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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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: 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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