scholarly journals American Indian and Alaska Native People: Social Vulnerability and COVID‐19

2020 ◽  
Vol 37 (1) ◽  
pp. 256-259 ◽  
Author(s):  
Elizabeth D. Hathaway
2012 ◽  
Vol 23 (3) ◽  
pp. 1157-1173 ◽  
Author(s):  
Tracy Frech ◽  
Khe-ni Ma ◽  
Elizabeth D. Ferrucci ◽  
Anne P. Lanier ◽  
Molly McFadden ◽  
...  

2021 ◽  
pp. 003335492110440
Author(s):  
Nicholas J. Braun ◽  
Kari M. Gloppen ◽  
Jon Roesler

Objective Overall trends in rates of fully alcohol-attributable mortality may mask disparities among demographic groups. We investigated overall, demographic, and geographic trends in fully alcohol-attributable mortality rates in Minnesota. Methods We obtained mortality data from Minnesota death certificates and defined fully alcohol-attributable deaths as deaths that would not occur in the absence of alcohol. We calculated age-adjusted death rates during 2000-2018 using 5-year moving averages stratified by decedents’ characteristics and geographic location. Results Chronic conditions accounted for most of the alcohol-attributable deaths in Minnesota (89% during 2014-2018). Alcohol-attributable mortality rates per 100 000 population increased from an average rate of 8.0 during 2000-2004 to 12.6 during 2014-2018. During 2000-2018, alcohol-attributable mortality rates were highest among males (vs females), adults aged 55-64 (vs other ages), and American Indian/Alaska Native people (vs other racial and ethnic groups) and lowest among people aged ≤24 years and Asian or Pacific Islander people. During 2014-2018, the alcohol-attributable mortality rate among American Indian/Alaska Native people was more than 5 times higher than the overall mortality rate in Minnesota. Conclusions Results from this study may increase awareness of racial and ethnic disparities and continuing health inequities and inform public health prevention efforts, such as those recommended by the Community Preventive Services Task Force, including regulating alcohol outlet density and increasing alcohol taxes.


Neurology ◽  
2012 ◽  
Vol 78 (Meeting Abstracts 1) ◽  
pp. P07.130-P07.130
Author(s):  
P. Gordon ◽  
J. Mehal ◽  
R. Holman ◽  
A. Rowland ◽  
J. Cheek

CHEST Journal ◽  
2014 ◽  
Vol 146 (3) ◽  
pp. 624-632 ◽  
Author(s):  
Jason M. Mehal ◽  
Robert C. Holman ◽  
Claudia A. Steiner ◽  
Michael L. Bartholomew ◽  
Rosalyn J. Singleton

2021 ◽  
Author(s):  
Molly Feder ◽  
Amanda Winters ◽  
Whitney Essex ◽  
Jorge Mera

Abstract Background: Injection drug use is an important public health issue in the United States, and estimates indicate that American Indian and Alaska Native people are disproportionately affected. Injection drug use is also the leading cause of Hepatitis C virus (HCV) infection in the United States, attributable to over half of all cases, and contributes to 44% of human immunodeficiency virus (HIV) acquisition in American Indian and Alaska Native females. Existing estimates of American Indian and Alaska Native people who inject drugs are limited. We aimed to estimate the number of people who inject drugs in Cherokee Nation.Methods: A two-sample, capture-recapture approach was used. The first data source was an abstraction of Cherokee Nation Health Services electronic medical records from February 2017 through December 2018. The second data source was an abstraction from Cherokee Nation’s HCV Elimination Program Database from August 2015 through December 2018. Individuals were included in the abstractions if they were asked if they had injected drugs in the past six months during their health visit. The indirect prevalence estimate of people who inject drugs was calculated in accordance with the UNAIDS/WHO Guidelines on Estimating the Size of Populations Most at Risk to HIV.Results: In total, 198 individuals across both data sources reported that they had injected drugs within the past six months. This included 123 unique individuals from the first source, 69 individuals from the second source, and six individuals who were included in both sources. Capture-recapture calculations indicated an estimate of 1,613 people who inject drugs (95% CI: 404, 2,821). Conclusions: This study was the first attempt at estimating the number of people who inject drugs in Cherokee Nation, and one of the few existing studies to estimate the number of American Indian/Alaska Native people who inject drugs in the United States. Gaining knowledge about the prevalence of people who inject drugs in Cherokee Nation will inform strategies to support addiction care and treatment among people who inject drugs living in Indian Country.


2019 ◽  
Vol 31 (2) ◽  
pp. 178-187
Author(s):  
Kate M. Lillie ◽  
Lisa G. Dirks ◽  
J. Randall Curtis ◽  
Carey Candrian ◽  
Jean S. Kutner ◽  
...  

Introduction: Advance care planning (ACP) is a process in which patients, families, and providers discuss and plan for desired treatment goals. American Indian and Alaska Native people (AI/AN) have higher prevalence of many serious, life-limiting illnesses compared with the general population; yet AI/ANs use ACP considerably less than the overall population. Method: We conducted a qualitative study to culturally adapt an existing ACP intervention for AI/ANs in two primary care settings. Results: We found that it is important to incorporate patients’ cultural values and priorities into ACP, determine who the patient wants involved in ACP conversations, and consider the culturally and locally relevant barriers and facilitators when developing an ACP intervention with AI/AN communities. Discussion: At the core, ACP interventions should be clear and understandable across populations and tailored to facilitate culturally appropriate and meaningful patient–provider communication. Our results and methodology of culturally adapting an intervention may be applicable to other underrepresented populations.


2014 ◽  
Vol 66 (9) ◽  
pp. 2494-2502 ◽  
Author(s):  
Elizabeth D. Ferucci ◽  
Janet M. Johnston ◽  
Jasmine R. Gaddy ◽  
Lisa Sumner ◽  
James O. Posever ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document