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

Household Food Insecurity and Dietary Patterns in Rural and Urban American Indian Families With Young Children

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Authors: Emily J. Tomayko et al.

Publication Year: 2017

Last Updated:

Journal: BMC Public Health

Keywords: Childcare; Nutrition; Diet; Food Insecurity; Early Childhood

 

Short Abstract: Background High food insecurity has been demonstrated in rural American Indian households, but little is known about American Indian families in urban settings or the association of food insecurity with diet for these families. The purpose of this study was to examine the prevalence of food insecurity in American Indian households by urban-rural status, correlates of food insecurity in these households, and the relationship between food insecurity and diet in these households.

 

Abstract: Background High food insecurity has been demonstrated in rural American Indian households, but little is known about American Indian families in urban settings or the association of food insecurity with diet for these families. The purpose of this study was to examine the prevalence of food insecurity in American Indian households by urban-rural status, correlates of food insecurity in these households, and the relationship between food insecurity and diet in these households. Methods Dyads consisting of an adult caregiver and a child (2–5 years old) from the same household in five urban and rural American Indian communities were included. Demographic information was collected, and food insecurity was assessed using two validated items from the USDA Household Food Security Survey. Factors associated with food insecurity were examined using logistic regression. Child and adult diets were assessed using food screeners. Coping strategies were assessed through focus group discussions. These cross-sectional baseline data were collected from 2/2013 through 4/2015 for the Healthy Children, Strong Families 2 randomized controlled trial of a healthy lifestyles intervention for American Indian families. Results A high prevalence of food insecurity was determined (61%) and was associated with American Indian ethnicity, lower educational level, single adult households, WIC participation, and urban settings (p = 0.05). Food insecure adults had significantly lower intake of vegetables (p < 0.05) and higher intakes of fruit juice (<0.001), other sugar-sweetened beverages (p < 0.05), and fried potatoes (p < 0.001) than food secure adults. Food insecure children had significantly higher intakes of fried potatoes (p < 0.05), soda (p = 0.01), and sports drinks (p < 0.05). Focus group participants indicated different strategies were used by urban and rural households to address food insecurity. Conclusions The prevalence of food insecurity in American Indian households in our sample is extremely high, and geographic designation may be an important contributing factor. Moreover, food insecurity had a significant negative influence on dietary intake for families. Understanding strategies employed by households may help inform future interventions to address food insecurity.

 

Source: Link to Original Article.

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Source: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-017-4498-y

Type of Resource: Peer-reviewed scientific article

Effects of culturally tailored smoking prevention and cessation messages on urban American Indian youth

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Authors: Marco Yzer et al.

Publication Year: 2021

Last Updated:

Journal: Preventive Medicine Reports

Keywords: Cultural Sensitivity and Appropriateness; Health Disparities; Tobacco Use (non-traditional); Smoking Cessation; Youth; Cultural Tailoring

 

Short Abstract: American Indians (AI) face significant disparities in smoking-related diseases. In addition, smoking prevalence increases exponentially between ages 11 and 18. Smoking prevention and cessation efforts aimed at AI youth therefore are important. In order to strengthen understanding of evidence-based message strategies for smoking prevention and cessation among AI youth.

 

Abstract: American Indians (AI) face significant disparities in smoking-related diseases. In addition, smoking prevalence increases exponentially between ages 11 and 18. Smoking prevention and cessation efforts aimed at AI youth therefore are important. In order to strengthen understanding of evidence-based message strategies for smoking prevention and cessation among AI youth. The objective of this study was to test whether a message that was tailored to AI cultural values associated with the sacredness of traditional tobacco can change variables that behavioral theories have identified as predictors of smoking (i.e., instrumental and experiential attitudes, injunctive and descriptive norms, perceived capacity and autonomy, and intention with respect to smoking). We conducted a randomized field experiment among 300 never-smoking and ever-smoking urban AI youth in Minneapolis-Saint Paul between May 18 and July 27, 2019. We used a 3 (message condition: cultural benefits of not smoking cigarettes, health benefits of not smoking cigarettes, comparison message about benefits of healthy eating) × 2 (smoking status: ever-smoked, never-smoked) between-subjects design. Multivariate analysis of variance showed that for ever-smokers, the cultural consequences of smoking message significantly lowered instrumental attitude (partial eta2 = 0.029), experiential attitude (partial eta2 = 0.041), perceived capacity (partial eta2 = 0.051), and smoking intention (partial eta2 = 0.035) compared to the healthy eating comparison message and the health consequences of smoking message. This was not observed among never-smokers, who already had very negative smoking perceptions. We conclude that messages that tailor to AI culture may be effective tools for discouraging smoking among AI youth.

 

Source: Link to Original Article.

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Source: https://reader.elsevier.com/reader/sd/pii/S2211335521002308?token=67C271FD1BE119934DCFB16CB491FA12F86702E0B83DC66A0DC54B0BDE5E77E3E872AFF96323FD8696981636F06E93F6&originRegion=us-east-1&originCreation=20230213211721

Type of Resource: Peer-reviewed scientific article

Mental health, family functioning, and sleep in cultural context among American Indian/Alaska Native urban youth: A mixed methods analysis

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Authors: Alina I. Palimaru

Publication Year: 2022

Last Updated:

Journal: Social Science & Medicine

Keywords: Cultural Sensitivity and Appropriateness; Mental and Behavioral Health; Socio-Economic Disparities; Family; Youth; Sleep; Actigraphy; Mixed Methods

 

Short Abstract: Mental health problems contribute significantly to the global burden of disease. Driven in part by family stressors and insufficient sleep, mental health disproportionately affects low SES urban adolescents. In the United States, American Indian/Alaska Native (AI/AN) youth exhibit excessively high rates of mental health problems. Family functioning is strongly associated with adolescent mental health, and sleep problems may serve as a pathway between family functioning and mental health. Using mixed methods we examine the associations among family functioning, subjective- and actigraphy-measured sleep, mental health (depressive and anxiety symptoms), and cultural identity in a sample of urban AI/AN youth.

 

Abstract: Mental health problems contribute significantly to the global burden of disease. Driven in part by family stressors and insufficient sleep, mental health disproportionately affects low SES urban adolescents. In the United States, American Indian/Alaska Native (AI/AN) youth exhibit excessively high rates of mental health problems. Family functioning is strongly associated with adolescent mental health, and sleep problems may serve as a pathway between family functioning and mental health. Using mixed methods we examine the associations among family functioning, subjective- and actigraphy-measured sleep, mental health (depressive and anxiety symptoms), and cultural identity in a sample of urban AI/AN youth. All participants (N = 142) completed surveys; a random subsample (n = 26) completed qualitative interviews to assess family and cultural dynamics related to sleep, which informed hypothesized direct and indirect effects that were tested using survey data. Narratives identified mechanisms of family cohesion (e.g., daily interactions that build perceived family togetherness and family-centered traditional activities) and the role that family cohesion plays in sleep (e.g., ensuring stability of sleep environments). Path analysis showed direct effects of improved family functioning on fewer depressive and anxiety symptoms, and indirect effects through lower self-reported sleep disturbance (but not through greater actigraphy-measured sleep duration or efficiency). Cultural identity did not moderate effects in quantitative tests. Our findings illustrate the complex associations among family functioning, sleep, and mental health in AI/ AN youth. Family-based interventions to improve adolescent mental health should address modifiable inter-vention targets such as sleep, and address sources of both risk and resilience relevant to urban AI/AN families, including extended family and cultural practices.

 

Source: Link to Original Article.

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Source: https://reader.elsevier.com/reader/sd/pii/S027795362100914X?token=483DC46A40790C32DB219B0D6C39C8328FC4937C9148E279B054798719CEB15FC24716A71D9D2CBA692237E258E06B75&originRegion=us-east-1&originCreation=20230213210922

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

Utilizing Drumming for American Indians/Alaska Natives with Substance Use Disorders: A Focus Group Study

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Authors: Daniel Dickerson et al.

Publication Year: 2012

Last Updated: September 2012

Journal:

Keywords: Cultural Sensitivity and Appropriateness; Substance Use; Drumming; Gender Roles; Tradition

 

Short Abstract: Background—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.

 

Abstract: Background—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. Objectives—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. Methods—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. Results—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. Conclusions—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. Scientific Significance—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.

 

Source: Link to Original Article.

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Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3725997/

Type of Resource: Best Practices Newsletter

Cultural Competence: What Is Needed in Working With Native American With HIV/AIDS?

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Authors: Shelley Hamill, Michael Dickey

Publication Year: 2005

Last Updated:

Journal: Journal of the Association of Nurses in AIDS Care

Keywords: Awareness; Cultural Sensitivity and Appropriateness; Health Disparities; HIV/AIDS; Misclassification of AI/AN

 

Short Abstract: American Indian and Alaskan Native (AI/AN) people have a unique culture that is misunderstood by many health care professionals. There are nearly 2.5 million AI/ANs living in the United States in 300 different tribal or language groups and governed by 569 different tribal governments (U.S. Census Bureau, 2002).

 

Abstract: American Indian and Alaskan Native (AI/AN) people have a unique culture that is misunderstood by many health care professionals. There are nearly 2.5 million AI/ANs living in the United States in 300 different tribal or language groups and governed by 569 different tribal governments (U.S. Census Bureau, 2002). The myriad of ethnicities within the population labeled AI/AN or Native American makes it difficult to identify the scope of the HIV/AIDS problem under today’s system of classification. Throughout the evolution of the health care system, AI/AN populations have experienced, as have other minorities, less than adequate attention with regard to specific and culturally appropriate treatment and prevention programs (Dickey, Tafoya, & Wirth, 2003). Perhaps nowhere is this more evident than in the area of HIV/AIDS prevention and treatment. In 2000, then-U.S. Surgeon General David Satcher issued a call for action on the HIV/AIDS crisis in AI/AN communities. He stated an urgent need among Native communities as well as federal and state organizations and community health care providers to work together in an effort to fight the HIV/AIDS epidemic and to bring awareness to community members (Satcher, 2000). According to the Centers for Disease Control and Prevention (CDC, 2002), as of December 2002, there were 2,875 AIDS cases among AI/ANs. However, although the actual number of reported HIV/AIDS cases among Native Americans is relatively low, in this small population, the number is alarming. The number of AIDS cases has doubled among this population within the last 5 years (CDC). In the period from 1996 to 2002, AIDS incidence decreased markedly among Whites, Blacks, Hispanics, and Asian/Pacific Islanders but increased among AI/ANs (CDC). During that same time period, the number of deaths from AIDS also declined among all racial groups except AI/ANs (CDC). Many health professionals estimate the number of AIDS cases among AI/ANs to be much higher than what statistics are currently reporting and that the number of HIV cases could be as much as 10-times greater (Satcher, 2002). For example, a study of drug treatment patients conducted from 1991 to 1994 in New York City showed that the number of Native Americans testing positive for HIV was comparable to that of African Americans (Walters, Simoni, & Harris, 2000). This may indicate higher rates of HIV among AI/ANs within certain geographical populations. As with other minority populations, there is still a great stigma associated with HIV/AIDS within AI/AN communities. Among AI/ANs, concerns over confidentiality are evident because of the close-knit communities in which they live and the tremendous stigma of homosexuality. Many AI/ANs are not seeking testing for HIV because of this concern. As a result, underreporting of HIV among this community remains high. In addition, many Native Americans are misclassified by health care providers as Hispanic, Caucasian, African American, or Asian. During data reporting, this misclassification skews the statistics of the AI/AN population, resulting in underreporting of HIV/AIDS cases.

 

Source: Link to Original Article.

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Source: http://www.asph.sc.edu/news/cultural.pdf

Type of Resource: Peer-reviewed scientific article

A Gathering of Native American Healers: Exploring the Interface of Indigenous Tradition and Professional Practice

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Authors: Virgil D. Moorehead Jr., Joseph P. Gone, Damia December

Publication Year: 2015

Last Updated:

Journal: American Journal of Community Psychology

Keywords: Cultural Sensitivity and Appropriateness; Mental and Behavioral Health; Psychology; Traditional Healing; Multicultural Counseling; Alternative Medicine

 

Short Abstract: This article reports insights from a 4-day Gathering of Native American Healers at the University of Michigan in October of 2010.

 

Abstract: This article reports insights from a 4-day Gathering of Native American Healers at the University of Michigan in October of 2010. This event convened 18 traditional healers, clinically trained service providers, and cross-cultural mental health researchers for a structured group dialogue to advance professional knowledge about the integration of Indigenous healing practices and conventional mental health treatments in community-based mental health services for Native Americans. Our thematic analysis of transcripts from five Roundtable sessions afforded several key insights and understandings pertaining to the integration of Indigenous healing and conventional mental health services. First, with reference to traditional healing, the importance of a rampant relationality, various personal qualities, Indigenous spirituality, and maintenance of traditional life and culture were accentuated by Roundtable participants. Second, for traditional healers to practice effectively, Roundtable participants posited that these individuals must maintain personal wellness, cultivate profound knowledge of healing practices, recognize the intrinsic healing potential within all human beings, and work for the community rather than themselves. In speaking to the possibilities and challenges of collaboration between Indigenous and conventional biomedical therapeutic approaches, Roundtable participants recommended the implementation of cultural programming, the observance of mutuality and respect, the importance of clear and honest communication, and the need for awareness of cultural differences as unique challenges that must be collaboratively overcome.

 

Source: Link to Original Article.

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Source: http://gonetowar.com/wp-content/uploads/2015/12/Healers-Gathering.pdf

Type of Resource: Peer-reviewed scientific article

Geographical Access and the Substitution of Traditional Healing for Biomedical Services in 2 American Indian Tribes

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Authors: John C. Fortney, Carol E. Kaufman, David E. Pollio, et al.

Publication Year: 2012

Last Updated:

Journal: Medical Care

Keywords: Cultural Sensitivity and Appropriateness; Health Care Access; Health Disparities; Mental and Behavioral Health; Social Determinants of Health; Geographic Accessibility; Traditional Healing

 

Short Abstract: Objectives: American Indians who live in rural reservation communities face substantial geographic barriers to care that may limit their use of health services and contribute to their well-documented health disparities.

 

Abstract: Objectives: American Indians who live in rural reservation communities face substantial geographic barriers to care that may limit their use of health services and contribute to their well-documented health disparities. The purpose of this study was to examine the impact of geographical access to care on the use of services for physical and mental health problems and to explore American Indians' use of traditional healing services in relation to use of biomedical services. Methods: We analyzed survey data collected from 2 tribes (Southwest and Northern Plains). Geographical access to the closest biomedical service was measured using a Geographic Information System, including road travel distance, elevation gain, and reservation boundary crossing. Results: Use of biomedical services was unaffected by geographical access for Northern Plains tribal members with mental health problems and for Southwest tribal members with physical or mental health problems. For members of the Northern Plains tribe with physical health problems, travel distance (P= 0.007) and elevation gain (P= 0.029) significantly predicted a lower likelihood of service use. The use of traditional healing was unrelated to biomedical service use for members of the Northern Plains tribe with physical or mental health problems and for members of the Southwest tribe with physical health problems. For members of the Southwest tribe with mental health problems, the use of biomedical services increased the likelihood of using traditional healing services. Conclusions: Findings suggest that biomedical services are geographically accessible to most tribal members and that tribal members are not substituting traditional healing for biomedical treatments because of poor geographical access.

 

Source: Link to Original Article.

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Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3446690/

Type of Resource: Peer-reviewed scientific article