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Authors: Evans-Campbell T, Lindhorst T, Huang B
Publication Year: 2006
Last Updated: 2010-01-21 08:14:08
Journal: American Journal of Public Health
Keywords: Battered Women--Psychosocial Factors; Health; Health Status; Help Seeking Behavior; HIV Infections--Prevention and Control; Mental Health; Native Americans--Psychosocial Factors; Violence--Epidemiology--New York; Violence--Psychosocial Factors; Adult; Aged; Brief Symptom Inventory; Checklists; Chi Square Test; Child Abuse; Confidence Intervals; Convenience Sample; Data Analysis Software; Depression; Descriptive Statistics; Domestic Violence; Female; Funding Source; HIV Infections--Risk Factors; Interview Guides; Interviews; Mental Disorders; Middle Age; Multiple Logistic Regression; New York; Odds Ratio; Purposive Sample; Rape; Risk Taking Behavior; Self Report; Snowball Sample; Surveys; Trauma--Psychosocial Factors; Urban Areas
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Objective: We surveyed American Indian/Alaska Native (AIAN) women in New York City to determine the prevalence of 3 types of interpersonal violence among urban AIAN women and the behavioral health and mental health factors associated with this violence.
Abstract: OBJECTIVE: We surveyed American Indian/Alaska Native (AIAN) women in New York City to determine the prevalence of 3 types of interpersonal violence among urban AIAN women and the behavioral health and mental health factors associated with this violence. METHODS: Using a survey, we questioned 112 adult AIAN women in New York City about their experiences with interpersonal violence, mental health, HIV risk behaviors, and help-seeking. The sampling plan utilized a multiple-wave approach with modified respondent-driven sampling, chain referral, and target sampling. RESULTS: Among respondents, over 65% had experienced some form of interpersonal violence, of which 28% reported childhood physical abuse, 48% reported rape, 40% reported a history of domestic violence, and 40% reported multiple victimization experiences. Overwhelmingly, women experienced high levels of emotional trauma related to these events. A history of interpersonal violence was associated with depression, dysphoria, help-seeking behaviors, and an increase in high-HIV risk sexual behaviors. CONCLUSIONS: AIAN women experience high rates of interpersonal violence and trauma that are associated with a host of health problems and have important implications for health and mental health professionals.
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Code: 3005
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Authors: Buchwald D. Beals J. Manson SM.
Publication Year: 2000
Last Updated: 2010-01-21 08:14:08
Journal: Medical Care
Keywords: Data Collection; Health Services, Indigenous/statistics & numerical data/utilization; Medicine, Traditional; Primary Health Care/statistics & numerical data/utilization; Self Efficacy; Urban Population/statistics & numerical data; Washington
Short Abstract: This study was undertaken to ascertain the extent that traditional health practices are used by urban American Indian/Alaska Native (AI/AN) primary care patients, to identify related patient characteristics, to determine associations with health status and functioning, and to describe attitudes about care received
Abstract: BACKGROUND: This study was undertaken to ascertain the extent that traditional health practices are used by urban American Indian/Alaska Native (AI/AN) primary care patients, to identify related patient characteristics, to determine associations with health status and functioning, and to describe attitudes about care received. METHODS: This study used a brief self-report survey of 869 adult AI/AN patients randomly sampled over a 14-month period from a comprehensive urban primary care program. Current medications were determined by follow-up medical record review. RESULTS: Seventy percent of urban AI/AN patients in primary care often used traditional health practices; use was strongly associated with cultural affiliation. In bivariate analyses, use was significantly associated with male gender, cultural affiliation, poor functional status, alcohol abuse, and trauma and, except for musculoskeletal pain, not with specific medical problems. The multiple logistic regression model for any use versus no use was significant (P < or =0.001). Being of male gender (P < or =0.001), having more than a high school education (P < or =0.05), visiting friends/relatives on a reservation (P < or =0.01), living the Native way of life (P < or =0.001) and not the white way (P < or =0.05), experiencing back pain (P < or =0.01), and having a physical injury inflicted by a family member (P < or =0.001) were predictive of use. CONCLUSIONS: The results in this clinical setting suggest that health care providers should anticipate use of traditional health practices among urban AI/AN patients. Use was predicted by important demographic, clinical, and cultural characteristics.
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Code: 3036
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Authors: Indian Health Service
Publication Year: 1991
Last Updated: 2010-01-21 08:14:08
Journal: Indian Health Service Division of Program Statistics
Keywords: Case Study; Family Characteristics; Family Health; Intergenerational Relations; Stress Disorders; Post-Traumatic
Short Abstract: The purpose of this study is to describe the dysfunctional behaviors in a specific urban American Indian family in the northeastern United States in order to discern whatever relationships that may exist between those behaviors and secondary post-traumatic stress.
Abstract: The purpose of this study is to describe the dysfunctional behaviors in a specific urban American Indian family in the northeastern United States in order to discern whatever relationships that may exist between those behaviors and secondary post-traumatic stress. The focus of this study is a large extended American Indian family living in the urban northeast. The family is comprised of 72 members and spans 5 generations. The family moved to its present location in the mid-1970's. The members left the reservation to escape economic hardship, but maintain close ties to the reservation. The family members maintain their first language, engage in traditional ceremonial activities, and frequently gather together to celebrate traditional holidays. The data for the case study was collected by means of an in-depth questionnaire The four different areas investigated through the use of the questionnaire am the physiologic, self-concept, role function and interdependence. Experts in the fields of public health planning, the Indian Health Service, medical social work and family therapy assisted the researcher. The researcher ultimately describes the family as chaotic and barely surviving. Assessment in the psycho-social modes reveals alienation from the community, deviant behavior, abuse, depression, suicide and trauma. The extended family structure serves as the major instrument for transmitting cultural attributes and conserving family patterns. In other words, the family that is the source of strength and stability is also the source of spiraling negative behavior patterns. The study produced data indicating that many of the family members experienced trauma as a result of separation from their family. The design of the study did not allow for direct correlation between stress trauma and leaving the reservation. Further research would be required to substantiate the relationship between separation of the family from the tribe and secondary PM. The author recognizes that a single family profile is insufficient to generalize causal relationships, or even clearly establish patterns of trans-generational behavior. However, the current family profile is typical of many American Indian families and thus demonstrates the need for further investigation of the inter-generational effects of secondary post-traumatic stress
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Code: 3109
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Authors: Burd L
Publication Year: 1994
Last Updated: 2010-01-21 08:14:08
Journal: Public Health Reports
Keywords: cross-sectional prevalence study; rural & urban sites; Native American clinics; prevalence of prone, supine, and side sleeping position; questionnaires; Sudden Infant Death Syndrome
Short Abstract: A cross-sectional prevalence study was done in four primary care clinics (two rural and two urban sites) and four Native American clinics serving members of the Chippewa, Sioux, Hidasta, Arikara, and Mandan tribes, all in North Dakota, to determine the prevalence of prone, suping, and side sleeping position in white and Native American infants.
Abstract: A cross-sectional prevalence study was done in four primary care clinics (two rural and two urban sites) and four Native American clinics serving members of the Chippewa, Sioux, Hidasta, Arikara, and Mandan tribes, all in North Dakota, to determine the prevalence of prone, supine, and side sleeping position in white and Native American infants. Questionnaires for 325 infant (259 white and 66 Native Americans) between birth and 6 months of age were completed by the infants' mothers. They reported that 69 percent of the infants slept prone, 17 percent slept supine, and 14 percent slept on their side. Native American infants, who are at 3.2 times the risk of Sudden Infant Death Syndrome compared with other North Dakota infant, slept prone 46.9 percent of the time compared with 74.4 percent of white infants (chi 2=23.61; 1 df; P<.0001). No differences were observed in the prevalence of the side sleeping position. Eighteen percent of the infants slept in the position reported due to advice from a physician or nurse, 8 percent of the infants slept with more than 2 blankets, and 5 percent slept with a pillow. Native American infants in North Dakota did not have a higher prevalence of exposure to prone sleeping position.
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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
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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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Authors: Oropeza, L, Bouey P, Tight R, Bradley-Springer L
Publication Year: 2001
Last Updated: 2010-01-21 08:14:08
Journal: HIV/AIDS Self-Study Module
Keywords: Mountain-Plains Regional Aids Education and Training Center; National Native American AIDS Prevention Center; self-study module; HIV; consultative support; professional practice; cultural issues
Short Abstract: The Mountain-Plains Regional AIDS Education and Training Center (MPAETC) and the National Native American AIDS Prevention Center (NNAAPC) developed this Self-Study Module as one component of a larger training project to help health care providers respond to the HIV epidemic within the Native American population. The curriculum is designed to meet the needs of helath care practitioners who may not have direct access to education and training centers or academic institutions, yet who recognize the need to develop knowledge, skills, and consultative support for HIV issues in professional practice.
Abstract: The Mountain-Plains Regional AIDS Education and Training Center (MPAETC) and the National Native American AIDS Prevention Center (NNAAPC) developed this Self-Study Module as one component of a larger training project to help health care providers respond to the HIV epidemic within the Native American population. The curriculum is designed to meet the needs of health care practitioners who may not have direct access to education and training centers or academic institutions, yet who recognize the need to develop knowledge, skills, and consultative support for HIV issues in professional practice. The Self-Study Module is a self-directed learning tool comprised of four sections: Background to HIV and Cultural Issues among Native American clients, HIV Prevention, Early Intervention, and Health Promotion. Advanced care is beyond the scope of this module, but resources are provided for further information.
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