Blister Packaging Medications for Adherence for American Indians/Alaska Natives in the Outpatient Setting

2019 ◽  
pp. 089719001985135
Author(s):  
LT Sean Navin
Keyword(s):  
Cognitive Impairment ◽  
American Indians ◽  
Alaska Native ◽  
Medication Possession Ratio ◽  
Patient Characteristics ◽  
Outpatient Setting ◽  
Alaska Natives ◽  
Blister Pack ◽  
Before And After ◽  
One Year

Objective: To compare adherence one year before and after blister pack implementation in America Indian and Alaska Native (AI/AN) patients and to describe the patient population who used blister packs in the outpatient setting. Methods: A retrospective analysis of AI/AN patients receiving blister packs was performed to determine medication adherence as measured by a variable medication possession ratio (MPR). Patient characteristics and the reason for blister pack initiation were also assessed. Results: Of the 25 patients receiving blister packs, 76% were female, 56% were elderly and 60% had cognitive impairment. The three most common types of medications used were hypertension meds, vitamins and diabetes meds. The average MPR one year before blister pack implementation was 67.4% and significantly increased to 86.0% one year after. Conclusion: Blister packs significantly increased the average MPR after one year of implementation in a small group of AI/AN patients. Blister packs were utilized most commonly in patients who were female, had cognitive impairment, and who were taking numerous medications with a high pill burden in the outpatient setting.

American Indians fitting into Medical School

1999 ◽  
Vol 27 (2) ◽  
pp. 5-11
Author(s):  
Apanakhi Buckley
Keyword(s):  
United States ◽  
Medical School ◽  
American Indians ◽  
Alaska Native ◽  
White Women ◽  
The United States ◽  
Alaska Natives ◽  
Indian Health Service ◽  
Native Women ◽  
Indian Health

This paper describes a qualitative study of how indigenous people experience medical school in the United States. Nine American Indians and Alaska Natives participated in the study: five women and four men. They came from eight different tribes, but they have asked me to protect their confidentiality, so I will not identify their tribes. Their ages ranged from 27 to 39. Five of them had children. Two of them were unmarried.In the United States, the need for indigenous physicians is great. Twice as many American Indians die from homicide and suicide as non-Indians in the United States (Wallace, Kirk, Houston, Amnest, and Emrich, 1993); three times as many die from accidents and more than four times as many die from alcoholism (Indian Health Service, 1996). Diabetes is rampant among American Indians and Alaska Natives. Women are the hardest hit (Gilliland, Gilliland, and Carter; 1997). More than five times as many American Indian and Alaska Native women die from diabetes than non-Latina white women.

The Association of Cultural Participation and Social Engagement With Self-Reported Diagnosis of Memory Problems Among American Indian and Alaska Native Elders

2021 ◽  
Vol 33 (7-8_suppl) ◽  
pp. 60S-67S
Author(s):  
Collette Adamsen ◽  
Spero M. Manson ◽  
Luohua Jiang
Keyword(s):  
American Indians ◽  
Alaska Native ◽  
Social Engagement ◽  
Strong Association ◽  
Cross Sectional Study ◽  
Alaska Natives ◽  
Cultural Participation ◽  
Cross Sectional ◽  
Memory Problems ◽  
Using Data

Objective: This study examines the association of cultural participation and social engagement with self-reported diagnosis of memory problems among older American Indians and Alaska Natives (AI/ANs). Method: We conducted a cross-sectional study of 14,827 AI/ANs using data from the 2014–2017 cycle of the Identifying Our Needs: A Survey of Elders (ION). Logistic regression was used to examine the association of cultural participation and social engagement with self-reported diagnosis of memory problems. Results: Compared to older AI/ANs who reported high cultural participation and/or high social engagement, those characterized by low cultural participation and/or low social engagement exhibited significantly higher odds of a self-reported diagnosis of memory problems (OR = 1.863, 95% CI: [1.269, 2.734], p = .001). Discussion: Older AI/ANs who described either or both low cultural participation and low social engagement endorsed far more self-reported diagnoses of memory problems, suggesting a strong association that warrants further study for potential causality.

scholarly journals The Relationship Between Bias-Related Victimization and Generalized Anxiety Disorder Among American Indian and Alaska Native Lesbian, Gay, Bisexual, Transgender, Two-Spirit Community Members

2017 ◽  
Vol 12 (2) ◽  
pp. 64-83 ◽  
Author(s):  
Myra Parker ◽  
Bonnie Duran ◽  
Karina Walters
Keyword(s):  
Sexual Orientation ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
American Indians ◽  
Alaska Native ◽  
Alaska Natives ◽  
Generalized Anxiety ◽  
Community Members ◽  
Two Spirit ◽  
The Relationship

Lesbian, gay, bisexual, transgender, two-spirit, and American Indian and Alaska Native community members share long histories of discrimination and poorer health status as compared to mainstream Americans. In particular, these groups experience bias-related victimization, a type of discrimination based on inherent traits such as race or ethnicity and sexual orientation. This cross-sectional study (N = 334) used a revised bias-related victimization measure and examined the relationship between self-reported bias-related victimization and generalized anxiety disorder, depression, and substance abuse among lesbian, gay, bisexual, transgender, and two-spirit American Indians and Alaska Natives. The results showed that 84.4% reported experiencing bias-related victimization. Those with the highest levels of bias-related victimization had 2.79 times (p = .009; 95% CI [1.30, 6.02]) the risk of reporting symptoms of generalized anxiety disorder as compared to those with no bias-related victimization, controlling for income, education, sex, age, sexual orientation, and chronic disease. There was no significant relationship between bias-related victimization and major depression or substance dependence/abuse. Our results support a potential relationship between bias-related victimization and generalized anxiety disorder for lesbian, gay, bisexual, transgender, and two-spirit American Indians and Alaska Natives. Including diverse populations in research is essential to a better understanding of the impact on health outcomes. Inclusion of bias-related victimization questions in clinical treatment may help identify at-risk patients.

scholarly journals Potential Disparate Impact CAEP Standard 3.2 on the Protected Classes of Alaska Native, American Indian, African American, and Latino Members of Descent

2016 ◽  
Vol 4 (8) ◽  
pp. 151-160
Author(s):  
Roy Roehl
Keyword(s):  
African American ◽  
Native American ◽  
American Indian ◽  
American Indians ◽  
Alaska Native ◽  
Teacher Candidates ◽  
National Policy ◽  
Alaska Natives ◽  
Disparate Impact ◽  
Minority Teacher

CAEP Standard 3.2 has a demonstrated disparate impact on several protected classes of individuals, including African Americans, Alaska Natives, American Indians, and Latinos. The data from this study clearly shows a national policy that will have an unequal impact for future genrations of minority teacher candidates.

scholarly journals Blood Politics, Ethnic Identity, and Racial Misclassification among American Indians and Alaska Natives

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Emily A. Haozous ◽  
Carolyn J. Strickland ◽  
Janelle F. Palacios ◽  
Teshia G. Arambula Solomon
Keyword(s):  
Ethnic Identity ◽  
American Indian ◽  
American Indians ◽  
Alaska Native ◽  
Historical Context ◽  
Alaska Natives ◽  
Political Processes ◽  
Current State ◽  
Native Identity ◽  
State Of The Science

Misclassification of race in medical and mortality records has long been documented as an issue in American Indian/Alaska Native data. Yet, little has been shared in a cohesive narrative which outlines why misclassification of American Indian/Alaska Native identity occurs. The purpose of this paper is to provide a summary of the current state of the science in racial misclassification among American Indians and Alaska Natives. We also provide a historical context on the importance of this problem and describe the ongoing political processes that both affect racial misclassification and contribute to the context of American Indian and Alaska Native identity.

Determinants of Racial Misclassification in COVID-19 Mortality Data: The Role of Funeral Directors and Social Context

2020 ◽  
Vol 44 (3) ◽  
pp. 15-36
Author(s):  
Andrew Kalweit ◽  
Marc Clark ◽  
Jamie Ishcomer-Aazami
Keyword(s):  
Social Context ◽  
American Indians ◽  
Alaska Native ◽  
Alaska Natives ◽  
Mortality Data ◽  
Death Certificates ◽  
Funeral Directors ◽  
The Social

Death certificates are a crucial tool in public health, yet American Indians and Alaska Natives have long been misclassified after death, most often as white. During the COVID-19 pandemic, rapid provisional death counts have used data from death certificates to identify outbreaks and allocate resources. This paper interrogates common practices of funeral directors—who complete the demographic portion of the death certificate—as well as the social context in which they operate. The paper then reviews how these determinants of American Indian and Alaska Native misclassification may have changed during the pandemic and discusses implications for the quality of COVID-19 mortality data and opportunities for improvement.

Regional Differences In Coverage Among American Indians And Alaska Natives Before And After The ACA

2019 ◽  
Vol 38 (9) ◽  
pp. 1542-1549 ◽  
Author(s):  
Leah Frerichs ◽  
Ronny Bell ◽  
Kristen Hassmiller Lich ◽  
Daniel Reuland ◽  
Donald Warne
Keyword(s):  
American Indians ◽  
Regional Differences ◽  
Alaska Natives ◽  
Before And After

Special Section: Training Practicing Anthropologists

1980 ◽  
Vol 2 (3) ◽  
pp. 4-24 ◽  
Author(s):  
Spero Manson ◽  
Bea Medicine ◽  
Walter Funmaker
Keyword(s):  
American Indians ◽  
Alaska Native ◽  
Special Section ◽  
Alaska Natives ◽  
Health Programs ◽  
Doctoral Degrees ◽  
Indian Health Service ◽  
Indian Health ◽  
Mental Health Programs ◽  
Service Agencies

No more than 60 American Indians and Alaska Natives currently hold doctoral degrees in the fields of anthropology, psychiatry, psychology, social work, and sociology. Only a few of these persons actually work in positions where they can directly impact American Indian and Alaska Native mental health programs. Moreover, lacking graduate level trained Indian professionals, many of these programs—as within the Indian Health Service, for example—have become almost solely dependent upon an Indian paraprofessional workforce. Communities and service agencies alike, however, prefer more trained Indian and Native psychologists, psychiatrists, social workers, medical sociologists, and medical anthropologists.

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