Indigenizing Academics Through Leadership, Awareness, and Healing: The Impact of Native American Health Seminar Series for Health Professionals, Students, and Community

Authors: Patricia A. Carney, Cynthia Taylor, Rosa Frutos, Dove Spector, Erik Brodt

Publication Year: 2019

Journal: Journal of Community Health

Keywords: Cultural Sensitivity and Appropriateness; Health Disparities; Career Choice; Healing, Indigenous Health Education; Tribal Health Workforce

 

Short Abstract: Health disparities have long affected American Indian and Alaska Native (AI/AN) populations. Transformations are needed in academia to help understand Indigenous 'ways of knowing.'

 

Abstract: Health disparities have long affected American Indian and Alaska Native (AI/AN) populations. Transformations are needed in academia to help understand Indigenous 'ways of knowing.' Lifting the voices of AI/ANs in telling their stories could improve the education of students, faculty and the lay public. We collaborated to develop, implement and evaluate a Native American Health Seminar Series taught by AI/AN leaders on addressing health disparities among AI/AN people. A quasi-experimental mixed methods design included a 15-item survey to assess the impact of the Seminar Series on knowledge of AI/AN health issues and its influence, among students, on health career choices. During the 2018 academic year, three seminars were held and 243 participants attended. In total, 182 surveys (74.9%) were completed by faculty members, students and members of the lay public. Students (all categories combined) represented the highest participant group (48.4%), followed by the lay public at 30% and faculty at 21.6%. The highest scores on knowledge of Native health issues prior to seminar attendance were reported by those representing the lay public with a mean of 3.96 compared to 3.67 for faculty and 3.43 among students (p = 0.01), which was highly represented by Indigenous people. Increases in knowledge occurred in all participant groups. Among students, 65.6% initially indicated that they were not planning on pursuing a career in Native health. Among these, 56.9% indicated they were somewhat to extremely likely to pursue a career in Native health as a result of having attended the seminar.

 

Source: Link to Original Article.

Source: https://pubmed.ncbi.nlm.nih.gov/31104200/

Type of Resource: Peer-reviewed scientific article

One Pager:

Understanding Disabilities in American Indian & Alaska Native Communities Toolkit Guide

Authors: National Indian Council on Aging, Inc. and National Council on Disability

Publication Year: 2023

Last Updated:

Journal:

Keywords: Aging; Awareness; Cultural Sensitivity and Appropriateness; Diabetes; Health Care Access; Health Disparities; Medicare; Medicaid; Mental and Behavioral Health; Population Information; Substance Use; Visual Impairment; Disability; Historical Trauma

 

Short Abstract: This resource is divided into dedicated sections for healthy living, education, independent living, vocational rehabilitation and employment resources, assistive technology, housing and facilities, and transportation.

 

Abstract: This resource is divided into dedicated sections for healthy living, education, independent living, vocational rehabilitation and employment resources, assistive technology, housing and facilities, and transportation. Additional information provides overviews on federal disabilities laws, initiatives, agencies, and organizations that support work with Native individuals with disabilities and communities.

 

Source: Link to Original Article.

Funding:

Code:

Source: https://www.nicoa.org/wp-content/uploads/2023/03/NCD_Understanding_Disabilities_in_American_Indian_508.pdf

Type of Resource: Toolkit

COVID Vulnerability and Impact Summary for Urban Natives (VISUN) — April 2023

Email to Request Report: research@ncuih.org

Authors: Alexander Zeymo

Publication Year: 2023

Last Updated: June 12, 2023

Keywords: Covid-19; Infection Disease; Vaccination/Immunization

 

Short Abstract: This report is created using data that is publicly available and provided directly to the National Council for Urban Indian Health from the Office of Urban Indian Health. This report should be used for grant writing purposes and informative guidance for policy and advocacy about the status of COVID-19 and COVID-19 vaccination levels for American Indian/Alaska Native (AI/AN) people living in urban areas. If you would like to have access to this report, please send an email to research@ncuih.org. ***Please be aware, in section two, four counties were erroneously deleted from the analysis (07/12/2023).

 

Type of Resource: NCUIH data products

COVID Vulnerability and Impact Summary for Urban Natives (VISUN) — May 2023

Email to Request Report: research@ncuih.org

Authors: Alexander Zeymo

Publication Year: 2023

Last Updated: July 24, 2023

Keywords: Covid-19; Vaccination/Immunization

 

Short Abstract: This is a summary report compiled by NCUIH on the impact of the COVID-19 pandemic in the urban Native American community during the month of May 2023. This report highlights the level and severity of COVID-19 infections in UIO service areas, tracking recent trends in vaccinations, and reviewing recent news and research relevant to the urban AI/AN community. If you would like to have access to this report, please send an email to research@ncuih.org.

 

Type of Resource: NCUIH data products

“Sharing Hope and Healing”: A Culturally Tailored Social Media Campaign to Promote Living Kidney Donation and Transplantation Among Native Americans

Authors: Rebecca K. Britt, Brian C. Britt, Jenn Anderson, Nancy Fahrenwald, Shana Harming

Publication Year: 2021

Last Updated: November 2021

Journal: Health Promotion Practice

Keywords: Cultural Sensitivity and Appropriateness; Living Kidney Donation and Transplantation; Community-Based Participatory Research (CBPR); Social Media Campaign

 

Short Abstract: In this article, the authors discuss a community-based participatory research (CBPR)-driven and culturally tailored social media campaign to promote living kidney donation and transplantation (LKDT) serving Native American communities, who are disproportionately burdened by kidney failure. The effort represents a collaboration among researchers, tribal leaders and community members, medical centers, and other stakeholders to facilitate health promotion related to LKDT among the broader Native American community. Campaign objectives were collaboratively established by the researchers and stakeholders, and the campaign approach and materials were likewise developed in consultation with the community.

 

Abstract: In this article, the authors discuss a community-based participatory research (CBPR)-driven and culturally tailored social media campaign to promote living kidney donation and transplantation (LKDT) serving Native American communities, who are disproportionately burdened by kidney failure. The effort represents a collaboration among researchers, tribal leaders and community members, medical centers, and other stakeholders to facilitate health promotion related to LKDT among the broader Native American community. Campaign objectives were collaboratively established by the researchers and stakeholders, and the campaign approach and materials were likewise developed in consultation with the community. The results indicated that the use of success stories about LKDT within campaign materials was a statistically significant predictors of heightened campaign engagement (p = .003, β = .223). Recommendations are offered for partnering with tribal communities and other stakeholders, as well as for building tailored health promotion strategies.

 

Source: Link to Original Article.

Source: https://pubmed.ncbi.nlm.nih.gov/33267677/

Type of Resource: Peer-reviewed scientific article

One Pager:

A Cultural-Based approach to address substance use among urban Native American young adults

Authors: Melessa Kelley et al.

Publication Year: 2023

Last Updated: April 07, 2023

Journal: Journal of Community Psychology

Keywords: Cultural Sensitivity and Appropriateness; Substance Use; Cultural-Based Interventions; Young Adults; Talking Circles

 

Short Abstract: Native American young adults residing in urban communities are particularly vulnerable to substance use. After leaving high school, the pressures and stress of continuing education, finding employment, and the responsibilities related to family and tribal community obligations predispose these young adults to substance use.

 

Abstract: Native American young adults residing in urban communities are particularly vulnerable to substance use. After leaving high school, the pressures and stress of continuing education, finding employment, and the responsibilities related to family and tribal community obligations predispose these young adults to substance use. This study used a pre/post test design to evaluate a cultural-based Talking Circle intervention for the prevention of substance use among urban Native American young adults, ages 18–24. Three measures were used that included the Native-Reliance Questionnaire, the Indigenous-Global Assessment of Individual Needs (I-GAIN) Substance Use Scale, and the Patient Health Questionnaire (PHQ-9) measure for severity of depression. Findings revealed that participants demonstrated a higher sense of Native-Reliance, decrease in substance use, and a decrease in the PHQ-9 depressions scores from baseline to 6-month postintervention. These findings validate the importance of cultural-based interventions for the prevention of substance use among urban Native American young adults.

 

Source: Link to Original Article.

Source: https://onlinelibrary.wiley.com/doi/10.1002/jcop.23044

Type of Resource: Peer-reviewed scientific article

One Pager:

HIV/AIDS Resource Guide

Authors: NCUIH

Publication Year: 2023

Keywords: HIV/AIDS; Sexuality; Toolkit

 

Short Abstract: The HIV epidemic continues to affect millions of Americans every year. Of those affected, AI/ANs have the highest rate of undiagnosed cases compared to other racial/ethnic groups in the U.S. AI/AN health data is consistently underestimated due to racial misclassification.

 

Abstract: The HIV epidemic continues to affect millions of Americans every year. Of those affected, AI/ANs have the highest rate of undiagnosed cases compared to other racial/ethnic groups in the U.S. AI/AN health data is consistently underestimated due to racial misclassification. Lack of access to testing accounts for some of this disparity. According to the Urban Indian Health Institute (UIHI), only21% of urban Natives have received UIO HIV testing services in their lifetime. This prevalence of undetected cases leads to increased risk of HIV-related death among AI/ANs. Despite these disparities, it can be difficult to find effective, high-quality, and culturally appropriate AI/AN HIV/AIDS resources. In order to alleviate some of this difficulty, we have created this resource toolkit. This guide is meant to be a working document. Just as HIV best practices change with new research and information, so will this guide. Please feel free to contact us with suggested updates and resources. This is meant to be a tool for you! Notes: At NCUIH, we are dedicated to continuously improving our resources to better serve Urban Indian Organizations like yours. In September 2023, we launched the HIV/AIDS Resource Guide for UIOs, and your feedback is crucial to its success. Please consider taking this short, 5-minute survey designed to collect your valuable insights and suggestions, helping us tailor the guide to meet the unique needs of your organization. Survey link: https://ncuih.qualtrics.com/jfe/form/SV_5b6RCWgODGrddq If you have any questions or need further assistance, please feel free to contact Divya Nanduri, HIV/AIDS Program Manager at dnanduri@ncuih.org.

 

Source: Link to Toolkit.

Source: https://ncuih.org/wp-content/uploads/HIV-AIDS-Resource-Toolkit_NCUIH_D359_V2.pdf

Type of Resource: Toolkit

One Pager:

American Indian and Alaska Native children experience high rates of RSV-related hospitalizations

Authors: Joshua Fitch, Editor

Publication Year: 2023

Last Updated: Jul 24, 2023

Journal:

Keywords: Ethnicity; Health Disparities; Infant Mortality; Minority Groups; Population Information; Race; Social Determinants of Health; Vaccination/Immunization; Respiratory syncytial virus (RSV)-associated acute respiratory infection (ARI) hospitalizations; RSV; ARI; Hospitalizations

 

Short Abstract: Results from this active, facility-based surveillance study revealed hospitalization rates for children younger than 5 years were 1.7 to 7.1 times higher among American Indian and Alaska Native children compared to estimates from the methodologically similar US New Vaccine Surveillance Network (NVSN). ---- No abstract it is an article.

 

Abstract:

 

Source: Link to Original Article.

Funding:

Code:

Source:

Type of Resource: Other

Prevalence of Adverse Childhood Experiences Among U.S. Adults — Behavioral Risk Factor Surveillance System, 2011–2020

Authors: Elizabeth A. Swedo, MD1; Maria V. Aslam, PhD2; Linda L. Dahlberg, PhD1; Phyllis Holditch Niolon, PhD1; Angie S. Guinn, MPH; Thomas R. Simon, PhD; James A. Mercy, PhD

Publication Year: 2023

Last Updated: June 30, 2023

Journal: Morbidity and Mortality Weekly Report

Keywords: Awareness; Health Disparities; Injury and Trauma; Mental and Behavioral Health; Population Information; Psychology; Social Determinants of Health; Socio-Economic Disparities; Sexual Abuse; Substance Use; Youth; Adverse Childhood Experiences (ACEs)

 

Short Abstract: What is already known about this topic? Adverse childhood experiences (ACEs) are associated with numerous negative outcomes. Previous data from 25 states indicated that ACEs are common among U.S. adults.

 

Abstract: What is already known about this topic? Adverse childhood experiences (ACEs) are associated with numerous negative outcomes. Previous data from 25 states indicated that ACEs are common among U.S. adults. What is added by this report? Among U.S. adults from all 50 states and the District of Columbia surveyed during 2011–2020, approximately two thirds reported at least one ACE; one in six reported four or more ACEs. ACEs were highest among women, persons aged 25–34 years, non-Hispanic American Indian or Alaska Native adults, non-Hispanic multiracial adults, adults with less than a high school education, and adults who were unemployed or unable to work. Prevalence of individual and total number of ACEs varied across jurisdictions. What are the implications for public health practice? CDC’s Preventing Adverse Childhood Experiences: Leveraging the Best Available Evidence provides strategies for preventing and mitigating ACEs, particularly among disproportionately affected populations.

 

Source: Link to Original Article.

Funding:

Code:

Source: https://www.cdc.gov/mmwr/volumes/72/wr/pdfs/mm7226a2-H.pdf

Type of Resource: Peer-reviewed scientific article

Increase in Diabetes among Urban Alaska Native People in the Alaska EARTH Follow-up Study: A Call for Prediabetes Screening, Diagnosis, and Referral for Intervention

Authors: Kathryn R. Koller et al.

Publication Year: 2020

Last Updated:

Journal: Diabetes Research and Clinical Practice

Keywords: Diabetes; Alaska Native; Cohort Study; Prediabetes; Cardiometabolic Risk Factors

 

Short Abstract: Aims: This study estimates incidence of diabetes (DM) and pre-DM relative to DM risk factors among relatively healthy Alaska Native and American Indian (henceforth AN) adults living in urban south central Alaska.

 

Abstract: Aims: This study estimates incidence of diabetes (DM) and pre-DM relative to DM risk factors among relatively healthy Alaska Native and American Indian (henceforth AN) adults living in urban south central Alaska. Methods: Baseline (2004-2006) and follow-up (2014-2017) surveys, blood samples, and medical chart review data were collected from AN adults living in south central Alaska. We analyzed associations between prevalent risk factors and incident DM and pre-DM using Cox proportional hazards and used multivariable models to identify independent predictors for both DM and pre-DM. Results: Among 379 participants with follow-up data, overall DM incidence was 16.5/1,000 PY; overall pre-DM incidence was 77.6/1,000 PY, with marked differences between men and women. Prevalent cardiometabolic risk factors also varied with greater amounts of overweight in men and greater amounts of obesity in women. Controlling for age and sex, obesity, abdominal adiposity, pre-DM, and metabolic syndrome independently increased DM risk. Conclusions: Health care providers of AN populations must seize the opportunity to screen, refer, and treat individuals with pre-DM and other modifiable DM risk factors prior to DM diagnosis if we are to alter the epidemiologic course of disease progression in this urban AN population.

 

Source: Link to Original Article.

Funding:

Code:

Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7530054/

Type of Resource: Peer-reviewed scientific article