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Authors: Howard MO, Walker D, Walker PS, Cottler LB, Compton WM
Publication Year: 1999
Last Updated: 2010-01-21 08:14:08
Journal: Addiction
Keywords: American Indian youth; inhalant use; Seattle metropolitan area; family conflict; alcoholism; peer and sibling deviance; self-esteem; deliquency; aggression; anxiety; depression; sensation seeking
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AIMS: To assess the prevalence of inhalant use among urban American Indian youth and to examine differences between inhalant users and non-users.
Abstract: AIMS: To assess the prevalence of inhalant use among urban American Indian youth and to examine differences between inhalant users and non-users. DESIGN: Baseline (T1) self-report questionnaires completed in 5th-6th grade and at seven annual follow-up assessments (T2-T8). SETTINGS: Seattle metropolitan area. PARTICIPANTS: Two hundred and twenty-four Indian youth. MEASUREMENTS: Youth-completed measures of substance use, ethnic self-identity, involvement in traditional Indian activities, family conflict, family history of alcoholism, peer and sibling deviance, self-esteem, delinquency, aggression, anxiety, depression, sensation seeking, conduct disorder and alcohol dependence. FINDINGS: Lifetime inhalant use was reported by 12.3% of adolescents. At T1, inhalant users had significantly lower perceived self-worth and average annual household incomes and significantly greater density of familial alcoholism and expression of aggressive and delinquent conduct than non-users. Aggressive behavior was the most important T1 predictor of inhalant use. Lifetime conduct and alcohol dependence disorders were 3.3 and 2.6 times more prevalent among inhalant users than non-users at T5. Inhalant users had more extensive deviant peer networks, were more sensation-seeking, and evidenced lower perceived self-worth than non-users at T8. CONCLUSIONS: Inhalant use was less prevalent in this particular sample of urban Indian adolescents than in most studies of reservation Indian youth. As with other studies of inhalant abuse, aggressive and delinquent males of low SES and low-perceived self-worth with family histories of alcohol dependence, were at highest risk for inhalant use.
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Authors: Conway GA., Ambrose TJ., Chase E., Hooper EY, Helgerson SD, Johannes P, Epstein M, Munn VP, Keevama L
Publication Year: 1992
Last Updated: 2010-01-21 08:14:08
Journal: Journal of Acquired Immune Deficiency Syndromes
Keywords: Adolescence; Adult; Female; HIV Seroprevalence; Male
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A network of surveys of HIV seroprevalence in American Indians and Alaska Natives (AI/AN) was begun in 1989. From July 1, 1989 through June 30, 1991, 37, 681 serologic specimens were collected from prenatal and sexually transmitted disease patients in 58 facilities operated or funded by the Indian Health Service.
Abstract: A network of surveys of HIV seroprevalence in American Indians and Alaska Natives (AI/AN) was begun in 1989. From July 1, 1989 through June 30, 1991, 37,681 serologic specimens were collected from prenatal and sexually transmitted disease patients in 58 facilities operated or funded by the Indian Health Service. Specimens from AI/AN women receiving initial prenatal care showed an overall HIV prevalence of 0.3/1,000, while specimens obtained during the third trimester of pregnancy showed an overall prevalence of 1.0/1,000. The rate for rural third trimester prenatal patients (0.9/1,000) was similar to that for urban patients (1.1/1,000). HIV rates among third trimester AI/AN patients in three western states were 4 to 8 times higher than rates observed in childbearing women of all races in those states. The overall HIV seroprevalence in AI/AN seeking care for sexually transmitted diseases was 4.5/1,000 for males (urban 10.8/1,000; rural 2.0/1,000) and 0.7/1,000 for females (urban 0.9/1,000; rural 0.6/1,000). Approximately 1,210 to 4,250 (midpoint of range = 2,730) AI/AN in the U.S. are projected from survey findings to be currently infected with HIV. The presence of HIV in multiple specimens from rural areas and the similarity of HIV infection rates for female patients from rural and urban locations provides evidence of diffusion of the HIV epidemic to rural AI/AN, and emphasizes the need for effective HIV prevention for this population.
Source: Link to Original Article.
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Code: 3107
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Authors: Michalek AM,, Mahoney MC, Burhansstipanov L., Tenney M, Cobb N
Publication Year: 1996
Last Updated: 2010-01-21 08:14:08
Journal: Journal of Cancer Education
Keywords: Cancer Care Facilities/Supply & Distribution; Female; Health Services Accessibility; Male; Neoplasms/Epidemiology; Neoplasms/Prevention & Control; Patient Education/Methods; Preventive Health Services; Urban Population
Short Abstract: Over the past several decades Native peoples have experienced significant increases in life expectancy and, with these gains, significant increases in cancer incidence and mortality. Limited data are available concerning cancer-control activities accessible to American Indian communities. Even less is known about control programs in place for American Indians resident in urban areas, where more that half of all Native peoples reside.
Abstract: BACKGROUND: Cancer has become a significant health concern in American Indian communities. Over the past several decades Native peoples have experienced significant increases in life expectancy and, with these gains, significant increases in cancer incidence and mortality. Limited data are available concerning cancer-control activities accessible to American Indian communities. Even less is known about control programs in place for American Indians resident in urban areas, where more that half of all Native peoples reside. METHODS: To ascertain the extent of available services and perceptions of health directors, a survey of all Indian-Health-Service-recognized urban clinics was undertaken. RESULTS: Results indicate that the cancer needs of American Indians resident in urban areas are not being adequately addressed. Only one-third of urban health directors reported perceived increases in cancer incidence and mortality rates. The directors ranked cancer fifth among seven health problems in terms of their clinics' commitment to addressing them. Findings from this study are juxtaposed with whose obtained in a separate survey of reservation-based health directors. CONCLUSIONS: Results indicate a need to develop more responsive cancer-control programs in Indian country and to sensitize researchers to other health needs of these communities.
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Publication Year: 1993
Last Updated: 2010-01-21 08:14:08
Journal: Indian Health Service, Office of Health Programs
Keywords: Community Health Planning; Consensus Development Conferences/Publication Type; Decision Support Systems, Management; Health Planning; Delivery of Health Care, Integrated; Managed Care Programs; Program Development; Public Health; Regional Health Planning; Urban Health
Short Abstract: In August 1991, the Indian Health Service published the "Indian Health Service Executive Reference Guide on Strategic Planning." This report applied the Strategic Planning and Management Model to the Urban Indian Health Program. Although it sets forth the entire steps of the strategic planning model, it is more accurately a progress report through the first eight steps of the strategic planning model.
Abstract: The rapidly changing health care delivery environment requires continued adaptation and change if an organization is to survive and fulfill its mission. Strategic planning is concerned with the decisions that must be made for the entire organization for the long-term. The Indian Health Service Urban Health Program, and the individual urban Indian health programs, are at a critical juncture as health care reform is developing for the future. In August 1991, the Indian Health Service published the "Indian Health Service Executive Reference Guide on Strategic Planning." This report applied the Strategic Planning and Management Model to the Urban Indian Health Program. Although it sets forth the entire steps of the strategic planning model, it is more accurately a progress report through the first eight steps of the strategic planning model. Subsequent analysis should then continue the process for steps 9 through 11
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Authors: Goddard G, Karibe H
Publication Year: 2002
Last Updated: 2010-01-21 08:14:08
Journal: CRANIO: The Journal of Craniomandibular Practice
Keywords: TMD, temporomandibular disorder, jaw, dental, occlusion, facial; urban and rural setting; pain frequency; sleeping problems
Short Abstract: The purpose of this study was to assess the prevalence of TMD in a consecutive sample of 102 subjects from the Native American population living in an urban setting and 90 subjects living in a rural setting.
Abstract: The purpose of this study was to assess the prevalence of TMD in a consecutive sample of 102 subjects from the Native American population living in an urban setting and 90 subjects living in a rural setting. The study utilized a clinical examination and standardized questionnaires. The sample age ranged from five to 84 years of age. The subjects were asked to estimate pain frequency, severity and daily pattern of jaw pain, difficulty in opening, joint clicking, and sleeping problems. Examination was performed on joint, masticatory, and cervical muscles, as well as occlusion. Data was collected and statistically analyzed. Statistically significant differences were found; however, the only statistically significant difference that might have clinical significance was more facial pain in the urban population.
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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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Authors: Mohammed SA
Publication Year: 2006
Last Updated: 2010-01-21 08:14:08
Journal: Advances in Nursing Science
Keywords: culture; urban American Indians; diabetes; methodology; postcolonialism; social justice; stereotypes
Short Abstract: Postcolonialism offers nursing scholarship a framework for understanding culture and identity as fluid and complex, historically situated, and discursively contructed. This article describes one version of implementing postcolonial theory, using examples from a research project conducted with urban American Indians on the topic of diabetes.
Abstract: Postcolonialism offers nursing scholarship a framework for understanding culture and identity as fluid and complex, historically situated, and discursively constructed. This article describes one version of implementing postcolonial theory, using examples from a research project conducted with urban American Indians on the topic of diabetes. I demonstrate the influence and value of postcolonialism throughout the research process. A postcolonial approach can help nursing researchers and practitioners avoid reproducing injustices and stereotypes, illuminate the complexities of life at the intersections, and contribute to the construction of a more socially just world.
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