Indians in an urban area by comparing characteristics of injuries leading to hospitalization among American Indians and persons of other races. Data are collected from the Harborview Medical Center Trauma Registry. In order to describe rates, mechanisms, and intentionality of severe injury among American Indians in a large metropolitan county, the authors conducted a retrospective analysis of a hospital-based trauma registry for the years 1986-1992. The facility at which the Harborview Medical Center Trauma Registry is based is the only Level 1 trauma center in King County, Washington. King County is a metropolitan county with the seventh largest number of urban American Indians in the United States. Of 14,851 King County residents included in the registry, 593 (4%) were classified as American Indian. With King County Anglos as the reference, the age-standardized incidence ratio (SIR) for inclusion of American Indians in the registry was 4.4. SIRs and proportional incidence ratios (PIRS) showed significant differences in mechanisms and intent of injury among American Indians compared to Anglos. Hospitalizations for stab wounds, bites, and other blunt trauma were significantly more frequent among American Indians and trauma admissions were disproportionately associated with assaults. A high proportion of American Indians tested had blood alcohol levels exceeding 0.1 percent. Urban Indians experience high rates of trauma with the distribution of mechanisms and intents differing from among Whites. Efforts to reduce injury in urban areas should include collaboration with representative urban American Indian organizations
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Authors: Riley WT, Barenie, JT, Mabe PA, Myers DR, Barenie JT
Publication Year: 1991
Last Updated: 2010-01-21 08:14:08
Journal: Journal of Adolescent Health
Keywords: male adolescents,health behavior, smokeless,tobacco, race, substance use/deviant style, modeling, perceived negative consequences
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From a statified, random sampling of non-urban high schools in the Southeast, survey data were obtained from 5374 adolescent males. Over half reported trying smokeless tobacco, and approximately one third of these reported a regular, substantial level of use. Factor analysis of the psychosocial items resulted in four factors: substance use/deviant style, modeling, perceived negative consequences, and health behavior.
Abstract: From a stratified, random sampling of non-urban high schools in the Southeast, survey data were obtained from 5374 adolescent males. Over half reported trying smokeless tobacco, and approximately one third of these reported a regular, substantial level of use. The average age at initial use was 12.2 yr. and was negatively correlated with the level of use. Factor analysis of the psychosocial items resulted in four factors: substance use/deviant style, modeling, perceived negative consequences, and health behavior. Discriminant analysis of initial use indicated that substance use and modeling influences were the strongest predictors of trying smokeless tobacco. Regression analysis of level of smokeless tobacco use indicated that substance use, modeling, and perceived negative consequences were equivalent in their contribution. Separate analyses were performed for American Indian, Black, and White males. Although predictors of initial use were similar, level of smokeless tobacco use was most associated with the use of other substances in Blacks and with modeling influences in Whites.
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National Council of Urban Indian Health
1 Massachusetts Avenue NW
Suite 800-D
Washington, DC 20001
Phone: 202.544.0344
