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Sample records for alaska native peoples

  1. A History of Schooling for Alaska Native People.

    ERIC Educational Resources Information Center

    Barnhardt, Carol

    2001-01-01

    Reviews the geographic and demographic contexts of Alaska schooling, federal policies that have affected education in Alaska, and the evolution of schooling for Alaska Native people. Describes the development of a dual federal/territorial system of schools, the initiation of federal and state reform efforts, Native-sponsored educational…

  2. Tobacco Use Among Southwestern Alaska Native People

    PubMed Central

    Renner, Caroline C.

    2013-01-01

    Introduction: We examined the characteristics, attitudes, beliefs, and exposure to tobacco products in a cohort of rural dwelling Alaska Native (AN) people. Methods: We conducted a study of 400 of AN adult tobacco users and nonusers living in Southwestern Alaska. Questionnaires covered variables such as demographics, tobacco-use history, current tobacco use and dependence scales, general health status, attitudes and beliefs about tobacco, and quitting history. Results: The study population smoked 7.8 cigarettes per day compared with 16.8 on average for the U.S. population: a significant proportion of the population engaged in dual use of cigarettes and smokeless tobacco products. Over one third (40.9%), first tried tobacco at age 11 or younger. The mean measures of tobacco addiction (e.g., Fagerstrom Test for Nicotine Dependence, Severson Scale of Smokeless Tobacco Dependence) scores were lower compared with other U.S. populations. Conclusions: Very high tobacco-use prevalence, dual product use, and early tobacco use are observed in Southwestern AN people. Unexpectedly these did not appear to be correlated with heavier individual tobacco use or higher levels of addiction in this population. PMID:22949573

  3. Yesterday Still Lives...Our Native People Remember Alaska.

    ERIC Educational Resources Information Center

    DeMarco, Pat, Ed.; And Others

    In the summer of 1978, seven teenagers and several staff members from the Fairbanks Native Association-Johnson O'Malley program set out to record some of Alaska's past by interviewing a number of older Alaska Natives and writing their biographical sketches. Some of the students spent a week along the Yukon River taping and photographing people;…

  4. Discovering unique tobacco use patterns among Alaska Native people

    PubMed Central

    Dilley, Julia A.; Peterson, Erin; Hiratsuka, Vanessa Y.; Rohde, Kristen

    2013-01-01

    Background Alaska Native people are disproportionately impacted by tobacco-related diseases in comparison to non-Native Alaskans. Design We used Alaska’s Behavioral Risk Factor Surveillance System (BRFSS) to describe tobacco use among more than 4,100 Alaska Native adults, stratified by geographic region and demographic groups. Results Overall tobacco use was high: approximately 2 out of every 5 Alaska Native adults reported smoking cigarettes (41.2%) and 1 in 10 reported using smokeless tobacco (SLT, 12.3%). A small percentage overall (4.8%) reported using iq’mik, an SLT variant unique to Alaska Native people. When examined by geographic region, cigarette smoking was highest in remote geographic regions; SLT use was highest in the southwest region of the state. Use of iq’mik was primarily confined to a specific area of the state; further analysis showed that 1 in 3 women currently used iq’mik in this region. Conclusion Our results suggest that different types of tobacco use are epidemic among diverse Alaska Native communities. Our results also illustrate that detailed analysis within racial/ethnic groups can be useful for public health programme planning to reduce health disparities. PMID:23971010

  5. Enhancing Cancer Education through the Arts: Building Connections with Alaska Native People, Cultures and Communities

    ERIC Educational Resources Information Center

    Cueva, Melany; Kuhnley, Regina; Cueva, Katie

    2012-01-01

    Building upon the dynamic traditions of Alaska Native people, which include the arts as a viable way of knowing, the expressive arts were woven into a five-day cancer education course for Alaska village-based Community Health Workers (CHWs). Cancer is the leading cause of mortality for Alaska Native people. Course learning modalities included…

  6. Alaska Natives & the Land.

    ERIC Educational Resources Information Center

    Arnold, Robert D.; And Others

    Pursuant to the Native land claims within Alaska, this compilation of background data and interpretive materials relevant to a fair resolution of the Alaska Native problem seeks to record data and information on the Native peoples; the land and resources of Alaska and their uses by the people in the past and present; land ownership; and future…

  7. Alaska Native people's perceptions, understandings, and expectations for research involving biological specimens

    PubMed Central

    Hiratsuka, Vanessa Y.; Brown, Jennifer K.; Hoeft, Theresa J.; Dillard, Denise A.

    2012-01-01

    Objectives Members of racially and ethnically diverse groups have been persistently underrepresented in biomedical research in general, possibly due to mistrust with the medical and research community. This article describes the perceptions, understandings, and expectations of Alaska Native people about research involving the collection and storage of biological specimens. Study design Stratified focus groups. Methods Twenty-nine focus groups with Alaska Native people (n = 178) were held in 14 locations using a semi-structured moderator guide. ATLAS.ti was used for thematic analysis through iterative readings and coding. Alaska Native peoples’ perceptions, understandings, and expectations of researcher beneficence, informed consent processes, and provision of research findings were elicited. Results and conclusions Alaska Native people desired extensive disclosure of information beyond that typically provided in consent and results dissemination processes. Information germane to the motivation and intent of researchers and specifics of specimen storage and destruction were specifically requested. A clear and extensive process of informed consent and continued improvements in sharing results may enhance the transparency of research intent, conduct, and use of obtained results among Alaska Native people. Meeting expectations may improve relationships between researchers and the Alaska Native population which could result in increased research participation. Our findings offer a guide for researchers and communities when planning and implementing research with biological specimens. PMID:22663942

  8. Using Digital Stories to Understand the Lives of Alaska Native Young People

    ERIC Educational Resources Information Center

    Wexler, Lisa; Eglinton, Kristen; Gubrium, Aline

    2014-01-01

    To better understand how young Alaska Native (Inupiaq) people are creatively responding to the tensions of growing up in a world markedly different from that of their parents and grandparents, the pilot study examined youth-produced digital stories as representations of their everyday lives, values, and identities. Two hundred and seventy-one…

  9. Tobacco Use by American Indian and Alaska Native People: Risks, Psychosocial Factors and Preventive Intervention.

    ERIC Educational Resources Information Center

    Schinke, Steven P.; And Others

    1990-01-01

    Reviews cancer and other health and behavioral risks posed to American Indian and Alaska Native people by smoked and smokeless tobacco use. Pays particular attention to psychosocial aspects of tobacco use, including influences of cultural, social, and gender-specific factors. Suggests prevention model based on bicultural competence theory and…

  10. Impact of adaptive functioning on readmission to alcohol detoxification among Alaska Native People

    PubMed Central

    Bear, Ursula Running; Anderson, Heather; Manson, Spero M.; Shore, Jay H.; Prochazka, Allan V.; Novins, Douglas K.

    2014-01-01

    Background This study examined predictors associated with readmission to detoxification in a sample of adult Alaska Native patients admitted to inpatient alcohol detoxification. Even though Alaska Native people diagnosed with alcoholism have been identified as frequent utilizers of the health care system and at elevated risk of death, little is known about factors associated with readmission to detoxification for this group. Methods We sought to predict readmission using a retrospective cohort study. The sample included 383 adult Alaska Native patients admitted to an inpatient detoxification unit and diagnosed with alcohol withdrawal during 2006 and 2007. Cox proportional hazard modeling was used to estimate unadjusted and adjusted associations with time to readmission within one year. Results Forty-two percent of the patients were readmitted within one year. Global Assessment Functioning (GAF; Axis V in the multi-axial diagnostic system of the Diagnostic and Statistical Manual of Mental Disorders [DSM IV]) score measured at the time of intake was associated with readmission. A one point increase in the GAF score (HR = .96, 95% CL = .94, .99, P = .002) was associated with a four percent decrease in readmission. The results also indicated that the GAF mediated the relationship between readmission and: employment and housing status. Conclusions The GAF measures both illness severity and adaptive functioning, is part of standard behavioral health assessments, and is easy to score. Readmission rates potentially could be decreased by creating clinical protocols that account for differences in adaptive functioning and illness severity during detoxification treatment and aftercare. PMID:24837583

  11. Prevalence and predictors of cancer screening among American Indian and Alaska native people: the EARTH study

    PubMed Central

    Schumacher, Mary Catherine; Slattery, Martha L.; Lanier, Anne P.; Ma, Khe-Ni; Edwards, Sandra; Ferucci, Elizabeth D.; Tom-Orme, Lillian

    2008-01-01

    Purpose The purpose of this study was to examine the prevalence rates for cervical, breast, and colorectal cancer screening among American Indian and Alaska Native people living in Alaska and in the Southwest US, and to investigate predictive factors associated with receiving each of the cancer screening tests. Methods We used the Education and Research Towards Health (EARTH) Study to measure self-reported cancer screening prevalence rates among 11,358 study participants enrolled in 2004–2007. We used prevalence odds ratios to examine demographic, lifestyle and medical factors associated with receiving age- and sex-appropriate cancer screening tests. Results The prevalence rates of all the screening tests were higher in Alaska than in the Southwest. Pap test in the past 3 years was reported by 75.1% of women in Alaska and 64.6% of women in the Southwest. Mammography in the past 2 years was reported by 64.6% of women aged 40 years and older in Alaska and 44.0% of those in the Southwest. Colonoscopy or sigmoidoscopy in the past 5 years was reported by 41.1% of study participants aged 50 years and older in Alaska and by 11.7% of those in the Southwest US. Multivariate analysis found that location (Alaska versus the Southwest), higher educational status, income and the presence of one or more chronic medical condition predicted each of the three screening tests. Additional predictors of Pap test were age (women aged 25–39 years more likely to be screened than older or younger women), marital status (ever married more likely to be screened), and language spoken at home (speakers of American Indian Alaska Native language only less likely to be screened). Additional predictors of mammography were age (women aged 50 years and older were more likely to be screened than those aged 40–49 years), positive family history of breast cancer, use of smokeless tobacco (never users more likely to be screened), and urban/rural residency (urban residents more likely to be

  12. Promoting Ethical Research With American Indian and Alaska Native People Living in Urban Areas

    PubMed Central

    Bartgis, Jami; Demers, Deirdre

    2014-01-01

    Most health research with American Indian and Alaska Native (AI/AN) people has focused on tribal communities on reservation lands. Few studies have been conducted with AI/AN people living in urban settings despite their documented health disparities compared with other urban populations. There are unique considerations for working with this population. Engaging key stakeholders, including urban Indian health organization leaders, tribal leaders, research scientists and administrators, and policymakers, is critical to promoting ethical research and enhancing capacity of urban AI/AN communities. Recommendations for their involvement may facilitate an open dialogue and promote the development of implementation strategies. Future collaborations are also necessary for establishing research policies aimed at improving the health of the urban AI/AN population. PMID:25211730

  13. Cardiometabolic Correlates of Low Type 2 Diabetes Incidence in Western Alaska Native People -- the WATCH Study

    PubMed Central

    Koller, Kathryn R.; Metzger, Jesse S.; Jolly, Stacey E.; Umans, Jason G.; Hopkins, Scarlett E.; Kaufmann, Cristiane; Wilson, Amy S.; Ebbesson, Sven O. E.; Raymer, Terry W.; Austin, Melissa A.; Howard, Barbara V.; Boyer, Bert B.

    2015-01-01

    Aims Previously rare among Alaska Native (AN) people, type 2 diabetes (DM2) prevalence as indicated by registry data has increased by as much as 300% in some western Alaska regions. We sought to determine prevalence and incidence of DM2 and analyze associated cardiometabolic risk factors in western AN people. Methods DM2 and prediabetes prevalence and incidence were determined by the Western Alaska Tribal Collaborative for Health using consolidated data from cohort studies conducted during 2000–2010. Crude and age-adjusted incidence for DM2 and prediabetes were calculated using 2010 American Diabetes Association criteria. Effects of covariates on DM2 and prediabetes were determined using univariate and multivariate Cox proportional hazards analyses, adjusted for age and sex. Results Excluding baseline diabetes (n=124, 4.5%), 53 cases of new DM2 were identified among 2,630 participants. Age- and sex-adjusted DM2 incidence was 4.3/1,000 (95% CI 2.9, 5.0) person-years over an average 5.9-year follow up. After excluding baseline prediabetes, 387 new cases of prediabetes were identified among 1,841 participants; adjusted prediabetes incidence was 44.5/1,000 (95% CI 39.5, 49.5) person years. Independent predictors for DM2 included age, impaired fasting glucose, and metabolic syndrome; family history of diabetes and obesity were additional independent predictors for prediabetes. Conclusions DM2 incidence in western AN people is substantially lower than that for U.S. whites; however, incidence of prediabetes is more than 10-fold higher than western AN DM2 incidence and more closely aligned with U.S. rates. Interventions aimed at achieving healthy lifestyles are needed to minimize risk factors and maximize protective factors for DM2 in this population. PMID:25805711

  14. Pneumonia and Influenza Mortality Among American Indian and Alaska Native People, 1990–2009

    PubMed Central

    Hennessy, Thomas W.; Singleton, Rosalyn J.; Butler, Jay C.; Holve, Stephen; Cheek, James E.

    2014-01-01

    Objectives. We compared pneumonia and influenza death rates among American Indian/Alaska Native (AI/AN) people with rates among Whites and examined geographic differences in pneumonia and influenza death rates for AI/AN persons. Methods. We adjusted National Vital Statistics Surveillance mortality data for racial misclassification of AI/AN people through linkages with Indian Health Service (IHS) registration records. Pneumonia and influenza deaths were defined as those who died from 1990 through 1998 and 1999 through 2009 according to codes for pneumonia and influenza from the International Classification of Diseases, 9th and 10th Revision, respectively. We limited the analysis to IHS Contract Health Service Delivery Area counties, and compared pneumonia and influenza death rates between AI/ANs and Whites by calculating rate ratios for the 2 periods. Results. Compared with Whites, the pneumonia and influenza death rate for AI/AN persons in both periods was significantly higher. AI/AN populations in the Alaska, Northern Plains, and Southwest regions had rates more than 2 times higher than those of Whites. The pneumonia and influenza death rate for AI/AN populations decreased from 39.6 in 1999 to 2003 to 33.9 in 2004 to 2009. Conclusions. Although progress has been made in reducing pneumonia and influenza mortality, disparities between AI/AN persons and Whites persist. Strategies to improve vaccination coverage and address risk factors that contribute to pneumonia and influenza mortality are needed. PMID:24754620

  15. Influenza Hospitalizations Among American Indian/Alaska Native People and in the United States General Population

    PubMed Central

    Gounder, Prabhu P.; Callinan, Laura S.; Holman, Robert C.; Cheng, Po-Yung; Bruce, Michael G.; Redd, John T.; Steiner, Claudia A.; Bresee, Joseph; Hennessy, Thomas W.

    2014-01-01

    Background.  Historically, American Indian/Alaska Native (AI/AN) people have experienced a disproportionate burden of infectious disease morbidity compared with the general US population. We evaluated whether a disparity in influenza hospitalizations exists between AI/AN people and the general US population. Methods.  We used Indian Health Service hospital discharge data (2001–2011) for AI/AN people and 13 State Inpatient Databases (2001–2008) to provide a comparison to the US population. Hospitalization rates were calculated by respiratory year (July–June). Influenza-specific hospitalizations were defined as discharges with any influenza diagnoses. Influenza-associated hospitalizations were calculated using negative binomial regression models that incorporated hospitalization and influenza laboratory surveillance data. Results.  The mean influenza-specific hospitalization rate/100 000 persons/year during the 2001–2002 to 2007–2008 respiratory years was 18.6 for AI/AN people and 15.6 for the comparison US population. The age-adjusted influenza-associated hospitalization rate for AI/AN people (98.2; 95% confidence interval [CI], 51.6–317.8) was similar to the comparison US population (58.2; CI, 34.7–172.2). By age, influenza-associated hospitalization rates were significantly higher among AI/AN infants (<1 year) (1070.7; CI, 640.7–2969.5) than the comparison US infant population (210.2; CI, 153.5–478.5). Conclusions.  American Indian/Alaska Native people had higher influenza-specific hospitalization rates than the comparison US population; a significant influenza-associated hospitalization rate disparity was detected only among AI/AN infants because of the wide CIs inherent to the model. Taken together, the influenza-specific and influenza-associated hospitalization rates suggest that AI/AN people might suffer disproportionately from influenza illness compared with the general US population. PMID:25734102

  16. Characterizing the Reproducibility and Reliability of Dietary Patterns among Yup’ik Alaska Native People

    PubMed Central

    Ryman, Tove K.; Boyer, Bert B.; Hopkins, Scarlett; Philip, Jacques; O’Brien, Diane; Thummel, Kenneth; Austin, Melissa A.

    2015-01-01

    Food frequency questionnaire (FFQ) data can be used to characterize dietary patterns for diet-disease association studies. Among a sample of Yup’ik people from Southwest Alaska, we evaluated three previously defined dietary patterns: “subsistence foods” and market-based “processed foods” and “fruits and vegetables”. We tested the reproducibility and reliability of the dietary patterns and tested associations of the patterns with dietary biomarkers and participant characteristics. We analyzed data from adult study participants who completed at least one FFQ with the Center for Alaska Native Health Research 9/2009–5/2013. To test reproducibility we conducted a confirmatory factor analysis (CFA) of a hypothesized model using 18 foods to measure the dietary patterns (n=272). To test the reliability of the dietary patterns, we used CFA to measure the composite reliability (n=272) and intraclass correlation coefficients for test-retest reliability (n=113). Finally, to test associations we used linear regression (n=637). All CFA factor loadings, except one, indicated acceptable correlations between foods and dietary patterns (r > 0.40) and model fit criteria were greater than 0.90. Composite and test-retest reliability of dietary patterns were respectively 0.56 and 0.34 for subsistence foods, 0.73 and 0.66 for processed foods, and 0.72 and 0.54 for fruits and vegetables. In the multi-predictor analysis, dietary patterns were significantly associated with dietary biomarkers, community location, age, sex, and self-reported lifestyle. This analysis confirmed the reproducibility and reliability of the dietary patterns in this study population. These dietary patterns can be used for future research and development of dietary interventions in this underserved population. PMID:25656871

  17. Characterising the reproducibility and reliability of dietary patterns among Yup'ik Alaska Native people.

    PubMed

    Ryman, Tove K; Boyer, Bert B; Hopkins, Scarlett; Philip, Jacques; O'Brien, Diane; Thummel, Kenneth; Austin, Melissa A

    2015-02-28

    FFQ data can be used to characterise dietary patterns for diet-disease association studies. In the present study, we evaluated three previously defined dietary patterns--'subsistence foods', market-based 'processed foods' and 'fruits and vegetables'--among a sample of Yup'ik people from Southwest Alaska. We tested the reproducibility and reliability of the dietary patterns, as well as the associations of these patterns with dietary biomarkers and participant characteristics. We analysed data from adult study participants who completed at least one FFQ with the Center for Alaska Native Health Research 9/2009-5/2013. To test the reproducibility of the dietary patterns, we conducted a confirmatory factor analysis (CFA) of a hypothesised model using eighteen food items to measure the dietary patterns (n 272). To test the reliability of the dietary patterns, we used the CFA to measure composite reliability (n 272) and intra-class correlation coefficients for test-retest reliability (n 113). Finally, to test the associations, we used linear regression (n 637). All factor loadings, except one, in CFA indicated acceptable correlations between foods and dietary patterns (r>0·40), and model-fit criteria were >0·90. Composite and test-retest reliability of the dietary patterns were, respectively, 0·56 and 0·34 for 'subsistence foods', 0·73 and 0·66 for 'processed foods', and 0·72 and 0·54 for 'fruits and vegetables'. In the multi-predictor analysis, the dietary patterns were significantly associated with dietary biomarkers, community location, age, sex and self-reported lifestyle. This analysis confirmed the reproducibility and reliability of the dietary patterns in the present study population. These dietary patterns can be used for future research and development of dietary interventions in this underserved population. PMID:25656871

  18. Formative Evaluation to Assess Communication Technology Access and Health Communication Preferences of Alaska Native People

    PubMed Central

    Robinson, Renee F.; Dillard, Denise A.; Hiratsuka, Vanessa Y.; Smith, Julia J.; Tierney, Steve; Avey, Jaedon P.; Buchwald, Dedra S.

    2016-01-01

    Objective Information technology can improve the quality, safety, and efficiency of healthcare delivery by improving provider and patient access to health information. We conducted a nonrandomized, cross-sectional, self-report survey to determine whether Alaska Native and American Indian (AN/AI) people have access to the health communication technologies available through a patient-centered medical home. Methods In 2011, we administered a self-report survey in an urban, tribally owned and operated primary care center serving AN/AI adults. Patients in the center’s waiting rooms completed the survey on paper; center staff completed it electronically. Results Approximately 98% (n = 654) of respondents reported computer access, 97% (n = 650) email access, and 94% (n = 631) mobile phone use. Among mobile phone users, 60% had Internet access through their phones. Rates of computer access (p = .011) and email use (p = .005) were higher among women than men, but we found no significant gender difference in mobile phone access to the Internet or text messaging. Respondents in the oldest age category (65–80 years of age) were significantly less likely to anticipate using the Internet to schedule appointments, refill medications, or communicate with their health care providers (all p < .001). Conclusion Information on use of health communication technologies enables administrators to deploy these technologies more efficiently to address health concerns in AN/AI communities. Our results will drive future research on health communication for chronic disease screening and health management. PMID:27169131

  19. Differences in cigarette and smokeless tobacco use among American Indian and Alaska Native people living in Alaska and the Southwest United States

    PubMed Central

    Lanier, Anne P.; Renner, Caroline; Smith, Julia; Tom-Orme, Lillian; Slattery, Martha L.

    2010-01-01

    Introduction: This study analyzed self-reported tobacco use among American Indian and Alaska Native (AI/AN) people enrolled in the Education and Research Towards Health Study in Alaska (n = 3,821) and the Southwest United States (n = 7,505) from 2004 to 2006. Methods: Participants (7,060 women and 4,266 men) completed a computer-assisted self-administered questionnaire on cigarette and smokeless tobacco (ST) use. Results: Current use of cigarettes was considerably higher in Alaska than in the Southwest United States (32% vs. 8%). Current ST use was also more common in Alaska than in the Southwest United States (18% vs. 8%). Additionally, smoking was more common among men, younger age, those who were not married, and who only spoke English at home, while ST use was more common among men, those with lower educational attainment and those who spoke an AI/AN language at home (p < .01). Compared with the U.S. general population, AI/AN people living in Alaska were more likely and those living in the Southwest United States were less likely to be current smokers. Rates of ST use, including homemade ST, in both regions were much higher than the U.S. general population. Discussion: Tobacco use among AI/AN people in the Southwest United States, who have a tradition of ceremonial tobacco use, was far lower than among Alaska Native people, who do not have a tribal tradition. Tobacco use is a key risk factor for multiple diseases. Reduction of tobacco use is a critical prevention measure to improve the health of AI/AN people. PMID:20525781

  20. The Impact of Patient and Provider Factors on Depression Screening of American Indian and Alaska Native People in Primary Care

    PubMed Central

    Dillard, Denise A.; Muller, Clemma J.; Smith, Julia J.; Hiratsuka, Vanessa Y.; Manson, Spero M.

    2014-01-01

    Introduction The US Preventive Services Task Force recommends routine depression screening in primary care, yet regular screening does not occur in most health systems serving Alaska Native and American Indian people. The authors examined factors associated with administration of depression screening among Alaska Native and American Indian people in a large urban clinic. Methods Medical records of 18 625 Alaska Native and American Indian adults were examined 1 year after implementation of a depression screening initiative. Multilevel logistic regression models examined associations between patient and provider factors and administration of the Patient Health Questionnaire–9. Results Forty-seven percent of patients were screened. Women were more likely than men to be screened (50% vs 43%, P < .001). Increased screening odds were associated with older age, increased service use, and chronic disease (P < .001) but not with substance abuse disorders or prior antidepressant dispensation. Women previously diagnosed with depression had higher odds of screening (P = .002). Men seen by male providers had higher odds of screening than did men seen by female providers (P = .040). Screening rates peaked among providers with 2 to 5 years of employment with the clinic. Limitations Cross-sectional analysis of medical record data was of unknown reliability; there were limited sociodemographic data. Conclusions Even with significant organizational support for annual depression screening, primary care providers systematically missed men and patients with infrequent primary care visits. Outreach to male patients and additional supports for primary care providers, especially in the first years of practice, may improve screening and treatment for depression among Alaska Native and American Indian people. PMID:23803455

  1. Prevalence of Hypertension and Associated Risk Factors in Western Alaska Native People: The Western Alaska Tribal Collaborative for Health (WATCH) Study.

    PubMed

    Jolly, Stacey E; Koller, Kathryn R; Metzger, Jesse S; Day, Gretchen M; Silverman, Angela; Hopkins, Scarlett E; Austin, Melissa A; Boden-Albala, Bernadette; Ebbesson, Sven O E; Boyer, Bert B; Howard, Barbara V; Umans, Jason G

    2015-10-01

    Hypertension is a common chronic disease and a key risk factor in the development of cardiovascular disease. The Western Alaska Tribal Collaborative for Health study consolidates baseline data from four major cohorts residing in the Norton Sound and Yukon-Kuskokwim regions of western Alaska. This consolidated cohort affords an opportunity for a systematic analysis of high blood pressure and its correlates in a unique population with high stroke rates over a wide age range. While the prevalence of hypertension among western Alaska Native people (30%, age-standardized) is slightly less than that of the US general population (33%), cardiovascular disease is a leading cause of mortality in this rural population. The authors found that improvement is needed in hypertension awareness as about two thirds (64%) of patients reported awareness and only 39% with hypertension were controlled on medication. Future analyses assessing risk and protective factors for incident hypertension in this population are indicated.

  2. Risk, Reward, and the Double-Edged Sword: Perspectives on Pharmacogenetic Research and Clinical Testing Among Alaska Native People

    PubMed Central

    Robinson, Renee; Starks, Helene; Burke, Wylie; Dillard, Denise A.

    2013-01-01

    Objectives. Pharmacogenetic research and clinical testing raise important concerns for individuals and communities, especially where past medical research and practice has perpetrated harm and cultivated distrust of health care systems and clinicians. We investigated perceptions of pharmacogenetics among Alaska Native (AN) people. Methods. We held four focus groups for 32 ANs in south central Alaska to elicit views about pharmacogenetics in general and for treatment of cardiovascular disease, breast cancer, depression, and nicotine addiction. We analyzed data for perceived risks and rewards of pharmacogenetics. Results. Potential risks of pharmacogenetics included health care rationing, misuse of information, and stigma to individuals and the AN community. Potential rewards included decreased care costs, improved outcomes, and community development. Participants also discussed 8 contingent conditions that could mitigate risks and increase pharmacogenetic acceptability. Conclusions. Alaska Natives perceive pharmacogenetics as potentially benefitting and harming individuals, communities, and health systems, depending on methods and oversight. Researchers, clinicians, and administrators, especially in community-based clinic and health care systems serving minority populations, must address this “double-edged sword” to effectively conduct pharmacogenetics. PMID:24134351

  3. Native Pathways to Education: Alaska Rural Systemic Initiative.

    ERIC Educational Resources Information Center

    Alaska Univ., Fairbanks.

    The Alaska Federation of Natives, in cooperation with the University of Alaska, received funding to implement the Alaska Rural Systemic Initiative (AKRSI). Over a 5-year period (1995-2000), AKRSI initiatives are systematically documenting the indigenous knowledge systems of Alaska Native people and developing educational policies and practices…

  4. Asthma and American Indians/Alaska Natives

    MedlinePlus

    ... Minority Population Profiles > American Indian/Alaska Native > Asthma Asthma and American Indians/Alaska Natives In 2014, 218, ... Native American adults reported that they currently have asthma. American Indian/Alaska Native children are 30% more ...

  5. The Dropout/Graduation Crisis among American Indian and Alaska Native Students: Failure to Respond Places the Future of Native Peoples at Risk

    ERIC Educational Resources Information Center

    Faircloth, Susan C.; Tippeconnic, John W., III

    2010-01-01

    This paper examines the graduation/dropout crisis among American Indian and Alaska Native students using data from the National Center for Education Statistics. Data from 2005 is drawn from the seven states with the highest percentage of American Indian and Alaska Native students as well as five states in the Pacific and Northwestern regions of…

  6. Factors related to fruit, vegetable and traditional food consumption which may affect health among Alaska Native People in Western Alaska

    PubMed Central

    Johnson, Jennifer S.; Nobmann, Elizabeth D.; Asay, Elvin

    2012-01-01

    Objectives Determine intake of fruits, vegetables and traditional foods (TF), availability of foods, and attitudes towards increasing their consumption. Study design Establish community baseline through a cross-sectional sample of residents who were weighed, measured and interviewed. Village stores were surveyed for food availability, price and quality. Methods Eighty-eight respondents self-identified as the household member primarily responsible for food shopping and cooking were surveyed in 3 Western Alaska Native villages using a food frequency questionnaire, and village stores were evaluated using food environment surveys. Results Overweight (BMI[kg/m2] >25) was present in 68% of participants. Fruit and vegetable intake (3.3 median servings/day) was low in comparison to recommended intakes of 5–9 servings/d. Seventy-two per cent were eating less than 5 servings/d of fruits and vegetables combined. Thirty-four per cent of respondents were trying to eat more vegetables; 41% were trying to eat more fruits. The median number of servings of TF was 3.2/d (mean 4.3/d). Seventy-seven per cent of respondents reported that they ate enough TF. Conclusion Recommendations to continue use of TF and increase intake of fruits and vegetables are consistent with local attitudes. Our findings indicate that increasing the availability of fruits and vegetables would be well received. Information from this study provides a basis for nutrition education and food supplement programs that is responsive to the needs and perceptions of the residents. Continued TF intake and increased fruit and vegetable intake have the potential to benefit the health of rural residents. PMID:22456043

  7. Guideline concordant detection and management of depression among Alaska Native and American Indian people in primary care

    PubMed Central

    Hiratsuka, Vanessa Y.; Smith, Julia J.; Norman, Sara M.; Manson, Spero M.; Dillard, Denise A.

    2015-01-01

    Background A tribal health organization in Alaska implemented a primary care depression screening, detection and management initiative amongst 55,000 Alaska Native/American Indian people (AN/AIs). Objectives (a) To describe the proportion of AN/AIs screening positive for depression with depression noted or diagnosed and proportion with guideline concordant management and (b) to assess whether management varied by patient and provider factors. Research design Secondary analysis of electronic and paper medical record information of 400 AN/AIs. Measures Provider variables, patient demographics and patient clinical factors were electronically queried. Manual chart audits assessed depression notation, diagnoses and management within 12 weeks of positive screening. Multilevel ordinal logistic modelling assessed management by patient and provider factors. Results A depression diagnosis was present in 141 (35%) charts and 151 (38%) had depressive symptoms noted. Detection was higher among AN/AIs with moderate and severe depression (p<0.001). In total, 258 patients (66%) received guideline concordant management, 32 (8%) had some management, and 110 (28%) received no management. Younger patient age and increased provider tenure increased odds of management. Conclusions Most AN/AIs screening positive for depression received initial guideline concordant management. Additional outreach to older patients and additional support for providers newer to practices appears warranted. PMID:26519359

  8. 75 FR 53331 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-31

    ... Interest to Hadohdleekaga, Incorporated, for the Native village of Hughes, Alaska, pursuant to the Alaska... Hughes, Alaska, and are located in: Kateel River Meridian, Alaska T. 9 N., R. 23 E., Sec. 5....

  9. Alaska Native Land Claims. [Textbook].

    ERIC Educational Resources Information Center

    Arnold, Robert D.; And Others

    Written for students at the secondary level, this textbook on Alaska Native land claims includes nine chapters, eight appendices, photographs, maps, graphs, bibliography, and an index. Chapters are titled as follows: (1) Earliest Times (Alaska's first settlers, eighteenth century territories, and other claimants); (2) American Indians and Their…

  10. Patient and provider perspectives on using telemedicine for chronic disease management among Native Hawaiian and Alaska Native people

    PubMed Central

    Hiratsuka, Vanessa; Delafield, Rebecca; Starks, Helene; Ambrose, Adrian Jacques; Mau, Marjorie Mala

    2013-01-01

    Background Among indigenous populations in remote locations who are at increased risk for chronic diseases such as diabetes, telemedicine has the potential to improve access to health care services and thus may reduce adverse health outcomes. Yet few studies are available on how best to use telemedicine technology in reducing ethnic and racial health care disparities. Objective We examined perspectives of patients and providers in 2 indigenous populations in Alaska and Hawai'i about the use of telemedicine in primary care chronic disease management. Design Six focus groups with patients and providers at 2 sites (3 in Alaska and 3 in Hawai'i). Results Three broad themes were common to both sites: (a) benefits and barriers of using telemedicine; (b) building patient–provider relationships; and (c) elements of an acceptable telemedicine primary care encounter. Two key elements were endorsed by both patients and providers as important for an effective telemedicine encounter: (a) the initial patient–provider interaction should be face-to-face; and (b) patients must see the same provider on follow-up visits. Conclusion The use of telemedicine in chronic disease management has potential to improve patient care in remote indigenous populations and may supplement patient–provider relationships. PMID:23977642

  11. A Review of the Experience, Epidemiology, and Management of Pain among American Indian, Alaska Native, and Aboriginal Canadian Peoples

    PubMed Central

    Jimenez, Nathalia; Garroutte, Eva; Kundu, Anjana; Morales, Leo; Buchwald, Dedra

    2011-01-01

    Substantial literature suggests that diverse biological, psychological, and sociocultural mechanisms account for differences by race and ethnicity in the experience, epidemiology, and management of pain. Many studies have examined differences between Whites and minority populations, but American Indians (AIs), Alaska Natives (ANs), and Aboriginal peoples of Canada have been neglected both in studies of pain and in efforts to understand its bio-psychosocial and cultural determinants. This article reviews the epidemiology of pain and identifies factors that may affect clinical assessment and treatment in these populations. We searched for peer-reviewed articles focused on pain in these populations, using PubMed, CINAHL, Cochrane, and the University of New Mexico Native Health Database. We identified 28 articles published 1990-2009 in 3 topic areas: epidemiology of pain, pain assessment and treatment, and healthcare utilization. A key finding is that AI/ANs have a higher prevalence of pain symptoms and painful conditions than the U.S. general population. We also found evidence for problems in provider-patient interactions that affect clinical assessment of pain, as well as indications that AI/AN patients frequently use alternative modalities to manage pain. Future research should focus on pain and comorbid conditions and develop conceptual frameworks for understanding and treating pain in these populations. Perspective We reviewed the literature on pain in AI/ANs and found a high prevalence of pain and painful conditions, along with evidence of poor patient-provider communication. We recommend further investigation of pain and comorbid conditions and development of conceptual frameworks for understanding and treating pain in this population. PMID:21330217

  12. Current Conditions in American Indian and Alaska Native Communities.

    ERIC Educational Resources Information Center

    Szasz, Margaret Connell

    The school experience of American Indian and Alaska Native children hinges on the context in which their schooling takes place. This context includes the health and well-being of their families, communities, and governments, as well as the relationship between Native and non-Native people. Many Native children are in desperate straits because of…

  13. Profile: American Indian/Alaska Native

    MedlinePlus

    ... million American Indians and Alaska Natives. Typically, this urban clientele has less accessibility to hospitals; health clinics ... IHS and tribal health programs. Studies on the urban American Indian and Alaska Native population have documented ...

  14. Bill Demmert and Native Education in Alaska

    ERIC Educational Resources Information Center

    Barnhardt, Ray

    2011-01-01

    This article describes the influences of William Demmert's formative years growing up in Alaska and his years as an educator of Native American students upon his career in Native education policy. It focuses on Alaska Native education during a ten-year period between 1980 and 1990 during which time he served as the director of the Center for…

  15. CYP2A6 and CYP2B6 genetic variation and its association with nicotine metabolism in South Western Alaska Native people

    PubMed Central

    Binnington, Matthew J.; Zhu, Andy Z.X.; Renner, Caroline C.; Lanier, Anne P.; Hatsukami, Dorothy K.; Benowitz, Neal L; Tyndale, Rachel F.

    2012-01-01

    Objectives Alaska Native people (AN) have a high prevalence of tobacco use and associated morbidity and mortality when compared to the general U.S. population. Variation in the CYP2A6 and CYP2B6 genes, encoding enzymes responsible for nicotine metabolic inactivation and procarcinogen activation, has not been characterized in AN and may contribute to the increased risk. Methods AN people (n = 400) residing in the Bristol Bay region of South Western Alaska were recruited for a cross-sectional study on tobacco use. They were genotyped for CYP2A6*1X2A, *1X2B, *1B, *2, *4, *7, *8, *9, *10, *12, *17, *35 and CYP2B6*4, *6, *9 and provided plasma and urine samples for measurement of nicotine and metabolites. Results CYP2A6 and CYP2B6 variant frequencies among the AN Yupik people (n=361) were significantly different from other ethnicities. Nicotine metabolism (as measured by the plasma and urinary ratio of metabolites trans-3’hydroxycotinine to cotinine [(3HC/COT)] was significantly associated with CYP2A6 (P< 0.001) but not CYP2B6 genotype (P = 0.95) when controlling for known covariates. Of note, plasma 3HC/COT ratios were high in the entire Yupik people, and among the Yupik CYP2A6 wild-type participants they were substantially higher than previously characterized racial/ethnic groups (P < 0.001 vs. Caucasians and African Americans). Conclusions Yupik AN people have a unique CYP2A6 genetic profile which associated strongly with in vivo nicotine metabolism. More rapid CYP2A6-mediated nicotine and nitrosamine metabolism in the Yupik people may modulate tobacco-related disease risk. PMID:22569203

  16. Minority Women's Health: American Indians/Alaska Natives

    MedlinePlus

    ... Health > American Indians/Alaska Natives Minority Women's Health American Indians/Alaska Natives Related information How to Talk to ... disease. Return to top Health conditions common in American Indian and Alaska Native women Accidents Alcoholism and drug ...

  17. Alaska Native Education Study: A Statewide Study of Alaska Native Values and Opinions Regarding Education in Alaska.

    ERIC Educational Resources Information Center

    McDowell Group, Juneau, AK.

    This document contains four reports detailing a four-phase research project on Alaska Natives' attitudes and values toward education. A literature review examines the history of Native education in Alaska, issues in research on American Indian and Alaska Native education, dropout studies, student assessment, language and culture, learning styles,…

  18. Infant Mortality and American Indians/Alaska Natives

    MedlinePlus

    ... Heath & Mortality Infant Mortality and American Indians/Alaska Natives American Indian/Alaska Natives have 1.5 times the ... Cause of Death (By rank) # American Indian/Alaska Native Deaths American Indian/Alaska Native Death Rate #Non- Hispanic White ...

  19. 77 FR 35998 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-15

    ... Nunapiglluraq Corporation (Native Village of Hamilton). The decision approves the surface estate in the lands... is conveyed to Nunapiglluraq Corporation. The lands are in the vicinity of Hamilton, Alaska, and...

  20. 76 FR 72212 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-22

    ... conveyance pursuant to the Alaska Native Claims Settlement Act (43 U.S.C. 1601, et seq). The subsurface... published four times in The Delta Discovery. DATES: Any party claiming a property interest in the...

  1. 78 FR 64002 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-25

    ... for conveyance pursuant to the Alaska Native Claims Settlement Act (43 U.S.C. 1601, et seq.). The... decision will also be published once a week for four ] consecutive weeks in the Delta Discovery. DATES:...

  2. 77 FR 20046 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-03

    ... described below pursuant to the Alaska Native Claims Settlement Act (ANCSA) (43 U.S.C. 1601, et seq.). The lands being approved for conveyance are lands originally selected under ANCSA in the withdrawal area...

  3. Advancing Efforts to Energize Native Alaska (Brochure)

    SciTech Connect

    Not Available

    2013-04-01

    This brochure describes key programs and initiatives of the DOE Office of Indian Energy Policy and Programs to advance energy efficiency, renewable energy, and energy infrastructure projects in Alaska Native villages.

  4. 77 FR 21802 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-11

    ... Kongnikilnomuit Yuita Corporation. The lands are in the vicinity of Bill Moore's Slough, Alaska, and are located... conveyance pursuant to the Alaska Native Claims Settlement Act (43 U.S.C. 1601, et seq). The subsurface... hours. Jennifer Noe, Land Law Examiner, Land Transfer Adjudication II Branch. BILLING CODE 4310-JA-P...

  5. Gallstones in American Indian/Alaska Native Women

    MedlinePlus

    ... Asian-Americans Native Hawaiians and other Pacific Islanders American Indians/Alaska Natives Immigrant and migrant issues Taking care ... Enter email address Submit Home > Minority Women's Health > American Indians/Alaska Natives Minority Women's Health Gallstones Health conditions ...

  6. Alaska Native Languages: Past, Present, and Future. Alaska Native Language Center Research Papers No. 4.

    ERIC Educational Resources Information Center

    Krauss, Michael E.

    Three papers (1978-80) written for the non-linguistic public about Alaska Native languages are combined here. The first is an introduction to the prehistory, history, present status, and future prospects of all Alaska Native languages, both Eskimo-Aleut and Athabaskan Indian. The second and third, presented as appendixes to the first, deal in…

  7. American Indians and Alaska Natives with Disabilities.

    ERIC Educational Resources Information Center

    Johnson, Marilyn J.

    American Indian and Alaska Native children with special needs experience the same ineffective and inefficient services as other minority language children. This paper discusses the special needs of Native children, assessment and curriculum issues, and recommendations for improvement. It provides statistics for various categories of handicaps and…

  8. Trends in Alaska's People and Economy.

    ERIC Educational Resources Information Center

    Leask, Linda; Killorin, Mary; Martin, Stephanie

    This booklet provides data on Alaska's population, economy, health, education, government, and natural resources, including specific information on Alaska Natives. Since 1960, Alaska's population has tripled and become more diverse, more stable, older, less likely to be male or married, and more concentrated. About 69 percent of the population…

  9. Alaska Native Water Rights as Affected by the Alaska Native Claims Settlement Act

    ERIC Educational Resources Information Center

    Stoebner, Kerry; And Others

    1978-01-01

    A strong legal claim exists for retained Native water rights on Alaska Native-selected lands which are paramount to subsequent competing users. Water rights are critical to the maintenance of Native subsistence economies and continued commercial developments. These water rights can and must be asserted and secured now. (Author/JC)

  10. Chronic Liver Disease and American Indians/Alaska Natives

    MedlinePlus

    ... Disease Chronic Liver Disease and American Indians/Alaska Natives Among American Indians and Alaska Natives, chronic liver disease is ... 54. 1 At a glance – Cancer Rates for American Indian/Alaska Natives (2008-2012) Cancer Incidence Rates per 100,000 – ...

  11. Sobriety and alcohol use among rural Alaska Native elders

    PubMed Central

    Skewes, Monica C.; Lewis, Jordan P.

    2016-01-01

    Background Although notable health disparities related to alcohol use persist among Alaska Native people living in rural communities, there is a paucity of research examining drinking behaviour in particular segments of this population, including elders. One explanation for this is the distrust of behavioural health research in general and alcohol research in particular following the legacy of the Barrow Alcohol Study, still regarded as a notable example of ethics violations in cross-cultural research. Objective The present study reports findings from one of the first research studies asking directly about alcohol abuse among rural Alaska Natives (AN) since the study in Barrow took place in 1979. Design We report findings regarding self-reported alcohol use included in an elder needs assessment conducted with 134 Alaska Native elders from 5 rural villages off the road system in Alaska. Data were collected in partnership between academic researchers and community members in accordance with the principles of Community-Based Participatory Research. Results Findings showed very high rates of sobriety and low rates of alcohol use, contradicting stereotypes of widespread alcohol abuse among AN. Possible explanations and future research directions are discussed. Conclusions This research represents one step forward in mending academic–community relationships in rural Alaska to further research on alcohol use and related health disparities. PMID:26850112

  12. 78 FR 7807 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-04

    ...As required by 43 CFR 2650.7(d), notice is hereby given that an appealable decision will be issued by the Bureau of Land Management (BLM) to Sitnasuak Native Corporation. The decision approves the surface estate in the lands described below for conveyance pursuant to the Alaska Native Claims Settlement Act (43 U.S.C. 1601, et seq). The subsurface estate in these lands will be conveyed to......

  13. 76 FR 57759 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-16

    ...As required by 43 CFR 2650.7(d), notice is hereby given that the Bureau of Land Management (BLM) will issue an appealable decision to Sitnasuak Native Corporation. The decision approves the surface estate in the lands described below for conveyance pursuant to the Alaska Native Claims Settlement Act (43 U.S.C. 1604 et seq.). The subsurface estate in these lands will be conveyed to Bering......

  14. 76 FR 43340 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-20

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR Bureau of Land Management [AA-6682-B, AA-6682-D, AA-6682-E, AA-6682-G, AA-6682-H, AA-6682-I, AA- 6682-A2; LLAK965000-L14100000-KC0000-P] Alaska Native Claims Selection AGENCY: Bureau of Land Management,...

  15. 77 FR 72383 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-05

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR Bureau of Land Management [AA-10282, AA-10291, AA-10292, AA-10369; LLAK-944000-L14100000-HY0000- P] Alaska Native Claims Selection AGENCY: Bureau of Land Management, Interior. ACTION: Notice of...

  16. 76 FR 55415 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-07

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR Bureau of Land Management [AA-9428, AA-9752, AA-11237, AA-9755, AA-9837, AA-10075, AA-11467; LLAK-965000-L14100000-HY0000-P] Alaska Native Claims Selection AGENCY: Bureau of Land Management, Interior....

  17. 78 FR 16527 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-15

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR Bureau of Land Management [AA-10782, AA-11132, AA-10784, AA-12440, AA-11020, AA-10783, AA-10774; LLAK-944000-L14100000-HY0000-P] Alaska Native Claims Selection AGENCY: Bureau of Land Management,...

  18. 76 FR 16804 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-25

    ... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF THE INTERIOR Bureau of Land Management [AA-8102-05, AA-8102-08, AA-8102-10, AA-8102-25, AA-8102-28, AA-8102- 37, AA-8102-47; LLAK965000-L14100000-KC0000-P] Alaska Native Claims Selection AGENCY: Bureau of...

  19. 78 FR 10634 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-14

    ... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF THE INTERIOR Bureau of Land Management [AA-10756, AA-11061, AA-10764, AA-10765, AA-10766, AA-11083; LLAK- 944000-L14100000-HY0000-P] Alaska Native Claims Selection AGENCY: Bureau of Land Management, Interior....

  20. 75 FR 21033 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-22

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR Bureau of Land Management [AA-6670-F, AA-6670-L, AA-6670-M, AA-6670-A2; LLAK964000-L14100000- HY0000-P] Alaska Native Claims Selection AGENCY: Bureau of Land Management, Interior. ACTION: Notice of...

  1. 75 FR 80838 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-23

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR Bureau of Land Management [AA-11908, AA-11915, AA-11916, AA-11917, AA-11909, AA-11913, AA-11914; LLAK-962000-L14100000-HY0000-P] Alaska Native Claims Selection AGENCY: Bureau of Land Management,...

  2. 76 FR 5395 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-31

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR Bureau of Land Management [AA-12252, AA-12250, AA-12280, AA-12291, AA-12292, AA-12293; LLAK- 962000-L14100000-HY0000-P] Alaska Native Claims Selection AGENCY: Bureau of Land Management, Interior....

  3. 75 FR 13296 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-19

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR Bureau of Land Management [AA-6679-B, AA-6679-C, AA-6679-F, AA-6679-G, AA-6679-K, AA-6679-M, AA- 6679-A2, LLAK964000-L14100000-KC0000-P] Alaska Native Claims Selection AGENCY: Bureau of Land Management,...

  4. 76 FR 75899 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-05

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR Bureau of Land Management [AA-9915, AA-9916, AA-9921, AA-9936, AA-9937, AA-9965; LLAK-965000- L14100000-HY0000-P] Alaska Native Claims Selection AGENCY: Bureau of Land Management, Interior. ACTION: Notice...

  5. 75 FR 53332 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-31

    ..., Land Transfer Resolution Specialist, Branch of Preparation and Resolution. BILLING CODE 4310-JA-P ... Bureau of Land Management Alaska Native Claims Selection AGENCY: Bureau of Land Management, Interior. ACTION: Notice of decision approving lands for conveyance. SUMMARY: As required by 43 CFR...

  6. 75 FR 28816 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-24

    ..., Land Transfer Resolution Specialist, Branch of Preparation and Resolution. BILLING CODE 4310-JA-P ... Bureau of Land Management Alaska Native Claims Selection AGENCY: Bureau of Land Management, Interior. ACTION: Notice of decision approving lands for conveyance. SUMMARY: As required by 43 CFR...

  7. 75 FR 65644 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-26

    ... hours a day, 7 days a week. Dina L. Torres, Land Transfer Resolution Specialist, Branch of Preparation... Bureau of Land Management Alaska Native Claims Selection AGENCY: Bureau of Land Management, Interior. ACTION: Notice of decision approving lands for conveyance. SUMMARY: As required by 43 CFR...

  8. Variation in Genes Controlling Warfarin Disposition and Response in American Indian and Alaska Native People: CYP2C9, VKORC1, CYP4F2, CYP4F11, GGCX

    PubMed Central

    Yracheta, Joseph; Dillard, Denise A.; Schilling, Brian; Khan, Burhan; Hopkins, Scarlett; Boyer, Bert; Black, Jynene; Wiener, Howard; Tiwari, Hemant K.; Gordon, Adam; Nickerson, Deborah; Tsai, Jesse M.; Farin, Federico M.; Thornton, Timothy A.; Rettie, Allan E.; Thummel, Kenneth E.

    2015-01-01

    Objectives Pharmacogenetic testing is projected to improve health outcomes and reduce the cost of care by increasing therapeutic efficacy and minimizing drug toxicity. American Indian and Alaska Native (AI/AN) people historically have been excluded from pharmacogenetic research and its potential benefits, a deficiency we sought to address. The vitamin K antagonist warfarin is prescribed for prevention of thromboembolic events, although its narrow therapeutic index and wide inter-individual variability necessitate close monitoring of drug response. Therefore, we were interested in variation in CYP2C9, VKORC1, CYP4F2, CYP4F11, and GGCX, which encode enzymes important for the activity of warfarin and synthesis of vitamin K dependent blood clotting factors. Methods We resequenced these genes in 188 AI/AN people in partnership with Southcentral Foundation (SCF) in Anchorage, AK and 94 Yup'ik people living in the Yukon-Kuskokwim Delta of southwest Alaska to identify known or novel function-disrupting variation. We conducted genotyping for specific SNPs in larger cohorts of each study population (380 and 350, respectively). Results We identified high frequencies of the lower-warfarin dose VKORC1 haplotype (−1639G>A and 1173C>T) and the higher-warfarin dose CYP4F2*3 variant. We also identified two relatively common, novel, and potentially function-disrupting variants in CYP2C9 (M1L and N218I), which, along with CYP2C9*3, CYP2C9*2 and CYP2C9*29, predict that a significant proportion of AI/AN people will have decreased CYP2C9 activity. Conclusions Overall, we predict a lower average warfarin dose requirement in AI/AN populations in Alaska than that seen in non-AI/AN populations of the US, a finding consistent with clinical experience in Alaska. PMID:25946405

  9. 77 FR 2998 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-20

    ...As required by 43 CFR 2650.7(d), notice is hereby given that the Bureau of Land Management (BLM) will issue an appealable decision to Sea Lion Corporation. The decision approves the surface estate in the lands described below for conveyance pursuant to the Alaska Native Claims Settlement Act (43 U.S.C. 1601, et seq.). These lands lie entirely within the Clarence Rhode National Wildlife Refuge......

  10. 78 FR 76174 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-16

    ...As required by 43 CFR 2650.7(d), notice is hereby given that an appealable decision will be issued by the Bureau of Land Management (BLM) to Paimiut Corporation. The decision approves the surface estate in certain lands for conveyance pursuant to the Alaska Native Claims Settlement Act (ANCSA) (43 U.S.C. 1601, et seq.). The lands approved for conveyance lie partially within a national wildlife......

  11. Expanding Job Opportunities for Alaska Natives. (Interim Report).

    ERIC Educational Resources Information Center

    McDiarmid, G. Williamson; Goldsmith, Scott; Killorin, Mary; Sharp, Suzanne; Hild, Carl

    A majority of adults in most Alaska Native villages were without jobs in 1990, and the situation was probably not substantially better in 1998. This report summarizes current Alaska Native employment data and employment trends, provides information on public and private programs that target Native hire, and describes promising approaches for…

  12. Alaska Native Participation in the Civilian Conservation Corps. Alaska Historical Commission Studies in History No. 206.

    ERIC Educational Resources Information Center

    Sorensen, Connor; And Others

    The report is a finding aid to the sources which document the 1937 federal policy decision mandating that 50% of the enrollees in the Civilian Conservation Corps (CCC) in Alaska must be Alaska Natives and provides a list of the Native CCC projects in Alaska. The finding aid section is organized according to the location of the collections and…

  13. Alaska Natives assessing the health of their environment.

    PubMed

    Garza, D

    2001-11-01

    The changes in Alaska's ecosystems caused by pollution, contaminants and global climate change are negatively impacting Alaska Natives and rural residents who rely on natural resources for food, culture and community identity. While Alaska commerce has contributed little to these global changes and impacts, Alaska and its resources are nonetheless affected by the changes. While Alaska Natives have historically relied on Alaska's land, water and animals for survival and cultural identity, today their faith in the safety and quality of these resources has decreased. Alaska Natives no longer believe that these wild resources are the best and many are turning to alternative store-bought foods. Such a change in diet and activity may be contributing to a decline in traditional activities and a decline in general health. Contaminants are showing up in the animals, fish and waters that Alaska Natives use. Efforts need to be expanded to empower Alaska Native Tribes to collect and analyze local wild foods for various contaminants. In addition existing information on contaminants and pollution should be made readily available to Alaska residents. Armed with this type of information Alaska Native residents will be better prepared to make informed decisions on using wild foods and materials. PMID:11768422

  14. Native Alaska's Floating Factoryship--She Plies the Pacific Ocean for Native Alaska.

    ERIC Educational Resources Information Center

    Wassaja, The Indian Historian, 1980

    1980-01-01

    Describes the history of the Al-Ind-Esk-A Sea, a floating fish processing factory representing a major hope for the economic independence of Alaska Natives residing outside the state. Discusses employment practices in effect on the ship. Notes interesting facts about the ship's engines and fittings. (SB)

  15. Address to Yukon-Kuskokwim Delta Regional Summit on Native Education (Bethel, Alaska, April 24, 2002).

    ERIC Educational Resources Information Center

    Ongtooguk, Paul

    Remarks of Alaska Native researcher and educator Paul Ongtooguk are presented. Alaska Native students perform worse on exit exams than any other population in the state. In the past, formal education was offered to Alaska Natives only if they gave up being Alaska Natives. The current system is not designed to solve the problems of Alaska Native…

  16. Alcohol misuse and associations with childhood maltreatment and out-of-home placement among urban two-spirit American Indian and Alaska Native people.

    PubMed

    Yuan, Nicole P; Duran, Bonnie M; Walters, Karina L; Pearson, Cynthia R; Evans-Campbell, Tessa A

    2014-10-14

    This study examined associations between alcohol misuse and childhood maltreatment and out-of-home placement among urban lesbian, gay, and bisexual (referred to as two-spirit) American Indian and Alaska Native adults. In a multi-site study, data were obtained from 294 individuals who consumed alcohol during the past year. The results indicated that 72.3% of men and 62.4% of women engaged in hazardous and harmful alcohol use and 50.8% of men and 48.7% of women met criteria for past-year alcohol dependence. The most common types of childhood maltreatment were physical abuse among male drinkers (62.7%) and emotional abuse (71.8%) among female drinkers. Men and women reported high percentages of out-of-home placement (39% and 47%, respectively). Logistic multiple regressions found that for male drinkers boarding school attendance and foster care placement were significant predictors of past-year alcohol dependence. For female drinkers, being adopted was significantly associated with a decreased risk of past-year drinking binge or spree. Dose-response relationships, using number of childhood exposures as a predictor, were not significant. The results highlight the need for alcohol and violence prevention and intervention strategies among urban two-spirit individuals.

  17. Alcohol misuse and associations with childhood maltreatment and out-of-home placement among urban two-spirit American Indian and Alaska Native people.

    PubMed

    Yuan, Nicole P; Duran, Bonnie M; Walters, Karina L; Pearson, Cynthia R; Evans-Campbell, Tessa A

    2014-01-01

    This study examined associations between alcohol misuse and childhood maltreatment and out-of-home placement among urban lesbian, gay, and bisexual (referred to as two-spirit) American Indian and Alaska Native adults. In a multi-site study, data were obtained from 294 individuals who consumed alcohol during the past year. The results indicated that 72.3% of men and 62.4% of women engaged in hazardous and harmful alcohol use and 50.8% of men and 48.7% of women met criteria for past-year alcohol dependence. The most common types of childhood maltreatment were physical abuse among male drinkers (62.7%) and emotional abuse (71.8%) among female drinkers. Men and women reported high percentages of out-of-home placement (39% and 47%, respectively). Logistic multiple regressions found that for male drinkers boarding school attendance and foster care placement were significant predictors of past-year alcohol dependence. For female drinkers, being adopted was significantly associated with a decreased risk of past-year drinking binge or spree. Dose-response relationships, using number of childhood exposures as a predictor, were not significant. The results highlight the need for alcohol and violence prevention and intervention strategies among urban two-spirit individuals. PMID:25317980

  18. Alcohol Misuse and Associations with Childhood Maltreatment and Out-of-Home Placement among Urban Two-Spirit American Indian and Alaska Native People

    PubMed Central

    Yuan, Nicole P.; Duran, Bonnie M.; Walters, Karina L.; Pearson, Cynthia R.; Evans-Campbell, Tessa A.

    2014-01-01

    This study examined associations between alcohol misuse and childhood maltreatment and out-of-home placement among urban lesbian, gay, and bisexual (referred to as two-spirit) American Indian and Alaska Native adults. In a multi-site study, data were obtained from 294 individuals who consumed alcohol during the past year. The results indicated that 72.3% of men and 62.4% of women engaged in hazardous and harmful alcohol use and 50.8% of men and 48.7% of women met criteria for past-year alcohol dependence. The most common types of childhood maltreatment were physical abuse among male drinkers (62.7%) and emotional abuse (71.8%) among female drinkers. Men and women reported high percentages of out-of-home placement (39% and 47%, respectively). Logistic multiple regressions found that for male drinkers boarding school attendance and foster care placement were significant predictors of past-year alcohol dependence. For female drinkers, being adopted was significantly associated with a decreased risk of past-year drinking binge or spree. Dose-response relationships, using number of childhood exposures as a predictor, were not significant. The results highlight the need for alcohol and violence prevention and intervention strategies among urban two-spirit individuals. PMID:25317980

  19. American Indian/Alaska Native College Student Retention Strategies

    ERIC Educational Resources Information Center

    Guillory, Raphael M.

    2009-01-01

    This article presents findings from a qualitative study examining the similarities and differences between American Indian/Alaska Native student perceptions and the perceptions of state representatives, university presidents, and faculty about persistence factors and barriers to degree completion specific to American Indian/Alaska Native students…

  20. A Summary of Changes in the Status of Alaska Natives.

    ERIC Educational Resources Information Center

    Alaska Univ., Anchorage. Inst. of Social and Economic Research.

    Replication of 78 tables from the 1973 2(c) Report by the Secretary of the Interior using 1980 census information provided data to document the social and economic changes in the status of Alaska Natives since the passage of the Alaska Native Claims Settlement Act. Comparison of 1970 and 1980 data showed an average 2.4% growth rate in the Native…

  1. 78 FR 70956 - 30-Day Notice of Proposed Information Collection: Assessment of Native American, Alaska Native...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-27

    ... URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Assessment of Native American... Title of Information Collection: Assessment of Native American, Alaska Native and Native Hawaiian... American and Alaskan Native populations, most notably through the Indian Housing Block Grant. The level...

  2. Encouraging Involvement of Alaska Natives in Geoscience Careers

    NASA Astrophysics Data System (ADS)

    Hanks, C. L.; Fowell, S. J.; Kowalsky, J.; Solie, D.

    2003-12-01

    Geologically, Alaska is a dynamic state, rich in mineral and energy resources. The impact of natural geologic hazards and mineral resource development can be especially critical in rural areas. While Alaska Natives comprise a large percentage of Alaska's rural population, few have the training to be leaders in the decision-making processes regarding natural hazard mitigation or mineral resource evaluation and exploitation. UAF, with funding from the National Science Foundation, has embarked on a three year integrated program aimed at encouraging young Alaska Natives to pursue geosciences as a career. The program combines the geologic expertise at UAF with established Alaska Native educational outreach programs. The Rural Alaska Honors Institute (RAHI) is a bridging program specifically designed to prepare rural high school students for college. To attract college-bound Alaska Native students into the geosciences, geoscience faculty have developed a college-level, field-intensive, introductory RAHI geoscience course that will fulfill geoscience degree requirements at UAF. In years two and three, this class will be supplemented by a one week field course that will focus on geologic issues encountered in most Alaskan rural communities, such as natural hazards, ground water, mineral and energy resources. In order to retain Alaska Native undergraduate students as geoscience majors, the program is providing scholarships and internship opportunities in cooperation with the Alaska Native Science and Engineering Program (ANSEP). Undergraduate geoscience majors participating in ANSEP can intern as teaching assistants for both the classroom and field courses. Besides being mentors for the RAHI students, the Alaska Native undergraduate geoscience majors have the opportunity to interact with faculty on an individual basis, examine the geologic issues facing Alaska Natives, and explore geology as a profession.

  3. 75 FR 37456 - Alaska Native/Native Hawaiian Institutions Assisting Communities (AN/NHAIC)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-29

    ... URBAN DEVELOPMENT Alaska Native/Native Hawaiian Institutions Assisting Communities (AN/NHAIC) AGENCY... expand their role and effectiveness in addressing community development needs in their ] localities, including neighborhood revitalization, housing, and economic development, principally for persons of low...

  4. 76 FR 3120 - Native American and Alaska Native Children in School Program; Office of English Language...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-19

    ... Native American and Alaska Native Children in School Program; Office of English Language Acquisition, Language Enhancement, and Academic Achievement for Limited English Proficient Students; Overview... Secretary and Director, Office of English Language Acquisition, Language Enhancement, and...

  5. Building Alaska's Science and Engineering Pipeline: Evaluation of the Alaska Native Science & Engineering Program

    ERIC Educational Resources Information Center

    Bernstein, Hamutal; Martin, Carlos; Eyster, Lauren; Anderson, Theresa; Owen, Stephanie; Martin-Caughey, Amanda

    2015-01-01

    The Urban Institute conducted an implementation and participant-outcomes evaluation of the Alaska Native Science & Engineering Program (ANSEP). ANSEP is a multi-stage initiative designed to prepare and support Alaska Native students from middle school through graduate school to succeed in science, technology, engineering, and math (STEM)…

  6. Native Peoples-Native Homelands Climate Change Workshop: Lessons Learned

    NASA Technical Reports Server (NTRS)

    Maynard, Nancy G.

    2003-01-01

    The Native Peoples-Native Homelands Climate Change Workshop was held on October 28 through November 01,1998, as part of a series of workshops being held around the U.S. to improve the understanding of the potential consequences of climate variability and change for the Nation. This workshop was specifically designed by Native Peoples to examine the impacts of climate change and extreme weather variability on Native Peoples and Native Homelands from an indigenous cultural and spiritual perspective and to develop recommendations as well as identify potential response actions. The workshop brought together interested Native Peoples, representatives of Tribal governments, traditional elders, Tribal leaders, natural resource managers, Tribal College faculty and students, and climate scientists fiom government agencies and universities. It is clear that Tribal colleges and universities play a unique and critical role in the success of these emerging partnerships for decision-making in addition to the important education function for both Native and non-Native communities such as serving as a culturally-appropriate vehicle for access, analysis, control, and protection of indigenous cultural and intellectual property. During the discussions between scientists and policy-makers from both Native and non-Native communities, a number of important lessons emerged which are key to building more effective partnerships between Native and non-Native communities for collaboration and decision-making for a more sustainable future. This talk summarizes the key issues, recommendations, and lessons learned during this workshop.

  7. 43 CFR 2091.9-1 - Alaska Native selections.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... MANAGEMENT, DEPARTMENT OF THE INTERIOR LAND RESOURCE MANAGEMENT (2000) SPECIAL LAWS AND RULES Segregation and Opening of Lands § 2091.9-1 Alaska Native selections. The segregation and opening of lands authorized...

  8. 43 CFR 2091.9-1 - Alaska Native selections.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... MANAGEMENT, DEPARTMENT OF THE INTERIOR LAND RESOURCE MANAGEMENT (2000) SPECIAL LAWS AND RULES Segregation and Opening of Lands § 2091.9-1 Alaska Native selections. The segregation and opening of lands authorized...

  9. 43 CFR 2091.9-1 - Alaska Native selections.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... MANAGEMENT, DEPARTMENT OF THE INTERIOR LAND RESOURCE MANAGEMENT (2000) SPECIAL LAWS AND RULES Segregation and Opening of Lands § 2091.9-1 Alaska Native selections. The segregation and opening of lands authorized...

  10. 43 CFR 2091.9-1 - Alaska Native selections.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... MANAGEMENT, DEPARTMENT OF THE INTERIOR LAND RESOURCE MANAGEMENT (2000) SPECIAL LAWS AND RULES Segregation and Opening of Lands § 2091.9-1 Alaska Native selections. The segregation and opening of lands authorized...

  11. Native Education Directory: Organizations and Resources for Educators of Native Peoples of the United States and Territories.

    ERIC Educational Resources Information Center

    ERIC Clearinghouse on Rural Education and Small Schools, Charleston, WV.

    This directory lists over 400 organizations and resources related to American Indian education and the education of Native peoples in Alaska, Hawaii, the American territories, Canada, and other nations. Entries are categorized as: (1) international associations of indigenous peoples; (2) national associations, organizations, clearinghouses, and…

  12. Authentic Alaska: Voices of Its Native Writers. American Indian Lives.

    ERIC Educational Resources Information Center

    Andrews, Susan B., Ed.; Creed, John, Ed.

    This book compiles the best selections from the Chukchi News and Information Service, a University of Alaska project that for the past decade, has published the writings of Native college students from rural and remote regions of Alaska. The writers are primarily nontraditional older students who are Inupiaq, Yup'ik, or Siberian Yup'ik Eskimos or…

  13. 76 FR 22413 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-21

    ...) to Afognak Native Corporation, Successor in Interest to Port Lions Native Corporation. The decision... surface estate is conveyed to Afognak Native Corporation, Successor in Interest to Port Lions...

  14. A Process Evaluation of the Alaska Native Colorectal Cancer Family Outreach Program

    ERIC Educational Resources Information Center

    Redwood, Diana; Provost, Ellen; Lopez, Ellen D. S.; Skewes, Monica; Johnson, Rhonda; Christensen, Claudia; Sacco, Frank; Haverkamp, Donald

    2016-01-01

    This article presents the results of a process evaluation of the Alaska Native (AN) Colorectal Cancer (CRC) Family Outreach Program, which encourages CRC screening among AN first-degree relatives (i.e., parents, siblings, adult children; hereafter referred to as relatives) of CRC patients. Among AN people incidence and death rates from CRC are the…

  15. Understanding Disabilities in American Indian and Alaska Native Communities. Toolkit Guide.

    ERIC Educational Resources Information Center

    National Council on Disability, Washington, DC.

    This "toolkit" document is intended to provide a culturally appropriate set of resources to address the unique political and legal concerns of people with disabilities in American Indian/Alaska Native (AI/AN) communities. It provides information on education, health, vocational rehabilitation (VR), independent living, model approaches, and…

  16. Relationships between the health of Alaska Native communities and our environment -- phase 1, exploring and communicating

    USGS Publications Warehouse

    Smith, Durelle

    2013-01-01

    Alaska Natives depend on local natural resources for nutritional and, for many, spiritual health. As a result, public health in Alaska is strongly influenced by the relationship between people and their surrounding physical, chemical, and biological environments. Alaska is vast with diverse wildlife and plant communities that are valued as subsistence foods (fig. 1). These resources are supported by equally diverse ecosystems and their underpinning landforms and geologies. The U.S. Geological Survey (USGS) is attempting to integrate physical, chemical, and biological information to better describe current (2013) environments and project scenarios for the future. Integrating ecological data into the public health dialogue is challenging for the more than 280 rural communities of Alaska. This fact sheet reviews a recent USGS effort, the Geographic Information System (GIS) Native Health Project, to better incorporate scientific information into such dialogue.

  17. "Our culture is medicine": perspectives of Native healers on posttrauma recovery among American Indian and Alaska Native patients.

    PubMed

    Bassett, Deborah; Tsosie, Ursula; Nannauck, Sweetwater

    2012-01-01

    American Indian and Alaska Native (Native) people experience more traumatic events and are at higher risk for developing posttraumatic stress disorder compared with the general population. We conducted in-depth interviews with six Native healers about their perspectives on traumatic injury and healing. We analyzed the interviews using an inductive approach to identify common themes. We categorized these themes into four categories: causes and consequences of traumatic injury, risk factors, protective factors, and barriers to care. The implications of our study include a need for improving cultural competence among health care and social services personnel working with Native trauma patients. Additional cumulative analyses of Native healers and trauma patients would contribute to a much-needed body of knowledge on improving recovery and promoting healing among Native trauma patients.

  18. “Our Culture Is Medicine”: Perspectives of Native Healers on Posttrauma Recovery Among American Indian and Alaska Native Patients

    PubMed Central

    Bassett, Deborah; Tsosie, Ursula; Nannauck, Sweetwater

    2012-01-01

    American Indian and Alaska Native (Native) people experience more traumatic events and are at higher risk for developing posttraumatic stress disorder compared with the general population. We conducted in-depth interviews with six Native healers about their perspectives on traumatic injury and healing. We analyzed the interviews using an inductive approach to identify common themes. We categorized these themes into four categories: causes and consequences of traumatic injury, risk factors, protective factors, and barriers to care. The implications of our study include a need for improving cultural competence among health care and social services personnel working with Native trauma patients. Additional cumulative analyses of Native healers and trauma patients would contribute to a much-needed body of knowledge on improving recovery and promoting healing among Native trauma patients. PMID:22529755

  19. "Counting Experience" among the Least Counted: The Role of Cultural and Community Engagement on Educational Outcomes for American Indian, Alaska Native, and Native Hawaiian Students

    ERIC Educational Resources Information Center

    Akee, Randall Quinones; Yazzie-Mintz, Tarajean

    2011-01-01

    In this article, the authors present results from a survey project that focused on the experiences of postsecondary American Indian (AI)/Alaska Native (AN)/Native Hawaiian (NH) students. They acknowledge that there are political and historical differences among and within these three broad categories of indigenous people; however, the research…

  20. American Indian and Alaska Native Cancer Data Issues.

    ERIC Educational Resources Information Center

    Burhansstipanov, Linda; Tenney, Martha J.; Hampton, James W.

    1999-01-01

    Data on cancer among American Indians and Alaska Natives are sparse and riddled with misclassification errors, resulting in underreporting of cancer incidence and mortality. Incidence rates are discussed for various cancer types in seven Native nations. Barriers to participation in cancer prevention and control programs are examined. Contains…

  1. Profiles of Native American and/or Alaska Native English Learners (ELs). Fast Facts

    ERIC Educational Resources Information Center

    Office of English Language Acquisition, US Department of Education, 2015

    2015-01-01

    The Office of English Language Acquisition (OELA) has synthesized key data on English learners (ELs) into two-page PDF sheets, by topic, with graphics, plus key contacts. The topics for this report on profiles of Native American and/or Alaska Native English Learners (ELs) include: (1) Largest Percentage of ELs Who Were Native American and/or…

  2. The Decrease in the Unintentional Injury Mortality Disparity Between American Indians/Alaska Natives and Non–American Indians/Alaska Natives in New Mexico, 1980 to 2009

    PubMed Central

    Pokhrel, Pallavi; Nielsen, Larry; Landen, Michael

    2013-01-01

    Objectives. We tracked the unintentional injury death disparity between American Indians/Alaska Natives and non–American Indians/Alaska Natives in New Mexico, 1980 to 2009. Methods. We calculated age-adjusted rates and rate ratios for unintentional injury deaths and their external causes among American Indians/Alaska Natives and non–American Indians/Alaska Natives. We tested trend significance with the Mann–Kendall test. Results. The unintentional injury death rate ratio of American Indians/Alaska Natives to non–American Indians/Alaska Natives declined from 2.9 in 1980–1982 to 1.5 in 2007–2009. The rate among American Indians/Alaska Natives decreased 47.2% from 1980–1982 to 1995–1997. Among non–American Indians/Alaska Natives, the rate declined 25.3% from 1980–1982 to 1992–1994, then increased 31.9% from 1992–1994 to 2007–2009. The motor vehicle traffic and pedestrian death rates decreased 57.8% and 74.6%, respectively, among American Indians/Alaska Natives from 1980–1982 to 2007–2009. Conclusions. The unintentional injury death rate disparity decreased substantially from 1980–1982 to 2007–2009 largely because of the decrease in motor vehicle crash and pedestrian death rates among American Indians/Alaska Natives and the increase in the poisoning death rate among non–American Indians/Alaska Natives. PMID:22994193

  3. 75 FR 43199 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-23

    ... approving the conveyance of surface estate for certain lands to Beaver Kwit'chin Corporation, pursuant to... Doyon, Limited when the surface estate is conveyed to Beaver Kwit'chin Corporation. The lands are in the vicinity of Beaver, Alaska, and are located in: Fairbanks Meridian, Alaska T. 16 N., R. 1 E., Secs. 1 to...

  4. The diet of Alaska Native adults: 1987-1988.

    PubMed

    Nobmann, E D; Byers, T; Lanier, A P; Hankin, J H; Jackson, M Y

    1992-05-01

    Although in the past, rates of heart disease, cancer, and diabetes were lower in Alaska Natives than in US whites, these diseases are now increasing. The rate of iron-deficiency anemia for Alaska Natives continues to be higher than that in the general population. To understand the role of diet in these chronic diseases, seasonal dietary intakes of 351 Alaska Native adults from 11 communities were assessed during 1987-1988. Alaska Natives consumed more energy (19%), protein (39%), fat (21%), carbohydrate (13%), iron (25%), vitamin A (53%), and vitamin C (31%), but less calcium (19%) than did the general US adult population [National Health and Nutrition Examination Survey II (NHANES II)]; Alaska Natives consumed six times more fish but less fruits and vegetables. Results suggest that energy and protein intakes decreased in the last 30 y but the proportion of energy from fat (37%) remained unchanged. High fish consumption and large seasonal dietary variations persisted, which may protect against chronic diseases. However, excess energy and fat and low calcium, fruit, and vegetable intakes may be contributing to recent increases in chronic diseases. Dietary guidelines are proposed. PMID:1570796

  5. The Way of the Human Being: Supporting Alaska Native Families Who Have a Child with a Disability

    ERIC Educational Resources Information Center

    Ryan, Susan; Murphy, Blanche; Harvey, Sandra; Nygren, Kristin; Kinavey, Erin; Ongtooguk, Paul

    2006-01-01

    Alaska Native peoples refer to themselves and their way of life as the "way of the human being" (Napolean, 1991). This term, referred to as "Yuuyaraq" by the Yup'ik Eskimo, speaks to the value the Yup'ik and other Alaskan Natives place on being fully human. Within the context of the "way of the human life," how can early interventionists and…

  6. Use of Large-Scale Data Sets to Study Educational Pathways of American Indian and Alaska Native Students

    ERIC Educational Resources Information Center

    Faircloth, Susan C.; Alcantar, Cynthia M.; Stage, Frances K.

    2014-01-01

    This chapter discusses issues and challenges encountered in using large-scale data sets to study educational experiences and subsequent outcomes for American Indian and Alaska Native (AI/AN) students. In this chapter, we argue that the linguistic and cultural diversity of Native peoples, coupled with the legal and political ways in which education…

  7. Encephalitis-associated hospitalizations among American Indians and Alaska Natives.

    PubMed

    Mehal, Jason M; Holman, Robert C; Vora, Neil M; Blanton, Jesse; Gordon, Paul H; Cheek, James E

    2014-04-01

    Encephalitis produces considerable morbidity in the United States, but morbidity rates among American Indian/Alaska Native (AI/AN) people have not been described. Hospitalization records listing an encephalitis diagnosis were analyzed by using Indian Health Service direct/contract inpatient data. For 1998-2010, there were 436 encephalitis-associated hospitalizations among AI/AN people, an average annual age-adjusted hospitalization rate of 3.1/100,000 population. The rate for infants (11.9) was more than double that for any other age group. Death occurred for 4.1% of hospitalizations. Consistent with reports for the general U.S. population, the rate was high among infants and most (53.9%) hospitalizations were of unexplained etiology. The average annual rate during the study period appeared lower than for the general U.S. population, due particularly to lower rates in the elderly. Future community-based surveillance and mortality studies are needed to confirm these findings and examine reasons underlying the low rates of encephalitis in AI/AN people. PMID:24515941

  8. Encephalitis-Associated Hospitalizations among American Indians and Alaska Natives

    PubMed Central

    Mehal, Jason M.; Holman, Robert C.; Vora, Neil M.; Blanton, Jesse; Gordon, Paul H.; Cheek, James E.

    2014-01-01

    Encephalitis produces considerable morbidity in the United States, but morbidity rates among American Indian/Alaska Native (AI/AN) people have not been described. Hospitalization records listing an encephalitis diagnosis were analyzed by using Indian Health Service direct/contract inpatient data. For 1998–2010, there were 436 encephalitis-associated hospitalizations among AI/AN people, an average annual age-adjusted hospitalization rate of 3.1/100,000 population. The rate for infants (11.9) was more than double that for any other age group. Death occurred for 4.1% of hospitalizations. Consistent with reports for the general U.S. population, the rate was high among infants and most (53.9%) hospitalizations were of unexplained etiology. The average annual rate during the study period appeared lower than for the general U.S. population, due particularly to lower rates in the elderly. Future community-based surveillance and mortality studies are needed to confirm these findings and examine reasons underlying the low rates of encephalitis in AI/AN people. PMID:24515941

  9. The Relationship between Academic and Practical Intelligence: A Case Study of the Tacit Knowledge of Native American Yup'ik People in Alaska.

    ERIC Educational Resources Information Center

    Grigorenko, Elena L.; Meier, Elisa; Lipka, Jerry; Mohatt, Gerald; Yanez, Evelyn; Sternberg, Robert J.

    A growing body of empirical data suggests that there may be a true psychological distinction between academic and practical intelligence. If there is, then conventional ability tests used alone may reveal substantially less than we want to know about people's competence in everyday practical situations. Evidence to this effect is reviewed from…

  10. 76 FR 75899 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-05

    ... Chignik Lagoon Native Corporation. The decision approves the surface estate in the lands described below... is conveyed to Chignik Lagoon Native Corporation. The lands are in the vicinity of Chignik...

  11. 77 FR 72832 - Applications for New Awards; Native American and Alaska Native Children in School Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-06

    ... English Language Acquisition, Department of Education. Overview Information Native American and Alaska... English among English learners (ELs),\\1\\ and to promote parental and community participation in language... amended (ESEA), may support the teaching and studying of Native American languages, but must have, as...

  12. American Indian, Alaska Native and Native Hawaiian Education in the States. StateNotes

    ERIC Educational Resources Information Center

    Zinth, Kyle

    2006-01-01

    State policies pertaining to the education of American Indian, Alaska Native and Native Hawaiian students vary considerably in their scope and type among the states. This StateNote report examines policies found in state statutes. Additionally, states that have tribal colleges--independent colleges that are operated by the tribes--within their…

  13. The Work of the Bureau of Education for the Natives of Alaska. Bulletin, 1921, No. 35

    ERIC Educational Resources Information Center

    Bureau of Education, Department of the Interior, 1921

    1921-01-01

    The work of the Bureau of Education for the natives of Alaska includes the Alaska school service, the Alaska medical service, and the Alaska reindeer service, with a field force in Alaska, in 1920, of 6 superintendents, 133 teachers, 9 physicians, and 13 nurses. This bulletin provides details on the following topics: (1) Extent of territory; (2)…

  14. 50 CFR 17.5 - Alaska natives.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., POSSESSION, TRANSPORTATION, SALE, PURCHASE, BARTER, EXPORTATION, AND IMPORTATION OF WILDLIFE AND PLANTS (CONTINUED) ENDANGERED AND THREATENED WILDLIFE AND PLANTS Introduction and General Provisions § 17.5 Alaska... accomplished in a wasteful manner. (b) Edible portions of endangered or threatened wildlife taken or...

  15. 50 CFR 17.5 - Alaska natives.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ..., POSSESSION, TRANSPORTATION, SALE, PURCHASE, BARTER, EXPORTATION, AND IMPORTATION OF WILDLIFE AND PLANTS (CONTINUED) ENDANGERED AND THREATENED WILDLIFE AND PLANTS Introduction and General Provisions § 17.5 Alaska... accomplished in a wasteful manner. (b) Edible portions of endangered or threatened wildlife taken or...

  16. 75 FR 65644 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-26

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR Bureau of Land Management [AA-11937, AA-11938, AA-11939, AA-11940, AA-11944, AA-11943, AA-11941, AA-11936, AA-11933, AA-11928, AA-11929, AA-11931, AA-11932; LLAK- 962000-L14100000-HY0000-P] Alaska...

  17. 75 FR 26784 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-12

    ... Bureau of Land Management [AA-11973, AA-11993, AA-11968, AA-11972, AA-12018, AA-12013, AA-12014, AA-12015, AA-12016, AA-12017, AA-11984, AA-11994, AA-11995, AA-11996, AA-12003, AA-12012, AA-11967, AA-12020, AA-12021; LLAK-962000- L14100000-HY0000-P] Alaska......

  18. 78 FR 53158 - Alaska Native Claims Selection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-28

    ...) to Sea Lion Corporation. The decision approves the surface estate in the lands described below for... estate in these lands will be conveyed to Calista Corporation when the surface estate is conveyed to Sea Lion Corporation. The lands are in the vicinity of Hooper Bay, Alaska, and are located in:...

  19. Alcohol Problems in Alaska Natives: Lessons from the Inuit

    ERIC Educational Resources Information Center

    Seale, J. Paul; Shellenberger, Sylvia; Spence, John

    2006-01-01

    In this Alaska Native study, cultural "insiders" analyzed problems associated with increased alcohol availability, factors which have reduced alcohol-related problems, and ideas for improving treatment in an Inuit community. Participants described frequent bingeing, blackouts, family violence, suicide, loss of child custody, and feelings of…

  20. Oregon American Indian/Alaska Native Education State Plan.

    ERIC Educational Resources Information Center

    Oregon State Dept. of Education, Salem.

    The Oregon State Plan for American Indian and Alaska Native (AI/AN) education was developed by AI/AN communities and educators, the State Board of Education, and the State Department of Education. The plan includes 11 major educational goals: (1) the Oregon Department of Education (ODE) should promote effective education for AI/AN children; (2)…

  1. Oregon American Indian Alaska Native Education State Plan.

    ERIC Educational Resources Information Center

    Castillo, Susan

    This state plan presents Oregon's 11 educational goals for American Indian/Alaska Native (AI/AN) education, which have been revised and detailed by the statewide Indian Education Council. The goals support the policy of the Oregon Department of Education (ODE), the educational philosophy of the AI/AN community, and the Indian Student Bill of…

  2. Source Document of Urban American Indians and Alaska Natives.

    ERIC Educational Resources Information Center

    National Urban Indian Council, Denver, CO.

    A source document on American Indians and Alaska Natives in urban areas, produced by the National Urban Indian Council, provides historical background on relocation to cities, comments on the trust relationship for off-reservation American Indians, discusses urban Indian organizations, and gives statistical information on American Indian…

  3. Summer Internship Program for American Indian & Native Alaska College Students

    ScienceCinema

    None

    2016-07-12

    Argonne National Laboratory's Summer Internship Program for American Indian & Native Alaska College Students. Supported by the Office of Indian Energy and Economic Development (IEED) in partnership with the Council of Energy Resource Tribes (CERT) and the U.S. Department of Energy.

  4. Cancer Prevention and Control in American Indians/Alaska Natives.

    ERIC Educational Resources Information Center

    Hampton, James W.

    1992-01-01

    Examines differences among American Indian tribes and Alaska Natives with regard to incidence and mortality rates for various types of cancer, particularly lung, cervix, breast, biliary, gastric, colorectal, prostate, and primary hepatic cancer. Discusses the influence of genetic and environmental factors, smoking, and inadequate medical…

  5. Summer Internship Program for American Indian & Native Alaska College Students

    SciTech Connect

    2010-03-05

    Argonne National Laboratory's Summer Internship Program for American Indian & Native Alaska College Students. Supported by the Office of Indian Energy and Economic Development (IEED) in partnership with the Council of Energy Resource Tribes (CERT) and the U.S. Department of Energy.

  6. Bibliography of Educational Publications for Alaska Native Languages.

    ERIC Educational Resources Information Center

    McGary, Jane, Comp.

    Both Indian and Eskimo-Aleut languages are covered in this annotated bibliography of Alaska native languages. Listings for each language are broken down into general works, reference works, materials on bilingual education where there are any available, and educational materials. In many cases the last category is extensive enough to require…

  7. Alaska Native Community Energy Planning and Projects (Fact Sheet)

    SciTech Connect

    Not Available

    2013-06-01

    This fact sheet provides information on the Alaska Native villages selected to receive assistance from the U.S. Department of Energy Office of Indian Energy 2013 Strategic Technical Assistance Response Team (START) Program, which provides technical expertise to support the development of next-generation energy projects on tribal lands.

  8. Resource Guide of American Indian and Alaska Native Women, 1980.

    ERIC Educational Resources Information Center

    Anderson, Owanah P., Comp.; Verble, Sedelta D., Comp.

    A resource listing of 678 prominent American Indian and Alaska Native women representing 159 tribes throughout the United States provides the following information: name, address, date and place of birth, tribal membership, field of interest, current occupation, Indian activities, women's advocacy, educational background and professional interest.…

  9. 26 CFR 1.1502-81T - Alaska Native Corporations.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 26 Internal Revenue 12 2010-04-01 2010-04-01 false Alaska Native Corporations. 1.1502-81T Section 1.1502-81T Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) INCOME... and before 1992), or any part thereof, against the income and tax liability of a...

  10. Cultural Diversity and the Experiences of Alaska Native Nursing Students

    ERIC Educational Resources Information Center

    Gilmon, Margaret E.

    2012-01-01

    The purpose of this ethnonursing research study was to discover, describe, and systematically analyze the care expressions, practices, and patterns of Alaska Native nurses within the context of their nursing school experience. The goals of this study were to identify generic and professional care factors that promote the academic success of Alaska…

  11. American Indian & Alaska Native Sources of Health Materials.

    ERIC Educational Resources Information Center

    Office of Minority Health (PHS/DHHS), Washington, DC.

    This brief directory lists 28 agencies providing culturally sensitive printed health materials for American Indians and Alaska Natives. Each entry provides the agency's address; telephone number; fax number; and annotated titles available, with price. Many materials are free. There is also a subject index with these categories: adolescent…

  12. Native Generations: A campaign addressing infant mortality among American Indians and Alaska Natives in urban areas.

    PubMed

    Rutman, Shira; Loughran, Julie; Tanner, Leah; Randall, Leslie L

    2016-01-01

    This study describes the development and evaluation of Native Generations, a campaign addressing high rates of infant mortality (IM) among American Indians and Alaska Natives (AI/ANs) in urban areas. Campaign development included reviews of literature and previous campaigns, an advisory council, and focus groups. Campaign messages are strength-based, encouraging AI/AN caregivers to utilize available Native-specific resources, including health care, support services, and programming as IM protective factors. The primary campaign material is an 11-minute video. Pilot survey data indicate the video may help increase awareness of IM and Native-specific resources, and increase connection to Native identity, culture, and community.

  13. Native Generations: A campaign addressing infant mortality among American Indians and Alaska Natives in urban areas.

    PubMed

    Rutman, Shira; Loughran, Julie; Tanner, Leah; Randall, Leslie L

    2016-01-01

    This study describes the development and evaluation of Native Generations, a campaign addressing high rates of infant mortality (IM) among American Indians and Alaska Natives (AI/ANs) in urban areas. Campaign development included reviews of literature and previous campaigns, an advisory council, and focus groups. Campaign messages are strength-based, encouraging AI/AN caregivers to utilize available Native-specific resources, including health care, support services, and programming as IM protective factors. The primary campaign material is an 11-minute video. Pilot survey data indicate the video may help increase awareness of IM and Native-specific resources, and increase connection to Native identity, culture, and community. PMID:27668594

  14. Cancer Education Resources for American Indians and Alaska Natives. Supplement to Native American Monograph No. 1: Documentation of the Cancer Research Needs of American Indians and Alaska Natives.

    ERIC Educational Resources Information Center

    Burhansstipanov, Linda, Comp.; Barry, Kathleen Cooleen, Comp.

    This directory provides information on cancer education materials that have been developed specifically for American Indians and Alaska Natives. The goal is to develop and implement culturally appropriate cancer prevention and control programs for Native Americans. The directory includes a matrix of cancer education materials that identifies…

  15. Native Peoples. A Guide to Reference Sources.

    ERIC Educational Resources Information Center

    McGill Univ., Montreal (Quebec). Libraries.

    This guide from McGill University (Quebec, Canada) emphasizes sources for ethnological research and includes materials reflecting concerns of social anthropology and historical approaches to the study of native peoples. Some government documents and map collections are included. Sources are arranged in the following categories: (1) handbooks and…

  16. Easy Guide to Breastfeeding for American Indian and Alaska Native Families

    MedlinePlus

    ... Indian Community Inter-Tribal Council of Arizona, WIC Native American Community Health Center, Phoenix, Arizona William Daychild, the ... sensitive at first. • Since before anyone can remember, American Native and Alaska Native women have made enough breast ...

  17. Ethnic identity, drinking motives, and alcohol consequences among Alaska Native and non-Native college students.

    PubMed

    Skewes, Monica C; Blume, Arthur W

    2015-01-01

    This research involves the examination of drinking motives, alcohol consequences, and ethnic identity in a sample of Native and non-Native college student drinkers in Alaska. Although more Alaska Native students are abstinent from alcohol compared to any other ethnic group, Native students who do drink experience greater alcohol consequences and dependence symptoms. Therefore, we attempted to examine the influence of ethnic identity on alcohol consequences in a diverse sample of Native and non-Native students in Alaska. Findings showed that drinking motives, as measured by the Drinking Motives Questionnaire (social, coping, enhancement, and conformity), significantly predicted alcohol consequences after controlling for frequency of monthly binge drinking. In addition, after controlling for depression, binge drinking, and drinking motives, one aspect of ethnic identity (Affirmation, Belonging, and Commitment) was significantly negatively related to alcohol consequences, whereas another aspect of ethnic identity (Ethnic Identity Search) was not. Taken together, these findings suggest that interventions for college student alcohol misuse that target Native students should be culturally grounded and focused on enhancing the Affirmation, Belonging, and Commitment to one's ethnic heritage and should address drinking motives, especially drinking to cope, as a way to reduce alcohol related harm.

  18. A native corporation evaluates potential of Alaska`s Kandik area

    SciTech Connect

    Hite, D.M.

    1997-11-17

    Alaska`s regional Native corporations control large tracts of land with significant mineral and hydrocarbon potential. One of these 12 corporations, Doyon Ltd., has extensive holdings with the potential for large oil and gas accumulations. The most promising is the Kandik region of east-central Alaska. Recent compilations and research involving the organic geochemistry, stratigraphy, and timing of structural deformation in the Kandik area have resulted in much more optimistic appraisals of the oil potential. These studies indicate that known oil-prone source units may have generated 50--100 billion bbl of oil. Some of these data have recently been made available to the public through the Alaska Division of Geological and Geophysical Surveys. The paper discusses the exploration history, stratigraphy, geologic structure, hydrocarbon potential, and prospective areas.

  19. History of NASA/Native People Native Homelands Initiative

    NASA Technical Reports Server (NTRS)

    Maynard, Nancy

    2000-01-01

    This workshop is one of the follow-on local assessment activities from the US National Assessment on the Impact of Climate Change on the US. N. Maynard (for NASA) helped create and get under way an initiative which brought together climate change scientists from around the US with Native Americans to bring together classic Western European scientists with knowledge from native peoples - from such sources as oral histories of drought, major fires, etc. The purpose of this was to encourage not only joint science but also bring NASA resources and education materials to Tribal schools and encourage joint preparation of educational and training materials. N. Maynard's talk will provide history of that process and discuss possible ways to collaborate in the future, building on this effort.

  20. Remarks at the Alaska Native Education Summit (Anchorage, AK, November 30, 2001).

    ERIC Educational Resources Information Center

    Ongtooguk, Paul

    Remarks of Alaska Native researcher and educator Paul Ongtooguk are presented. Alaska Natives have successfully educated themselves for thousands of years. Along with the promise of preparing students for the future, schools have promoted the idea that Native cultures should be stripped from the minds of children in order to prepare them for a…

  1. Traditional living and cultural ways as protective factors against suicide: perceptions of Alaska Native university students

    PubMed Central

    DeCou, Christopher R.; Skewes, Monica C.; López, Ellen D. S.

    2013-01-01

    Introduction Native peoples living in Alaska have one of the highest rates of suicide in the world. This represents a significant health disparity for indigenous populations living in Alaska. This research was part of a larger study that explored qualitatively the perceptions of Alaska Native university students from rural communities regarding suicide. This analysis explored the resilience that arose from participants’ experiences of traditional ways, including subsistence activities. Previous research has indicated the importance of traditional ways in preventing suicide and strengthening communities. Method Semi-structured interviews were conducted with 25 university students who had migrated to Fairbanks, Alaska, from rural Alaskan communities. An interview protocol was developed in collaboration with cultural and community advisors. Interviews were audio-recorded and transcribed. Participants were asked specific questions concerning the strengthening of traditional practices towards the prevention of suicide. Transcripts were analysed using the techniques of grounded theory. Findings Participants identified several resilience factors against suicide, including traditional practices and subsistence activities, meaningful community involvement and an active lifestyle. Traditional practices and subsistence activities were perceived to create the context for important relationships, promote healthy living to prevent suicide, contrast with current challenges and transmit important cultural values. Participants considered the strengthening of these traditional ways as important in suicide prevention efforts. However, subsistence and traditional practices were viewed as a diminishing aspect of daily living in rural Alaska. Conclusions Many college students from rural Alaska have been affected by suicide but are strong enough to cope with such tragic events. Subsistence living and traditional practices were perceived as important social and cultural processes with

  2. Blood Politics, Ethnic Identity, and Racial Misclassification among American Indians and Alaska Natives

    PubMed Central

    Haozous, Emily A.; Strickland, Carolyn J.; Palacios, Janelle F.; Solomon, Teshia G. Arambula

    2014-01-01

    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. PMID:24669226

  3. Blood politics, ethnic identity, and racial misclassification among American Indians and Alaska Natives.

    PubMed

    Haozous, Emily A; Strickland, Carolyn J; Palacios, Janelle F; Solomon, Teshia G Arambula

    2014-01-01

    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.

  4. U.S. Geological Survey Activities Related to American Indians and Alaska Natives: Fiscal Year 2005

    USGS Publications Warehouse

    Marcus, Susan M.

    2007-01-01

    ), or other Federal agencies. The USGS routinely works with its sister bureaus in the Department of the Interior to provide the scientific information and expertise needed to meet the Department's science priorities. Some USGS activities described in this report are conducted as collateral tasks that result from USGS employees identifying and responding to perceived needs. These endeavors are usually prompted by employee interests and frequently involve educational activities. The education is often a reciprocal learning and teaching experience for USGS employees and for Native participants. Through these activities, USGS employees help to fulfill a mission of the USGS - to demonstrate scientific relevance - while helping their fellow citizens. Increasingly, some of the educational activities are becoming parts of formal USGS projects. USGS employees also take initiative in assisting American Indians and Alaska Natives by participating in several organizations that promote awareness of science career opportunities among Native peoples and help build support and communication networks. One such group is the American Indian Science and Engineering Society (AISES). USGS employees join this organization on a voluntary basis, bringing the benefits of this expanded network to the USGS, as many employees do with other professional organizations. The studies briefly described in this report span subsistence issues, wildlife health, water quality, mineral resources, monitoring and modeling to gather information and predict what may happen in the future. Although each project description relates to Native Americans in some way, the projects vary widely, including who conducted the work, the goals and products, the duration of the study, and whether it was local or covered a broad area. Each major organizational unit of the USGS has identified an American Indian/Alaska Native liaison. The USGS has a regional organizational structure, with Western, Central,

  5. The Relevancy of Community-Based Methods: Using Diet within Native American and Alaska Native Adult Populations as an Example

    PubMed Central

    Fialkowski, Marie K.; Okoror, Titilayo A.; Boushey, Carol J.

    2015-01-01

    The rates of obesity, diabetes, and heart disease in Native Americans and Alaska Natives far exceed that of the general US population. There are many postulating reasons for these excessive rates including the transition from a traditional to a contemporary diet. Although information on the dietary intakes of Native American and Alaska Native communities are limited, there seems to be a consensus that the Native American and Alaska Native diet is high in total fat, saturated fat, cholesterol, and sodium. Further information on the diet needs to be attained so that dietary interventions can effectively be implemented in these communities. An approach that is community based is proposed as the best solution to understanding the Native diet and developing culturally tailored interventions to sustainably improve diet. PMID:22686210

  6. Dermatology in the North American Indian/Alaska Native population.

    PubMed

    Kryatova, Maria S; Okoye, Ginette A

    2016-02-01

    Dermatology is greatly understudied in the American Indian/Alaska Native (AIAN) population. This topic deserves attention in light of the changing demographics of the United States and the healthcare disparities faced by AIAN, including access to dermatologic care. In this review, we discuss disorders that are more prevalent or otherwise important in the AIAN population, such as cutaneous malignancies, photodermatoses, acanthosis nigricans, connective tissue disorders, cutaneous infections, hypertrophic scar formation, and Heck's disease. We aim to provide an updated review and increase awareness of the dermatologic needs of the AIAN population.

  7. Predicting attitudes toward seeking professional psychological help among Alaska Natives.

    PubMed

    Freitas-Murrell, Brittany; Swift, Joshua K

    2015-01-01

    This study sought to examine the role of current/previous treatment experience, stigma (social and self), and cultural identification (Caucasian and Alaska Native [AN]) in predicting attitudes toward psychological help seeking for ANs. Results indicated that these variables together explained roughly 56% of variance in attitudes. In particular, while self-stigma and identification with the Caucasian culture predicted a unique amount of variance in help-seeking attitudes, treatment use and identification with AN culture did not. The results of this study indicate that efforts to address the experience of self-stigma may prove most useful to improving help-seeking attitudes in ANs. PMID:26425864

  8. Work of the Bureau of Education for the Natives of Alaska. Bulletin, 1925, No. 16

    ERIC Educational Resources Information Center

    Hamilton, William

    1925-01-01

    This bulletin documents the work of the Alaska division of the Bureau of Education. It reports advance sheets for the biennial survey of education, 1922-1924. The Alaska division is required to make provision for the education of the natives of Alaska, extend to them all possible medical relief, train them to self-support, and, so far as possible,…

  9. Pharmacogenetic research in partnership with American Indian and Alaska Native communities.

    PubMed

    Woodahl, Erica L; Lesko, Lawrence J; Hopkins, Scarlett; Robinson, Renee F; Thummel, Kenneth E; Burke, Wylie

    2014-06-01

    Pharmacogenetics is a subset of personalized medicine that applies knowledge about genetic variation in gene-drug pairs to help guide optimal dosing. There is a lack of data, however, about pharmacogenetic variation in underserved populations. One strategy for increasing participation of underserved populations in pharmacogenetic research is to include communities in the research process. We have established academic-community partnerships with American Indian and Alaska Native people living in Alaska and Montana to study pharmacogenetics. Key features of the partnership include community oversight of the project, research objectives that address community health priorities, and bidirectional learning that builds capacity in both the community and the research team. Engaging the community as coresearchers can help build trust to advance pharmacogenetic research objectives.

  10. Pharmacogenetic research in partnership with American Indian and Alaska Native communities

    PubMed Central

    Woodahl, Erica L; Lesko, Lawrence J; Hopkins, Scarlett; Robinson, Renee F; Thummel, Kenneth E; Burke, Wylie

    2014-01-01

    Pharmacogenetics is a subset of personalized medicine that applies knowledge about genetic variation in gene–drug pairs to help guide optimal dosing. There is a lack of data, however, about pharmacogenetic variation in underserved populations. One strategy for increasing participation of underserved populations in pharmacogenetic research is to include communities in the research process. We have established academic–community partnerships with American Indian and Alaska Native people living in Alaska and Montana to study pharmacogenetics. Key features of the partnership include community oversight of the project, research objectives that address community health priorities, and bidirectional learning that builds capacity in both the community and the research team. Engaging the community as coresearchers can help build trust to advance pharmacogenetic research objectives. PMID:25141898

  11. Pharmacogenetic research in partnership with American Indian and Alaska Native communities.

    PubMed

    Woodahl, Erica L; Lesko, Lawrence J; Hopkins, Scarlett; Robinson, Renee F; Thummel, Kenneth E; Burke, Wylie

    2014-06-01

    Pharmacogenetics is a subset of personalized medicine that applies knowledge about genetic variation in gene-drug pairs to help guide optimal dosing. There is a lack of data, however, about pharmacogenetic variation in underserved populations. One strategy for increasing participation of underserved populations in pharmacogenetic research is to include communities in the research process. We have established academic-community partnerships with American Indian and Alaska Native people living in Alaska and Montana to study pharmacogenetics. Key features of the partnership include community oversight of the project, research objectives that address community health priorities, and bidirectional learning that builds capacity in both the community and the research team. Engaging the community as coresearchers can help build trust to advance pharmacogenetic research objectives. PMID:25141898

  12. 78 FR 75365 - 30-Day Notice of Proposed Information Collection: Assessment of Native American, Alaska Native...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-11

    ... list are eligible for the homestead benefit (that is, people who are at least 50% blood quantum Native... the proper performance of the functions of the agency, including whether the information will...

  13. 36 CFR 219.15 - Interaction with American Indian tribes and Alaska Natives.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... SERVICE, DEPARTMENT OF AGRICULTURE PLANNING National Forest System Land and Resource Management Planning Collaborative Planning for Sustainability § 219.15 Interaction with American Indian tribes and Alaska Natives... recognized American Indian tribes and Alaska Natives. (b) During planning, the responsible official...

  14. Alaska Native Rural Development: The NANA Experience. Occasional Paper No. 2.

    ERIC Educational Resources Information Center

    Gaffney, Michael J.

    Faced with the need to build new social and economic institutions following the 1971 Alaska Native Claims Settlement Act, Alaska Natives formed 12 regional non-profit making corporations. One of these, Northwest Arctic Inupiat (NANA), is bringing a human resources development approach to the area in an effort to develop enduring economic and…

  15. Evaluation of the Alaska Native Science & Engineering Program (ANSEP). Research Report

    ERIC Educational Resources Information Center

    Bernstein, Hamutal; Martin, Carlos; Eyster, Lauren; Anderson, Theresa; Owen, Stephanie; Martin-Caughey, Amanda

    2015-01-01

    The Urban Institute conducted an implementation and participant-outcomes evaluation of the Alaska Native Science & Engineering Program (ANSEP). ANSEP is a multi-stage initiative designed to prepare and support Alaska Native students from middle school through graduate school to succeed in science, technology, engineering, and math (STEM)…

  16. "It Was Bad or It Was Good:" Alaska Natives in Past Boarding Schools

    ERIC Educational Resources Information Center

    Hirshberg, Diane

    2008-01-01

    In 2004 and 2005 my colleagues and I gathered information on the boarding school and boarding home experiences of 60 Alaska Native adults who attended boarding schools or participated in the urban boarding home program from the late 1940s through the early 1980s. From the early 1900s to the 1970s Alaska Natives were taken from rural communities…

  17. Gaps in Data for American Indians and Alaska Natives in the National Healthcare Disparities Report

    ERIC Educational Resources Information Center

    Moy, Ernest; Smith, Colleen Ryan; Johansson, Patrik; Andrews, Roxanne

    2006-01-01

    The aim of this study was to identify and quantify gaps in health care data for American Indians and Alaska Natives. Findings indicate that only 42% of measures of health care quality and access tracked in the National Healthcare Disparities Report could be used to assess disparities among American Indians and Alaska Natives. Patient safety data…

  18. Village Alaska: One of a Series of Articles on the Native Land Claims.

    ERIC Educational Resources Information Center

    Napoleon, Harold

    As one in a series of eight articles written by different professionals concerned with Alaska Native land claims, this article focuses on the isolated rural village and its problems in understanding and acting upon the provisions of the Alaska Native Claims Settlement Act of 1972. Designed to stimulate careful political/historical reading and…

  19. American Indian/Alaska Native Alcohol-Related Incarceration and Treatment

    ERIC Educational Resources Information Center

    Feldstein, Sarah W.; Venner, Kamilla L.; May, Philip A.

    2006-01-01

    American Indian/Alaska Natives have high rates of alcohol-related arrests and are overrepresented in justice systems. To understand the relationship between alcohol dependence, treatment, and alcoholrelated incarceration, this study queried American Indian/Alaska Natives currently in remission from alcohol dependence. Participants reported…

  20. Issues in Cross-Cultural Assessment: American Indian and Alaska Native Students. Knowledge Brief, Number Twelve.

    ERIC Educational Resources Information Center

    Estrin, Elise Trumbull; Nelson-Barber, Sharon

    This brief focuses on assessment issues for American Indian and Alaska Native (collectively referred to as "Native") students, as well as other pedagogical issues related to improved teaching and educational outcomes. Although traditional Native educational strategies emphasize cooperation, experiential learning, and reflection, Native students…

  1. A qualitative study of motivation in Alaska Native Science and Engineering Program (ANSEP) precollege students

    NASA Astrophysics Data System (ADS)

    Yatchmeneff, Michele

    The dramatic underrepresentation of Alaska Natives in science, technology, engineering and mathematics (STEM) degrees and professions calls for rigorous research in how students access these fields. Research has shown that students who complete advanced mathematics and science courses while in high school are more academically prepared to pursue and succeed in STEM degree programs and professions. There is limited research on what motivates precollege students to become more academically prepared before they graduate from high school. In Alaska, Alaska Native precollege students regularly underperform on required State of Alaska mathematics and science exams when compared to non-Alaska Native students. Research also suggests that different things may motivate Alaska Native students than racial majority students. Therefore there is a need to better understand what motivates Alaska Native students to take and successfully complete advanced mathematics and science courses while in high school so that they are academically prepared to pursue and succeed in STEM degrees and professions. The Alaska Native Science & Engineering Program (ANSEP) is a longitudinal STEM educational enrichment program that works with Alaska Native students starting in middle school through doctoral degrees and further professional endeavors. Research suggests that Alaska Native students participating in ANSEP are completing STEM degrees at higher rates than before the program was available. ANSEP appears to be unique due to its longitudinal approach and the large numbers of Alaska Native precollege, university, and graduate students it supports. ANSEP provides precollege students with opportunities to take advanced high school and college-level mathematics and science courses and complete STEM related projects. Students work and live together on campus during the program components. Student outcome data suggests that ANSEP has been successful at motivating precollege participants to

  2. Pilot test of a cervical cancer prevention video developed for Alaska Native women.

    PubMed

    Stillwater, B; Echavarria, V A; Lanier, A P

    1995-01-01

    Cancer of the cervix is twice as likely to occur among Alaska Native women than among Caucasian women in the United State. To understand some of the factors associated with this high incidence, a random sample of 528 Alaska Native women were surveyed about their knowledge, attitudes, and behavior regarding cervical cancer and its risk factors. From the results of the Alaska Native Women's Health Project study, the need for more public education related to cervical cancer prevention was identified. A review of existing educational resources revealed that no culturally appropriate materials related to cervical cancer had been developed for Alaska Native women. To increase Native women's knowledge about cervical cancer and to motivate them to obtain annual Papanicolaou tests, a 12-minute videotape presentation was developed specifically for this population. The videotape portrayed Alaska Native women as role models from the community discussing cervical cancer and Papanicolaou tests and engaging in healthy lifestyles. The videotape was pilot tested with several groups of Alaska Native women. The women were surveyed before and after watching the video and were asked to rate the tape and make comments about it. The results of the posttest demonstrated a significant increase in the knowledge level of the participants. The videotape was well received because of its cultural sensitivity and appropriateness. On the basis of this study, the development of additional culturally appropriate educational materials related to cancer prevention of Alaska Native women is recommended. PMID:7631000

  3. Pilot test of a cervical cancer prevention video developed for Alaska Native women.

    PubMed Central

    Stillwater, B; Echavarria, V A; Lanier, A P

    1995-01-01

    Cancer of the cervix is twice as likely to occur among Alaska Native women than among Caucasian women in the United State. To understand some of the factors associated with this high incidence, a random sample of 528 Alaska Native women were surveyed about their knowledge, attitudes, and behavior regarding cervical cancer and its risk factors. From the results of the Alaska Native Women's Health Project study, the need for more public education related to cervical cancer prevention was identified. A review of existing educational resources revealed that no culturally appropriate materials related to cervical cancer had been developed for Alaska Native women. To increase Native women's knowledge about cervical cancer and to motivate them to obtain annual Papanicolaou tests, a 12-minute videotape presentation was developed specifically for this population. The videotape portrayed Alaska Native women as role models from the community discussing cervical cancer and Papanicolaou tests and engaging in healthy lifestyles. The videotape was pilot tested with several groups of Alaska Native women. The women were surveyed before and after watching the video and were asked to rate the tape and make comments about it. The results of the posttest demonstrated a significant increase in the knowledge level of the participants. The videotape was well received because of its cultural sensitivity and appropriateness. On the basis of this study, the development of additional culturally appropriate educational materials related to cancer prevention of Alaska Native women is recommended. Images p213-a PMID:7631000

  4. A comparison of the diets of Siberian Chukotka and Alaska Native adults and recommendations for improved nutrition, a survey of selected previous studies.

    PubMed

    Nobmann, E D; Mamleeva, F Y; Klachkova, E V

    1994-07-01

    Diet plays an important role in the development of common diseases among Northern indigenous people, i.e. heart disease, cancer, diabetes and iron deficiency. Their unique diets may contribute to or protect from these diseases. The diets consumed by Siberian Chukotka Natives (Russia) and Alaska Natives (United States) during the 1980's are described. Traditional foods still play a major role, although the extent of their use varies. Alaska Natives' diets are more "western" than are those of Chukotka Natives. They consumed a greater proportion of kilocalories as carbohydrates and fat than Chukotka Natives. Coastal Chukotka Natives had lower average serum LDL-cholesterol and higher HDL-cholesterol levels than tundra Chukotka Natives, despite their high fat and kilocalorie intakes. Dietary recommendations common to both groups are presented which encourage the use of traditional foods as the foundation of the diet supplemented with western type foods of appropriate quality and quantity. PMID:7986316

  5. College Pride, Native Pride: A Portrait of a Culturally Grounded Precollege Access Program for American Indian, Alaska Native, and Native Hawaiian Students

    ERIC Educational Resources Information Center

    Keene, Adrienne J.

    2016-01-01

    In this article Adrienne J. Keene employs the portraiture methodology to explore the story of College Horizons. She examines this precollege access program for American Indian, Alaska Native, and Native Hawaiian students to understand how a program rooted in Native cultures and identities can not only provide a space to create knowledge…

  6. Stroke in American Indians and Alaska Natives: A Systematic Review

    PubMed Central

    Nelson, Lonnie A.; Muller, Clemma; Buchwald, Dedra

    2015-01-01

    We conducted a systematic review of published studies on stroke epidemiology in American Indians and Alaska Natives (AI/ANs). We used MeSH terms and strict inclusion criteria to search PubMed, identifying a relevant sample of 57 refereed publications. We report a consensus view in which prevalent stroke is more common, and estimates of cerebrovascular risk factors are higher, among AI/ANs than among other US populations. Like other minority groups, AI/ANs suffer stroke at younger ages than do non-Hispanic Whites. However, data on AI/AN stroke mortality are significantly compromised by racial misclassification and nonrepresentative sampling. Studies correcting for these problems have found that stroke mortality rates among AI/ANs are among the highest of all US racial and ethnic groups. As with Black and non-Hispanic White stroke mortality, AI/AN stroke mortality varies by geographic region, with the highest rates in Alaska and the Northwest and the lowest in the Southwest. Our results underscore the need for a concerted national effort to collect accurate cross-sectional and longitudinal data on stroke in AI/ANs. PMID:26066955

  7. Tobacco Use and Cessation Among Pregnant Alaska Natives from Western Alaska Enrolled in the WIC Program, 2001–2002

    PubMed Central

    Renner, Caroline C.; Decker, Paul A.; O’Campo, Ester; Larsen, Karin; Enoch, Carrie; Offord, Kenneth P.; Hurt, Richard D.; Lanier, Anne; Kaur, Judith

    2010-01-01

    Objectives This study examined the rate of tobacco use (cigarette smoking and smokeless tobacco [ST]) at three time points: during the 3 months before pregnancy, during pregnancy, and at 6 weeks postpartum among Alaska Native women residing in the Y-K Delta region of Western Alaska. Methods A retrospective, non-randomized observational cohort design was utilized. The sample consisted of 832 Alaska Natives (mean maternal age = 26.2 years, average length of gestation = 3.8 months) seen at their first prenatal visit and enrolled in the women, infant, and children (WIC) program at the Yukon-Kuskokwim Delta Regional Hospital in Bethel, Alaska, during a 2-year-period (2001–2002). Tobacco use was assessed using an interview format at the first prenatal and at the 6-week postpartum visits. Results The rates of any tobacco use were 48% (95% CI 45%, 52%) 3 months before pregnancy, 79% (95% CI 76%, 82%) during pregnancy, and 70% (95% CI 67%, 74%) at 6 weeks postpartum. The proportion of women using ST changed significantly (P < 0.001) over the three time points (14%, 60%, and 61%, respectively) as well as the proportion of women who smoked cigarettes (P < 0.001) (40%, 42%, and 19%, respectively). Conclusions This study documents the high rate of tobacco use, particularly ST use, during pregnancy among Alaska Native women. Development of tobacco use prevention and cessation interventions during pregnancy for Alaska Native women is warranted. PMID:18340517

  8. Stereotyping of Native People in Literature.

    ERIC Educational Resources Information Center

    Grant, Agnes

    Canadian Indians have long been represented by stereotypes presented by non-native writers. Only recently have Indians begun to create their own literature and re-examine historic sources of native speech and tales. This paper traces early European views of the bloodthirsty native and the noble savage, but contrasts them with recorded comments of…

  9. Poverty and Health Disparities for American Indian and Alaska Native Children: Current Knowledge and Future Prospects

    PubMed Central

    Sarche, Michelle; Spicer, Paul

    2008-01-01

    This report explores the current state of knowledge regarding inequalities and their effect on American Indian and Alaska Native children, underscoring gaps in our current knowledge and the opportunities for early intervention to begin to address persistent challenges in young American Indian and Alaska Native children’s development. This overview documents demographic, social, health, and health care disparities as they affect American Indian and Alaska Native children, the persistent cultural strengths that must form the basis for any conscientious intervention effort, and the exciting possibilities for early childhood interventions. PMID:18579879

  10. Teaching American Indian and Alaska Native Languages in the Schools: What Has Been Learned. ERIC Digest.

    ERIC Educational Resources Information Center

    Peacock, Thomas D.; Day, Donald R.

    This digest considers issues, possible solutions, and successful efforts in dealing with Native language loss, maintenance, and restoration in American Indian and Alaska Native communities and schools. The preservation and maintenance of the remaining 210 tribal languages is a major cultural and education concern in Native communities. The problem…

  11. Native Peoples of Canada: A Guide to Reference Sources.

    ERIC Educational Resources Information Center

    McGill Univ., Montreal (Quebec). McLennan Library.

    Brief annotations accompany the 104 entries in this bibliography which emphasizes sources for ethnological research about Native peoples of Canada dating from 1913 to 1985. Materials reflecting concerns of social anthropology and historical approaches to the study of Native peoples are also included, but linguistics and archaeology are covered…

  12. Consuming untreated water in four southwestern Alaska Native communities: reasons revealed and recommendations for change.

    PubMed

    Ritter, Troy L; Lopez, Ellen D S; Goldberger, Rachel; Dobson, Jennifer; Hickel, Korie; Smith, Jeffrey; Johnson, Rhonda M; Bersamin, Andrea

    2014-12-01

    In this article, the authors provide the first in-depth account of why some Alaska Native people drink untreated water when treated water is available. Their qualitative research was conducted in four Alaska Native village communities that have treated water available from a centralized distribution point. Most respondents (n = 172; 82%) reported that some of their household's drinking water came from an untreated source. Motives for drinking untreated water emerged from analysis of open-ended questions about drinking water practice and could be categorized into six themes: chemicals, taste, health, access, tradition, and cost. Importantly, some residents reported consuming untreated water because they both liked untreated water and disliked treated water. As such, interventions to increase safe water consumption should address this dichotomy by providing education about the benefits of treated water alongside the risks involved with drinking untreated water. Based on the findings, the authors provide specific recommendations for developing behavior change interventions that address influences at multiple social-ecological levels. PMID:25619021

  13. Consuming untreated water in four southwestern Alaska Native communities: reasons revealed and recommendations for change.

    PubMed

    Ritter, Troy L; Lopez, Ellen D S; Goldberger, Rachel; Dobson, Jennifer; Hickel, Korie; Smith, Jeffrey; Johnson, Rhonda M; Bersamin, Andrea

    2014-12-01

    In this article, the authors provide the first in-depth account of why some Alaska Native people drink untreated water when treated water is available. Their qualitative research was conducted in four Alaska Native village communities that have treated water available from a centralized distribution point. Most respondents (n = 172; 82%) reported that some of their household's drinking water came from an untreated source. Motives for drinking untreated water emerged from analysis of open-ended questions about drinking water practice and could be categorized into six themes: chemicals, taste, health, access, tradition, and cost. Importantly, some residents reported consuming untreated water because they both liked untreated water and disliked treated water. As such, interventions to increase safe water consumption should address this dichotomy by providing education about the benefits of treated water alongside the risks involved with drinking untreated water. Based on the findings, the authors provide specific recommendations for developing behavior change interventions that address influences at multiple social-ecological levels.

  14. Focus Groups of Alaska Native Adolescent Tobacco Users: Preferences for Tobacco Cessation Interventions and Barriers to Participation

    ERIC Educational Resources Information Center

    Patten, Christi A.; Enoch, Carrie; Renner, Caroline C.; Offord, Kenneth P.; Nevak, Caroline; Kelley, Stacy F.; Thomas, Janet; Decker, Paul A.; Hurt, Richard D.; Lanier, Anne; Kaur, Judith S.

    2009-01-01

    Tobacco cessation interventions developed for Alaska Native adolescents do not exist. This study employed focus group methodology to explore preferences for tobacco cessation interventions and barriers to participation among 49 Alaska Natives (61% female) with a mean age of 14.6 (SD = 1.6) who resided in western Alaska. Using content analysis,…

  15. Future Land Use Planning Alternatives for Alaska: One of a Series of Articles on the Native Land Claims.

    ERIC Educational Resources Information Center

    Parker, Walter B.

    As one in a series of eight articles written by different professionals concerned with Alaska Native land claims, this article focuses on land use planning alternatives after December of 1976 when the configuration of Alaska lands will have been largely finalized under the Alaska Native Claims Settlement Act of 1972. While this particular booklet…

  16. Native Language Dictionaries and Grammars of Alaska, Northern Canada, and Greenland.

    ERIC Educational Resources Information Center

    Goniwiecha, Mark C.; Hales, David A.

    1988-01-01

    Describes recent political and social activities aimed at preserving the culture of Native Americans in Alaska, Northern Canada, and Greenland. An annotated bibliography of sources for the Eskimo Aleut, Tsimshian, Haida, Athabascan (Athapascan), Eyak and Tlingit languages is provided. (CLB)

  17. Development of a tobacco cessation intervention for Alaska Native youth

    PubMed Central

    Patten, Christi A.; Fadahunsi, Oluwole; Hanza, Marcelo; Smith, Christina M.; Hughes, Christine A.; Brockman, Tabetha A.; Boyer, Rahnia; Decker, Paul A.; Luger, Elizabeth; Sinicrope, Pamela S.; Offord, Kenneth P.

    2013-01-01

    Tobacco cessation treatments have not been evaluated among Alaska Native (AN) adolescents. This pilot study evaluated the feasibility and acceptability of a targeted cessation intervention developed for AN youth. Intervention components were informed by prior focus groups assessing treatment preferences among AN youth, a social cognitive theoretical framework and feedback obtained from a teen advisory group. The intervention consisted of a weekend program where youth traveled by small airplane from their villages to stay overnight with other adolescents who quit tobacco use together. The program included recreational activities, talking circles, personal stories from elders and teen advisors, and cognitive behavioral counseling. Two intervention pilots were conducted from October 2010 to January 2011 using a non-randomized, uncontrolled study design with assessments at baseline and six-week follow-up. One village in Western Alaska was selected for each pilot with a targeted enrollment of 10 adolescents each. Participants were recruited for each pilot within five days, but recruitment challenges and ‘‘lessons learned’’ are described. The first pilot enrolled nine adolescents (all female) aged 13–16 years; all nine attended the intervention program and 78% (7/9) completed follow-up. The second pilot enrolled 12 adolescents (eight females, four males) aged 12–17 years, of which seven attended the intervention program. Six of these seven participants (86%) completed follow-up. In both pilots, participants rated the intervention as highly acceptable. A targeted cessation intervention was feasible and acceptable to AN youth. The intervention will be tested for efficacy in a subsequent randomized controlled trial. PMID:24058327

  18. Strategies for Successful Retention of Alaska Native and American Indian Study Participants

    ERIC Educational Resources Information Center

    Redwood, Diana; Leston, Jessica; Asay, Elvin; Ferucci, Elizabeth; Etzel, Ruth; Lanier, Anne P.

    2011-01-01

    This paper reports the strategies used to track and follow 3,828 Alaska Native and American Indian study participants in the city of Anchorage and more rural areas of Alaska and provides characteristics of respondents and non-respondents. Over 88% were successfully followed-up, with 49% of respondents completed in three or fewer attempts.…

  19. The Educational Aspirations/Attainment Gap among Rural Alaska Native Students

    ERIC Educational Resources Information Center

    Doyle, Aaron; Kleinfeld, Judith; Reyes, Maria

    2009-01-01

    Indigenous students in rural Alaska hold high educational aspirations and yet few students realize their educational goals (Hamilton & Seyfrit, 1993; Kleinfeld & McDiarmid, 1986; McDiarmid & Kleinfeld, 1981). Our purpose in this study was to understand why so many Alaska Native students from small, isolated communities "drift" after high school,…

  20. Alaska Native Population Trends and Vital Statistics, 1950-1985. ISEGR Research Note.

    ERIC Educational Resources Information Center

    Rogers, George W.

    Utilizing U.S. census data and vital statistics (births and deaths adjusted to residence as provided by the Alaska Department of Health and Social Services), this statistical report presents a comparative analysis of Alaska Native population trends. Specifically, the following are presented via tabular and narrative analysis: (1) general…

  1. Correlates of Alaska Native Fatal and Nonfatal Suicidal Behaviors 1990-2001

    ERIC Educational Resources Information Center

    Wexler, Lisa; Hill, Ryan; Bertone-Johnson, Elizabeth; Fenaughty, Andrea

    2008-01-01

    Factors correlated with suicidal behavior in a predominately Alaska Native region of Alaska are described, and the correlates relating to fatal and nonfatal suicide behaviors in this indigenous population are distinguished. Suicide data from the region (1990-2001) were aggregated and compared to 2000 U.S. Census Data using chi-squared tests.…

  2. American Indian and Alaska native aboriginal use of alcohol in the United States.

    PubMed

    Abbott, P J

    1996-01-01

    Alcohol beverages prior to White contact originated with the Mayan and the Aztec Nations and spread to the American Indians of the Southwest. Surprisingly, there are a number of accounts of alcohol use among other American Indians and Alaska Natives. Beverages were limited to wine and beer, and included: balche, pulque, and "haren a pitahaya" wines, tulpi beer and other beverages. White contact brought dramatic shifts in the use and function of alcoholic beverages in American Indian and Alaska Native societies. PMID:8935245

  3. American Indian and Alaska native aboriginal use of alcohol in the United States.

    PubMed

    Abbott, P J

    1996-01-01

    Alcohol beverages prior to White contact originated with the Mayan and the Aztec Nations and spread to the American Indians of the Southwest. Surprisingly, there are a number of accounts of alcohol use among other American Indians and Alaska Natives. Beverages were limited to wine and beer, and included: balche, pulque, and "haren a pitahaya" wines, tulpi beer and other beverages. White contact brought dramatic shifts in the use and function of alcoholic beverages in American Indian and Alaska Native societies.

  4. Rickets and Vitamin D Deficiency in Alaska Native Children

    PubMed Central

    Singleton, Rosalyn; Lescher, Rachel; Gessner, Bradford D.; Benson, Matthew; Bulkow, Lisa; Rosenfeld, John; Thomas, Timothy; Holman, Robert C.; Haberling, Dana; Bruce, Michael; Bartholomew, Michael; Tiesinga, James

    2015-01-01

    Background Rickets and vitamin D deficiency appeared to increase in Alaskan children, starting in the 1990s. We evaluated the epidemiology of rickets and vitamin D deficiency in Alaska Native (AN) children in 2001-2010. Methods We analyzed 2001-2010 visits with rickets or vitamin D deficiency diagnosis for AN and American Indian children and the general U.S. population aged <10 years. We conducted a case-control study of AN rickets/vitamin D deficient cases and age- and region-matched controls. Results AN children annual rickets-associated hospitalization rate (2.23/100,000 children/year) was higher than general U.S. rate (1.23; 95% CI 1.08-1.39). Rickets incidence increased with latitude. Rickets/vitamin D deficiency cases were more likely to have malnutrition (OR 38.1; 95% CI 4.9-294), had similar breastfeeding prevalence, and were less likely to have received vitamin D supplementation (OR 0.23; 95% CI 0.1-0.87), than controls. Conclusions Our findings highlight the importance of latitude, malnutrition and lack of vitamin D supplementation as risk factors for rickets. PMID:25741788

  5. Health Promotion and Substance Abuse Prevention among American Indian and Alaska Native Communities: Issues in Cultural Competence. Cultural Competence Series 9. Special Collaborative Edition.

    ERIC Educational Resources Information Center

    Trimble, Joseph E., Ed.; Beauvais, Fred, Ed.

    Substance abuse continues to be one of the most damaging and chronic health problems faced by Indian people. American Indian and Alaska Native (AI/AN) substance abuse prevention and treatment programs must be framed within the broader context of the widening health disparities between AI/AN communities and the general population. Successful…

  6. Advancing Suicide Prevention Research With Rural American Indian and Alaska Native Populations

    PubMed Central

    Chandler, Michael; Gone, Joseph P.; Cwik, Mary; Kirmayer, Laurence J.; LaFromboise, Teresa; Brockie, Teresa; O’Keefe, Victoria; Walkup, John; Allen, James

    2015-01-01

    As part of the National Action Alliance for Suicide Prevention’s American Indian and Alaska Native (AI/AN) Task Force, a multidisciplinary group of AI/AN suicide research experts convened to outline pressing issues related to this subfield of suicidology. Suicide disproportionately affects Indigenous peoples, and remote Indigenous communities can offer vital and unique insights with relevance to other rural and marginalized groups. Outcomes from this meeting include identifying the central challenges impeding progress in this subfield and a description of promising research directions to yield practical results. These proposed directions expand the alliance’s prioritized research agenda and offer pathways to advance the field of suicide research in Indigenous communities and beyond. PMID:25790403

  7. Advancing suicide prevention research with rural American Indian and Alaska Native populations.

    PubMed

    Wexler, Lisa; Chandler, Michael; Gone, Joseph P; Cwik, Mary; Kirmayer, Laurence J; LaFromboise, Teresa; Brockie, Teresa; O'Keefe, Victoria; Walkup, John; Allen, James

    2015-05-01

    As part of the National Action Alliance for Suicide Prevention's American Indian and Alaska Native (AI/AN) Task Force, a multidisciplinary group of AI/AN suicide research experts convened to outline pressing issues related to this subfield of suicidology. Suicide disproportionately affects Indigenous peoples, and remote Indigenous communities can offer vital and unique insights with relevance to other rural and marginalized groups. Outcomes from this meeting include identifying the central challenges impeding progress in this subfield and a description of promising research directions to yield practical results. These proposed directions expand the alliance's prioritized research agenda and offer pathways to advance the field of suicide research in Indigenous communities and beyond. PMID:25790403

  8. Bridging the Great Divide: Connecting Alaska Native Learners and Leaders via "High Touch-High Tech" Distance Learning.

    ERIC Educational Resources Information Center

    Berkshire, Steven; Smith, Gary

    The Rural Alaska Native Adult program of Alaska Pacific University is specifically designed for adult Native learners. Courses in business administration, human services, and teacher education are offered to rural Native adult students via an interactive Internet-based format after an initial 1-week residency. The Internet component is facilitated…

  9. "Tied together like a woven hat:" Protective pathways to Alaska native sobriety

    PubMed Central

    Mohatt, Gerald V; Rasmus, S Michelle; Thomas, Lisa; Allen, James; Hazel, Kelly; Hensel, Chase

    2004-01-01

    Background The People Awakening Project (1RO1 AA 11446-03) had two purposes, completed in Phase I and Phase II of the project. The purpose of Phase I was to complete a qualitative study; the research objective was discovery oriented with the specific aim of identification of protective and recovery factors in Alaska Native sobriety. Results were used to develop a heuristic model of protective and recovery factors, and measures based on these factors. The research objective of Phase II was to pilot these measures and provide initial validity data. Methods Phase I utilized a life history methodology. People Awakening interviewed a convenience sample of 101 Alaska Natives who had either recovered from alcoholism (n = 58) or never had a drinking problem (n = 43). This later group included both lifetime abstainers (LAs) and non-problem drinkers (NPs). Life histories were transcribed and analyzed using grounded theory and consensual data analytic procedures within a participatory action research framework. Analyses were utilized to generate heuristic models of protection and recovery from alcohol abuse among Alaska Natives. Results Analyses generated a heuristic model of protective factors from alcohol abuse. The resulting multilevel and multi-factorial model describes interactive and reciprocal influences of (a) individual, family, and community characteristics; (b) trauma and the individual and contextual response to trauma, (c) experimental substance use and the person's social environment; and (d) reflective processes associated with a turning point, or a life decision regarding sobriety. The importance of cultural factors mediating all these protective processes is emphasized. For NPs, the resilience process drew from personal stores of self-confidence, self-efficacy, and self-mastery that derived from ability to successfully maneuver within stressful or potentially traumatizing environments. In contrast, for many LAs, efficacy was instead described in more socially

  10. Cancer incidence among American Indians and Alaska Natives, 1980 through 1987.

    PubMed Central

    Nutting, P A; Freeman, W L; Risser, D R; Helgerson, S D; Paisano, R; Hisnanick, J; Beaver, S K; Peters, I; Carney, J P; Speers, M A

    1993-01-01

    OBJECTIVES. This study uses Indian Health Service inpatient data to estimate cancer incidence among American Indians and Alaska Natives. METHODS. Hospital discharge data for 1980 through 1987 were used to identify cases of cancer for 21 sites in women and 18 sites in men. Estimates of incidence were directly standardized to data from the Surveillance, Epidemiology, and End Results Program for the same time frame. RESULTS. Cancers of the gallbladder, kidney, stomach, and cervix show generally high rates among many American Indian and Alaska Native communities, and cancers of the liver and nasopharynx are high in Alaska. Of the relatively common cancers in Whites, American Indians and Alaska Natives experience lower rates for cancers of the breast, uterus, ovaries, prostate, lung, colon, rectum, and urinary bladder and for leukemia and melanoma. Variation among geographic areas and among tribal groups is observed for many important cancer sites. CONCLUSIONS. This study demonstrates significant variations of cancer rates among American Indians and Alaska Natives, with important implications for Indian Health Service cancer control programs. The study also supports the potential use of hospital discharge data for estimating chronic disease among diverse American Indian and Alaska Native communities. PMID:8238684

  11. A qualitative study of motivation in Alaska Native Science and Engineering Program (ANSEP) precollege students

    NASA Astrophysics Data System (ADS)

    Yatchmeneff, Michele

    The dramatic underrepresentation of Alaska Natives in science, technology, engineering and mathematics (STEM) degrees and professions calls for rigorous research in how students access these fields. Research has shown that students who complete advanced mathematics and science courses while in high school are more academically prepared to pursue and succeed in STEM degree programs and professions. There is limited research on what motivates precollege students to become more academically prepared before they graduate from high school. In Alaska, Alaska Native precollege students regularly underperform on required State of Alaska mathematics and science exams when compared to non-Alaska Native students. Research also suggests that different things may motivate Alaska Native students than racial majority students. Therefore there is a need to better understand what motivates Alaska Native students to take and successfully complete advanced mathematics and science courses while in high school so that they are academically prepared to pursue and succeed in STEM degrees and professions. The Alaska Native Science & Engineering Program (ANSEP) is a longitudinal STEM educational enrichment program that works with Alaska Native students starting in middle school through doctoral degrees and further professional endeavors. Research suggests that Alaska Native students participating in ANSEP are completing STEM degrees at higher rates than before the program was available. ANSEP appears to be unique due to its longitudinal approach and the large numbers of Alaska Native precollege, university, and graduate students it supports. ANSEP provides precollege students with opportunities to take advanced high school and college-level mathematics and science courses and complete STEM related projects. Students work and live together on campus during the program components. Student outcome data suggests that ANSEP has been successful at motivating precollege participants to

  12. The American Indian and Alaska Native Higher Education Funding Guide. A Financial Guide to Undergraduate and Graduate Sources of Funding for American Indians and Alaska Natives.

    ERIC Educational Resources Information Center

    Frazier, Gregory W.

    This book provides American Indian and Alaska Native students with sources for securing financial aid for higher education. The first section covers sources of funding and grants for individuals who are pursuing undergraduate degrees. This financial support includes scholarships with state residency requirements, general undergraduate…

  13. Planning Services for Young Handicapped American Indian and Alaska Native Children. 1980 Series.

    ERIC Educational Resources Information Center

    Johnson, Marilyn J., Ed.; And Others

    Eight papers examine issues in providing special education services to young native American handicapped children. B. Ramirez and J. Walker ("Background, Rationale, and Overview to Early Childhood and Special Education Services for Indian and Alaska Native Children'" consider the needs of young children as well as such special program aspects as…

  14. The Development of a Curriculum Toolkit with American Indian and Alaska Native Communities

    ERIC Educational Resources Information Center

    Thompson, Nicole L.; Hare, Dwight; Sempier, Tracie T.; Grace, Cathy

    2008-01-01

    This article explains the creation of the "Growing and Learning with Young Native Children" curriculum toolkit. The curriculum toolkit was designed to give American Indian and Alaska Native early childhood educators who work in a variety of settings the framework for developing a research-based, developmentally appropriate, tribally specific…

  15. Alaska Native Elders' Contribution to Education: The Fairbanks AISES Science Camp.

    ERIC Educational Resources Information Center

    Bradley, Claudette; Reyes, Maria Elena

    The Fairbanks American Indian Science and Engineering Society (AISES) Science Camp was designed for Alaska Native middle school students from 11 school districts. The camp enables students to learn from Native Elders while completing hands-on science projects; stimulates interest and confidence in mathematics, science, and engineering among Alaska…

  16. Work of the Bureau of Education for the Natives of Alaska. Bulletin, 1929, No. 12

    ERIC Educational Resources Information Center

    Hamilton, William

    1929-01-01

    In addition to maintaining schools for the native children of Alaska, the United States Bureau of Education aids entire communities by extending medical aid, by relieving destitution, by fostering commercial enterprises, by supervising the reindeer industry, and by promoting generally the interests of the natives. The organization of the Alaska…

  17. Nurturing Resilience and School Success in American Indian and Alaska Native Students. ERIC Digest.

    ERIC Educational Resources Information Center

    Strand, Joyce A.; Peacock, Thomas D.

    This digest examines recent literature on factors related to resilience, well-being, and school success for American Indian and Alaska Native students. The characteristics of resilient Native youth are discussed, including the ability to bounce back from adversity, and protective factors that enable high-risk resilient children to avoid negative…

  18. Cancer Incidence, Survival, and Mortality among American Indians and Alaska Natives.

    ERIC Educational Resources Information Center

    Horm, John W.; Burhansstipanov, Linda

    1992-01-01

    Overall cancer incidence among southwestern American Indians is less than half that of U.S. whites; Alaska Native and white rates are similar. However, both native groups have elevated rates for specific cancers (stomach, liver, and gallbladder), and Indians have low five-year survival rates. Data tables outline incidence, mortality, and survival…

  19. Unemployment, Drug Use, and HIV Risk among American Indian and Alaska Native Drug Users.

    ERIC Educational Resources Information Center

    Reynolds, Grace L.; Fisher, Dennis G.; Estrada, Antonio L.; Trotter, Robert

    2000-01-01

    Study and 6-month followup of 3,622 drug users in Tucson, Flagstaff, and Anchorage found that American Indian and Alaska Native drug users were younger, less educated, and less likely to be employed than non-Native subjects. Individuals employed at intake or followup had lower levels of HIV risk factors: injection drug use and needle sharing.…

  20. Alaska Sentinel Surveillance Study of Helicobacter pylori Isolates from Alaska Native Persons from 2000 to 2008▿

    PubMed Central

    Tveit, Adrienne H.; Bruce, Michael G.; Bruden, Dana L.; Morris, Julie; Reasonover, Alisa; Hurlburt, Debby A.; Hennessy, Thomas W.; McMahon, Brian

    2011-01-01

    Helicobacter pylori infection is more common in Alaska Native persons than in the general U.S. population, with seroprevalence to H. pylori approaching 75%. Previous studies in Alaska have demonstrated elevated proportions of antimicrobial resistance among H. pylori isolates. We analyzed H. pylori data from the Centers for Disease Control and Prevention's sentinel surveillance in Alaska from January 2000 to December 2008 to determine the proportion of culture-positive biopsy specimens with antimicrobial resistance from Alaska Native persons undergoing endoscopy. The aim of the present study was to monitor antimicrobial resistance of H. pylori isolates over time and by region in Alaska Native persons. Susceptibility testing of H. pylori isolates to metronidazole, clarithromycin, amoxicillin, and tetracycline was performed using agar dilution. Susceptibility testing for levofloxacin was performed by Etest. Overall, 45% (532/1,181) of persons undergoing upper endoscopy were culture positive for H. pylori. Metronidazole resistance was demonstrated in isolates from 222/531 (42%) persons, clarithromycin resistance in 159/531 (30%) persons, amoxicillin resistance in 10/531 (2%) persons, and levofloxacin resistance in 30/155 (19%) persons; no tetracycline resistance was documented. The prevalence of metronidazole, clarithromycin, and levofloxacin resistance varied by region. Female patients were more likely than male patients to demonstrate metronidazole (P < 0.05) and clarithromycin (P < 0.05) resistance. No substantial change in the proportion of persons with resistant isolates was observed over time. Resistance to metronidazole, clarithromycin, and levofloxacin is more common among H. pylori isolates from Alaska Native persons than those from elsewhere in the United States. PMID:21813726

  1. Native People in our Canadian Literature

    ERIC Educational Resources Information Center

    Livesay, Dorothy

    1971-01-01

    The contents of this paper represents a search for interpretations of the Canadian Indians as made by novelists, poets and dramatists. It shows how attitudes to the native have flowed from the realistic to the idealistic and back again and how studying the Indians can help the Canadian writer find himself. (Author/RR)

  2. Historical Writing on Native People in Canada.

    ERIC Educational Resources Information Center

    Fisher, Robin

    1982-01-01

    Reviews recent studies of native Canadian history. Because of more adequate available documentation, findings showed the most extensive work was on European-Indian contacts resulting from the fur trade. The author cites the need for more work on individual Indian cultural histories as well as a good general history of Canada's indigenous groups.…

  3. 78 FR 63241 - 60 Day Notice of Proposed Information Collection for Public Comment: Alaska Native/Native...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-23

    ... URBAN DEVELOPMENT 60 Day Notice of Proposed Information Collection for Public Comment: Alaska Native... Secretary for Policy Development and Research, HUD. ACTION: Notice. SUMMARY: The proposed information... and Urban Development, 451 7th Street SW., Room 4176, Washington, DC 20410-5000; telephone...

  4. TRADITIONAL FOODS AND PHYSICAL ACTIVITY PATTERNS AND ASSOCIATIONS WITH CULTURAL FACTORS IN A DIVERSE ALASKA NATIVE POPULATION

    PubMed Central

    Redwood, Diana G; Ferucci, Elizabeth D; Schumacher, Mary C; Johnson, Jennifer S; Lanier, Anne P; Helzer, Laurie J; Tom-Orme, Lillian; Murtaugh, Maureen A; Slattery, Martha L

    2010-01-01

    Objectives To determine the prevalence of traditional food and physical activity use and associations with cultural factors among 3,830 Alaska Native and American Indian (AN/AI) people enrolled in the Education and Research Towards Health (EARTH) Study in 3 regions of Alaska. Study design Cross-sectional analysis of baseline data from a cohort study. Methods Participants (2,323 women and 1,507 men) completed a computer-assisted self-administered questionnaire that included information on diet, physical activity, life-style and cultural factors. Results Over 92% of participants reported eating at least 1 traditional food in the past year. The top 3 traditional foods reported were fish, moose and agutaq (a mixture of berries and fat). The percentage of people who consumed traditional foods varied by region and age but not by sex (p<0.01). Almost 70% of participants engaged in at least one traditional harvesting physical activity. Picking berries or greens, cutting/smoking fish or meat and fishing were the most common activities. Participation in traditional physical activity was highest in south-west Alaska and was higher among men than women, but did not differ by age (p<0.01). Both traditional food and physical activity were associated with greater tribal self-identification, speaking a Native language at home, using traditional remedies and participating in or attending traditional events (p<0.05). Conclusions The EARTH Study found relationships between traditional food use, physical activities, cultural activities and behaviours. Consumption of a variety of traditional foods and participation in traditional physical activities remain an important part of the contemporary Alaska Native life-style. Efforts to promote and sustain these foods and activities in AN/AI populations may lead to improved health outcomes. PMID:19024803

  5. Unintentional Injury Mortality Among American Indians and Alaska Natives in the United States, 1990–2009

    PubMed Central

    Pokhrel, Pallavi; Worthington, Anne; Billie, Holly; Sewell, Mack; Bill, Nancy

    2014-01-01

    Objectives. We describe the burden of unintentional injury (UI) deaths among American Indian and Alaska Native (AI/AN) populations in the United States. Methods. National Death Index records for 1990 to 2009 were linked with Indian Health Service registration records to identify AI/AN deaths misclassified as non-AI/AN deaths. Most analyses were restricted to Contract Health Service Delivery Area counties in 6 geographic regions of the United States. We compared age-adjusted death rates for AI/AN persons with those for Whites; Hispanics were excluded. Results. From 2005 to 2009, the UI death rate for AI/AN people was 2.4 times higher than for Whites. Death rates for the 3 leading causes of UI death—motor vehicle traffic crashes, poisoning, and falls—were 1.4 to 3 times higher among AI/AN persons than among Whites. UI death rates were higher among AI/AN males than among females and highest among AI/AN persons in Alaska, the Northern Plains, and the Southwest. Conclusions. AI/AN persons had consistently higher UI death rates than did Whites. This disparity in overall rates coupled with recent increases in unintentional poisoning deaths requires that injury prevention be a major priority for improving health and preventing death among AI/AN populations. PMID:24754624

  6. Development of a Quantitative Food Frequency Questionnaire for Use among the Yup'ik People of Western Alaska

    PubMed Central

    Kolahdooz, Fariba; Simeon, Desiree; Ferguson, Gary; Sharma, Sangita

    2014-01-01

    Alaska Native populations are experiencing a nutrition transition and a resulting decrease in diet quality. The present study aimed to develop a quantitative food frequency questionnaire to assess the diet of the Yup'ik people of Western Alaska. A cross-sectional survey was conducted using 24-hour recalls and the information collected served as a basis for developing a quantitative food frequency questionnaire. A total of 177 males and females, aged 13-88, in six western Alaska communities, completed up to three 24-hour recalls as part of the Alaska Native Dietary and Subsistence Food Assessment Project. The frequency of the foods reported in the 24-hour recalls was tabulated and used to create a draft quantitative food frequency questionnaire, which was pilot tested and finalized with input from community members. Store-bought foods high in fat and sugar were reported more frequently than traditional foods. Seven of the top 26 foods most frequently reported were traditional foods. A 150-item quantitative food frequency questionnaire was developed that included 14 breads and crackers; 3 cereals; 11 dairy products; 69 meats, poultry and fish; 13 fruit; 22 vegetables; 9 desserts and snacks; and 9 beverages. The quantitative food frequency questionnaire contains 39 traditional food items. This quantitative food frequency questionnaire can be used to assess the unique diet of the Alaska Native people of Western Alaska. This tool will allow for monitoring of dietary changes over time as well as the identification of foods and nutrients that could be promoted in a nutrition intervention program intended to reduce chronic disease. PMID:24963718

  7. Development of a quantitative food frequency questionnaire for use among the Yup'ik people of Western Alaska.

    PubMed

    Kolahdooz, Fariba; Simeon, Desiree; Ferguson, Gary; Sharma, Sangita

    2014-01-01

    Alaska Native populations are experiencing a nutrition transition and a resulting decrease in diet quality. The present study aimed to develop a quantitative food frequency questionnaire to assess the diet of the Yup'ik people of Western Alaska. A cross-sectional survey was conducted using 24-hour recalls and the information collected served as a basis for developing a quantitative food frequency questionnaire. A total of 177 males and females, aged 13-88, in six western Alaska communities, completed up to three 24-hour recalls as part of the Alaska Native Dietary and Subsistence Food Assessment Project. The frequency of the foods reported in the 24-hour recalls was tabulated and used to create a draft quantitative food frequency questionnaire, which was pilot tested and finalized with input from community members. Store-bought foods high in fat and sugar were reported more frequently than traditional foods. Seven of the top 26 foods most frequently reported were traditional foods. A 150-item quantitative food frequency questionnaire was developed that included 14 breads and crackers; 3 cereals; 11 dairy products; 69 meats, poultry and fish; 13 fruit; 22 vegetables; 9 desserts and snacks; and 9 beverages. The quantitative food frequency questionnaire contains 39 traditional food items. This quantitative food frequency questionnaire can be used to assess the unique diet of the Alaska Native people of Western Alaska. This tool will allow for monitoring of dietary changes over time as well as the identification of foods and nutrients that could be promoted in a nutrition intervention program intended to reduce chronic disease.

  8. Alaska Native Weatherization Training and Jobs Program First Steps Toward Tribal Weatherization – Human Capacity Development

    SciTech Connect

    Wiita, Joanne

    2013-07-30

    The Alaska Native Weatherization Training and Jobs Project expanded weatherization services for tribal members’ homes in southeast Alaska while providing weatherization training and on the job training (OJT) for tribal citizens that lead to jobs and most probably careers in weatherization-related occupations. The program resulted in; (a) 80 Alaska Native citizens provided with skills training in five weatherization training units that were delivered in cooperation with University of Alaska Southeast, in accordance with the U.S. Department of Energy Core Competencies for Weatherization Training that prepared participants for employment in three weatherizationrelated occupations: Installer, Crew Chief, and Auditor; (b) 25 paid OJT training opportunities for trainees who successfully completed the training course; and (c) employed trained personnel that have begun to rehab on over 1,000 housing units for weatherization.

  9. The role of hope and optimism in suicide risk for American Indians/Alaska Natives.

    PubMed

    O'Keefe, Victoria M; Wingate, LaRicka R

    2013-12-01

    There are some American Indian/Alaska Native communities that exhibit high rates of suicide. The interpersonal theory of suicide (Joiner, 2005) posits that lethal suicidal behavior is likely preceded by the simultaneous presence of thwarted belongingness, perceived burdensomeness, and acquired capability. Past research has shown that hope and optimism are negatively related to suicidal ideation, some of the constructs in the interpersonal theory of suicide, and suicide risk for the general population. This is the first study to investigate hope and optimism in relation to suicidal ideation, thwarted belongingness, perceived burdensomeness, and acquired capability for American Indians/Alaska Natives. Results showed that hope and optimism negatively predicted thwarted belongingness, perceived burdensomeness, and suicidal ideation. However, these results were not found for acquired capability. Overall, this study suggests that higher levels of hope and optimism are associated with lower levels of suicidal ideation, thwarted belongingness, and perceived burdensomeness in this American Indian/Alaska Native sample.

  10. U.S. Geological Survey activities related to American Indians and Alaska Natives-Fiscal years 2007 and 2008

    USGS Publications Warehouse

    Marcus, Susan M.

    2010-01-01

    In the late 1800s, John Wesley Powell, the second director of the U.S. Geological Survey (USGS), followed his interest in the tribes of the Great Basin and Colorado Plateau and studied their cultures, languages, and surroundings. From that early time, the USGS has recognized the importance of Native knowledge and living in harmony with nature as complements to the USGS mission to better understand the Earth. Combining traditional ecological knowledge with empirical studies allows the USGS and Native American governments, organizations, and people to increase their mutual understanding and respect for this land. The USGS is the earth and natural science bureau within the U.S. Department of the Interior (DOI) and is not responsible for regulations or land management. Climate change is a major current issue affecting Native lives and traditions throughout the United States. Climate projections for the coming century indicate an increasing probability for more frequent and more severe droughts in the Southwest, including the Navajo Nation. Erosion has claimed Native homes in Alaska. Fish have become inedible due to diseases that turn their flesh mushy. Native people who rely on or who are culturally sustained by hunting, fishing, and using local plants are living with climate change now. The traditional knowledge of Native peoples enriches and confirms the work of USGS scientists. The results are truly synergistic-greater than the sum of their parts. Traditional ecological knowledge is respected and increasingly used in USGS studies-when the holders of that knowledge choose to share it. The USGS respects the rights of Native people to maintain their patrimony of traditional ecological knowledge. The USGS studies can help Tribes, Native organizations, and natural resource professionals manage Native lands and resources with the best available unbiased data and information that can be added to their traditional knowledge. Wise Native leaders have noted that traditional

  11. Feasibility of a tobacco cessation intervention for pregnant Alaska Native women

    PubMed Central

    Windsor, Richard A.; Renner, Caroline C.; Enoch, Carrie; Hochreiter, Angela; Nevak, Caroline; Smith, Christina A.; Decker, Paul A.; Bonnema, Sarah; Hughes, Christine A.; Brockman, Tabetha

    2010-01-01

    Background: Among Alaska Native women residing in the Yukon-Kuskokwim (Y-K) Delta region of Western Alaska, about 79% smoke cigarettes or use smokeless tobacco during pregnancy. Treatment methods developed and evaluated among Alaska Native pregnant tobacco users do not exist. This pilot study used a randomized two-group design to assess the feasibility and acceptability of a targeted cessation intervention for Alaska Native pregnant women. Methods: Recruitment occurred over an 8-month period. Enrolled participants were randomly assigned to the control group (n = 18; brief face-to-face counseling at the first visit and written materials) or to the intervention group (n = 17) consisting of face-to-face counseling at the first visit, four telephone calls, a video highlighting personal stories, and a cessation guide. Interview-based assessments were conducted at baseline and follow-up during pregnancy (≥60 days postrandomization). Feasibility was determined by the recruitment and retention rates. Results: The participation rate was very low with only 12% of eligible women (35/293) enrolled. Among enrolled participants, the study retention rates were high in both the intervention (71%) and control (94%) groups. The biochemically confirmed abstinence rates at follow-up were 0% and 6% for the intervention and control groups, respectively. Discussion: The low enrollment rate suggests that the program was not feasible or acceptable. Alternative approaches are needed to improve the reach and efficacy of cessation interventions for Alaska Native women. PMID:20018946

  12. Status and Trends in the Education of American Indians and Alaska Natives: 2008. NCES 2008-084

    ERIC Educational Resources Information Center

    DeVoe, Jill Fleury; Darling-Churchill, Kristen E.

    2008-01-01

    This document examines the educational progress of American Indian/Alaska Native children and adults and challenges in their education. This report shows that over time more American Indian/Alaska Native students have gone on to college and that their attainment expectations have increased. Despite these gains, progress has been uneven and…

  13. American Indian and Alaska Native Children in the 2000 Census. A Kids Count/PRB Report on Census, 2000.

    ERIC Educational Resources Information Center

    Snipp, C. Matthew

    Because of their unique social, legal, and political status, American Indians and Alaska Natives are subject to legislative oversight unlike any other group in the United States. Census data are used to monitor the size and characteristics of the American Indian and Alaska Native population living on and off reservations. Passed in 1978 to ensure…

  14. 78 FR 10636 - Task Force on Research on Violence Against American Indian and Alaska Native Women; Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-14

    ... Force on Research on Violence Against American Indian and Alaska Native Women; Meeting AGENCY: Office on Violence Against Women, United States Department of Justice. ACTION: Notice of Meeting. SUMMARY: This... Research on Violence Against American Indian and Alaska Native Women(hereinafter ``the Task Force'')....

  15. U.S. Geological Survey activities related to American Indians and Alaska Natives fiscal year 2004

    USGS Publications Warehouse

    ,; Brunstein, F. Craig

    2006-01-01

    The USGS works in cooperation with American Indian and Alaska Native governments to conduct research on (1) water, energy, and mineral resources, (2) animals and plants that are important for traditional lifeways or have environmental or economic significance, and (3) natural hazards. This report describes most of the activities that the USGS conducted with American Indian and Alaska Native governments, educational institutions, and individuals during Federal fiscal year (FY) 2004. Most of these USGS activities were collaborations with Tribes, Tribal organizations, or professional societies. Other activities were conducted cooperatively with the U.S. Bureau of Indian Affairs (BIA) or other Federal entities.

  16. Discrimination and participation in traditional healing for American Indians and Alaska Natives.

    PubMed

    Moghaddam, Jacquelene F; Momper, Sandra L; Fong, Timothy

    2013-12-01

    Contemporary American Indians and Alaska Natives (AIs/ANs) who live in urban areas today face the daunting task of navigating an urban landscape while maintaining the facets of their respective Native cultures. While AIs/ANs continue to grapple with the intergenerational trauma associated with forced assimilation, relocation movements, and boarding schools, these traumas have manifested themselves in elevated rates of psychopathology. AIs/ANs have elevated rates of domestic abuse, poverty, suicide, and substance misuse. Furthermore, AIs/ANs, like many other minority cultures often face discrimination in their everyday lives. In light of the aversive experiences they face, AI/AN people have followed the tenets of ritual and traditional healing to address imbalances in the body, mind, and spirit. For providers working with AI/AN clients, it is important to understand who is using traditional healing and why they are using alternative services. Secondary data analyses of survey data from 389 urban AIs/ANs were utilized in order to determine the relationship between experiences of discrimination and traditional healing use. Analyses indicated that experiences of discrimination in healthcare settings were significantly associated with participation in traditional healing. Analyses also indicated that nearly a quarter of the sample reported discrimination in a healthcare setting, roughly half of the sample had used traditional healing, and that the majority of those who had used traditional healing were women, and ages 35-44 (27%). This study calls attention to the socio-demographic factors implicated in traditional healing use by urban AI/AN people, in addition to the clinical and demographic characteristics of this sample.

  17. Deconstructing Digital Natives: Young People, Technology, and the New Literacies

    ERIC Educational Resources Information Center

    Thomas, Michael, Ed.

    2011-01-01

    There have been many attempts to define the generation of students who emerged with the Web and new digital technologies in the early 1990s. The term "digital native" refers to the generation born after 1980, which has grown up in a world where digital technologies and the internet are a normal part of everyday life. Young people belonging to this…

  18. Incorporating the Culture of American Indian/Alaska Native Students into the Classroom

    ERIC Educational Resources Information Center

    Guillory, Raphael M.; Williams, Garnet L.

    2014-01-01

    Focus group interviews were conducted with educators and stakeholders for American Indian/Alaska Native (AI/AN) students, including teachers, elementary and high school principals, tribal community leaders, and parents, to determine a global definition of culture and ways of infusing culture into curriculum to better educate AI/AN students. Focus…

  19. Substance Use and Sexual Risk Behaviors among American Indian and Alaska Native High School Students

    ERIC Educational Resources Information Center

    de Ravello, Lori; Everett Jones, Sherry; Tulloch, Scott; Taylor, Melanie; Doshi, Sonal

    2014-01-01

    Background: We describe the prevalence of behaviors that put American Indian and Alaska Native (AI/AN) high school students at risk for teen pregnancy and sexually transmitted infections (STIs) and the relationships among race/ethnicity and these behaviors. Methods: We analyzed merged 2007 and 2009 data from the national Youth Risk Behavior…

  20. Social and Emotional Distress among American Indian and Alaska Native Students: Research Findings. ERIC Digest.

    ERIC Educational Resources Information Center

    Clarke, Ardy SixKiller

    Many American Indian and Alaska Native (AI/AN) youth are repeatedly exposed to opportunities to participate in self-destructive and illegal behaviors. This digest examines risk factors associated with four contexts: peers, family, school, and community. Recent research has shown that, relative to national averages, AI/AN youth have higher rates of…

  1. 36 CFR 219.15 - Interaction with American Indian tribes and Alaska Natives.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 36 Parks, Forests, and Public Property 2 2011-07-01 2011-07-01 false Interaction with American Indian tribes and Alaska Natives. 219.15 Section 219.15 Parks, Forests, and Public Property FOREST SERVICE, DEPARTMENT OF AGRICULTURE PLANNING National Forest System Land and Resource Management...

  2. The American Indian and Alaska Native Population: 2000. Census 2000 Brief.

    ERIC Educational Resources Information Center

    Ogunwole, Stella U.

    This brief summarizes data from Census 2000 on the American Indian and Alaska Native (AI/AN) population and discusses its distribution at national, regional, and state levels. This information is intended for all levels of government to use in implementing and evaluating programs related to education, employment, health care, job training, civil…

  3. Culture and Community in Research with American Indian and Alaska Native Infants, Toddlers, and Families

    ERIC Educational Resources Information Center

    Spicer, Paul; Sarche, Michelle

    2007-01-01

    In this brief essay the authors reflect on the value of community participation and cultural adaptation in their evolving research on American Indian and Alaska Native (AI/AN) infant and toddler development. They describe three concerns identified by their AI/AN community partners in adapting established research methodologies to work in AI/AN…

  4. NCES Studies on American Indian and Alaska Native Education. NCES 2005-535

    ERIC Educational Resources Information Center

    National Center for Education Statistics, 2005

    2005-01-01

    The Office of Indian Education (OIE) helps support local education agencies, Indian tribes and organizations, postsecondary institutions, and other entities in their efforts to address the unique educational and culturally related academic needs of American Indians and Alaska Natives (AI/AN) so that these students can meet the same challenging…

  5. Giving Back: An Analysis of Motivations of Aspiring American Indian/Alaska Native School Leaders

    ERIC Educational Resources Information Center

    Vogel, Linda R.; Rude, Harvey

    2011-01-01

    This study examines the motivations of American Indian/Alaska Native (AI/AN) educators currently enrolled in an educational leadership preparation program aspiring to educational leadership positions within AI/AN communities. Understanding the motivation of AI/AN educators to become school leaders may assist in increasing the pool of AI/AN school…

  6. American Indian and Alaska Native Students and U.S. High Schools. Fact Sheet

    ERIC Educational Resources Information Center

    Alliance for Excellent Education, 2008

    2008-01-01

    This fact sheet highlights the statistics of the status of the American Indian and Alaska Native high school students living in the continental United States in terms of: population; graduation, dropouts, and preparedness; schools, segregation, and teacher quality; and special, gifted, and college preparatory education. There are an estimated 4.4…

  7. Standards-Based Mathematics Reforms and Mathematics Achievement of American Indian/Alaska Native Eighth Graders

    ERIC Educational Resources Information Center

    Akiba, Motoko; Chiu, Ya-Fang; Zhuang, Yue-Lin; Mueller, Heather E.

    2008-01-01

    Using the NAEP nationally-representative data collected from eighth-graders, we investigated the relative exposure of American Indian/Alaska Native (AIAN) students to mathematics teachers who are knowledgeable about standards, participate in standards-based professional development, and practice standards-based instruction; American Indian/Alaska…

  8. Education of Indian and Alaska Native Children in Rural Areas: New Horizons?

    ERIC Educational Resources Information Center

    Mack, David P.

    Recent organizational changes in the Bureau of Indian Affairs (BIA) as well as the formation of Alaska's Rural Education Attendance Areas (REAAs) have important implications for the education of rural Native American children. The Title XI Education Amendments passed in November, 1978 (P.L. 95-561) aim at solving some of the administrative…

  9. With All My Relations: Counseling American Indians and Alaska Natives within a Familial Context

    ERIC Educational Resources Information Center

    Harper, Faith G.

    2011-01-01

    Statistics show that two thirds of American Indians and Alaska Natives (AIs/ANs) live outside of tribal areas, and 50% of those individuals who seek counseling services will not use tribal resources. There is a strong likelihood that counselors will have the opportunity to provide services to AI/AN clients. The review of the academic literature…

  10. Summer Internship Program for American Indian and Native Alaska College Students

    ScienceCinema

    None

    2016-07-12

    Argonne National Laboratory's Summer Internship Program for American Indian & Native Alaska College Students. Supported by the Office of Indian Energy and Economic Development (IEED) in partnership with the Council of Energy Resource Tribes (CERT) and the U.S. Department of Energy.

  11. Issues in the Education of American Indian and Alaska Native Students with Disabilities. ERIC Digest.

    ERIC Educational Resources Information Center

    Faircloth, Susan; Tippeconnic, John W., III

    Over 10 percent of American Indian and Alaska Native (AI/AN) students in public schools and more than 18 percent of AI/AN students in Bureau of Indian Affairs and tribal schools are eligible for or placed in special education programs. This digest addresses four selected issues in the education of AI/AN students with disabilities. First, the 1997…

  12. Body Mass Index and Cancer Screening in Older American Indian and Alaska Native Men

    ERIC Educational Resources Information Center

    Muus, Kyle J.; Baker-Demaray, Twyla; McDonald, Leander R.; Ludtke, Richard L.; Allery, Alan J.; Bogart, T. Andy; Goldberg, Jack; Ramsey, Scott D.; Buchwald, Dedra S.

    2009-01-01

    Context: Regular screenings are important for reducing cancer morbidity and mortality. There are several barriers to receiving timely cancer screening, including overweight/obesity. No study has examined the relationship between overweight/obesity and cancer screening among American Indian/Alaska Natives (AI/ANs). Purpose: To describe the…

  13. Summer Internship Program for American Indian and Native Alaska College Students

    SciTech Connect

    2010-01-01

    Argonne National Laboratory's Summer Internship Program for American Indian & Native Alaska College Students. Supported by the Office of Indian Energy and Economic Development (IEED) in partnership with the Council of Energy Resource Tribes (CERT) and the U.S. Department of Energy.

  14. The Act of Claiming Higher Education as Indigenous Space: American Indian/Alaska Native Examples

    ERIC Educational Resources Information Center

    Windchief, Sweeney; Joseph, Darold H.

    2015-01-01

    This paper examines the concept of claiming postsecondary education as Indigenous space using curriculum, American Indian student services, and digital media. The intention of this manuscript is to address the disparities that are the result of assimilative educational practices in higher education for American Indians and Alaska Natives by…

  15. American Indian and Alaska Native Early Childhood Health, Development, and Education Assessment Research. ERIC Digest.

    ERIC Educational Resources Information Center

    Hammer, Patricia Cahape; Demmert, William G., Jr.

    This digest reports on the very limited research that has focused specifically on early childhood issues in American Indian and Alaska Native (AI/AN) health, development, and education. Extant research focuses primarily on infant mortality, birth weight and growth, obesity, and hearing and speech. Beginning in 1985, a longitudinal study called the…

  16. Indian Health Service: A Comprehensive Health Care Program for American Indians and Alaska Natives.

    ERIC Educational Resources Information Center

    Indian Health Service (PHS/HSA), Rockville, MD.

    Comprehensive health care (preventive, curative, rehabilitative, and environmental) for more than 930,000 eligible American Indians and Alaska Natives is the responsibility of the Indian Health Service (IHS). Since 1955, this agency of the U.S. Public Health Service has made notable progress in raising the health status of Indians and Alaska…

  17. Preventing Substance Abuse in American Indian and Alaska Native Youth: Promising Strategies for Healthier Communities

    ERIC Educational Resources Information Center

    Hawkins, Elizabeth H.; Cummins, Lillian H.; Marlatt, G. Alan

    2004-01-01

    Substance abuse has had profoundly devastating effects on the health and well-being of American Indians and Alaska Natives. A wide variety of intervention methods has been used to prevent or stem the development of alcohol and drug problems in Indian youth, but there is little empirical research evaluating these efforts. This article is an…

  18. Alcohol Use and American Indian/Alaska Native Student Academic Performance among Tribal Colleges

    ERIC Educational Resources Information Center

    Cometsevah, Cecelia L.

    2013-01-01

    Student academic performance, persistence, and graduation among American Indian/Alaska Native students in higher education are very low compared to other racial groups. Studies have shown that American Indian students enter higher education with a lack of academic preparedness, financial challenges, lack of social skills development, and lack of…

  19. Ohoyo One Thousand: A Resource Guide of American Indian/Alaska Native Women, 1982.

    ERIC Educational Resources Information Center

    Anderson, Owanah

    The resource guide contains a listing of 1,004 notable American Indian/Alaska Native women who are willing to share their resource skills in 62 Indian-specific programs, Indian priority issues, and women's agenda issues. The women represent 321 tribes and bands and are from 44 states. Biographical briefs for each woman include personal data (name,…

  20. The Politics of Education Provision in Rural Native Alaska: The Case of Yukon Village

    ERIC Educational Resources Information Center

    Dinero, Steven

    2004-01-01

    In this paper, I address the role of educational service provision as a mode of post-colonial assimilation and encapsulation in Native Alaska (USA). I argue that these services have historically served State interests above local interests, implemented with little regard for indigenous values or priorities. The role of education provision in one…

  1. A Review of Psychological and Educational Assessment of Northern American Indian/Alaska Native Children.

    ERIC Educational Resources Information Center

    Amos, Terese Lipinski

    1997-01-01

    Reviews the literature on psychological and educational assessment of American Indian and Alaska Native children, including the background psychological factors of biological deprivation, motivation, attitudes toward self, and traditional nonformal education. Discusses brain hemispheres, visuospatial skills, otitis media, fetal alcohol syndrome,…

  2. Circle of Life HIV/AIDS-Prevention Intervention for American Indian and Alaska Native Youth

    ERIC Educational Resources Information Center

    Kaufman, Carol E.; Litchfield, Anne; Schupman, Edwin; Mitchell, Christina M.

    2012-01-01

    This article describes the objectives, theoretical bases, development process, and evaluation efforts to-date for the Circle of Life (COL) curricula, HIV/AIDS prevention interventions designed for American Indian and Alaska Native (AI/AN) youth. The curricula are based on Indigenous models of learning and behavior encompassing concepts of Western…

  3. Independent Living Resource Manual for American Indians and Alaska Natives with Significant Disabilities.

    ERIC Educational Resources Information Center

    Sanderson, Priscilla Lansing; And Others

    This resource manual for American Indians and Alaska Natives with significant disabilities lists sources of independent living information and resources available within tribal, state, and federal organizations. The first section defines independent living in the context of this population and introduces state level services, mechanisms for…

  4. Ohoyo Training Manual. Leadership: Self Help American Indian-Alaska Native Women.

    ERIC Educational Resources Information Center

    Verble, Sedelta D.; Walton, M. Frances

    The training manual provides self-help in six areas of leadership development for American Indian and Alaska Native women. Following an introduction describing how to use the manual are six chapters focusing on the theories and development of leadership skills, the vulnerability of Indian women to poverty, nontraditional careers for Indian women,…

  5. Teaching Reading to American Indian/Alaska Native Students. ERIC Digest.

    ERIC Educational Resources Information Center

    Reyhner, Jon

    This digest summarizes ways to help young American Indian and Alaska Native children become fluent readers. There are numerous reading intervention programs, each with its own set of claims and counter-claims. Phonics approaches are designed for standard English speakers, and students with limited English abilities end up parroting what they read…

  6. Maynard Participation in Alaska Forum on the Environment Panel Discussion on Increasing Input to the US National Climate Assessment (NCA) and the Intergovernmental Panel on Climate Change (IPCC) Processes from Alaska, with Emphasis on Indigenous Peoples Issues

    NASA Technical Reports Server (NTRS)

    Maynard, Nancy G.

    2012-01-01

    Dr. Nancy Maynard was invited by the Alaska Forum on the Environment to participate in a Panel Discussion to discuss (1) background about what the US NCA and International IPCC assessments are, (2) the impact the assessments have on policy-making, (3) the process for participation in both assessments, (4) how we can increase participation by Indigenous Peoples such as Native Americans and Alaska Natives, (5) How we can increase historical and current impacts input from Native communities through stories, oral history, "grey" literature, etc. The session will be chaired by Dr. Bull Bennett, a cochair of the US NCA's chapter on "Native and Tribal Lands and Resources" and Dr. Maynard is the other co-chair of that chapter and they will discuss the latest activities under the NCA process relevant to Native Americans and Alaska Natives. Dr. Maynard is also a Lead Author of the "Polar Regions" chapter of the IPCC WG2 (5th Assessment) and she will describes some of the latest approaches by the IPCC to entrain more Indigenous peoples into the IPCC process.

  7. A Process Evaluation of the Alaska Native Colorectal Cancer Family Outreach Program

    PubMed Central

    Redwood, Diana; Provost, Ellen; Lopez, Ellen D. S.; Skewes, Monica; Johnson, Rhonda; Christensen, Claudia; Sacco, Frank; Haverkamp, Donald

    2015-01-01

    This article presents the results of a process evaluation of the Alaska Native (AN) Colorectal Cancer (CRC) Family Outreach Program, which encourages CRC screening among AN first-degree relatives (i.e., parents, siblings, adult children; hereafter referred to as relatives) of CRC patients. Among AN people incidence and death rates from CRC are the highest of any ethnic/racial group in the United States. Relatives of CRC patients are at increased risk; however, CRC can be prevented and detected early through screening. The evaluation included key informant interviews (August to November 2012) with AN and non-AN stakeholders and program document review. Five key process evaluation components were identified: program formation, evolution, outreach responses, strengths, and barriers and challenges. Key themes included an incremental approach that led to a fully formed program and the need for dedicated, culturally competent patient navigation. Challenges included differing relatives’ responses to screening outreach, health system data access and coordination, and the program impact of reliance on grant funding. This program evaluation indicated a need for more research into motivating patient screening behaviors, electronic medical records systems quality improvement projects, improved data-sharing protocols, and program sustainability planning to continue the dedicated efforts to promote screening in this increased risk population. PMID:26157041

  8. Health Behaviors and Risk Factors Among American Indians and Alaska Natives, 2000–2010

    PubMed Central

    Cobb, Nathaniel

    2014-01-01

    Objectives. We provided contextual risk factor information for a special supplement on causes of death among American Indians and Alaska Natives (AI/ANs). We analyzed 11 years of Behavioral Risk Factor Surveillance System (BRFSS) data for AI/AN respondents in the United States. Methods. We combined BRFSS data from 2000 to 2010 to determine the prevalence of selected risk factors for AI/AN and White respondents residing in Indian Health Service Contract Health Service Delivery Area counties. Regional prevalence estimates for AI/AN respondents were compared with the estimates for White respondents for all regions combined; respondents of Hispanic origin were excluded. Results. With some regional exceptions, AI/AN people had high prevalence estimates of tobacco use, obesity, and physical inactivity, and low prevalence estimates of fruit and vegetable consumption, cancer screening, and seatbelt use. Conclusions. These behavioral risk factors were consistent with observed patterns of mortality and chronic disease among AI/AN persons. All are amenable to public health intervention. PMID:24754662

  9. A Process Evaluation of the Alaska Native Colorectal Cancer Family Outreach Program.

    PubMed

    Redwood, Diana; Provost, Ellen; Lopez, Ellen D S; Skewes, Monica; Johnson, Rhonda; Christensen, Claudia; Sacco, Frank; Haverkamp, Donald

    2016-02-01

    This article presents the results of a process evaluation of the Alaska Native (AN) Colorectal Cancer (CRC) Family Outreach Program, which encourages CRC screening among AN first-degree relatives (i.e., parents, siblings, adult children; hereafter referred to as relatives) of CRC patients. Among AN people incidence and death rates from CRC are the highest of any ethnic/racial group in the United States. Relatives of CRC patients are at increased risk; however, CRC can be prevented and detected early through screening. The evaluation included key informant interviews (August to November 2012) with AN and non-AN stakeholders and program document review. Five key process evaluation components were identified: program formation, evolution, outreach responses, strengths, and barriers and challenges. Key themes included an incremental approach that led to a fully formed program and the need for dedicated, culturally competent patient navigation. Challenges included differing relatives' responses to screening outreach, health system data access and coordination, and the program impact of reliance on grant funding. This program evaluation indicated a need for more research into motivating patient screening behaviors, electronic medical records systems quality improvement projects, improved data-sharing protocols, and program sustainability planning to continue the dedicated efforts to promote screening in this increased risk population.

  10. Evaluation of a Tobacco Educational Intervention for Pregnant Alaska Native Women

    PubMed Central

    Patten, Christi A.; Enoch, Carrie; Renner, Caroline C.; Larsen, Karin; Decker, Paul A.; Anderson, Kari J.; Nevak, Caroline; Glasheen, Ann; Offord, Kenneth P.; Lanier, Anne

    2009-01-01

    Tobacco cessation interventions developed and evaluated for Alaska Native women do not exist. As part of routine clinical care provided at a prenatal visit, a brief tobacco educational intervention for Alaska Native pregnant women (N=100; mean ± SD age = 25.9±6.2 years; mean 6.3±2.6 months gestation) was piloted at the Y-K Delta Regional Hospital in Bethel, Alaska. This retrospective study reports on the evaluation of this clinical program. The intervention was consistent with the clinical practice guidelines (i.e., 5 A’s – ask, advise, assess, assist, arrange), with an average duration of 20.2 ± 6.8 minutes. The self-reported tobacco abstinence rate following the intervention was 11% at the last prenatal visit and 12% at delivery. Delivering a tobacco cessation intervention at a prenatal visit is feasible, but there is a need to identify more effective interventions for Alaska Native pregnant women. PMID:20333259

  11. An historical profile of American Indians and Alaska Natives in psychology.

    PubMed

    Trimble, Joseph E; Clearing-Sky, Mary

    2009-10-01

    The history of American Indian and Alaska Native psychology is a brief one in comparison with the rich histories of other U.S. ethnic groups. In the mid-1960s, there were probably 10 or so Indians and Natives with doctoral degrees in psychology; since then, that number has increased to about 350. The number of publications dealing with Indian and Native psychological topics also has increased significantly over the past 40 years. Appreciable gains have been made in the number of academic institutions that actively recruit and educate Indian and Native students in psychology and in the conduct of research and scholarly projects. The progress and developments generated and attained in Indian and Native psychology in the United States is summarized in this article. To add to the discussion, the voices and experiences of 5 notable American Indian elder psychologists also are featured.

  12. American Indian and Alaska Native mental health: diverse perspectives on enduring disparities.

    PubMed

    Gone, Joseph P; Trimble, Joseph E

    2012-01-01

    As descendants of the indigenous peoples of the United States, American Indians and Alaska Natives (AI/ANs) have experienced a resurgence in population and prospects since the beginning of the twentieth century. Today, tribally affiliated individuals number over two million, distributed across 565 federally recognized tribal communities and countless metropolitan and nonreservation rural areas. Although relatively little evidence is available, the existing data suggest that AI/AN adults and youth suffer a disproportionate burden of mental health problems compared with other Americans. Specifically, clear disparities have emerged for AI/AN substance abuse, posttraumatic stress, violence, and suicide. The rapid expansion of mental health services to AI/AN communities has, however, frequently preceded careful consideration of a variety of questions about critical components of such care, such as the service delivery structure itself, clinical treatment processes, and preventive and rehabilitative program evaluation. As a consequence, the mental health needs of these communities have easily outpaced and overwhelmed the federally funded agency designed to serve these populations, with the Indian Health Service remaining chronically understaffed and underfunded such that elimination of AI/AN mental health disparities is only a distant dream. Although research published during the past decade has substantially improved knowledge about AI/AN mental health problems, far fewer investigations have explored treatment efficacy and outcomes among these culturally diverse peoples. In addition to routine calls for greater clinical and research resources, however, AI/AN community members themselves are increasingly advocating for culturally alternative approaches and opportunities to address their mental health needs on their own terms.

  13. American Indian and Alaska Native mental health: diverse perspectives on enduring disparities.

    PubMed

    Gone, Joseph P; Trimble, Joseph E

    2012-01-01

    As descendants of the indigenous peoples of the United States, American Indians and Alaska Natives (AI/ANs) have experienced a resurgence in population and prospects since the beginning of the twentieth century. Today, tribally affiliated individuals number over two million, distributed across 565 federally recognized tribal communities and countless metropolitan and nonreservation rural areas. Although relatively little evidence is available, the existing data suggest that AI/AN adults and youth suffer a disproportionate burden of mental health problems compared with other Americans. Specifically, clear disparities have emerged for AI/AN substance abuse, posttraumatic stress, violence, and suicide. The rapid expansion of mental health services to AI/AN communities has, however, frequently preceded careful consideration of a variety of questions about critical components of such care, such as the service delivery structure itself, clinical treatment processes, and preventive and rehabilitative program evaluation. As a consequence, the mental health needs of these communities have easily outpaced and overwhelmed the federally funded agency designed to serve these populations, with the Indian Health Service remaining chronically understaffed and underfunded such that elimination of AI/AN mental health disparities is only a distant dream. Although research published during the past decade has substantially improved knowledge about AI/AN mental health problems, far fewer investigations have explored treatment efficacy and outcomes among these culturally diverse peoples. In addition to routine calls for greater clinical and research resources, however, AI/AN community members themselves are increasingly advocating for culturally alternative approaches and opportunities to address their mental health needs on their own terms. PMID:22149479

  14. Confronting Oral Health Disparities Among American Indian/Alaska Native Children: The Pediatric Oral Health Therapist

    PubMed Central

    Nash, David A.; Nagel, Ron J.

    2005-01-01

    American Indian and Alaska Native (AIAN) children are disproportionately affected by oral disease compared with the general population of American children. Additionally, AIAN children have limited access to professional oral health care. The Indian Health Service (IHS) and AIAN tribal leaders face a significant problem in ensuring care for the oral health of these children. We discuss the development and deployment of a new allied oral health professional, a pediatric oral health therapist. This kind of practitioner can effectively extend the ability of dentists to provide for children not receiving care and help to confront the significant oral health disparities existing in AIAN children. Resolving oral health disparities and ensuring access to oral health care for American Indians and Alaska Natives is a moral issue—one of social justice. PMID:16006412

  15. Teacher Education Programs for Native People. Proceedings of a Conference on Native Teacher Education (Saskatoon, Saskatchewan, Canada, November 1973).

    ERIC Educational Resources Information Center

    Aldous, Myrtle, Ed.; And Others

    In an effort to pool information on the working operations of Indian teacher education programs in Canada and parts of the United States, a conference on Native teacher education was held in mid-October 1973 at Saskatoon. Nine programs sent delegates, including the University of Alaska, University of Alberta, Brandon University (Manitoba),…

  16. American Indian and Alaska Native Heart Disease and Stroke

    MedlinePlus

    ... and Stroke Maps Social Determinants of Health Maps Poverty Unemployment High School Education Health Insurance Million Hearts® ... percent have a bachelor's degree or higher. The poverty rate of people who report American Indian and ...

  17. Mashkiki: Old Medicine Nourishing the New. American Indians and Alaska Natives in Biomedical Research Careers--II. Proceedings of the Conference (Duluth, Minnesota, 1988).

    ERIC Educational Resources Information Center

    Haller, Edwin W., Ed.; Aitken, Larry P., Ed.

    This book consists of papers and panel discussions presented at a conference that focused on encouraging American Indian and Alaska Native students to enter the field of biomedical research. Research and treatment of diseases among Native populations can best be carried out by American Indian and Alaska Native researchers who have a background in…

  18. Community and Federal Collaboration to Assess Pregnancy Outcomes in Alaska Native Women, 1997–2005

    PubMed Central

    England, Lucinda J.; Shapiro-Mendoza, Carrie K.; Wilson, Hoyt G.; Klejka, Joseph; Tucker, Myra; Lewis, Claire; Kendrick, Juliette S.

    2015-01-01

    The objectives are to report the estimated prevalence of pregnancy complications and adverse pregnancy outcomes in a defined population of Alaska Native women and also examine factors contributing to an intensive and successful collaboration between a tribal health center and the Centers for Disease Control and Prevention. Investigators abstracted medical record data from a random sample of singleton deliveries to residents of the study region occurring between 1997 and 2005. We used descriptive statistics to estimate the prevalence and 95 % confidence intervals of selected pregnancy complications and adverse pregnancy outcomes. Records were examined for 505 pregnancies ending in a singleton delivery to 469 women. Pregnancy complication rates were 5.9 % (95 % CI 4.0, 8.4) for gestational diabetes mellitus, 6.1 % (95 % CI 4.2, 8.6 %) for maternal chronic hypertension and 11.5 % (95 % CI 8.8, 14.6) for pregnancy associated hypertension, and 22.9 % (95 % CI 19.2–26.5 %) for anemia. The cesarean section rate was 5.5 % (95 % CI 3.5, 7.5) and 3.8 % (95 % CI 2.3, 5.8) of newborns weighed >4,500 g. Few previous studies reported pregnancy outcomes among Alaska Native women in a specific geographic region of Alaska and regarding the health needs in this population. We highlight components of our collaboration that contributed to the success of the study. Studies focusing on special populations such as Alaska Native women are feasible and can provide important information on health indicators at the local level. PMID:23775248

  19. Community and federal collaboration to assess pregnancy outcomes in Alaska Native women, 1997-2005.

    PubMed

    Kim, Shin Y; England, Lucinda J; Shapiro-Mendoza, Carrie K; Wilson, Hoyt G; Klejka, Joseph; Tucker, Myra; Lewis, Claire; Kendrick, Juliette S

    2014-04-01

    The objectives are to report the estimated prevalence of pregnancy complications and adverse pregnancy outcomes in a defined population of Alaska Native women and also examine factors contributing to an intensive and successful collaboration between a tribal health center and the Centers for Disease Control and Prevention. Investigators abstracted medical record data from a random sample of singleton deliveries to residents of the study region occurring between 1997 and 2005. We used descriptive statistics to estimate the prevalence and 95% confidence intervals of selected pregnancy complications and adverse pregnancy outcomes. Records were examined for 505 pregnancies ending in a singleton delivery to 469 women. Pregnancy complication rates were 5.9% (95% CI 4.0, 8.4) for gestational diabetes mellitus, 6.1% (95% CI 4.2, 8.6%) for maternal chronic hypertension and 11.5% (95% CI 8.8, 14.6) for pregnancy associated hypertension, and 22.9% (95% CI 19.2-26.5 %) for anemia. The cesarean section rate was 5.5% (95% CI 3.5, 7.5) and 3.8% (95% CI 2.3, 5.8) of newborns weighed >4,500 g. Few previous studies reported pregnancy outcomes among Alaska Native women in a specific geographic region of Alaska and regarding the health needs in this population. We highlight components of our collaboration that contributed to the success of the study. Studies focusing on special populations such as Alaska Native women are feasible and can provide important information on health indicators at the local level. PMID:23775248

  20. Health risk-factors for gay American Indian and Alaska Native adolescent males.

    PubMed

    Barney, David D

    2003-01-01

    Having multiple identities as a homosexual American Indian or Alaska Native adolescent male increases the likelihood for poorer health and diminished well-being. This study assessed the differences in self-perceived health status between gay adolescent males and their heterosexual counterparts. A national nonrepresentative sample of 5,602 Indian and Native adolescent males was surveyed about issues of sexual behavior, physical and sexual abuse, mental health status, substance use, attitudes about school, participation in violence, and access to health care. Results indicate that there were no real differences between gay and heterosexual male respondents for substance use or attitudes about school. Statistically significant differences were found, however, in areas of mental health, as well as physical and sexual abuse. Gay adolescents were twice as likely to have thought of or attempted suicide. Gay adolescents were twice as likely to have been physically abused and nearly six times more likely to have been sexually abused. Gay American Indian or Alaska Native adolescent males constitute a very vulnerable population and are clearly in need of targeted health and social services. Unfortunately, the benefits seen by adults of the "two-spirited" gay and lesbian American Indian movement have not been accessible to Indian and Native adolescents.

  1. Health risk-factors for gay American Indian and Alaska Native adolescent males.

    PubMed

    Barney, David D

    2003-01-01

    Having multiple identities as a homosexual American Indian or Alaska Native adolescent male increases the likelihood for poorer health and diminished well-being. This study assessed the differences in self-perceived health status between gay adolescent males and their heterosexual counterparts. A national nonrepresentative sample of 5,602 Indian and Native adolescent males was surveyed about issues of sexual behavior, physical and sexual abuse, mental health status, substance use, attitudes about school, participation in violence, and access to health care. Results indicate that there were no real differences between gay and heterosexual male respondents for substance use or attitudes about school. Statistically significant differences were found, however, in areas of mental health, as well as physical and sexual abuse. Gay adolescents were twice as likely to have thought of or attempted suicide. Gay adolescents were twice as likely to have been physically abused and nearly six times more likely to have been sexually abused. Gay American Indian or Alaska Native adolescent males constitute a very vulnerable population and are clearly in need of targeted health and social services. Unfortunately, the benefits seen by adults of the "two-spirited" gay and lesbian American Indian movement have not been accessible to Indian and Native adolescents. PMID:15086222

  2. Learning Styles of American Indian/Alaska Native Students: A Review of the Literature and Implications for Practice.

    ERIC Educational Resources Information Center

    Pewewardy, Cornel

    2002-01-01

    Review of theories, research, and models of the learning styles of American Indian/Alaska Native students reveals that they generally learn in ways characterized by social/affective emphasis, harmony, holistic perspectives, expressive creativity, and nonverbal communication. Native learning styles are strongly influenced by language, culture, and…

  3. NativeView: Our Land, Our People, Our Future

    NASA Astrophysics Data System (ADS)

    Bennett, T.

    2006-05-01

    The objective of this discussion is to (1) discuss the chasm between the breadth of Tribal land and resource to be sustained compared to the finite number of Tribal people trained in the sciences; (2) illustrate the need for integrating scientific knowledge with cultural knowledge; and (3) discuss the emergence of NativeView as Tribal College (TCUs) initiative leading the integration of geoscience and geospatial technology (GIS, Remote Sensing) with cultural knowledge to meet the growing needs of indigenous communities. It's about our land, our people and the need for highly trained individuals to sustainable and manage our resources for the future. There is a tremendous gap between total acreage of land owned or managed and the level of education obtained by indigenous people. In the United States today, American Indians and Alaskan Natives account for less than one percent of the total population, yet are responsible for more than five percent of the total land area. In North Dakota, there are over 54 thousand American Indians responsible for more than 3.8 million acres of Tribal Land. In contrast, less than 15 percent of indigenous people finish a Bachelor's degree of any kind and far fewer finish a science degree that would help them become more effective and responsible land managers. This poses an important dilemma. How will the Tribes meet (1) the resource needs of a growing population, (2) the demand for a skilled workforce, and (3) resource management goals in ways that contribute to Tribal infrastructure and equate to sustainable resource management? The integration of geoscience and geospatial technologies into the curriculum of Tribal Colleges (TCU's) has quietly emerged as one of the leading initiatives across Indian Country. These skills are widely recognized as a vehicle to empower our constituents in the sciences, in the cultural values and the traditional land ethic that defines us as a people. NativeView has taken the lead in working with the

  4. Using GIS in a first national mapping of functional disability among older American Indians and Alaska natives from the 2000 census

    PubMed Central

    Moss, Margaret P; Schell, Matthew C; Goins, R Turner

    2006-01-01

    Background Geographical information systems (GIS) have been used mainly in understanding infectious diseases and environmental threats in health research. Here, GIS was used to examine patterns of functional disability as one impact of chronic disease in American Indians and Alaska Natives. The study purpose was to create the first national mapping of functional disability for AIANs using the 2000 U.S. Census. Results American Indians and Alaska Natives over age 65 reported disability at a rate of 57.6% versus 41.9% for all people over 65 (P ≤ 0.0001). Regional differences in levels and type of disability were evident. Conclusion Maps help visualize those who might otherwise be 'lost' from the data. The significance of this study is that gerontologic programs and policies are data-driven, yet there is a lack of reliable national level data from US health systems on functional disability among American Indians and Alaska Natives. One study limitation was that Census questions regarding disability differed from traditional measures of activities of daily living and instrumental activities of daily living. An immediate policy recommendation would be to incorporate standard activities of daily living and instrumental activities of daily living language into future Census for a comprehensive, linked database for the future. PMID:16948854

  5. Ethics and Community Involvement in Syntheses Concerning American Indian, Alaska Native, or Native Hawaiian Health: A Systematic Review

    PubMed Central

    Around Him, Deana M.

    2014-01-01

    Background The objective of the research was to review reporting of ethical concerns and community involvement in peer-reviewed systematic reviews or meta-analyses concerning American Indian, Alaska Native, or Native Hawaiian (AI/AN/NH) health. Methods Text words and indexed vocabulary terms were used to query PubMed, Embase, Cochrane Library, and the Native Health Database for systematic reviews or meta-analyses concerning AI/AN/NH health published in peer-reviewed journals, followed by a search through reference lists. Each article was abstracted by two independent reviewers; results were discussed until consensus was reached. Results We identified 107 papers published from 1986–2012 that were primarily about AI/AN/NH health or presented findings separately for AI/AN/NH communities. Two reported seeking indigenous reviewer feedback; none reported seeking input from tribes and communities. Approximately 7% reported on institutional review board (IRB) approval of included studies, 5% reported on tribal approval, and 4% referenced the sovereignty of AI/AN tribes. Approximately 63% used evidence from more than one AI/AN/NH population study, and 28% discussed potential benefits to communities from the synthesis research. Conclusions Reporting of ethics and community involvement are not prominent. Systematic reviews and meta-analyses making community-level inferences may pose risks to communities. Future systematic reviews and meta-analyses should consider ethical and participatory dimensions of research. PMID:25089283

  6. Beverage consumption in an Alaska Native village: a mixed-methods study of behaviour, attitudes and access

    PubMed Central

    de Schweinitz, Peter; Wojcicki, Janet M.

    2016-01-01

    Background American Indians/Alaska Natives (AI/AN) have the highest prevalence of obesity for any racial/ethnic group. Previous studies examining risk factors for obesity have identified excessive sugar-sweetened beverage (SSB) and inadequate water consumption as major risk factors for this population group. The historical scarcity of water in rural Alaska may explain consumption patterns including reliance on SSBs and other packaged drinks. Methods Our study was designed to assess SSB, water and other beverage consumption and attitudes towards consumption in Alaska Native children and adults residing in rural Alaska. During summer 2014, 2 focus groups were conducted employing community members in a small rural village more than 200 air miles west of Fairbanks, Alaska. Interviews were completed with shop owners, Early Head Start and Head Start program instructors (n=7). SSB and total beverage intakes were measured using a modified version of the BEVQ-15, (n=69). Results High rates of SSB consumption (defined as sweetened juice beverages, soda, sweet tea, energy drink or sports drinks) and low rates of water consumption were reported for all age groups in the village. All adolescents and 81% of children reported drinking SSBs at least once per week in the last month, and 48% of adolescents and 29% of younger children reported daily consumption. Fifty-two per cent of adults reported consuming SSBs at least once per week and 20% reported daily consumption. Twenty-five per cent of adolescents reported never drinking water in the past month, and 19% of younger children and 21% of adults did not consume water daily. Conclusion Alaska Native children and adults living in the Interior Alaska consume high amounts of SSBs including energy drinks and insufficient amounts of water. Interventions targeting beverage consumption are urgently needed for the Alaska Native population in rural Alaska. PMID:26928369

  7. Views on electronic cigarette use in tobacco screening and cessation in an Alaska Native healthcare setting

    PubMed Central

    Hiratsuka, Vanessa Y.; Avey, Jaedon P.; Trinidad, Susan B.; Beans, Julie A.; Robinson, Renee F.

    2015-01-01

    Background American Indian (AI) and Alaska Native (AN) communities confront some of the highest rates of tobacco use and its sequelae. Methods This formative research project sought to identify the perspectives of 41 stakeholders (community members receiving care within the healthcare system, primary care providers, and tribal healthcare system leaders) surrounding the use of pharmacogenetics toward tobacco cessation treatment in the setting of an AI/AN owned and operated health system in south central Alaska. Results Interviews were held with 20 adult AI/AN current and former tobacco users, 12 healthcare providers, and 9 tribal leaders. An emergent theme from data analysis was that current tobacco screening and cessation efforts lack information on electronic cigarette (e-cigarette) use. Perceptions of the use of e-cigarettes role in tobacco cessation varied. Conclusion Preventive screening for tobacco use and clinical cessation counseling should address e-cigarette use. Healthcare provider tobacco cessation messaging should similarly address e-cigarettes. PMID:26487575

  8. Resources, roadblocks and turning points: a qualitative study of American Indian/Alaska Native adults with type 2 diabetes.

    PubMed

    Shaw, Jennifer L; Brown, Jennifer; Khan, Burhan; Mau, Marjorie K; Dillard, Denise

    2013-02-01

    Type 2 diabetes is a worldwide health problem that has reached epidemic proportions in some communities. Alaska Native and American Indian (AN/AI) people are disproportionately diagnosed with type 2 diabetes and incidence is increasing in many Alaska communities. Developing effective interventions requires understanding the social and psychological factors that impact effective management of diabetes, yet little is known about these factors in AN/AI communities. The objective of this study was to explore perceived psychosocial needs and barriers to management of diabetes among AN/AI adults with type 2 diabetes receiving care at the Alaska Native Primary Care Center (ANPCC) to inform programmatic efforts and potential future research. We conducted three focus groups and five interviews with 13 AN/AI adults with type 2 diabetes. Interview and focus group questions elicited perceived factors that affect management of diabetes, with a focus on the psychological, social and spiritual impacts of diabetes. Data were transcribed, coded and analyzed using thematic analysis. Key themes that emerged from these data included resources and roadblocks, as well as turning points in the trajectory of diabetes. Resources are factors with a perceived positive impact on management of diabetes, including: (1) knowledge and education about diabetes, (2) social support from other people with diabetes, (3) spirituality, and (4) self-efficacy. Roadblocks are factors with a perceived negative impact on management of diabetes and include: (1) self-reported lack of knowledge about nutrition and diet, (2) social difficulties caused by dietary restrictions, and (3) co-morbid medical conditions. Finally, turning points are experiences described by participants as having transformed roadblocks in resources and thus facilitating improvement in the management of diabetes. Future programmatic interventions to improve management of diabetes with this population should focus on improving dietary

  9. Wind Energy Resource Assessment on Alaska Native Lands in Cordova Region of Prince William Sound

    SciTech Connect

    Whissel, John C.; Piche, Matthew

    2015-06-29

    The Native Village of Eyak (NVE) has been monitoring wind resources around Cordova, Alaska in order to determine whether there is a role for wind energy to play in the city’s energy scheme, which is now supplies entirely by two run-of-the-river hydro plants and diesel generators. These data are reported in Appendices A and B. Because the hydro resources decline during winter months, and wind resources increase, wind is perhaps an ideal counterpart to round out Cordova’s renewable energy supply. The results of this effort suggests that this is the case, and that developing wind resources makes sense for our small, isolated community.

  10. Acquired capability for suicide among individuals with American Indian/Alaska Native backgrounds within the military.

    PubMed

    Chiurliza, Bruno; Michaels, Matthew S; Joiner, Thomas E

    2016-01-01

    The present study observes a military sample across race to better understand suicide risk among American Indian/Alaska Native (AI/AN) individuals utilizing the Interpersonal Theory of Suicide. In a sample of 3,387 Army recruiters, multivariate analysis of variance was used to compare the means across race on acquired capability and pain tolerance. AI/AN individuals demonstrated higher levels of acquired capability for suicide (p = .056) and pain tolerance (p = .028). These findings indicate that acquired capability and pain tolerance are key elements involved in suicide risk among AI/AN individuals within the military. PMID:27536895

  11. Field and laboratory guide to freshwater cyanobacteria harmful algal blooms for Native American and Alaska Native communities

    USGS Publications Warehouse

    Rosen, Barry H.; Ann St. Amand,

    2015-09-14

    Cyanobacteria can produce toxins and form harmful algal blooms. The Native American and Alaska Native communities that are dependent on subsistence fishing have an increased risk of exposure to these cyanotoxins. It is important to recognize the presence of an algal bloom in a waterbody and to distinguish a potentially toxic harmful algal bloom from a non-toxic bloom. This guide provides field images that show cyanobacteria blooms, some of which can be toxin producers, as well as other non-toxic algae blooms and floating plants that might be confused with algae. After recognition of a potential toxin-producing cyanobacterial bloom in the field, the type(s) of cyanobacteria present needs to be identified. Species identification, which requires microscopic examination, may help distinguish a toxin-producer from a non-toxin producer. This guide also provides microscopic images of the common cyanobacteria that are known to produce toxins, as well as images of algae that form blooms but do not produce toxins.

  12. Field and laboratory guide to freshwater cyanobacteria harmful algal blooms for Native American and Alaska Native communities

    USGS Publications Warehouse

    Rosen, Barry H.; Ann St. Amand

    2015-01-01

    Cyanobacteria can produce toxins and form harmful algal blooms. The Native American and Alaska Native communities that are dependent on subsistence fishing have an increased risk of exposure to these cyanotoxins. It is important to recognize the presence of an algal bloom in a waterbody and to distinguish a potentially toxic harmful algal bloom from a non-toxic bloom. This guide provides field images that show cyanobacteria blooms, some of which can be toxin producers, as well as other non-toxic algae blooms and floating plants that might be confused with algae. After recognition of a potential toxin-producing cyanobacterial bloom in the field, the type(s) of cyanobacteria present needs to be identified. Species identification, which requires microscopic examination, may help distinguish a toxin-producer from a non-toxin producer. This guide also provides microscopic images of the common cyanobacteria that are known to produce toxins, as well as images of algae that form blooms but do not produce toxins.

  13. Creating a Culturally Appropriate Web-Based Behavioral Intervention for American Indian/Alaska Native Women in Southern California: The Healthy Women Healthy Native Nation Study

    ERIC Educational Resources Information Center

    Gorman, Jessica R.; Clapp, John D.; Calac, Daniel; Kolander, Chelsea; Nyquist, Corinna; Chambers, Christina D.

    2013-01-01

    Health disparities in fetal alcohol spectrum disorders (FASD) are of high importance to American Indian/Alaska Native (AI/AN) communities. We conducted focus groups and interviews with 21 AI/AN women and key informants in Southern California to modify a brief, Web-based program for screening and prevention of prenatal alcohol use. This process…

  14. Education in Alaska. A Report to the People, FY 1986.

    ERIC Educational Resources Information Center

    Alaska State Dept. of Education, Juneau.

    In fiscal year (FY) 1986, the Alaska State Board of Education continued to work towards its objectives of improving education in the areas of: school finance (by developing a fair and equitable distribution system for state public school funds and funding school construction projects); fiscal accountability (by establishing a system for the entire…

  15. Including Alaska Natives in a Program for Native Culture and Arts Development. Report To Accompany S. 1059 from the Committee on Indian Affairs. Senate, 103d Congress, 1st Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Committee on Indian Affairs.

    This report recommends a legislative amendment authorizing grants to support arts and culture development programs for Alaska Natives in the same manner as such programs are currently supported for Native Hawaiians. Missionaries and school teachers who arrived in Alaska in the late 19th and early 20th centuries attempted to impress their…

  16. Evidence-Based Practice Knowledge, Use, and Factors that Influence Decisions: Results from an Evidence-Based Practice Survey of Providers in American Indian/Alaska Native Communities

    ERIC Educational Resources Information Center

    Sheehan, Angela; Walrath-Greene, Christine; Fisher, Sylvia; Crossbear, Shannon; Walker, Joseph

    2007-01-01

    Data from the Evidence-based Treatment Survey were used to compare providers serving families in American Indian and Alaska Native communities to their counterparts in non-American Indian/Alaska Native communities on provider characteristics and factors that influence their decision to use evidence-based practices (N = 467). The findings suggest…

  17. Achievement Gap Patterns of Grade 8 American Indian and Alaska Native Students in Reading and Math. Issues & Answers. REL 2009-No. 073

    ERIC Educational Resources Information Center

    Nelson, Steven; Greenough, Richard; Sage, Nicole

    2009-01-01

    Focusing on student proficiency in reading and math from 2003-04 to 2006-07, this report compares gaps in performance on state achievement tests between grade 8 American Indian and Alaska Native students and all other grade 8 students in 26 states serving large populations of American Indian and Alaska Native students. In response to a request by…

  18. Development of an Applied Fisheries Science Program for Native Alaskans at Sheldon Jackson College (Sitka, Alaska). Fifth Progress Report, 1 February 1977.

    ERIC Educational Resources Information Center

    Seifert, Mel

    Summarizing the beginning of the second year of operation of the hatchery and educational program provided by the Applied Fisheries Science Program at Sheldon Jackson College in Sitka, Alaska for Alaska Natives and non-Native groups interested in salmon ranching, this fifth semi-annual report covers the period July 1 through December 31, 1976 and…

  19. A Protective Factors Model for Alcohol Abuse and Suicide Prevention among Alaska Native Youth

    PubMed Central

    Allen, James; Mohatt, Gerald V.; Fok, Carlotta Ching Ting; Henry, David; Burkett, Rebekah

    2014-01-01

    This study provides an empirical test of a culturally grounded theoretical model for prevention of alcohol abuse and suicide risk with Alaska Native youth, using a promising set of culturally appropriate measures for the study of the process of change and outcome. This model is derived from qualitative work that generated an heuristic model of protective factors from alcohol (Allen at al., 2006; Mohatt, Hazel et al., 2004; Mohatt, Rasmus et al., 2004). Participants included 413 rural Alaska Native youth ages 12-18 who assisted in testing a predictive model of Reasons for Life and Reflective Processes about alcohol abuse consequences as co-occurring outcomes. Specific individual, family, peer, and community level protective factor variables predicted these outcomes. Results suggest prominent roles for these predictor variables as intermediate prevention strategy target variables in a theoretical model for a multilevel intervention. The model guides understanding of underlying change processes in an intervention to increase the ultimate outcome variables of Reasons for Life and Reflective Processes regarding the consequences of alcohol abuse. PMID:24952249

  20. HPV genotypes detected in cervical cancers from Alaska Native women, 1980–2007

    PubMed Central

    Kelly, Janet J.; Unger, Elizabeth R.; Dunne, Eileen F.; Murphy, Neil J.; Tiesinga, James; Koller, Kathy R.; Swango-Wilson, Amy; Philemonof, Dino; Lounmala, Xay; Markowitz, Lauri E.; Steinau, Martin; Hennessy, Thomas

    2013-01-01

    Background Human papillomavirus (HPV) vaccine prevents cervical pre-cancers and cancers caused by HPV types 16 and 18. This study provides information on the HPV types detected in cervical cancers of Alaska Native (AN) women. Methods Cases of invasive cervical cancer diagnosed in AN women aged 18 and above between 1980 and 2007 were identified from the Alaska Native Tumor Registry. A representative formalin-fixed, paraffin-embedded archived pathology block was retrieved and serially sectioned to allow histologic confirmation of lesion (first and last sections) and PCR testing of intervening sections. Extracted DNA was tested for HPV using Linear Array HPV Genotyping Test (Roche Diagnostics) with additional INNO-LiPA HPV Genotyping Assay (Innogenetics) testing on negative or inadequate specimens. All specimens were tested for a minimum 37 HPV types. Results Of 62 cervical cancer specimens evaluated, 57 (91.9%) contained one or more HPV types. Thirty-eight (61.2%) cancers contained HPV types 16 or 18, and 18 (29%) contained an oncogenic type other than type 16 or 18. Conclusions Overall, almost two-thirds (61.2%) of the archived cervical cancers had detectible HPV types 16 or 18, a finding similar to studies of US women. As expected, a proportion of cancers would not be prevented by the current vaccines. HPV vaccination and cervical cancer screening are important prevention strategies for AN women. PMID:23984281

  1. Lived challenges and getting through them: Alaska Native youth narratives as a way to understand resilience.

    PubMed

    Wexler, Lisa; Jernigan, Kasey; Mazzotti, Janet; Baldwin, Elizabeth; Griffin, Megan; Joule, Linda; Garoutte, Joe

    2014-01-01

    Because of imposed rapid social change, Alaska Native youth are growing up in a context different from their elders and suffering far worse health and behavioral outcomes. This research seeks to understand (a) their everyday struggles and life challenges, (b) the practices and resources they rely on to get through challenges, and (c) the meaning they make from these experiences. Data were generated from interviews with 20 Alaska Native youth between the ages of 11 and 18 years, balanced by gender and age-group (early and late adolescence). Purposive sampling identified participants with a broad range of experiences. Following a semistructured guide, youth participated in face-to-face, audio-recorded interviews, transcribed verbatim. A codebook was developed using an iterative process and transcripts were coded using ATLAS.ti. The most commonly identified stressors were relationship loss, "not being there for me," nonsupportive/hostile experiences, transitioning into adulthood, and boredom. Resilience strategies included developing and maintaining relationships with others, being responsible, creating systems of reciprocity, practicing subsistence living, and giving back to family and the community. These opportunities allowed youth to gain a sense of competence and mastery. When difficult experiences align with opportunities for being responsible and competent, youth are most likely to exhibit resilience. PMID:23431127

  2. A protective factors model for alcohol abuse and suicide prevention among Alaska Native youth.

    PubMed

    Allen, James; Mohatt, Gerald V; Fok, Carlotta Ching Ting; Henry, David; Burkett, Rebekah

    2014-09-01

    This study provides an empirical test of a culturally grounded theoretical model for prevention of alcohol abuse and suicide risk with Alaska Native youth, using a promising set of culturally appropriate measures for the study of the process of change and outcome. This model is derived from qualitative work that generated an heuristic model of protective factors from alcohol (Allen et al. in J Prev Interv Commun 32:41-59, 2006; Mohatt et al. in Am J Commun Psychol 33:263-273, 2004a; Harm Reduct 1, 2004b). Participants included 413 rural Alaska Native youth ages 12-18 who assisted in testing a predictive model of Reasons for Life and Reflective Processes about alcohol abuse consequences as co-occurring outcomes. Specific individual, family, peer, and community level protective factor variables predicted these outcomes. Results suggest prominent roles for these predictor variables as intermediate prevention strategy target variables in a theoretical model for a multilevel intervention. The model guides understanding of underlying change processes in an intervention to increase the ultimate outcome variables of Reasons for Life and Reflective Processes regarding the consequences of alcohol abuse.

  3. A protective factors model for alcohol abuse and suicide prevention among Alaska Native youth.

    PubMed

    Allen, James; Mohatt, Gerald V; Fok, Carlotta Ching Ting; Henry, David; Burkett, Rebekah

    2014-09-01

    This study provides an empirical test of a culturally grounded theoretical model for prevention of alcohol abuse and suicide risk with Alaska Native youth, using a promising set of culturally appropriate measures for the study of the process of change and outcome. This model is derived from qualitative work that generated an heuristic model of protective factors from alcohol (Allen et al. in J Prev Interv Commun 32:41-59, 2006; Mohatt et al. in Am J Commun Psychol 33:263-273, 2004a; Harm Reduct 1, 2004b). Participants included 413 rural Alaska Native youth ages 12-18 who assisted in testing a predictive model of Reasons for Life and Reflective Processes about alcohol abuse consequences as co-occurring outcomes. Specific individual, family, peer, and community level protective factor variables predicted these outcomes. Results suggest prominent roles for these predictor variables as intermediate prevention strategy target variables in a theoretical model for a multilevel intervention. The model guides understanding of underlying change processes in an intervention to increase the ultimate outcome variables of Reasons for Life and Reflective Processes regarding the consequences of alcohol abuse. PMID:24952249

  4. Disparities in Functional Outcomes during Inpatient Rehabilitation between American Indian/Alaska Native and White Children.

    PubMed

    Fuentes, Molly M; Bjornson, Kristie; Christensen, Ana; Harmon, Rachel; Apkon, Susan D

    2016-01-01

    American Indian/Alaska Native (AI/AN) children have a high risk for poor health outcomes. Race/ethnicity and functional impairments are linked with health care disparities. While data exist for other race/ethnicity groups, little is known about outcomes for AI/AN children with functional impairments. In this study the Functional Independence Measure for Children (WeeFIM®) was used to determine differences in outcomes between AI/AN and White children receiving inpatient rehabilitation for functional impairments at one pediatric rehabilitation facility. American Indian/Alaska Native and White children had similar impairment types and functional levels at admission to inpatient rehabilitation. Both groups experienced functional improvement during rehabilitation. At discharge, AI/AN children had lower total functional scores and had less improvement in mobility scores compared with White children, with more impairment in physical mobility at discharge. This is one of the first studies to show a disparity in functional outcomes for AI/AN children compared with White children during inpatient rehabilitation.

  5. Alaskan Exemplary Program The Rural Alaska Honors Institute (RAHI) A Quarter Century of Success of Educating, Nurturing, and Retaining Alaska Native and Rural Students An International Polar Year Adventure in Barrow

    NASA Astrophysics Data System (ADS)

    Wartes, D.; Owens, G.

    2007-12-01

    RAHI, the Rural Alaska Honors Institute, began in 1983 after a series of meetings between the Alaska Federation of Natives and the University of Alaska, to discuss the retention rates of Alaska Native and rural students. RAHI is a six-week college-preparatory summer bridge program on the University of Alaska Fairbanks campus for Alaska Native and rural high school juniors and seniors. The student body is approximately 94 percent Alaska Native. RAHI students take classes that earn them seven to ten college credits, thus giving them a head start on college. Courses include: writing, study skills, desk top publishing, Alaska Native dance or swimming, and a choice of geoscience, biochemistry, math, business, rural development, or engineering. A program of rigorous academic activity combines with social, cultural, and recreational activities to make up the RAHI program of early preparation for college. Students are purposely stretched beyond their comfort levels academically and socially to prepare for the big step from home or village to a large culturally western urban campus. They are treated as honors students and are expected to meet all rigorous academic and social standards set by the program. All of this effort and activity support the principal goal of RAHI: promoting academic success for rural students in college. Over 25 years, 1,200 students have attended the program. Sixty percent of the RAHI alumni have entered four-year academic programs. Over 230 have earned a bachelors degree, twenty-nine have earned masters degrees, and seven have graduated with professional degrees (J.D., Ph.D., or M.D.), along with 110 associate degrees and certificates. In looking at the RAHI cohort, removing those students who have not been in college long enough to obtain a degree, 27.3 percent of RAHI alums have received a bachelors degree. An April 2006 report by the American Institutes for Research through the National Science Foundation found that: Rural Native students in the

  6. Using strategic planning and organizational development principles for health promotion in an Alaska Native community

    PubMed Central

    Lardon, Cécile; Soule, Susan; Kernak, Douglas; Lupie, Henry

    2011-01-01

    SUMMARY Health promotion aims to support people in their efforts to increase control over factors that impact health and well-being. This emphasis on empowerment and contextual influences allows for a more holistic conceptualization of health and approaches to promoting health that are anchored in principles of community development and systems change. Piciryaratgun Calritllerkaq (Healthy Living Through A Healthy Lifestyle) is a collaboration between a Yup’ik village in rural Alaska and researchers from the University of Alaska Fairbanks. The goal was to improve nutrition, increase exercise and decrease stress. The project utilized elements of organization development and strategic planning to develop a local infrastructure and process and to promote local expertise. The project team developed goals, objectives, action and evaluation plans that integrated local traditions, Yup’ik culture, and research. PMID:21271433

  7. North America's Native Peoples: A Social Justice and Trauma Counseling Approach

    ERIC Educational Resources Information Center

    Turner, Sherri L.; Pope, Mark

    2009-01-01

    This article understands North America's indigenous peoples in the context of social justice. The authors discuss the role of legislation in shaping cultural contexts of indigenous people and influencing mental health issues in Native American communities. Trauma counseling with Native Americans is explored.

  8. Ohoyo Makachi: Words of Today's American Indian Women. A First Collection of Oratory by American Indian/Alaska Native Women.

    ERIC Educational Resources Information Center

    Verble, Sedelta, Ed.

    The volume presents a collection of 39 conference speeches symbolizing an effort by American Indian and Alaska Native women to speak for themselves, about themselves and to each other. Topics of speeches presented at Tahlequah consist of: past positives and present problems of Indian women; squaw image stereotyping; status of Indian women in…

  9. Planning How to Use Land in Village Alaska: One of a Series of Articles on the Native Land Claims.

    ERIC Educational Resources Information Center

    Weeden, Bob

    As one in a series of eight articles written by different professionals concerned with Alaska Native land claims, this article focuses on the influence of change and competition in land use planning. Designed to stimulate careful political/historical assessment at an advanced secondary or adult level, this booklet presents a vocabulary list, 9…

  10. American Indian Tribal Values: A Critical Consideration in the Education of American Indians/Alaska Natives Today

    ERIC Educational Resources Information Center

    Tippeconnic, John W., III; Tippeconnic Fox, Mary Jo

    2012-01-01

    The education of American Indians and Alaska Natives has increasingly become more complex given the differences in tribal languages and cultures, especially as changing demographics and issues of Indian identity are considered. There are over 200 languages and vast cultural differences between and within the 565 federally recognized tribes in…

  11. English Learners (ELs) Who Are American Indian and/or Alaska Native (AI/AN). Fast Facts

    ERIC Educational Resources Information Center

    Office of English Language Acquisition, US Department of Education, 2016

    2016-01-01

    The Office of English Language Acquisition (OELA) has synthesized key data on English learners (ELs) into two-page PDF sheets, by topic, with graphics, plus key contacts. The topics for this report on English Learners (ELs) Who Are American Indian and/or Alaska Native (AI/AN) include: (1) States With the Highest Percentage of ELs Who Were AI/AN:…

  12. Effect of Race and Ethnicity Classification on Survey Estimates: Anomaly of the Weighted Totals of American Indians and Alaska Natives

    ERIC Educational Resources Information Center

    Lee, Sunghee; Satter, Delight E.; Ponce, Ninez A.

    2009-01-01

    Racial classification is a paramount concern in data collection and analysis for American Indians and Alaska Natives (AI/ANs) and has far-reaching implications in health research. We examine how different racial classifications affect survey weights and consequently change health-related indicators for the AI/AN population in California. Using a…

  13. 42 CFR 457.535 - Cost-sharing protection to ensure enrollment of American Indians and Alaska Natives.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 4 2012-10-01 2012-10-01 false Cost-sharing protection to ensure enrollment of American Indians and Alaska Natives. 457.535 Section 457.535 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE...

  14. 42 CFR 457.535 - Cost-sharing protection to ensure enrollment of American Indians and Alaska Natives.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Cost-sharing protection to ensure enrollment of American Indians and Alaska Natives. 457.535 Section 457.535 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE...

  15. 42 CFR 457.535 - Cost-sharing protection to ensure enrollment of American Indians and Alaska Natives.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false Cost-sharing protection to ensure enrollment of American Indians and Alaska Natives. 457.535 Section 457.535 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE...

  16. American Indian and Alaska Native Children and Mental Health: Development, Context, Prevention, and Treatment. Child Psychology and Mental Health

    ERIC Educational Resources Information Center

    Sarche, Michelle C., Ed.; Spicer, Paul, Ed.; Farrell, Patricia, Ed.; Fitzgerald, Hiram E., Ed.

    2011-01-01

    This unique book examines the physical, psychological, social, and environmental factors that support or undermine healthy development in American Indian children, including economics, biology, and public policies. American Indian and Alaska Native youth suffer disproportionately higher rates of trauma, substance abuse, and youth suicide. At the…

  17. A Framework for Conducting a National Study of Substance Abuse Treatment Programs Serving American Indian and Alaska Native Communities

    PubMed Central

    Novins, Douglas K.; Moore, Laurie A.; Beals, Janette; Aarons, Gregory A.; Rieckmann, Traci; Kaufman, Carol E.

    2013-01-01

    Background Because of their broad geographic distribution, diverse ownership and operation, and funding instability, it is a challenge to develop a framework for studying substance abuse treatment programs serving American Indian and Alaska Native communities at a national level. This is further complicated by the historic reluctance of American Indian and Alaska Native communities to participate in research. Objectives and Methods We developed a framework for studying these substance abuse treatment programs (n = 293) at a national level as part of a study of attitudes toward, and use of, evidence-based treatments among substance abuse treatment programs serving AI/AN communities with the goal of assuring participation of a broad array of programs and the communities that they serve. Results Because of the complexities of identifying specific substance abuse treatment programs, the sampling framework divides these programs into strata based on the American Indian and Alaska Native communities that they serve: (1) the 20 largest tribes (by population); (2) urban AI/AN clinics; (3) Alaska Native Health Corporations; (4) other Tribes; and (5) other regional programs unaffiliated with a specific AI/AN community. In addition, the recruitment framework was designed to be sensitive to likely concerns about participating in research. Conclusion and Scientific Significance This systematic approach for studying substance abuse and other clinical programs serving AI/AN communities assures the participation of diverse AI/AN programs and communities and may be useful in designing similar national studies. PMID:22931088

  18. Characteristics of American Indian and Alaska Native Education: Results from the 1990-91 Schools and Staffing Survey.

    ERIC Educational Resources Information Center

    Pavel, D. Michael; And Others

    This report summarizes findings of the 1990-91 Schools and Staffing Survey (SASS) with regard to schools that serve American Indian and Alaska Native students. The Bureau of Indian Affairs (BIA) and federally recognized tribal organizations under BIA grants and contracts operate 149 elementary and secondary schools. In addition, 1,260 public…

  19. 25 CFR 1000.282 - May persons who are not Indians or Alaska Natives assert claims under FTCA?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 2 2011-04-01 2011-04-01 false May persons who are not Indians or Alaska Natives assert claims under FTCA? 1000.282 Section 1000.282 Indians OFFICE OF THE ASSISTANT SECRETARY, INDIAN AFFAIRS... INDIAN SELF-DETERMINATION AND EDUCATION ACT Federal Tort Claims § 1000.282 May persons who are...

  20. 25 CFR 1000.282 - May persons who are not Indians or Alaska Natives assert claims under FTCA?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false May persons who are not Indians or Alaska Natives assert claims under FTCA? 1000.282 Section 1000.282 Indians OFFICE OF THE ASSISTANT SECRETARY, INDIAN AFFAIRS... INDIAN SELF-DETERMINATION AND EDUCATION ACT Federal Tort Claims § 1000.282 May persons who are...

  1. triADD: The Risk for Alcohol Abuse, Depression, and Diabetes Multimorbidity in the American Indian and Alaska Native Population

    ERIC Educational Resources Information Center

    Tann, Sheila S.; Yabiku, Scott T.; Okamoto, Scott K.; Yanow, Jessica

    2007-01-01

    This study examined the risk for alcoholism, diabetes, and depression (triADD) in American Indian/Alaska Native (AI/AN) populations in the U.S. Using the Behavioral Risk Factor Surveillance System, a series of descriptive statistics and regression models were used to examine the interrelationships among these disorders in AI/AN populations.…

  2. Successful Aging through the Eyes of Alaska Native Elders. What It Means to Be an Elder in Bristol Bay, AK

    ERIC Educational Resources Information Center

    Lewis, Jordan P.

    2011-01-01

    Purpose: Alaska Natives (ANs) view aging from a holistic perspective, which is not typical of the existing successful aging literature. One of the challenges of conducting research with cultural groups (e.g., ANs) is the lack of data, or research, on culture and aging and its impact on how we view successful aging. This research explores…

  3. A Program Evaluation of a Summer Research Training Institute for American Indian and Alaska Native Health Professionals

    ERIC Educational Resources Information Center

    Zaback, Tosha; Becker, Thomas M.; Dignan, Mark B.; Lambert, William E.

    2010-01-01

    In this article, the authors describe a unique summer program to train American Indian/Alaska Native (AI/AN) health professionals in a variety of health research-related skills, including epidemiology, data management, statistical analysis, program evaluation, cost-benefit analysis, community-based participatory research, grant writing, and…

  4. Work of the Bureau of Education for the Natives of Alaska, 1916-17. Bulletin, 1918, No. 5

    ERIC Educational Resources Information Center

    Bureau of Education, Department of the Interior, 1918

    1918-01-01

    The work of the Bureau of Education for the native races of Alaska has been carried on in accordance with the terms and purposes of Congressional appropriations for their education, medical relief, and for the extension of the reindeer industry among them. In the schools, emphasis has been placed upon instruction in matters pertaining to health,…

  5. 42 CFR 457.125 - Provision of child health assistance to American Indian and Alaska Native children.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false Provision of child health assistance to American Indian and Alaska Native children. 457.125 Section 457.125 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE...

  6. 42 CFR 457.125 - Provision of child health assistance to American Indian and Alaska Native children.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 4 2013-10-01 2013-10-01 false Provision of child health assistance to American Indian and Alaska Native children. 457.125 Section 457.125 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE...

  7. 20 CFR 668.100 - What is the purpose of the programs established to serve Native American peoples (INA programs...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... programs is to support comprehensive employment and training activities for Indian, Alaska Native and... literacy skills; (2) Make them more competitive in the workforce; (3) Promote the economic and...

  8. Factors That Influence Mammography Use among Older American Indian and Alaska Native Women

    PubMed Central

    James, Rosalina D.; Gold, Dana E.; St John BlackBird, Arlene; Trinidad, Susan Brown

    2014-01-01

    American Indian and Alaska Native (AIAN) women have relatively high breast-cancer mortality rates despite the availability of free or low-cost screening. Purpose This qualitative study explored issues that influence the participation of older AIAN women in mammography screening through tribally directed National Breast and Cervical Cancer Early Detection Programs (NBCCEDP). Methods We interviewed staff (n=12) representing five tribal NBCCEDP and conducted four focus groups with AIAN women ages 50 to 80 years (n = 33). Results Our analysis identified four main areas of factors that predispose, enable, or reinforce decisions around mammography: financial issues and personal investments, program characteristics including direct services and education, access issues such as transportation, and comfort zone topics that include cultural or community-wide norms regarding cancer prevention. Conclusion This study has implications for nurse education and training on delivering effective mammography services and preventive cancer outreach and education programs in AIAN communities. PMID:24626283

  9. Toward a culturally informed rehabilitation treatment model for American Indian/Alaska Native veterans.

    PubMed

    Tovar, Molly; Patterson Silver Wolf, David A; Stevenson, Julia

    2015-01-01

    American Indians and Alaska Natives (AI/AN) have a long tradition of military service, allying with Western forces in North America since the 1700s. It is hardly surprising, therefore, that AI/AN veterans experience higher rates of overall disability and service-related disability than veterans of other races and ethnicities. It is not clear, however, that AI/AN veterans with disabilities are receiving effective, culturally informed rehabilitation services. This article examines the incidence of disability among contemporary AI/AN veterans, considers barriers to effective treatment, and points out model programs tailored to the particular needs of this population, with attention to the historical and cultural context of AI/AN military service. PMID:26151410

  10. American Indian/Alaska Native Willingness to Provide Biological Samples for Research Purposes

    PubMed Central

    Young, Kristin L.; Nazir, Niaman; Williams, Chandler; Brown, Travis; Choi, Won S.; Greiner, K. A.; Daley, Christine M.

    2011-01-01

    This article examines the willingness of American Indian/Alaska Natives (AI/AN) to provide biological samples for research purposes. Prior cases of abuse and misuse of individuals, materials, and data highlight ethical research concerns. Investigators may be hesitant to engage AI/ANs in research projects. We conducted a survey of AI/ANs in the central plains region of the US over 1 year. This convenience sample completed a series of questions on biological samples and research. Survey results (N = 998) indicate that 70.15% of AI/ANs would be willing to provide saliva/spit for a specific study with the proper consent and control of samples. In conclusion, researchers should find ways to work with and for AI/ANs, assuring participant input in the research process. PMID:22057422

  11. Regular tobacco use among American Indian and Alaska native adolescents: an examination of protective mechanisms.

    PubMed

    Osilla, Karen Chan; Lonczak, Heather S; Mail, Patricia D; Larimer, Mary E; Marlatt, G Alan

    2007-01-01

    American Indian and Alaska Native (AIAN) adolescents use tobacco at earlier ages and in larger quantities compared to non-AIAN peers. Regular tobacco use was examined against five protective factors (peer networks supportive of not using drugs, college aspirations, team sports, playing music, and volunteerism). Participants consisted of 112 adolescents between the ages of 13 and 19 who participated in a study testing the efficacy of a life-skills program aimed at reducing substance-related consequences. Findings indicated that, with the exception of prosocial peer networks and volunteerism, each of the above factors was significantly associated with a reduced probability of being a regular tobacco user. Gender differences were notable. These results hold important treatment implications regarding the reduction and prevention of tobacco use among AIAN youth.

  12. Pain Management Experiences and the Acceptability of Cognitive Behavioral Strategies Among American Indians and Alaska Natives

    PubMed Central

    Haozous, Emily A.; Doorenbos, Ardith Z.; Stoner, Susan

    2014-01-01

    Purpose The purpose of this project was to explore the chronic pain experience and establish cultural appropriateness of cognitive behavioral pain management (CBPM) techniques in American Indians and Alaska Natives (AI/ANs). Design A semistructured interview guide was used with three focus groups of AI/AN patients in the U.S. Southwest and Pacific Northwest regions to explore pain and CBPM in AI/ANs. Findings The participants provided rich qualitative data regarding chronic pain and willingness to use CBPM. Themes included empty promises and health care insufficiencies, individuality, pain management strategies, and suggestions for health care providers. Conclusion Results suggest that there is room for improvement in chronic pain care among AI/ANs and that CBPM would likely be a viable and culturally appropriate approach for chronic pain management. Implications This research provides evidence that CBPM is culturally acceptable and in alignment with existing traditional AI/AN strategies for coping and healing. PMID:25403169

  13. Adaptation of a smoking cessation and prevention website for urban American Indian/Alaska Native youth.

    PubMed

    Taualii, Maile; Bush, Nigel; Bowen, Deborah J; Forquera, Ralph

    2010-03-01

    Tobacco use among American Indian youth is a disproportionately significant problem. We adapted and modified an existing web-based and youth-focused tobacco control program to make it appropriate for young urban American Indian/Alaska Natives (AI/ANs). The results of the focus group indicate that AI/AN youth were very receptive to the use of a web-based Zine-style intervention tool. They wanted the look and feel of the website to be more oriented toward their cultural images. Future research should examine if successful programs for reducing non-ceremonial tobacco use among urban AI/AN youth can keep young irregular smokers from becoming adult smokers.

  14. American Indian/Alaska Native cancer policy: systemic approaches to reducing cancer disparities.

    PubMed

    Warne, Donald; Kaur, Judith; Perdue, David

    2012-04-01

    Members of American Indian and Alaska Native (AI/AN) tribes have a unique political status in the United States in terms of citizenship, and that political status determines eligibility for certain unique healthcare services. The AI/AN population has a legal right to healthcare services based on treaties, court decisions, acts of Congress, Executive Orders, and other legal bases. Although the AI/AN population has a right to healthcare services, the Indian Health Service (the federal agency responsible for providing healthcare to AI/ANs) is severely underfunded, limiting access to services (including cancer care). In order to overcome distinct cancer health disparities, policy changes will be needed. This paper reviews the historical pattern of AI/AN healthcare and the challenges of the complex care needed from prevention through end-of-life care for cancer.

  15. Diabetes-Related Mortality Among American Indians and Alaska Natives, 1990–2009

    PubMed Central

    Geiss, Linda S.; Burrows, Nilka Rios; Roberts, Diana L.; Bullock, Ann K.; Toedt, Michael E.

    2014-01-01

    Objectives. We assessed diabetes-related mortality for American Indians and Alaska Natives (AI/ANs) and Whites. Methods. Study populations were non-Hispanic AI/AN and White persons in Indian Health Service (IHS) Contract Health Service Delivery Area counties; Hispanics were excluded. We used 1990 to 2009 death certificate data linked to IHS patient registration records to identify AI/AN decedents aged 20 years or older. We examined disparities and trends in mortality related to diabetes as an underlying cause of death (COD) and as a multiple COD. Results. After increasing between 1990 and 1999, rates of diabetes as an underlying COD and a multiple COD subsequently decreased in both groups. However, between 2000 and 2009, age-adjusted rates of diabetes as an underlying COD and a multiple COD remained 2.5 to 3.5 times higher among AI/AN persons than among Whites for all age groups (20–44, 45–54, 55–64, 65–74, and ≥ 75 years), both sexes, and every IHS region except Alaska. Conclusions. Declining trends in diabetes-related mortality in both AI/AN and White populations are consistent with recent improvements in their health status. Reducing persistent disparities in diabetes mortality will require developing effective approaches to not only control but also prevent diabetes among AI/AN populations. PMID:24754621

  16. Two Spirit: Counseling Native American Gay, Lesbian, and Bisexual People.

    ERIC Educational Resources Information Center

    Garrett, Michael Tlanusta; Barret, Bob

    2003-01-01

    The cultural world of the Two Spirit, the traditional role of Native individuals believed to possess both male and female spirit, is explored in both "old ways" and current-day experiences. Cultural beliefs and meanings around sexual identity are discussed from a Native perspective with recommendations for counseling Two Spirit clients. (Contains…

  17. Application of the PEN-3 Model to Tobacco Initiation, Use, and Cessation Among American Indian and Alaska Native Adults.

    PubMed

    Hiratsuka, Vanessa Y; Trinidad, Susan B; Avey, Jaedon P; Robinson, Renee F

    2016-07-01

    American Indian (AI) and Alaska Native (AN) communities confront some of the highest rates of tobacco use and its sequelae. As part of a formative research project investigating stakeholder understandings, preferences, and needs surrounding the use of pharmacogenetics toward tobacco cessation treatment, we sought to characterize sociocultural issues related to tobacco use and cessation. We used the PEN-3 cultural model to frame the research question and analysis of stakeholder interviews with 20 AI/AN patients, 12 health care providers, and 9 tribal leaders. Our study found high knowledge levels of the negative health effects of tobacco use; however, most patient participants ascribed negative health effects only to regular, heavy tobacco use and not to light use, which is more common in the population. The majority of patient participants did not endorse use of tobacco cessation treatment despite evidence of efficacy among AI/AN adults. Health promotion messaging to target low-tobacco consuming AI/AN people is needed. Additionally, messaging to promote tobacco cessation treatment using successful AI/AN former tobacco users to improve community perception of tobacco cessation treatment is recommended. PMID:27178836

  18. Focus Groups of Alaska Native Adolescent Tobacco Users: Preferences for Tobacco Cessation Interventions and Barriers to Participation

    PubMed Central

    Patten, Christi A.; Enoch, Carrie; Renner, Caroline C.; Offord, Kenneth P.; Nevak, Caroline; Kelley, Stacy F.; Thomas, Janet; Decker, Paul A.; Hurt, Richard D.; Lanier, Anne; Kaur, Judith S.

    2014-01-01

    Tobacco cessation interventions developed for Alaska Native adolescents do not exist. This study employed focus group methodology to explore preferences for tobacco cessation interventions and barriers to participation among 49 Alaska Natives (61% female) with a mean age of 14.6 (SD = 1.6) who resided in western Alaska. Using content analysis, themes from the 12 focus groups were found to be consistent across village, gender, and age groups. Program location or site (e.g., away from the village, hunting, fishing), a group-based format, and inclusion of medication and personal stories were reported to be important attributes of cessation programs. Motivators to quit tobacco were the perceived adverse health effects of tobacco, improved self-image and appearance, and the potential to be a future role model as a non–tobacco user for family and friends. Parents were perceived as potentially supportive to the adolescent in quitting tobacco. The findings will be used to develop tobacco cessation programs for Alaska Native youth. PMID:18048549

  19. 20 CFR 668.100 - What is the purpose of the programs established to serve Native American peoples (INA programs...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... established to serve Native American peoples (INA programs) under section 166 of the Workforce Investment Act... Policies § 668.100 What is the purpose of the programs established to serve Native American peoples (INA... training services to Native American peoples and their communities. Services should be provided in...

  20. 20 CFR 668.100 - What is the purpose of the programs established to serve Native American peoples (INA programs...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... support comprehensive employment and training activities for Indian, Alaska Native and Native Hawaiian individuals in order to: (1) Develop more fully their academic, occupational, and literacy skills; (2) Make them more competitive in the workforce; (3) Promote the economic and social development of...

  1. 20 CFR 668.100 - What is the purpose of the programs established to serve Native American peoples (INA programs...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... programs is to support comprehensive employment and training activities for Indian, Alaska Native and Native Hawaiian individuals in order to: (1) Develop more fully their academic, occupational, and literacy skills; (2) Make them more competitive in the workforce; (3) Promote the economic and...

  2. 20 CFR 668.100 - What is the purpose of the programs established to serve Native American peoples (INA programs...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... programs is to support comprehensive employment and training activities for Indian, Alaska Native and Native Hawaiian individuals in order to: (1) Develop more fully their academic, occupational, and literacy skills; (2) Make them more competitive in the workforce; (3) Promote the economic and...

  3. Culturally Responsive Guidelines for Alaska Public Libraries.

    ERIC Educational Resources Information Center

    Alaska Univ., Fairbanks. Alaska Native Knowledge Network.

    These guidelines are predicated on the belief that culturally appropriate service to indigenous peoples is a fundamental principle of Alaska public libraries. While the impetus for developing the guidelines was service to the Alaska Native community, they can also be applied to other cultural groups. A culturally responsive library environment is…

  4. Tobacco Cessation Treatment for Alaska Native Adolescents: Group Randomized Pilot Trial

    PubMed Central

    2014-01-01

    Introduction: Tobacco cessation treatments have not been evaluated among Alaska Native (AN) adolescents. This pilot study evaluated the feasibility and the potential efficacy of a targeted cessation intervention for AN youth using a group randomized design. Methods: Eight villages in western Alaska were randomly assigned to receive the intervention (n = 4 villages) or a delayed treatment control condition (written materials only; n = 4 villages). Ten adolescents aged 12–17 years were targeted from each village with a planned enrollment of 80. The intervention was held over a weekend, and youth traveled from their villages to quit tobacco use with other teens. The intervention comprised 8hr of group-based counseling. Talking circles, personal stories from elders, and recreational activities were included to enhance cultural acceptability and participation. Newsletters were mailed weekly for 5-weeks postprogram. Assessments were conducted at baseline, week 6 (end-of-treatment), and 6 months. Self-reported tobacco abstinence was confirmed with salivary cotinine. Results: Recruitment targets were met in the intervention (41 enrolled) but not in control villages (27 enrolled). All intervention participants attended the weekend program. Retention was high; 98% of intervention and 86% of control participants completed 6-month follow-up. The 7-day point-prevalence self-reported tobacco abstinence rates for intervention and control participants were 10% (4/41) and 0% (0/27) at both week 6 and 6 months (p = .15). Only 1 adolescent in the intervention condition was biochemically confirmed abstinent at week 6 and none at 6 months. Conclusion: The intensive individual-focused intervention used in this study was feasible but not effective for tobacco cessation among AN youth. Alternative approaches are warranted. PMID:24532352

  5. Pneumococcal vaccination in a remote population of high-risk Alaska Natives.

    PubMed Central

    Davidson, M; Chamblee, C; Campbell, H G; Bulkow, L R; Taylor, G E; Lanier, A P; Berner, J; Spika, J S; Williams, W W; Middaugh, J P

    1993-01-01

    In response to an increasing prevalence of serious pneumococcal disease among adult Alaska Natives of northwest Alaska, a 3-year program was begun in 1987 to identify residents of that remote region who were at high risk for developing invasive pneumococcal disease, to determine their pneumococcal vaccination status, and to deliver vaccine to at least 80 percent of those at risk. After reviewing public health nursing and Indian Health Service data bases, the authors identified 1,337 persons, 20 percent of the 6,692 residents of the region, at high risk for invasive pneumococcal infection, defined either by having a specific chronic disease or by age criteria. Cardiovascular disease and alcoholism were the two most common chronic diseases. Only 30 percent of those determined to be at high risk had received one or more doses of pneumococcal vaccine previously. Half of those persons had received their most recent vaccination 6 or more years earlier. The program used both customary and innovative methods to deliver 23-valent polysaccharide vaccine to 1,046 of those at high risk (78 percent), including 388 persons who were revaccinated. At the completion of the project, 1,123 persons, 84 percent of those at high risk, had received at least 1 dose. They included 1,088 persons, 81 percent of those at high risk, with vaccination within the previous 5 years as a result of the project, compared with a 15-percent rate prior to the vaccination phase of the project. The program demonstrated that high levels of vaccination against pneumococcal disease, exceeding Year 2000 objectives of 60 percent, are attainable in a remote rural Alaskan population. PMID:8341777

  6. Development of an Applied Fisheries Science Program for Native Alaskans at Sheldon Jackson College (Sitka, Alaska). Second Progress Report, 1 July 1975.

    ERIC Educational Resources Information Center

    Poon, Derek

    Covering the period January 1 through June 30, 1975, this second semi-annual report on the Applied Fishery Science Program operative at Sheldon Jackson College in Sitka, Alaska presents information regarding program progress and Alaska Native students involved in science education. Specifically, this report details: Planning and Coordination…

  7. Alaska Native and Rural Youths' Views of Sexual Health: A Focus Group Project on Sexually Transmitted Diseases, HIV/AIDS, and Unplanned Pregnancy

    ERIC Educational Resources Information Center

    Leston, Jessica D.; Jessen, Cornelia M.; Simons, Brenna C.

    2012-01-01

    Background: The disparity in rates of sexually transmitted diseases (STDs), HIV/AIDS, and unplanned pregnancy between Alaska Native (AN) and non-AN populations, particularly among young adults and females, is significant and concerning. Focus groups were conducted to better understand the knowledge, attitudes, and beliefs of rural Alaska youth…

  8. Pathways to Excellence: A Report on Improving Library and Information Services for Native American Peoples.

    ERIC Educational Resources Information Center

    National Commission on Libraries and Information Science, Washington, DC.

    The U.S. National Commission on Libraries and Information Science began in early 1989 to study library and information services for Native American peoples. This report is the culmination of the evaluation, which included site visits and field hearings. The largely undocumented knowledge base of Native American experience must be recorded and…

  9. Encyclopedia of Native American Jewelry: A Guide to History, People, and Terms.

    ERIC Educational Resources Information Center

    Baxter, Paula A.

    A current guide to significant people, techniques, design motifs, materials, and forms, this comprehensive encyclopedia covers Native American jewelry making from the first contact with the Europeans to the present, focusing primarily on the last 150 years of Native American jewelry making. The encyclopedia contains 350 cross-referenced entries…

  10. U.S. Geological Survey Activities Related to American Indians and Alaska Natives - Fiscal Year 2006

    USGS Publications Warehouse

    Marcus, Susan M.

    2008-01-01

    In the late 1800s, John Wesley Powell, the second director of the U.S. Geological Survey (USGS), followed his interest in the tribes of the Great Basin and Colorado Plateau and studied their cultures, languages, and surroundings. From that early time, the USGS has recognized the importance of Native knowledge and living in harmony with nature as complements to the USGS mission to better understand the Earth. Combining traditional ecological knowledge with empirical studies allows the USGS and Native American governments, organizations, and people to increase their mutual understanding and respect for this land. The USGS is the earth and natural science bureau within the U.S. Department of the Interior (DOI). The USGS does not have regulatory or land management responsibilities.

  11. Ecology and acculturation among native peoples of central Brazil.

    PubMed

    Gross, D R; Eiten, G; Flowers, N M; Leoi, F M; Ritter, M L; Werner, D W

    1979-11-30

    Simple exposure to Western goods may not be a sufficient explanation of why isolated village communities increase their participation in external market economies. The degree of market participation by four native villages in central Brazil is related to the difficulty of making a living from slash-and-burn subsistence agriculture as measured by the ratio of labor input to food output. PMID:17787469

  12. Native Americans: The People and How They Lived.

    ERIC Educational Resources Information Center

    Potter, Eloise F.; Funderburg, John B.

    This large format book with many color illustrations describes native American history on the American continents from the Ice Age to the present, concentrating on Indian history in North Carolina. The book examines living arrangements, objects of daily use, animal husbandry and agriculture, tribal leagues, and architecture. It describes the 28…

  13. The Affordable Care Act and Implications for Health Care Services for American Indian and Alaska Native Individuals

    PubMed Central

    Ross, Raven E.; Garfield, Lauren D.; Brown, Derek S.; Raghavan, Ramesh

    2016-01-01

    American Indian and Alaska Native (AI/AN) populations report poor physical and mental health outcomes while tribal health providers and the Indian Health Service (IHS) operate in a climate of significant under funding. Understanding how the Patient Protection and Affordable Care Act (ACA) affects Native American tribes and the IHS is critical to addressing the improvement of the overall access, quality, and cost of health care within AI/AN communities. This paper summarizes the ACA provisions that directly and/or indirectly affect the service delivery of health care provided by tribes and the IHS. PMID:26548665

  14. Utilizing Drumming for American Indians/Alaska Natives with Substance Use Disorders: A Focus Group Study

    PubMed Central

    Dickerson, Daniel; Robichaud, Francis; Teruya, Cheryl; Nagaran, Kathleen; Hser, Yih-Ing

    2013-01-01

    Background Drumming has been utilized among American Indian/Alaska Native (AI/AN) tribes for centuries to promote healing and self-expression. Drum-Assisted Recovery Therapy for Native Americans (DARTNA), currently under development, is a substance abuse treatment utilizing drumming as a core component. Objectives Focus groups were conducted to assist in the development of the DARTNA protocol. Feedback obtained from these focus groups will inform a subsequent pretest of DARTNA and an empirical study analyzing its effectiveness. Methods Three focus groups were conducted among AIs/ANs with substance use disorders (n = 6), substance abuse treatment providers (n = 8), and a community advisory board (n = 4) to solicit feedback prior to a pretest of the DARTNA protocol. Results Overall, participants indicated that DARTNA could be beneficial for AIs/ANs with substance use disorders. Four overarching conceptual themes emerged across the focus groups: (1) benefits of drumming, (2) importance of a culture-based focus, (3) addressing gender roles in drumming activities, and (4) providing a foundation of common AI/AN traditions. Conclusions The DARTNA protocol is a potentially beneficial and culturally appropriate substance abuse treatment strategy for AIs/ANs. In order to optimize the potential benefits of a substance abuse treatment protocol utilizing drumming for AIs/ANs, adequate attention to tribal diversity and gender roles is needed. Scientific Significance Due to the shortage of substance abuse treatments utilizing traditional healing activities for AIs/ANs, including drumming, results from this study provide an opportunity to develop an intervention that may meet the unique treatment needs of AIs/ANs. PMID:22931086

  15. Translating the Diabetes Prevention Program Into American Indian and Alaska Native Communities

    PubMed Central

    Jiang, Luohua; Manson, Spero M.; Beals, Janette; Henderson, William G.; Huang, Haixiao; Acton, Kelly J.; Roubideaux, Yvette

    2013-01-01

    OBJECTIVE The landmark Diabetes Prevention Program (DPP) showed that lifestyle intervention can prevent or delay the onset of diabetes for those at risk. We evaluated a translational implementation of this intervention in a diverse set of American Indian and Alaska Native (AI/AN) communities. RESEARCH DESIGN AND METHODS The Special Diabetes Program for Indians Diabetes Prevention (SDPI-DP) demonstration project implemented the DPP lifestyle intervention among 36 health care programs serving 80 tribes. A total of 2,553 participants with prediabetes were recruited and started intervention by 31 July 2008. They were offered the 16-session Lifestyle Balance Curriculum and underwent a thorough clinical assessment for evaluation of their diabetes status and risk at baseline, soon after completing the curriculum (postcurriculum), and annually for up to 3 years. Diabetes incidence was estimated. Weight loss, changes in blood pressure and lipid levels, and lifestyle changes after intervention were also evaluated. RESULTS The completion rates of SDPI-DP were 74, 59, 42, and 33% for the postcurriculum and year 1, 2, and 3 assessments, respectively. The crude incidence of diabetes among SDPI-DP participants was 4.0% per year. Significant improvements in weight, blood pressure, and lipid levels were observed immediately after the intervention and annually thereafter for 3 years. Class attendance strongly correlated with diabetes incidence rate, weight loss, and change in systolic blood pressure. CONCLUSIONS Our findings demonstrate the feasibility and potential of translating the lifestyle intervention in diverse AI/AN communities. They have important implications for future dissemination and institutionalization of the intervention throughout the Native American health system. PMID:23275375

  16. Disparities in Cancer Mortality and Incidence Among American Indians and Alaska Natives in the United States

    PubMed Central

    Espey, David K.; Swan, Judith; Wiggins, Charles L.; Eheman, Christie; Kaur, Judith S.

    2014-01-01

    Objectives. We used improved data on American Indian and Alaska Native (AI/AN) ancestry to provide an updated and comprehensive description of cancer mortality and incidence among AI/AN populations from 1990 to 2009. Methods. We linked the National Death Index and central cancer registry records independently to the Indian Health Service (IHS) patient registration database to improve identification of AI/AN persons in cancer mortality and incidence data, respectively. Analyses were restricted to non-Hispanic persons residing in Contract Health Service Delivery Area counties in 6 geographic regions of the United States. We compared age-adjusted mortality and incidence rates for AI/AN populations with White populations using rate ratios and mortality-to-incidence ratios. Trends were described using joinpoint analysis. Results. Cancer mortality and incidence rates for AI/AN persons compared with Whites varied by region and type of cancer. Trends in death rates showed that greater progress in cancer control was achieved for White populations compared with AI/AN populations over the last 2 decades. Conclusions. Spatial variations in mortality and incidence by type of cancer demonstrated both persistent and emerging challenges for cancer control in AI/AN populations. PMID:24754660

  17. Breast cancer screening practices and correlates among American Indian and Alaska Native women in California, 2003

    PubMed Central

    Eberth, Jan M.; Huber, John Charles; Rene, Antonio

    2010-01-01

    Background Breast cancer incidence and mortality have been increasing among American Indian and Alaska Native (AI/AN) women, and their survival rate is the lowest of all racial/ethnic groups. Nevertheless, knowledge of AI/AN women’s breast cancer screening practices and their correlates is limited. Methods Using the 2003 California Health Interview Survey, we 1) compared the breast cancer screening practices of AI/AN women to other groups and 2) explored the association of several factors known or thought to influence AI/AN women’s breast cancer screening practices. Findings Compared to other races, AI/AN women had the lowest rate of mammogram screening (ever and within the past 2 years). For clinical breast exam receipt, Asian women had the lowest rate, followed by AI/AN women. Factors associated with AI/AN women’s breast cancer screening practices included older age, having a high school diploma or some college education, receipt of a Pap test within the past 3 years, and having visited a doctor within the past year. Conclusions Significant differences in breast cancer screening practices were noted between races, with AI/AN women often having significantly lower rates. Integrating these epidemiological findings into effective policy and practice requires additional applied research initiatives. PMID:20211430

  18. Impact of targeted health promotion on cardiovascular knowledge among American Indians and Alaska Natives

    PubMed Central

    Brega, Angela G.; Pratte, Katherine A.; Jiang, Luohua; Mitchell, Christina M.; Stotz, Sarah A.; LoudHawk-Hedgepeth, Crystal; Morse, Brad D.; Noe, Tim; Moore, Kelly R.; Beals, Janette

    2013-01-01

    The National Heart, Lung, and Blood Institute developed the Honoring the Gift of Heart Health (HGHH) curriculum to promote cardiovascular knowledge and heart-healthy lifestyles among American Indians and Alaska Natives (AI/ANs). Using data from a small randomized trial designed to reduce diabetes and cardiovascular disease (CVD) risk among overweight/obese AI/ANs, we evaluated the impact of an adapted HGHH curriculum on cardiovascular knowledge. We also assessed whether the curriculum was effective across levels of health literacy (defined as the ‘capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions’). We examined change in knowledge from baseline to 3 months for two groups: HGHH (N = 89) and control (N = 50). Compared with controls, HGHH participants showed significant improvement in heart attack knowledge and marginally significant improvement in stroke and general CVD knowledge. HGHH participants attending ≥1 class showed significantly greater improvement than controls on all three measures. Although HGHH participants with inadequate health literacy had worse heart attack and stroke knowledge at baseline and 3 months than did participants with adequate skills, the degree of improvement in knowledge did not differ by health literacy level. HGHH appears to improve cardiovascular knowledge among AI/ANs across health literacy levels. PMID:23660462

  19. NIJ's Program of Research on Violence Against American Indian and Alaska Native women.

    PubMed

    Crossland, Christine; Palmer, Jane; Brooks, Alison

    2013-06-01

    The Violence Against Women Act of 2005 (Public Law Number 109-162), at Title IX, Section 904(a) (codified at 42 U.S.C. § 3796gg-10 note) mandates that the National Institute of Justice (NIJ), in consultation with the U.S. Department of Justice's Office on Violence Against Women (OVW), conduct a national baseline study on violence against American Indian and Alaska Native (AI and AN) women living in tribal communities. As a result, NIJ has developed a comprehensive research program consisting of multiple projects that will be accomplished over an extended period of time to address this much needed research. The purpose of the research program is to: examine violence against AI and AN women (including domestic violence, dating violence, sexual assault, stalking, and murder) and identify factors that place AI and AN women at risk for victimization; evaluate the effectiveness of federal, state, tribal, and local responses to violence against AI and AN women; and propose recommendations to improve effectiveness of these responses.

  20. Food Insecurity and Obesity Among American Indians and Alaska Natives and Whites in California

    PubMed Central

    JERNIGAN, VALARIE BLUE BIRD; GARROUTTE, EVA; KRANTZ, ELIZABETH M.; BUCHWALD, DEDRA

    2015-01-01

    Food insecurity is linked to obesity among some, but not all, racial and ethnic populations. We examined the prevalence of food insecurity and the association between food insecurity and obesity among American Indians (AIs) and Alaska Natives (ANs) and a comparison group of whites. Using the 2009 California Health Interview Survey, we analyzed responses from 592 AIs/ANs and 7371 white adults with household incomes at or below 200% of the federal poverty level. Food insecurity was measured using a standard 6-item scale. Sociodemographics, exercise, and obesity were all obtained using self-reported survey data. Logistic regression was used to estimate associations. The prevalence of food insecurity was similar among AIs/ANs and whites (38.7% vs 39.3%). Food insecurity was not associated with obesity in either group in analyses adjusted for sociodemographics and exercise. The ability to afford high-quality foods is extremely limited for low-income Californians regardless of race. Health policy discussions must include increased attention on healthy food access among the poor, including AIs/ANs, for whom little data exist. PMID:26865900

  1. Place and sexual partnership transition among young American Indian and Alaska Native Women

    PubMed Central

    Pearson, Cynthia R.; Cassels, Susan

    2014-01-01

    Multiple challenges expose American Indian and Alaska Native (AIAN) women to high-risk sexual partnerships and increased risk for HIV/STI. Using a unique sample of sexually-active young AIAN women (n=129), we examined characteristics of last three partners and whether transitional partnerships were associated with different risk profiles, including where partners met, lived, and had sex. Respondents were more likely to have met their previous or current secondary partner (P2) at a friend’s or family setting (versus work or social setting) (AOR=3.92; 95%CI: 1.31, 11.70). Condom use was less likely when meeting a partner at friend’s or family settings (AOR=0.17; 95%CI: 0.05, 0.59). Sexual intercourse with P2 (compared to P1) usually took place in “riskier” settings such as a car, bar, or outside (AOR=4.15; 95%CI: 1.59, 10.68). Perceived “safe” places, e.g., friend’s or family’s house, were identified with risky behaviors; thus, homogeneous messaging campaigns may promote a false sense of safety. PMID:24276791

  2. Cervical Cancer Incidence and Mortality Among American Indian and Alaska Native Women, 1999–2009

    PubMed Central

    Benard, Vicki; Thomas, Cheryll; Brayboy, Annie; Paisano, Roberta; Becker, Thomas

    2014-01-01

    Objectives. We analyzed cervical cancer incidence and mortality data in American Indian and Alaska Native (AI/AN) women compared with women of other races. Methods. We improved identification of AI/AN race, cervical cancer incidence, and mortality data using Indian Health Service (IHS) patient records; our analyses focused on residents of IHS Contract Health Service Delivery Area (CHSDA) counties. Age-adjusted incidence and death rates were calculated for AI/AN and White women from 1999 to 2009. Results. AI/AN women in CHSDA counties had a death rate from cervical cancer of 4.2, which was nearly twice the rate in White women (2.0; rate ratio [RR] = 2.11). AI/AN women also had higher incidence rates of cervical cancer compared with White women (11.0 vs 7.1; RR = 1.55) and were more often diagnosed with later-stage disease (RR = 1.84 for regional stage and RR = 1.74 for distant stage). Death rates decreased for AI/AN women from 1990 to 1993 (−25.8%/year) and remained stable thereafter. Conclusions. Although rates decreased over time, AI/AN women had disproportionately higher cervical cancer incidence and mortality. The persistently higher rates among AI/AN women compared with White women require continued improvements in identifying and treating cervical cancer and precancerous lesions. PMID:24754650

  3. The Public Health Foundation of Health Services for American Indians & Alaska Natives

    PubMed Central

    2014-01-01

    The integration of public health practices with federal health care for American Indians and Alaska Natives (AI/ANs) largely derives from three major factors: the sovereign nature of AI/AN tribes, the sociocultural characteristics exhibited by the tribes, and that AI/ANs are distinct populations residing in defined geographic areas. The earliest services consisted of smallpox vaccination to a few AI/AN groups, a purely public health endeavor. Later, emphasis on public health was codified in the Snyder Act of 1921, which provided for, among other things, conservation of the health of AI/AN persons. Attention to the community was greatly expanded with the 1955 transfer of the Indian Health Service from the US Department of the Interior to the Public Health Service and has continued with the assumption of program operations by many tribes themselves. We trace developments in integration of community and public health practices in the provision of federal health care services for AI/AN persons and discuss recent trends. PMID:24758580

  4. The public health foundation of health services for American Indians & Alaska Natives.

    PubMed

    Rhoades, Everett R; Rhoades, Dorothy A

    2014-06-01

    The integration of public health practices with federal health care for American Indians and Alaska Natives (AI/ANs) largely derives from three major factors: the sovereign nature of AI/AN tribes, the sociocultural characteristics exhibited by the tribes, and that AI/ANs are distinct populations residing in defined geographic areas. The earliest services consisted of smallpox vaccination to a few AI/AN groups, a purely public health endeavor. Later, emphasis on public health was codified in the Snyder Act of 1921, which provided for, among other things, conservation of the health of AI/AN persons. Attention to the community was greatly expanded with the 1955 transfer of the Indian Health Service from the US Department of the Interior to the Public Health Service and has continued with the assumption of program operations by many tribes themselves. We trace developments in integration of community and public health practices in the provision of federal health care services for AI/AN persons and discuss recent trends. PMID:24758580

  5. Results of interferon-based treatments in Alaska Native and American Indian population with chronic hepatitis C

    PubMed Central

    Livingston, Stephen E.; Townshend-Bulson, Lisa J.; Bruden, Dana J. T.; Homan, Chriss E.; Gove, James E.; Plotnik, Julia N.; Simons, Brenna C.; Spradling, Philip R.; McMahon, Brian J.

    2016-01-01

    Background There have been few reports of hepatitis C virus (HCV) treatment results with interferon-based regimens in indigenous populations. Objective To determine interferon-based treatment outcome among Alaska Native and American Indian (AN/AI) population. Design In an outcomes study of 1,379 AN/AI persons with chronic HCV infection from 1995 through 2013, we examined treatment results of 189 persons treated with standard interferon, interferon plus ribavirin, pegylated interferon plus ribavirin and triple therapy with a protease inhibitor. For individuals treated with pegylated interferon and ribavirin, the effect of patient characteristics on response was also examined. Results Sustained virologic response (SVR) with standard interferon was 16.7% (3/18) and with standard interferon and ribavirin was 29.7% (11/37). Of 119 persons treated with pegylated interferon and ribavirin, 61 achieved SVR (51.3%), including 10 of 46 with genotype 1 (21.7%), 38 of 51 with genotype 2 (74.5%) and 13 of 22 with genotype 3 (59.1%). By multivariate analysis, SVR in the pegylated interferon group was associated with female sex (p=0.002), estimated duration of infection (p=0.034) and HCV genotype (p<0.0001). There was a high discontinuation rate due to side effects in those treated with pegylated interferon and ribavirin for genotype 1 (52.2%). Seven of 15 genotype 1 patients treated with pegylated interferon, ribavirin and telaprevir or boceprevir achieved SVR (46.7%). Conclusions We had success with pegylated interferon-based treatment of AN/AI people with genotypes 2 and 3. However, there were low SVR and high discontinuation rates for those with genotype 1. PMID:27029671

  6. Creating a culturally appropriate web-based behavioral intervention for American Indian/Alaska Native women in Southern California: the healthy women healthy Native nation study.

    PubMed

    Gorman, Jessica R; Clapp, John D; Calac, Daniel; Kolander, Chelsea; Nyquist, Corinna; Chambers, Christina D

    2013-01-01

    Health disparities in fetal alcohol spectrum disorders (FASD) are of high importance to American Indian/Alaska Native (AI/AN) communities. We conducted focus groups and interviews with 21 AI/AN women and key informants in Southern California to modify a brief, Web-based program for screening and prevention of prenatal alcohol use. This process resulted in several important program modifications and was essential for fostering partnerships between researchers and the community, engaging community members in research, and identifying community priorities.

  7. Sharing Our Pathways: A Newsletter of the Alaska Rural Systemic Initiative, 2001.

    ERIC Educational Resources Information Center

    Dayo, Dixie Masak, Ed.

    2001-01-01

    This document contains the five issues of "Sharing Our Pathways" published in 2001. This newsletter of the Alaska Rural Systemic Initiative (AKRSI) documents efforts to make Alaska rural education--particularly science education--more culturally relevant to Alaska Native students. Articles include "Research and Indigenous Peoples" (Nakutluk…

  8. Preserving and Enhancing the Ability of Alaska Natives To Speak and Understand Their Native Languages. Report To Accompany S. 1595. Senate Select Committee on Indian Affairs. 102d Congress, 1st Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Select Committee on Indian Affairs.

    Testimony concerning Senate Bill 1595 includes statements submitted by Senator Daniel Inouye, from the Select Committee on Indian Affairs, and S. Timothy Wapato, Commissioner, Administration for Native Americans, Department of Health and Human Services. The bill in question aims to preserve and enhance the ability of Alaska Natives to speak and…

  9. New Association Takes "Big Tent" Approach to Studying Native Peoples

    ERIC Educational Resources Information Center

    Schmidt, Peter

    2009-01-01

    Although several academic associations in the United States devote at least some part of their annual conferences to research on American Indians, many scholars of indigenous populations have long felt they lacked an intellectual home, a place where they could gather with large numbers of people who share their interests. A fledgling organization,…

  10. Affirmative Action Education Programs for Siberian Native People.

    ERIC Educational Resources Information Center

    Bartels, Dennis; Bartels, Alice

    1984-01-01

    Describes origin and development of programs, focusing on affirmative action at the Faculty of Northern Peoples of Leningrad's Herzen Pedagogical Institute. Offers conclusions and implications for North America. Includes extensive bibliography, tables on Siberian populations and languages, and biographies of two Siberian educators and two female…

  11. Reducing Alaska Native paediatric oral health disparities: a systematic review of oral health interventions and a case study on multilevel strategies to reduce sugar-sweetened beverage intake

    PubMed Central

    Chi, Donald L.

    2013-01-01

    Background Tooth decay is the most common paediatric disease and there is a serious paediatric tooth decay epidemic in Alaska Native communities. When untreated, tooth decay can lead to pain, infection, systemic health problems, hospitalisations and in rare cases death, as well as school absenteeism, poor grades and low quality-of-life. The extent to which population-based oral health interventions have been conducted in Alaska Native paediatric populations is unknown. Objective To conduct a systematic review of oral health interventions aimed at Alaska Native children below age 18 and to present a case study and conceptual model on multilevel intervention strategies aimed at reducing sugar-sweetened beverage (SSB) intake among Alaska Native children. Design Based on the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) Statement, the terms “Alaska Native”, “children” and “oral health” were used to search Medline, Embase, Web of Science, GoogleScholar and health foundation websites (1970–2012) for relevant clinical trials and evaluation studies. Results Eighty-five studies were found in Medline, Embase and Web of Science databases and there were 663 hits in GoogleScholar. A total of 9 publications were included in the qualitative review. These publications describe 3 interventions that focused on: reducing paediatric tooth decay by educating families and communities; providing dental chemotherapeutics to pregnant women; and training mid-level dental care providers. While these approaches have the potential to improve the oral health of Alaska Native children, there are unique challenges regarding intervention acceptability, reach and sustainability. A case study and conceptual model are presented on multilevel strategies to reduce SSB intake among Alaska Native children. Conclusions Few oral health interventions have been tested within Alaska Native communities. Community-centred multilevel interventions are promising

  12. Cultural Identity Among Urban American Indian/Alaska Native Youth: Implications for Alcohol and Drug Use.

    PubMed

    Brown, Ryan A; Dickerson, Daniel L; D'Amico, Elizabeth J

    2016-10-01

    American Indian / Alaska Native (AI/AN) youth exhibit high rates of alcohol and other drug (AOD) use, which is often linked to the social and cultural upheaval experienced by AI/ANs during the colonization of North America. Urban AI/AN youth may face unique challenges, including increased acculturative stress due to lower concentrations of AI/AN populations in urban areas. Few existing studies have explored cultural identity among urban AI/AN youth and its association with AOD use. This study used systematic qualitative methods with AI/AN communities in two urban areas within California to shed light on how urban AI/AN youth construct cultural identity and how this relates to AOD use and risk behaviors. We conducted 10 focus groups with a total of 70 youth, parents, providers, and Community Advisory Board members and used team-based structured thematic analysis in the Dedoose software platform. We identified 12 themes: intergenerational stressors, cultural disconnection, AI/AN identity as protective, pan-tribal identity, mixed racial-ethnic identity, rural vs. urban environments, the importance of AI/AN institutions, stereotypes and harassment, cultural pride, developmental trajectories, risks of being AI/AN, and mainstream culture clash. Overall, youth voiced curiosity about their AI/AN roots and expressed interest in deepening their involvement in cultural activities. Adults described the myriad ways in which involvement in cultural activities provides therapeutic benefits for AI/AN youth. Interventions that provide urban AI/AN youth with an opportunity to engage in cultural activities and connect with positive and healthy constructs in AI/AN culture may provide added impact to existing interventions.

  13. Balancing Two Cultures: American Indian/Alaska Native Medical Students' Perceptions of Academic Medicine Careers.

    PubMed

    Sánchez, John Paul; Poll-Hunter, Norma; Stern, Nicole; Garcia, Andrea N; Brewster, Cheryl

    2016-08-01

    American Indians and Alaska Natives (AI/AN) remain underrepresented in the academic medicine workforce and little is known about cultivating AI/AN medical students' interest in academic medicine careers. Five structured focus groups were conducted including 20 medical students and 18 physicians. The discussion guide explored factors influencing AI/AN trainees' academic medicine career interest and recommended approaches to increase their pursuit of academia. Consensual qualitative research was employed to analyze transcripts. Our research revealed six facilitating factors, nine dissuading factors, and five recommendations towards cultivating AI/AN pursuit of academia. Facilitators included the opportunity to teach, serving as a role model/mentor, enhancing the AI/AN medical education pipeline, opportunities to influence institution, collegiality, and financial stability. Dissuading factors included limited information on academic career paths, politics, lack of credit for teaching and community service, isolation, self-doubt, lower salary, lack of positions in rural areas, lack of focus on clinical care for AI/AN communities, and research obligations. Recommendations included heighten career awareness, recognize the challenges in balancing AI/AN and academic cultures, collaborate with IHS on faculty recruitment strategies, identify concordant role models/mentors, and identify loan forgiveness programs. Similar to other diverse medical students', raising awareness of academic career opportunities especially regarding teaching and community scholarship, access to concordant role models/mentors, and supportive institutional climates can also foster AI/AN medical students' pursuit of academia. Unique strategies for AI/AN trainees include learning how to balance AI/AN and academic cultures, collaborating with IHS on faculty recruitment strategies, and increasing faculty opportunities in rural areas. PMID:26896055

  14. Posttraumatic Stress Disorder and Symptoms among American Indians and Alaska Natives: A Review of the Literature

    PubMed Central

    Bassett, Deborah; Buchwald, Dedra; Manson, Spero

    2013-01-01

    Purpose: American Indians and Alaska Natives (AI/ANs) experience high rates of trauma and posttraumatic stress disorder (PTSD). We reviewed existing literature to address three interrelated questions: 1) What is the prevalence of PTSD and PTSD symptoms among AI/ANs? 2) What are the inciting events, risk factors, and comorbidities in AI/ANs, and do they differ from those in the general U.S. population? 3) Are studies available to inform clinicians about the course and treatment of PTSD in this population? Methods: We searched the PubMed and Web of Science databases and a database on AI/AN health, capturing an initial sample of 77 original English-language articles published 1992-2010. After applying exclusion criteria, we retained 37 articles on prevalence of PTSD and related symptoms among AI/AN adults. We abstracted key information and organized it in tabular format. Results: AI/ANs experience a substantially greater burden of PTSD and related symptoms than U.S. Whites. Combat experience and interpersonal violence were consistently cited as leading causes of PTSD and related symptoms. PTSD was associated with bodily pain, lung disorders, general health problems, substance abuse, and pathological gambling. In general, inciting events, risk factors, and comorbidities appear similar to those in the general U.S. population. Conclusions: Substantial research indicates a strikingly high incidence of PTSD in AI/AN populations. However, inciting events, risk factors, and comorbidities in AI/ANs, and how they may differ from those in the general population, are poorly understood. Very few studies are available on the clinical course and treatment of PTSD in this vulnerable population. PMID:24022752

  15. A National Study of American Indian and Alaska Native Substance Abuse Treatment: Provider and Program Characteristics.

    PubMed

    Rieckmann, Traci; Moore, Laurie A; Croy, Calvin D; Novins, Douglas K; Aarons, Gregory

    2016-09-01

    American Indians and Alaska Natives (AIANs) experience major disparities in accessing quality care for mental health and substance use disorders. There are long-standing concerns about access to and quality of care for AIANs in rural and urban areas including the influence of staff and organizational factors, and attitudes toward evidence-based treatment for addiction. We conducted the first national survey of programs serving AIAN communities and examined workforce and programmatic differences between clinics located in urban/suburban (n=50) and rural (n=142) communities. We explored the correlates of openness toward using evidence-based treatments (EBTs). Programs located in rural areas were significantly less likely to have nurses, traditional healing consultants, or ceremonial providers on staff, to consult outside evaluators, to use strategic planning to improve program quality, to offer pharmacotherapies, pipe ceremonies, and cultural activities among their services, and to participate in research or program evaluation studies. They were significantly more likely to employ elders among their traditional healers, offer AA-open group recovery services, and collect data on treatment outcomes. Greater openness toward EBTs was related to a larger clinical staff, having addiction providers, being led by directors who perceived a gap in access to EBTs, and working with key stakeholders to improve access to services. Programs that provided early intervention services (American Society of Addiction Medicine level 0.5) reported less openness. This research provides baseline workforce and program level data that can be used to better understand changes in access and quality for AIAN over time.

  16. Balancing Two Cultures: American Indian/Alaska Native Medical Students' Perceptions of Academic Medicine Careers.

    PubMed

    Sánchez, John Paul; Poll-Hunter, Norma; Stern, Nicole; Garcia, Andrea N; Brewster, Cheryl

    2016-08-01

    American Indians and Alaska Natives (AI/AN) remain underrepresented in the academic medicine workforce and little is known about cultivating AI/AN medical students' interest in academic medicine careers. Five structured focus groups were conducted including 20 medical students and 18 physicians. The discussion guide explored factors influencing AI/AN trainees' academic medicine career interest and recommended approaches to increase their pursuit of academia. Consensual qualitative research was employed to analyze transcripts. Our research revealed six facilitating factors, nine dissuading factors, and five recommendations towards cultivating AI/AN pursuit of academia. Facilitators included the opportunity to teach, serving as a role model/mentor, enhancing the AI/AN medical education pipeline, opportunities to influence institution, collegiality, and financial stability. Dissuading factors included limited information on academic career paths, politics, lack of credit for teaching and community service, isolation, self-doubt, lower salary, lack of positions in rural areas, lack of focus on clinical care for AI/AN communities, and research obligations. Recommendations included heighten career awareness, recognize the challenges in balancing AI/AN and academic cultures, collaborate with IHS on faculty recruitment strategies, identify concordant role models/mentors, and identify loan forgiveness programs. Similar to other diverse medical students', raising awareness of academic career opportunities especially regarding teaching and community scholarship, access to concordant role models/mentors, and supportive institutional climates can also foster AI/AN medical students' pursuit of academia. Unique strategies for AI/AN trainees include learning how to balance AI/AN and academic cultures, collaborating with IHS on faculty recruitment strategies, and increasing faculty opportunities in rural areas.

  17. Ectopic Pregnancy Among American Indian and Alaska Native Women, 2002–2009

    PubMed Central

    Folkema, Arianne; Tulloch, Scott; Taylor, Melanie; Reilley, Brigg; Hoover, Karen; Holman, Robert; Creanga, Andreea

    2015-01-01

    To examine rates of ectopic pregnancy (EP) among American Indian and Alaska Native (AI/AN) women aged 15–44 years seeking care at Indian Health Service (IHS), Tribal, and urban Indian health facilities during 2002–2009. We used 2002–2009 inpatient and outpatient data from the IHS National Patient Information Reporting System to identify EP-associated visits and obtain the number of pregnancies among AI/AN women. Repeat visits for the same EP were determined by calculating the interval between visits; if more than 90 days between visits, the visit was considered related to a new EP. We identified 229,986 pregnancies among AI/AN women 15–44 years receiving care at IHS-affiliated facilities during 2002–2009. Of these, 2,406 (1.05 %) were coded as EPs, corresponding to an average annual rate of 10.5 per 1,000 pregnancies. The EP rate among AI/AN women was lowest in the 15–19 years age group (5.5 EPs per 1,000 pregnancies) and highest among 35–39 year olds (18.7 EPs per 1,000 pregnancies). EP rates varied by geographic region, ranging between 6.9 and 24.4 per 1,000 pregnancies in the Northern Plains East and the East region, respectively. The percentage of ectopic pregnancies found among AI/AN women is within the national 1–2 % range. We found relatively stable annual rates of EP among AI/AN women receiving care at IHS-affiliated facilities during 2002–2009, but considerable variation by age group and geographic region. Coupling timely diagnosis and management with public health interventions focused on tobacco use and sexually transmitted diseases may provide opportunities for reducing EP and EP-associated complications among AI/AN women. PMID:25023759

  18. Patient and Provider Factors Associated With American Indian and Alaska Native Adolescent Tobacco Use Screening

    PubMed Central

    Hiratsuka, Vanessa Y.; Suchy-Dicey, Astrid M.; Garroutte, Eva M.; Booth-LaForce, Cathryn

    2015-01-01

    Introduction Tobacco use is the leading behavioral cause of death among adults 25 years or older. American Indian (AI) and Alaska Native (AN) communities confront some of the highest rates of tobacco use and of its sequelae. Primary care–based screening of adolescents is an integral step in the reduction of tobacco use, yet remains virtually unstudied. We examined whether delivery of tobacco screening in primary care visits is associated with patient and provider characteristics among AI/AN adolescents. Methods We used a cross-sectional analysis to examine tobacco screening among 4757 adolescent AI/AN patients served by 56 primary care providers at a large tribally managed health system between October 1, 2011 and May 31, 2014. Screening prevalence was examined in association with categorical patient characteristics (gender, age, clinic visited, insurance coverage) and provider characteristics (gender, age, tenure) using multilevel logistic regressions with individual provider identity as the nesting variable. Results Thirty-seven percent of eligible patients were screened. Gender of both providers and patients was associated with screening. Male providers delivered screening more often than female providers (odds ratio [OR] 1.6, 95% confidence interval [CI] 0.7–3.9). Male patients had 20% lower odds of screening receipt (OR 0.8, 95% CI 0.7–0.9) than female patients, independent of patient age and provider characteristics. Individual provider identity significantly contributed to variability in the mixed-effects model (variance component 2.2; 95% CI 1.4–3.4), suggesting individual provider effect. Conclusions Low tobacco screening delivery by female providers and the low receipt of screening among younger, male patients may identify targets for screening interventions. PMID:26319931

  19. American Indian and Alaska Native Infant and Pediatric Mortality, United States, 1999–2009

    PubMed Central

    Gachupin, Francine C.; Holman, Robert C.; MacDorman, Marian F.; Cheek, James E.; Holve, Steve; Singleton, Rosalyn J.

    2014-01-01

    Objectives. We described American Indian/Alaska Native (AI/AN) infant and pediatric death rates and leading causes of death. Methods. We adjusted National Vital Statistics System mortality data for AI/AN racial misclassification by linkage with Indian Health Service (IHS) registration records. We determined average annual death rates and leading causes of death for 1999 to 2009 for AI/AN versus White infants and children. We limited the analysis to IHS Contract Health Service Delivery Area counties. Results. The AI/AN infant death rate was 914 (rate ratio [RR] = 1.61; 95% confidence interval [CI] = 1.55, 1.67). Sudden infant death syndrome, unintentional injuries, and influenza or pneumonia were more common in AI/AN versus White infants. The overall AI/AN pediatric death rates were 69.6 for ages 1 to 4 years (RR = 2.56; 95% CI = 2.38, 2.75), 28.9 for ages 5 to 9 years (RR = 2.12; 95% CI = 1.92, 2.34), 37.3 for ages 10 to 14 years (RR = 2.22; 95% CI = 2.04, 2.40), and 158.4 for ages 15 to 19 years (RR = 2.71; 95% CI = 2.60, 2.82). Unintentional injuries and suicide occurred at higher rates among AI/AN youths versus White youths. Conclusions. Death rates for AI/AN infants and children were higher than for Whites, with regional disparities. Several leading causes of death in the AI/AN pediatric population are potentially preventable. PMID:24754619

  20. A National Study of American Indian and Alaska Native Substance Abuse Treatment: Provider and Program Characteristics.

    PubMed

    Rieckmann, Traci; Moore, Laurie A; Croy, Calvin D; Novins, Douglas K; Aarons, Gregory

    2016-09-01

    American Indians and Alaska Natives (AIANs) experience major disparities in accessing quality care for mental health and substance use disorders. There are long-standing concerns about access to and quality of care for AIANs in rural and urban areas including the influence of staff and organizational factors, and attitudes toward evidence-based treatment for addiction. We conducted the first national survey of programs serving AIAN communities and examined workforce and programmatic differences between clinics located in urban/suburban (n=50) and rural (n=142) communities. We explored the correlates of openness toward using evidence-based treatments (EBTs). Programs located in rural areas were significantly less likely to have nurses, traditional healing consultants, or ceremonial providers on staff, to consult outside evaluators, to use strategic planning to improve program quality, to offer pharmacotherapies, pipe ceremonies, and cultural activities among their services, and to participate in research or program evaluation studies. They were significantly more likely to employ elders among their traditional healers, offer AA-open group recovery services, and collect data on treatment outcomes. Greater openness toward EBTs was related to a larger clinical staff, having addiction providers, being led by directors who perceived a gap in access to EBTs, and working with key stakeholders to improve access to services. Programs that provided early intervention services (American Society of Addiction Medicine level 0.5) reported less openness. This research provides baseline workforce and program level data that can be used to better understand changes in access and quality for AIAN over time. PMID:27431046

  1. Cultural Identity Among Urban American Indian/Alaska Native Youth: Implications for Alcohol and Drug Use.

    PubMed

    Brown, Ryan A; Dickerson, Daniel L; D'Amico, Elizabeth J

    2016-10-01

    American Indian / Alaska Native (AI/AN) youth exhibit high rates of alcohol and other drug (AOD) use, which is often linked to the social and cultural upheaval experienced by AI/ANs during the colonization of North America. Urban AI/AN youth may face unique challenges, including increased acculturative stress due to lower concentrations of AI/AN populations in urban areas. Few existing studies have explored cultural identity among urban AI/AN youth and its association with AOD use. This study used systematic qualitative methods with AI/AN communities in two urban areas within California to shed light on how urban AI/AN youth construct cultural identity and how this relates to AOD use and risk behaviors. We conducted 10 focus groups with a total of 70 youth, parents, providers, and Community Advisory Board members and used team-based structured thematic analysis in the Dedoose software platform. We identified 12 themes: intergenerational stressors, cultural disconnection, AI/AN identity as protective, pan-tribal identity, mixed racial-ethnic identity, rural vs. urban environments, the importance of AI/AN institutions, stereotypes and harassment, cultural pride, developmental trajectories, risks of being AI/AN, and mainstream culture clash. Overall, youth voiced curiosity about their AI/AN roots and expressed interest in deepening their involvement in cultural activities. Adults described the myriad ways in which involvement in cultural activities provides therapeutic benefits for AI/AN youth. Interventions that provide urban AI/AN youth with an opportunity to engage in cultural activities and connect with positive and healthy constructs in AI/AN culture may provide added impact to existing interventions. PMID:27450682

  2. Historical Trends and Regional Differences in All-Cause and Amenable Mortality Among American Indians and Alaska Natives Since 1950

    PubMed Central

    Kunitz, Stephen J.; Veazie, Mark; Henderson, Jeffrey A.

    2014-01-01

    American Indian and Alaska Native (AI/AN) death rates declined over most of the 20th century, even before the Public Health Service became responsible for health care in 1956. Since then, rates have declined further, although they have stagnated since the 1980s. These overall patterns obscure substantial regional differences. Most significant, rates in the Northern and Southern Plains have declined far less since 1949 to 1953 than those in the East, Southwest, or Pacific Coast. Data for Alaska are not available for the earlier period, so its trajectory of mortality cannot be ascertained. Socioeconomic measures do not adequately explain the differences and rates of change, but migration, changes in self-identification as an AI/AN person, interracial marriage, and variations in health care effectiveness all appear to be implicated. PMID:24754651

  3. Historical trends and regional differences in all-cause and amenable mortality among American Indians and Alaska Natives since 1950.

    PubMed

    Kunitz, Stephen J; Veazie, Mark; Henderson, Jeffrey A

    2014-06-01

    American Indian and Alaska Native (AI/AN) death rates declined over most of the 20th century, even before the Public Health Service became responsible for health care in 1956. Since then, rates have declined further, although they have stagnated since the 1980s. These overall patterns obscure substantial regional differences. Most significant, rates in the Northern and Southern Plains have declined far less since 1949 to 1953 than those in the East, Southwest, or Pacific Coast. Data for Alaska are not available for the earlier period, so its trajectory of mortality cannot be ascertained. Socioeconomic measures do not adequately explain the differences and rates of change, but migration, changes in self-identification as an AI/AN person, interracial marriage, and variations in health care effectiveness all appear to be implicated.

  4. 78 FR 77009 - Section 306D Water Systems for Rural and Native Villages in Alaska

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-20

    ... program designed to provide safe water and hygienic disposal facilities in the State of Alaska.'' There... the Alaska VSW program fund projects designed to improve public health and provide clean, safe... designed to provide up to 75 percent grant funding to rural Alaskan Villages that are trying to address...

  5. Perspectives on suicide prevention among American Indian and Alaska native children and adolescents: a call for help.

    PubMed

    Gary, Faye A; Baker, Martha; Grandbois, Donna M

    2005-03-28

    Suicide rates among American Indian Alaska Native (AIAN) children and adolescents are the highest in the United States. Risk factors for suicide among AIAN youth include: strained interpersonal relationships, family instability, depression, low self-esteem, and alcohol use or substance abuse. Protective factors include: caring family relationships, supportive tribal leaders, and positive school experiences. Carefully planned, culturally sensitive, comprehensive programs that address the social determinants of health outcomes such as poverty, school failure, familial conflicts, and limited access to health care, should be the focus of blueprints for change for these vulnerable children. Moreover, culturally competent providers are key elements associated with reducing the suicide rates among AIAN children and adolescents.

  6. Keeping Our Hearts from Touching the Ground: HIV/AIDS in American Indian and Alaska Native Women

    PubMed Central

    Walters, Karina L.; Beltran, Ramona; Evans-Campbell, Tessa; Simoni, Jane M.

    2011-01-01

    HIV/AIDS is a critical and growing challenge to American Indian and Alaska Native (AIAN) women’s health. Conceptually guided by the Indigenist Stress-Coping Model, this paper explores the historical and contemporary factors implicated in the HIV epidemic among AIAN women and the co-occurring epidemics of sexual violence and substance abuse. The authors also outline multiple indicators of resiliency in AIAN communities and stress the need for HIV prevention interventions for AIAN women to capitalize on cultural and community strengths. PMID:22055677

  7. Walking the Worlds: The Experience of Native Psychologists in Their Doctoral Training and Practice

    ERIC Educational Resources Information Center

    Elliott, S. Auguste

    2010-01-01

    American Indian and Alaska Native psychologists are in demand. They hold promise to meet the mental health needs of tribal and urban Indian communities by bridging Native worldview and the Euro-American stance of psychology in assessing, designing, and delivering mental health services to Native peoples. Individual stories of Native psychologists…

  8. Substance use among American Indians and Alaska natives: incorporating culture in an "indigenist" stress-coping paradigm.

    PubMed Central

    Walters, Karina L.; Simoni, Jane M.; Evans-Campbell, Teresa

    2002-01-01

    OBJECTIVES: This article proposes a new stress-coping model for American Indians and Alaska Natives (AIs) that reflects a paradigmatic shift in the conceptualization of Native health. It reviews sociodemographic information on AIs, rates of substance abuse and related health outcomes, and the research supporting the model's pathways. OBSERVATIONS: Although health outcomes among AIs are improving, large disparities with other racial and ethnic groups in the United States remain. Many health-related problems are directly linked to high rates of substance use and abuse. CONCLUSION: Eurocentric paradigms focus on individual pathology. An "indigenist" perspective of health incorporates the devastating impact of historical trauma and ongoing oppression of AIs. The model emphasizes cultural strengths, such as the family and community, spirituality and traditional healing practices, and group identity attitudes. PMID:12435834

  9. Native Peoples: Resources Pertaining to First Nations, Inuit, and Metis. Fifth Edition.

    ERIC Educational Resources Information Center

    Bagworth, Ruth, Comp.

    This bibliography lists materials on Native peoples available through the library at the Manitoba Department of Education and Training (Canada). All materials are loanable except the periodicals collection, which is available for in-house use only. Materials are categorized under the headings of First Nations, Inuit, and Metis and include both…

  10. Native Peoples: Department of Education Resources pertaining to Indians, Inuit, and Metis.

    ERIC Educational Resources Information Center

    Manitoba Dept. of Education, Winnipeg.

    This revised edition of Native Peoples was prepared to provide information for teachers, librarians, and others interested in materials about North American Indians, Inuit, and Metis. It also includes an appendix of resources relevant to Central and South American Indian cultures. Annotated citations of reading materials are provided as well as…

  11. 33 CFR 203.16 - Federally recognized Indian Tribes and the Alaska Native Corporations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Introduction § 203.16 Federally recognized Indian Tribes and the Alaska...

  12. 33 CFR 203.16 - Federally recognized Indian Tribes and the Alaska Native Corporations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Introduction § 203.16 Federally recognized Indian Tribes and the Alaska...

  13. Community involvement in the ethical review of genetic research: lessons from American Indian and Alaska Native populations.

    PubMed Central

    Sharp, Richard R; Foster, Morris W

    2002-01-01

    The National Bioethics Advisory Commission has proposed that regulatory oversight for research with human subjects be extended beyond the protection of individual research participants to include the protection of social groups. To accomplish this, the commission recommends that investigators and ethics review boards a) work directly with community representatives to develop study methods that minimize potential group harms, b) discuss group implications as part of the informed consent process, and c) consider group harms in reporting research results. We examine the utility of these recommendations in the context of research with American Indian and Alaska Native communities. Because much attention has been given to the question of how best to consult with members of these communities in the design and conduct of research, we believe it behooves investigators to consider the lessons to be learned from research involving American Indians and Alaska Natives. After describing several difficulties surrounding the application of the commission's approach to these research contexts, we propose a research agenda to develop best practices for working with local communities in the ethical assessment of epidemiologic and environmental health research. PMID:11929722

  14. The National Eye Health Education Program: increasing awareness of diabetic eye disease among American Indians and Alaska Natives.

    PubMed

    Silver, Karen; Williams, Meredith; Macario, Everly

    2006-01-01

    With the highest prevalence of diabetes in the United States, American Indians and Alaska Natives are at greatest risk for diabetic eye disease (DED), a leading cause of blindness. The National Eye institute (NEI) conducted formative research to understand DED-related knowledge, identify approaches to managing this disease, and design a communication plan to increase awareness and reduce DED among these populations. The NEI conducted qualitative research at five locations in indian country with representatives from national organizations, tribal members, and healthcare providers. While diabetes ranked high on their list of primary community health issues in need of attention, study participants had only a basic level of diabetes-related knowledge, acknowledged the need for DED education, and underscored the importance of the use of interpersonal and culturally appropriate communication strategies. This is the first exploratory qualitative research study to examine the status of diabetic eye disease among American indians and Alaska Natives whose primary purpose was to inform the design of a national DED communication campaign.

  15. 76 FR 76603 - Improving American Indian and Alaska Native Educational Opportunities and Strengthening Tribal...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-08

    ... between AI/AN students and their non-AI/AN student counterparts, and that many Native languages are on the... AI/AN students have an opportunity to learn their Native languages and histories and receive complete... TCUs. TCUs maintain, preserve, and restore Native languages and cultural traditions; offer a...

  16. Mathematics and Science Curricula in Elementary and Secondary Education for American Indian and Alaska Native Students.

    ERIC Educational Resources Information Center

    Preston, Vera

    Issues related to the improvement of mathematics and science education pertain to Native students as well as to the general population. Native students are most successful at tasks that use visual and spatial abilities and that involve simultaneous processing. Instruction should build on Native students' strengths. Experiential learning and…

  17. From Alaska: A 21st Century Story of Indigenous Self-Determination in Urban American Public Education

    ERIC Educational Resources Information Center

    Weinstein, Gail L. Israel

    2014-01-01

    For Alaskan Indigenous people, an acute clash of cultures occurs daily in U.S. public school education. The dynamics used to implement and improve the well-being and graduation outcomes for Alaska Native youth in urban public school are presented. A partnership between Cook Inlet Tribal Council, Inc., an Alaska Native social service nonprofit, and…

  18. Alaska

    NASA Technical Reports Server (NTRS)

    2002-01-01

    Though it's not quite spring, waters in the Gulf of Alaska (right) appear to be blooming with plant life in this true-color MODIS image from March 4, 2002. East of the Alaska Peninsula (bottom center), blue-green swirls surround Kodiak Island. These colors are the result of light reflecting off chlorophyll and other pigments in tiny marine plants called phytoplankton. The bloom extends southward and clear dividing line can be seen west to east, where the bloom disappears over the deeper waters of the Aleutian Trench. North in Cook Inlet, large amounts of red clay sediment are turning the water brown. To the east, more colorful swirls stretch out from Prince William Sound, and may be a mixture of clay sediment from the Copper River and phytoplankton. Arcing across the top left of the image, the snow-covered Brooks Range towers over Alaska's North Slope. Frozen rivers trace white ribbons across the winter landscape. The mighty Yukon River traverses the entire state, beginning at the right edge of the image (a little way down from the top) running all the way over to the Bering Sea, still locked in ice. In the high-resolution image, the circular, snow-filled calderas of two volcanoes are apparent along the Alaska Peninsula. In Bristol Bay (to the west of the Peninsula) and in a couple of the semi-clear areas in the Bering Sea, it appears that there may be an ice algae bloom along the sharp ice edge (see high resolution image for better details). Ground-based observations from the area have revealed that an under-ice bloom often starts as early as February in this region and then seeds the more typical spring bloom later in the season.

  19. Community-based research as a mechanism to reduce environmental health disparities in american Indian and alaska native communities.

    PubMed

    McOliver, Cynthia Agumanu; Camper, Anne K; Doyle, John T; Eggers, Margaret J; Ford, Tim E; Lila, Mary Ann; Berner, James; Campbell, Larry; Donatuto, Jamie

    2015-04-13

    Racial and ethnic minority communities, including American Indian and Alaska Natives, have been disproportionately impacted by environmental pollution and contamination. This includes siting and location of point sources of pollution, legacies of contamination of drinking and recreational water, and mining, military and agricultural impacts. As a result, both quantity and quality of culturally important subsistence resources are diminished, contributing to poor nutrition and obesity, and overall reductions in quality of life and life expectancy. Climate change is adding to these impacts on Native American communities, variably causing drought, increased flooding and forced relocation affecting tribal water resources, traditional foods, forests and forest resources, and tribal health. This article will highlight several extramural research projects supported by the United States Environmental Protection Agency (USEPA) Science to Achieve Results (STAR) tribal environmental research grants as a mechanism to address the environmental health inequities and disparities faced by tribal communities. The tribal research portfolio has focused on addressing tribal environmental health risks through community based participatory research. Specifically, the STAR research program was developed under the premise that tribal populations may be at an increased risk for environmentally-induced diseases as a result of unique subsistence and traditional practices of the tribes and Alaska Native villages, community activities, occupations and customs, and/or environmental releases that significantly and disproportionately impact tribal lands. Through a series of case studies, this article will demonstrate how grantees-tribal community leaders and members and academic collaborators-have been addressing these complex environmental concerns by developing capacity, expertise and tools through community-engaged research.

  20. Community-based research as a mechanism to reduce environmental health disparities in american Indian and alaska native communities.

    PubMed

    McOliver, Cynthia Agumanu; Camper, Anne K; Doyle, John T; Eggers, Margaret J; Ford, Tim E; Lila, Mary Ann; Berner, James; Campbell, Larry; Donatuto, Jamie

    2015-04-01

    Racial and ethnic minority communities, including American Indian and Alaska Natives, have been disproportionately impacted by environmental pollution and contamination. This includes siting and location of point sources of pollution, legacies of contamination of drinking and recreational water, and mining, military and agricultural impacts. As a result, both quantity and quality of culturally important subsistence resources are diminished, contributing to poor nutrition and obesity, and overall reductions in quality of life and life expectancy. Climate change is adding to these impacts on Native American communities, variably causing drought, increased flooding and forced relocation affecting tribal water resources, traditional foods, forests and forest resources, and tribal health. This article will highlight several extramural research projects supported by the United States Environmental Protection Agency (USEPA) Science to Achieve Results (STAR) tribal environmental research grants as a mechanism to address the environmental health inequities and disparities faced by tribal communities. The tribal research portfolio has focused on addressing tribal environmental health risks through community based participatory research. Specifically, the STAR research program was developed under the premise that tribal populations may be at an increased risk for environmentally-induced diseases as a result of unique subsistence and traditional practices of the tribes and Alaska Native villages, community activities, occupations and customs, and/or environmental releases that significantly and disproportionately impact tribal lands. Through a series of case studies, this article will demonstrate how grantees-tribal community leaders and members and academic collaborators-have been addressing these complex environmental concerns by developing capacity, expertise and tools through community-engaged research. PMID:25872019

  1. Community-Based Research as a Mechanism to Reduce Environmental Health Disparities in American Indian and Alaska Native Communities

    PubMed Central

    McOliver, Cynthia Agumanu; Camper, Anne K.; Doyle, John T.; Eggers, Margaret J.; Ford, Tim E.; Lila, Mary Ann; Berner, James; Campbell, Larry; Donatuto, Jamie

    2015-01-01

    Racial and ethnic minority communities, including American Indian and Alaska Natives, have been disproportionately impacted by environmental pollution and contamination. This includes siting and location of point sources of pollution, legacies of contamination of drinking and recreational water, and mining, military and agricultural impacts. As a result, both quantity and quality of culturally important subsistence resources are diminished, contributing to poor nutrition and obesity, and overall reductions in quality of life and life expectancy. Climate change is adding to these impacts on Native American communities, variably causing drought, increased flooding and forced relocation affecting tribal water resources, traditional foods, forests and forest resources, and tribal health. This article will highlight several extramural research projects supported by the United States Environmental Protection Agency (USEPA) Science to Achieve Results (STAR) tribal environmental research grants as a mechanism to address the environmental health inequities and disparities faced by tribal communities. The tribal research portfolio has focused on addressing tribal environmental health risks through community based participatory research. Specifically, the STAR research program was developed under the premise that tribal populations may be at an increased risk for environmentally-induced diseases as a result of unique subsistence and traditional practices of the tribes and Alaska Native villages, community activities, occupations and customs, and/or environmental releases that significantly and disproportionately impact tribal lands. Through a series of case studies, this article will demonstrate how grantees—tribal community leaders and members and academic collaborators—have been addressing these complex environmental concerns by developing capacity, expertise and tools through community-engaged research. PMID:25872019

  2. Fish consumption behavior and rates in native and non-native people in Saudi Arabia

    PubMed Central

    Burger, Joanna; Gochfeld, Michael; Batang, Zenon; Alikunhi, Nabeel; Al-Jahdali, Ramzi; Al-Jebreen, Dalal; Aziz, Mohammed A. M.; Al-Suwailem, Abdulaziz

    2015-01-01

    Fish are a healthy source of protein and nutrients, but contaminants in fish may provide health risks. Determining the risk from contaminants in fish requires site-specific information on consumption patterns. We examine consumption rates for resident and expatriates in the Jeddah region of Saudi Arabia, by species of fish and fishing location. For Saudis, 3.7 % of males and 4.3 % of females do not eat fish; for expatriates, the percent not eating fish is 6.6 % and 6.1 % respectively. Most people eat fish at home (over 90 %), and many eat fish at restaurants (65 % and 48 %, respectively for Saudis and expatriates). Fish eaten at home comes from local fish markets, followed by supermarkets. Saudis included fish in their diets at an average of 1.4±1.2 meals/week at home and 0.8±0.7 meals/week at restaurants, while expats ate 2.0±1.7 meals/week at home and 1.1±1.1 meals/week in restaurants. Overall, Saudis ate 2.2 fish meals/week, while expats ate 3.1 meals/week. Grouper (Epinephelus and Cephalopholis) were eaten by 72% and 60% respectively. Plectropomus pessuliferus was the second favorite for both groups and Hipposcarus harid and Lethrinus lentjan were in 3rd and 4th place in terms of consumption. Average meal size was 68 g for Saudis and 128 g for expatriates. These data can be used by health professionals, risk assessors, and environmental regulators to examine potential risk from contaminants in fish, and to compare consumption rates with other sites. PMID:24926920

  3. Fish consumption behavior and rates in native and non-native people in Saudi Arabia.

    PubMed

    Burger, Joanna; Gochfeld, Michael; Batang, Zenon; Alikunhi, Nabeel; Al-Jahdali, Ramzi; Al-Jebreen, Dalal; Aziz, Mohammed A M; Al-Suwailem, Abdulaziz

    2014-08-01

    Fish are a healthy source of protein and nutrients, but contaminants in fish may provide health risks. Determining the risk from contaminants in fish requires site-specific information on consumption patterns. We examine consumption rates for resident and expatriates in the Jeddah region of Saudi Arabia, by species of fish and fishing location. For Saudis, 3.7% of males and 4.3% of females do not eat fish; for expatriates, the percent not eating fish is 6.6% and 6.1% respectively. Most people eat fish at home (over 90%), and many eat fish at restaurants (65% and 48%, respectively for Saudis and expatriates). Fish eaten at home comes from local fish markets, followed by supermarkets. Saudis included fish in their diets at an average of 1.4 ± 1.2 meals/week at home and 0.8 ± 0.7 meals/week at restaurants, while expats ate 2.0 ± 1.7 meals/week at home and 1.1 ± 1.1 meals/week in restaurants. Overall, Saudis ate 2.2 fish meals/week, while expats ate 3.1 meals/week. Grouper (Epinephelus and Cephalopholis) were eaten by 72% and 60% respectively. Plectropomus pessuliferus was the second favorite for both groups and Hipposcarus harid and Lethrinus lentjan were in 3rd and 4th place in terms of consumption. Average meal size was 68 g for Saudis and 128 g for expatriates. These data can be used by health professionals, risk assessors, and environmental regulators to examine potential risk from contaminants in fish, and to compare consumption rates with other sites.

  4. Fish consumption behavior and rates in native and non-native people in Saudi Arabia.

    PubMed

    Burger, Joanna; Gochfeld, Michael; Batang, Zenon; Alikunhi, Nabeel; Al-Jahdali, Ramzi; Al-Jebreen, Dalal; Aziz, Mohammed A M; Al-Suwailem, Abdulaziz

    2014-08-01

    Fish are a healthy source of protein and nutrients, but contaminants in fish may provide health risks. Determining the risk from contaminants in fish requires site-specific information on consumption patterns. We examine consumption rates for resident and expatriates in the Jeddah region of Saudi Arabia, by species of fish and fishing location. For Saudis, 3.7% of males and 4.3% of females do not eat fish; for expatriates, the percent not eating fish is 6.6% and 6.1% respectively. Most people eat fish at home (over 90%), and many eat fish at restaurants (65% and 48%, respectively for Saudis and expatriates). Fish eaten at home comes from local fish markets, followed by supermarkets. Saudis included fish in their diets at an average of 1.4 ± 1.2 meals/week at home and 0.8 ± 0.7 meals/week at restaurants, while expats ate 2.0 ± 1.7 meals/week at home and 1.1 ± 1.1 meals/week in restaurants. Overall, Saudis ate 2.2 fish meals/week, while expats ate 3.1 meals/week. Grouper (Epinephelus and Cephalopholis) were eaten by 72% and 60% respectively. Plectropomus pessuliferus was the second favorite for both groups and Hipposcarus harid and Lethrinus lentjan were in 3rd and 4th place in terms of consumption. Average meal size was 68 g for Saudis and 128 g for expatriates. These data can be used by health professionals, risk assessors, and environmental regulators to examine potential risk from contaminants in fish, and to compare consumption rates with other sites. PMID:24926920

  5. A Modest Proposal. An Expression of Children's Needs by People in Rural Alaska with Recommendations for Positive Change.

    ERIC Educational Resources Information Center

    Alaska State-Operated Schools, Anchorage.

    The specific concerns and recommendations that the people of rural Alaska made about their educational system are documented in this report. The major need areas indicated in the reports include bicultural curriculums and bilingual instruction, the relationship between the community and the school, local control and local planning, and the…

  6. Cadmium in arctic Alaska wildlife: Kidney and liver residues and potential exposure in indigenous people

    SciTech Connect

    O`Hara, T.; Fairbrother, A.; Becker, P.; Tarpley, R.

    1995-12-31

    In arctic Alaska, cadmium (Cd) levels are of concern in kidney and liver of terrestrial and marine mammals including: bowhead whale, beluga whale, walrus, caribou, and ringed seal. Cd levels in some animals exceed threshold criteria in kidney for renal dysfunction and other effects, tolerance levels for human consumption (liver = 1 ppm, kidney = 3 ppm), and WHO weekly intake limits (500 ug Cd/week). An assessment of risk to indigenous people and to wildlife populations, will be presented. Cigarette smoking is another major source of Cd to be considered. Reports from Greenland have concluded a health risk from Cd exposure from marine dietary sources and smoking exist for these residents. Bowhead whale kidney and walrus kidney and liver represent major dietary sources of Cd (blubber and meat have very little Cd). Followed by: ringed seal liver (kidney data not available), beluga whale liver and kidney, and caribou kidney. Small portions of bowhead and walrus kidney (< 10g/week) exceed weekly intake levels. Age positively correlates with Cd levels in kidney indicating that avoiding older (larger) animals would reduce exposure. Adverse effects of Cd in wildlife were not grossly evident, however, with no historic data, it is difficult to determine if tissue concentrations are elevated. Harvest of wildlife is important to many arctic people for nutritional and cultural survival. Assessing risks associated with contaminants is essential for the wellbeing of indigenous people and wildlife. The nutritional value of the local resources and the potential inadequate alternatives must be considered.

  7. Prevention and treatment of type 2 diabetes mellitus in children, with special emphasis on American Indian and Alaska Native children. American Academy of Pediatrics Committee on Native American Child Health.

    PubMed

    Gahagan, Sheila; Silverstein, Janet

    2003-10-01

    The emergence of type 2 diabetes mellitus in the American Indian/Alaska Native pediatric population presents a new challenge for pediatricians and other health care professionals. This chronic disease requires preventive efforts, early diagnosis, and collaborative care of the patient and family within the context of a medical home.

  8. Metabolic Syndrome in Yup'ik Eskimos: The Center for Alaska Native Health Research (CANHR) Study

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Objective: This study investigated the prevalence of metabolic syndrome and its defining components among Yup’ik Eskimos. Research Methods and Procedures: A cross-sectional study design that included 710 adult Yup’ik Eskimos 18 years of age residing in 8 communities in Southwest Alaska. The prevale...

  9. 78 FR 25473 - Information Collection: Northern Alaska Native Community Surveys; Proposed Collection for OMB...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-01

    ... focus on the coastal Alaska communities in the North Slope area. This information collection (IC... Resilience (Resiliency Study), will assess the vulnerabilities of North Slope coastal communities to the... living conditions of residents in six North Slope coastal communities (Barrow, Point Hope,...

  10. Work of the Bureau of Education for the Natives of Alaska. Bulletin, 1923, No. 45

    ERIC Educational Resources Information Center

    Hamilton, William

    1923-01-01

    The administration of the work of the Bureau of Education in Alaska involves great difficulties, arising principally from the remoteness of most of the schools, the enormous distances between the schools, the meager means of communication, and the severity of the climate. In addition to maintaining schools for the children belonging to the…

  11. Story: The Heartbeat of Learning Cancer Education for Alaska Native Community Healthcare Providers

    ERIC Educational Resources Information Center

    Cueva, Melany; Kuhnley, Regina; Lanier, Anne P.; Dignan, Mark

    2006-01-01

    Community Health Aides and Community Health Practitioners (CHA/Ps), the primary providers of healthcare in rural Alaska, share the importance of story as a culturally respectful way for creating meaning and broadening understanding. Story is woven into the fabric of cancer education courses for CHA/Ps. Between May 2004 and April 2007, 13 week-long…

  12. Work of the Bureau of Education for the Natives of Alaska. Bulletin, 1927, No. 6

    ERIC Educational Resources Information Center

    Hamilton, William

    1927-01-01

    Through its Alaska division, the United State Bureau of Education is developing and educating an aboriginal population of different races dwelling in widely varying regions and climates, many of whom require assistance in adjusting themselves to the new conditions with which civilization has confronted them. The problem involves both educating…

  13. HIV-Related Risk Behaviors, Perceptions of Risk, HIV Testing, and Exposure to Prevention Messages and Methods among Urban American Indians and Alaska Natives

    ERIC Educational Resources Information Center

    Lapidus, Jodi A.; Bertolli, Jeanne; McGowan, Karen; Sullivan, Patrick

    2006-01-01

    The goal of this study was to describe HIV risk behaviors, perceptions, testing, and prevention exposure among urban American Indians and Alaska Natives (AI/AN). Interviewers administered a questionnaire to participants recruited through anonymous peer-referral sampling. Chi-square tests and multiple logistic regression were used to compare HIV…

  14. Promising Practices and Strategies To Reduce Alcohol and Substance Abuse among American Indians and Alaska Natives. An OJP Issues & Practices Report.

    ERIC Educational Resources Information Center

    Melton, Ada Pecos; Chino, Michelle; May, Phillip A.; Gossage, J. Phillip

    This report presents case studies of nine successful programs designed to reduce alcohol and substance abuse among American Indians and Alaska Natives. These case studies highlight effective solutions developed within tribal communities and combining Western and traditional approaches to build upon the strengths of the respective Indian…

  15. Achievement Gap Patterns of Grade 8 American Indian and Alaska Native Students in Reading and Math. Summary. Issues & Answers. REL 2009-No. 073

    ERIC Educational Resources Information Center

    Nelson, Steven; Greenough, Richard; Sage, Nicole

    2009-01-01

    This document presents a summary of a larger report that focuses on student proficiency reading and math from 2003-04 to 2006-07. The report compares gaps in performance on state achievement tests between grade 8 American Indian and Alaska Native students and all other grade 8 students in 26 states serving large populations of American Indian and…

  16. A Story within a Story: Culturally Responsive Schooling and American Indian and Alaska Native Achievement in the National Indian Education Study

    ERIC Educational Resources Information Center

    Lopez, Francesca A.; Vasquez Heilig, Julian; Schram, Jacqueline

    2013-01-01

    There have been numerous calls to increase quantitative studies examining the role of culturally responsive schooling (CRS) on American Indian and Alaska Native (AIAN) achievement. The National Indian Education Study (NIES) is the only large-scale study focused on (AIAN) students' cultural experiences within the context of schools. Given…

  17. "It Runs in the Family": Intergenerational Transmission of Historical Trauma among Urban American Indians and Alaska Natives in Culturally Specific Sobriety Maintenance Programs

    ERIC Educational Resources Information Center

    Myhra, Laurelle L.

    2011-01-01

    The aim of this exploratory study, which was informed by ethnographic principles, was to better understand the intergenerational transmission of historical trauma among urban American Indians/Alaska Natives (AI/ANs) in culturally specific sobriety maintenance programs. The results of the study were organized into 3 overarching categories, which…

  18. National Indian Education Study 2011: The Educational Experiences of American Indian and Alaska Native Students at Grades 4 and 8. NCES 2012-466

    ERIC Educational Resources Information Center

    National Center for Education Statistics, 2012

    2012-01-01

    Since 2005, the National Indian Education Study (NIES) has provided educators, policymakers, and the public with information about the background and academic performance of fourth- and eighth-grade American Indian and Alaska Native (AI/AN) students in the United States. NIES was administered in 2005, 2007, 2009, and 2011 as part of the National…

  19. 13 CFR 124.109 - Do Indian tribes and Alaska Native Corporations have any special rules for applying to the 8(a...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... economically disadvantaged under 43 U.S.C. 1626(e), and need not establish economic disadvantage as required by... interest and total voting power are held by the ANC and holders of its settlement common stock. (4) The... deemed to be both owned and controlled by Alaska Natives and an economically disadvantaged...

  20. 13 CFR 124.109 - Do Indian tribes and Alaska Native Corporations have any special rules for applying to the 8(a...

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... economically disadvantaged under 43 U.S.C. 1626(e), and need not establish economic disadvantage as required by... interest and total voting power are held by the ANC and holders of its settlement common stock. (4) The... deemed to be both owned and controlled by Alaska Natives and an economically disadvantaged...

  1. Problems of Definition of Tribe in Alaska Relating to Public Law 93-638. Hearings Before the Subcommittee on Indian Affairs of the Committee on Interior and Insular Affairs, United States Senate, 94th Congress, 2nd Session on Problems Associated with the Statutory Definitions of Tribe as They Relate to Native Alaskans (Juneau, Alaska, September 2, 1976; Anchorage, Alaska, September 3, 1976; Bethel, Alaska, September 4, 1976).

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Committee on Interior and Insular Affairs.

    Testimony presented in these hearings centers on the legal problems derived from the many and varied statutory definitions of "tribe" and the resulting confusion on the part of the administrators of Federal programs designed to benefit American Indians and Alaska Natives (e.g., in Alaska, there are currently about 465 legal entities which may be…

  2. Improving Parental Participation in Elementary and Secondary Education for American Indian and Alaska Native Students.

    ERIC Educational Resources Information Center

    Butterfield, Robin; Pepper, Floy

    Home and family are important predictors of student attitude and achievement. However, the coercive assimilation policies of the past have left a legacy of barriers between schools and Native parents. Parent participation in schools goes beyond a supportive role and includes activities influencing decision making. Key issues for Native parents…

  3. Geographic variation in trends and characteristics of teen childbearing among American Indians and Alaska Natives, 1990-2007.

    PubMed

    Wingo, Phyllis A; Lesesne, Catherine A; Smith, Ruben A; de Ravello, Lori; Espey, David K; Arambula Solomon, Teshia G; Tucker, Myra; Thierry, Judith

    2012-12-01

    To study teen birth rates, trends, and socio-demographic and pregnancy characteristics of AI/AN across geographic regions in the US. The birth rate for US teenagers 15-19 years reached a historic low in 2009 (39.1 per 1,000) and yet remains one of the highest teen birth rates among industrialized nations. In the US, teen birth rates among Hispanic, non-Hispanic black, and American Indian/Alaska Native (AI/AN) youth are consistently two to three times the rate among non-Hispanic white teens. Birth certificate data for females younger than age 20 were used to calculate birth rates (live births per 1,000 women) and joinpoint regression to describe trends in teen birth rates by age (<15, 15-17, 18-19) and region (Aberdeen, Alaska, Bemidji, Billings, California, Nashville, Oklahoma, Portland, Southwest). Birth rates for AI/AN teens varied across geographic regions. Among 15-19-year-old AI/AN, rates ranged from 24.35 (California) to 123.24 (Aberdeen). AI/AN teen birth rates declined from the early 1990s into the 2000s for all three age groups. Among 15-17-year-olds, trends were approximately level during the early 2000s-2007 in six regions and declined in the others. Among 18-19-year-olds, trends were significantly increasing during the early 2000s-2007 in three regions, significantly decreasing in one, and were level in the remaining regions. Among AI/AN, cesarean section rates were lower in Alaska (4.1%) than in other regions (16.4-26.6%). This is the first national study to describe regional variation in AI/AN teen birth rates. These data may be used to target limited resources for teen pregnancy intervention programs and guide research.

  4. Injury mortality among American Indian and Alaska Native children and youth--United States, 1989-1998.

    PubMed

    2003-08-01

    Injuries account for 75% of all deaths among American Indian and Alaska Native (AI/AN) children and youth, and AI/ANs have an overall injury-related death rate that is twice the U.S. rate for all racial/ethnic populations. However, rate disparities vary by area and by cause. To help focus prevention efforts, CDC analyzed injury mortality data by Indian Health Service (IHS) administrative area and by race/ethnicity. This report summarizes the results of these analyses, which indicate that although death rates for some causes (e.g. drowning and fire) have shown substantial improvement over time, rates for other causes have increased or remained unchanged (e.g., homicide and suicide, respectively). Prevention strategies should focus on the leading causes of injury-related death in each AI/AN community, such as motor-vehicle crashes, suicides, and violence.

  5. Health Promotion and Diabetes Prevention in American Indian and Alaska Native Communities--Traditional Foods Project, 2008-2014.

    PubMed

    Satterfield, Dawn; DeBruyn, Lemyra; Santos, Marjorie; Alonso, Larry; Frank, Melinda

    2016-02-12

    Type 2 diabetes was probably uncommon in American Indian and Alaska Native (AI/AN) populations before the 1940s. During 2010-2012, AI/AN adults were approximately 2.1 times as likely to have diabetes diagnosed as non-Hispanic white adults. Although type 2 diabetes in youth is still uncommon, AI/AN youth (aged 15-19 years) experienced a 68% increase in diagnosed diabetes from 1994 to 2004. Health disparities are related to biological, environmental, sociological, and historical factors. This report highlights observations from the Traditional Foods Project (2008-2014) that illustrate tribally driven solutions, built on traditional ecological knowledge, to reclaim foods systems for health promotion and prevention of chronic illnesses, including diabetes. PMID:26916637

  6. History, law, and policy as a foundation for health care delivery for American Indian and Alaska native children.

    PubMed

    Thierry, Judith; Brenneman, George; Rhoades, Everett; Chilton, Lance

    2009-12-01

    Most American Indian and Alaska Native Children (AIAN) receive health care that is based on the unique historical legacy of tribal treaty obligations and a trust relationship of sovereign nation to sovereign nation. From colonial America to the early 21st century, the wellbeing of AIAN children has been impacted as federal laws were crafted for the health, education and wellbeing of its AIAN citizens. Important public laws are addressed in this article, highlighting the development of the Indian Health Service (IHS), a federal agency designed to provide comprehensive clinical and public health services to citizens of federally recognized tribes. The context during which various acts were made into law are described to note the times during which the policy making process took place. Policies internal and external to the IHS are summarized, widening the lens spanning the past 200 years and into the future of these first nations' youngest members.

  7. Patterns of Clinical Response to PSA Elevation in American Indian/Alaska Native Men: A Multi-center Pilot Study

    PubMed Central

    Tilburt, Jon C.; Koller, Kathryn; Tiesinga, James J.; Wilson, Robin T.; Trinh, Anne C.; Hill, Kristin; Hall, Ingrid J.; Smith, Judith Lee; Ekwueme, Donatus U.; Petersen, Wesley O.

    2016-01-01

    Objective To assess clinical treatment patterns and response times among American Indian/Alaska Native men with a newly elevated PSA. Methods We retrospectively identified men ages 50–80 receiving care in one of three tribally-operated clinics in Northern Minnesota, one medical center in Alaska, and who had an incident PSA elevation (≥ 4 ng/ml) in a specified time period. A clinical response was considered timely if it was documented as occurring within 90 days of the incident PSA elevation. Results Among 82 AI/AN men identified from medical records with an incident PSA elevation, 49 (60%) received a timely clinical response, while 18 (22%) had no documented clinical response. Conclusions One in five AI/AN men in our study had no documented clinical action following an incident PSA elevation. Although a pilot study, these findings suggest the need to improve the documentation, notification, and care following an elevated PSA at clinics serving AI/AN men. PMID:24185163

  8. Racial Misclassification of American Indians and Alaska Natives by Indian Health Service Contract Health Service Delivery Area

    PubMed Central

    Jim, Melissa A.; Arias, Elizabeth; Seneca, Dean S.; Hoopes, Megan J.; Jim, Cheyenne C.; Johnson, Norman J.; Wiggins, Charles L.

    2014-01-01

    Objectives. We evaluated the racial misclassification of American Indians and Alaska Natives (AI/ANs) in cancer incidence and all-cause mortality data by Indian Health Service (IHS) Contract Health Service Delivery Area (CHSDA). Methods. We evaluated data from 3 sources: IHS-National Vital Statistics System (NVSS), IHS-National Program of Cancer Registries (NPCR)/Surveillance, Epidemiology and End Results (SEER) program, and National Longitudinal Mortality Study (NLMS). We calculated, within each data source, the sensitivity and classification ratios by sex, IHS region, and urban–rural classification by CHSDA county. Results. Sensitivity was significantly greater in CHSDA counties (IHS-NVSS: 83.6%; IHS-NPCR/SEER: 77.6%; NLMS: 68.8%) than non-CHSDA counties (IHS-NVSS: 54.8%; IHS-NPCR/SEER: 39.0%; NLMS: 28.3%). Classification ratios indicated less misclassification in CHSDA counties (IHS-NVSS: 1.20%; IHS-NPCR/SEER: 1.29%; NLMS: 1.18%) than non-CHSDA counties (IHS-NVSS: 1.82%; IHS-NPCR/SEER: 2.56%; NLMS: 1.81%). Race misclassification was less in rural counties and in regions with the greatest concentrations of AI/AN persons (Alaska, Southwest, and Northern Plains). Conclusions. Limiting presentation and analysis to CHSDA counties helped mitigate the effects of race misclassification of AI/AN persons, although a portion of the population was excluded. PMID:24754617

  9. Evidence-based practices, attitudes, and beliefs in substance abuse treatment programs serving American Indians and Alaska Natives: a qualitative study.

    PubMed

    Larios, Sandra E; Wright, Serena; Jernstrom, Amanda; Lebron, Dorothy; Sorensen, James L

    2011-01-01

    Substance abuse disproportionately impacts American Indian/Alaska Native (AI/AN) communities in the United States. For the increasing numbers of AI/AN individuals who enter and receive treatment for their alcohol or other drug problem it is imperative that the service they receive be effective. This study used qualitative methodology to examine attitudes toward evidence-based practices, also known as evidence-based treatments (EBTs) in minority-serving substance abuse treatment programs in the San Francisco Bay area. Twenty-two interviews were conducted in the study, of which seven were with program directors and substance abuse counselors at two urban AI/AN focused sites. These clinics were more likely than other minority-focused programs to have experience with research and knowledge about adapting EBTs. Only in the AI/AN specific sites did an issue arise concerning visibility, that is, undercounting AI/AN people in national and state databases. Similar to other minority-focused programs, these clinics described mistrust, fear of exploitation from the research community, and negative attitudes towards EBTs. The underutilization of EBTs in substance abuse programs is prevalent and detrimental to the health of patients who would benefit from their use. Future research should explore how to use this research involvement and experience with adaptation to increase the adoption of EBTs in AI/AN serving clinics.

  10. Cost-effectiveness of preventing dental caries and full mouth dental reconstructions among Alaska Native children in the Yukon–Kuskokwim delta region of Alaska

    PubMed Central

    Atkins, Charisma Y.; Thomas, Timothy K.; Lenaker, Dane; Day, Gretchen M.; Hennessy, Thomas W.; Meltzer, Martin I.

    2016-01-01

    Objective We conducted a cost-effectiveness analysis of five specific dental interventions to help guide resource allocation. Methods We developed a spreadsheet-based tool, from the healthcare payer perspective, to evaluate the cost effectiveness of specific dental interventions that are currently used among Alaska Native children (6-60 months). Interventions included: water fluoridation, dental sealants, fluoride varnish, tooth brushing with fluoride toothpaste, and conducting initial dental exams on children <18 months of age. We calculated the cost-effectiveness ratio of implementing the proposed interventions to reduce the number of carious teeth and full mouth dental reconstructions (FMDRs) over 10 years. Results A total of 322 children received caries treatments completed by a dental provider in the dental chair, while 161 children received FMDRs completed by a dental surgeon in an operating room. The average cost of treating dental caries in the dental chair was $1,467 (~258,000 per year); while the cost of treating FMDRs was $9,349 (~1.5 million per year). All interventions were shown to prevent caries and FMDRs; however tooth brushing prevented the greatest number of caries at minimum and maximum effectiveness with 1,433 and 1,910, respectively. Tooth brushing also prevented the greatest number of FMDRs (159 and 211) at minimum and maximum effectiveness. Conclusions All of the dental interventions evaluated were shown to produce cost savings. However, the level of that cost saving is dependent on the intervention chosen. PMID:26990678

  11. Perceptions, barriers, and suggestions for creation of a tobacco and health website among American Indian/Alaska Native college students.

    PubMed

    Filippi, Melissa K; McCloskey, Charlotte; Williams, Chandler; Bull, Julia White; Choi, Won S; Greiner, K Allen; Daley, Christine M

    2013-06-01

    Information concerning American Indian/Alaska Native (AI/AN) Internet use and health information needs is dearth. Our research team explored Internet use among AI/AN college students to determine Internet use in relation to health information seeking behaviors. We used a tobacco site example for participants to describe what they desired in a health site designed specifically for AI/AN. Using a community-based participatory research approach, we conducted 14 focus groups with AI/AN college students (N = 108), to better understand their perceptions of and attitudes toward Internet use and health information needs. Daily Internet use was reported across strata yet health topics investigated differed among groups. Participants in all strata desired a health website that was easy to navigate and interactive. Respectful representation of Native culture was a concern, yet no consensus was reached for a multi-tribal audience. Participants felt a website should use caution with cultural depictions due to the possible misinterpretation. Overall, participants agreed that recreational and traditional tobacco use should be differentiated and the variation of traditional use among tribes acknowledged. Data concerning Internet use for health information among AI/AN college students are needed to establish baseline indicators to effectively address disparities.

  12. Communications and Information Technologies and the Education of Canada's Native Peoples. New Technologies in Canadian Education Series. Paper 6.

    ERIC Educational Resources Information Center

    Stiles, J. Mark

    This paper examines communications and information technologies and the ways in which they have been used in both the formal and the nonformal education of Canada's native people (four groups: status Indians, non-status Indians, Metis, and Inuits). It is noted that generalizations about the use of technology in native schools is difficult because…

  13. Epidemiology and Etiology of Substance Use among American Indians and Alaska Natives: Risk, Protection, and Implications for Prevention

    PubMed Central

    Whitesell, Nancy Rumbaugh; Beals, Janette; Crow, Cecelia Big; Mitchell, Christina M.; Novins, Douglas K.

    2015-01-01

    Background The epidemiology and etiology of substance use and disorder in American Indian and Alaska Native (AI/AN) communities have received increasing attention over the past 25 years and accumulating evidence provides important insights into substance use patterns in these populations. Objectives and methods We provide a descriptive sketch of the AI/AN population in the United States today, present a brief review of the literature on the epidemiology and etiology of substance use within these populations, and discuss key implications of this literature for prevention efforts. Conclusions and Scientific Significance Patterns of alcohol use and abuse in AI/AN populations are complex and vary across cultural groups, but alcohol clearly impacts both physical health and mental health within these communities. Tobacco use – and associated health consequences – is typically higher in these populations than among other US groups, although significant variation across Native communities is apparent here as with alcohol. Evidence regarding drug use and disorder is less extensive and thus less conclusive, but evidence demonstrates higher rates of use as well. Etiological explanations for substance use and disorder cut across individual characteristics (e.g., genetics) or experiences (e.g., exposure to trauma), to social contexts (e.g., family disruption), and to cultural factors (e.g., historical trauma). Protective factors likely cut across these multiple levels as well and deserve more focused attention for informing prevention efforts. The development of effective prevention strategies, built through collaboration between researchers and Native communities, drawing from the wisdom of both, is a high priority. PMID:22931069

  14. Using Literature by American Indians and Alaska Natives in Secondary Schools. ERIC Digest.

    ERIC Educational Resources Information Center

    Grant, Agnes; Gillespie, LaVina

    Literature is a powerful vehicle for the transmission and interpretation of culture. Reading a variety of literature helps students to understand the principles underpinning values and traditions of their own culture and the cultures of others. Studying the myths, legends, and songs of traditional Native literature helps readers understand…

  15. Women of Hope: Native American/Hawaiian. Study Guide.

    ERIC Educational Resources Information Center

    Hirschfelder, Arlene; Molin, Paulette Fairbanks; Oneita, Kathryn; Wakim, Yvonne B.

    This study guide accompanies a poster series and documentary video about 12 American Indian, Alaska Native, and Native Hawaiian "women of hope." The women vary by age, education, profession, and geographic locale, but they share an unwavering commitment and dedication to their people's struggle to survive and flourish as distinct cultures. The…

  16. The Star with My Name: The Alaska Rural Systemic Initiative and the Impact of Place-Based Education on Native Student Achievement. The Case for Place-Based. Rural Trust White Paper on Place-Based Education

    ERIC Educational Resources Information Center

    Emekauwa, Emeka

    2004-01-01

    After nearly two centuries of denial within Western education institutions, the indigenous knowledge systems of Alaska's Natives are being recaptured through the work of the Alaska Rural Systemic Initiative. These knowledge systems, coupled with the best of Western science, form the foundation for a new type of education--one that is place-based,…

  17. Vitamin D deficiency among northern Native Peoples: a real or apparent problem?

    PubMed Central

    Frost, Peter

    2012-01-01

    Vitamin D deficiency seems to be common among northern Native peoples, notably Inuit and Amerindians. It has usually been attributed to: (1) higher latitudes that prevent vitamin D synthesis most of the year; (2) darker skin that blocks solar UVB; and (3) fewer dietary sources of vitamin D. Although vitamin D levels are clearly lower among northern Natives, it is less clear that these lower levels indicate a deficiency. The above factors predate European contact, yet pre-Columbian skeletons show few signs of rickets—the most visible sign of vitamin D deficiency. Furthermore, because northern Natives have long inhabited high latitudes, natural selection should have progressively reduced their vitamin D requirements. There is in fact evidence that the Inuit have compensated for decreased production of vitamin D through increased conversion to its most active form and through receptors that bind more effectively. Thus, when diagnosing vitamin D deficiency in these populations, we should not use norms that were originally developed for European-descended populations who produce this vitamin more easily and have adapted accordingly.1 PMID:22456053

  18. Vitamin D deficiency among northern Native Peoples: a real or apparent problem?

    PubMed

    Frost, Peter

    2011-11-10

    Vitamin D deficiency seems to be common among northern Native peoples, notably Inuit and Amerindians. It has usually been attributed to: (1) higher latitudes that prevent vitamin D synthesis most of the year; (2) darker skin that blocks solar UVB; and (3) fewer dietary sources of vitamin D. Although vitamin D levels are clearly lower among northern Natives, it is less clear that these lower levels indicate a deficiency. The above factors predate European contact, yet pre-Columbian skeletons show few signs of rickets-the most visible sign of vitamin D deficiency. Furthermore, because northern Natives have long inhabited high latitudes, natural selection should have progressively reduced their vitamin D requirements. There is in fact evidence that the Inuit have compensated for decreased production of vitamin D through increased conversion to its most active form and through receptors that bind more effectively. Thus, when diagnosing vitamin D deficiency in these populations, we should not use norms that were originally developed for European-descended populations who produce this vitamin more easily and have adapted accordingly.

  19. Vitamin D deficiency among northern Native Peoples: a real or apparent problem?

    PubMed

    Frost, Peter

    2012-03-19

    Vitamin D deficiency seems to be common among northern Native peoples, notably Inuit and Amerindians. It has usually been attributed to: (1) higher latitudes that prevent vitamin D synthesis most of the year; (2) darker skin that blocks solar UVB; and (3) fewer dietary sources of vitamin D. Although vitamin D levels are clearly lower among northern Natives, it is less clear that these lower levels indicate a deficiency. The above factors predate European contact, yet pre-Columbian skeletons show few signs of rickets-the most visible sign of vitamin D deficiency. Furthermore, because northern Natives have long inhabited high latitudes, natural selection should have progressively reduced their vitamin D requirements. There is in fact evidence that the Inuit have compensated for decreased production of vitamin D through increased conversion to its most active form and through receptors that bind more effectively. Thus, when diagnosing vitamin D deficiency in these populations, we should not use norms that were originally developed for European-descended populations who produce this vitamin more easily and have adapted accordingly.

  20. Umyuangcaryaraq “Reflecting”: Multidimensional Assessment of Reflective Processes on the Consequences of Alcohol Use among Rural Yup’ik Alaska Native Youth

    PubMed Central

    Allen, James; Fok, Carlotta Ching Ting; Henry, David; Skewes, Monica

    2012-01-01

    Concerns in some settings regarding the accuracy and ethics of employing direct questions about alcohol use suggest need for alternative assessment approaches with youth. Umyuangcaryaraq is a Yup’ik Alaska Native word meaning “Reflecting.” The Reflective Processes Scale is a youth measure tapping awareness and thinking over potential negative consequences of alcohol misuse as a protective factor that includes cultural elements often shared by many other Alaska Native and American Indian cultures. A bifactor model of the scale items with three content factors provided excellent fit to observed data. Item response theory analysis suggested a binary response format as optimal. Evidence of convergent and discriminant validity is presented. PMID:22931081

  1. We Shared the Same Chapter: Collaboration, Learning, and Transformation from the 2008 Subsistence, the Environment, and Community Well-Being Native Youth Exchange in Old Harbor, Alaska Project

    ERIC Educational Resources Information Center

    Richmond, Laurie; Di Piero, Daniela; Espinoza, Flowers; Simeonoff, Teacon; Faraday, Margaret

    2010-01-01

    On a small island belonging to the Alutiiq people of Old Harbor, 11 people sat around a campfire. Two community leaders, a nonprofit organizer, an academic scholar, a native filmmaker, and six young people from the Indian reservation of Taos Pueblo in New Mexico gathered after a day of interacting with Old Harbor residents--fishing, hunting and…

  2. Reaching for the Sun. A Guide to the Early History and the Cultural Traditions of Native People in Manitoba.

    ERIC Educational Resources Information Center

    Manitoba Dept. of Education, Winnipeg. Native Education Branch.

    This publication provides teachers with a practical resource of information on the early history, cultural heritage, and traditions of Native people in Manitoba. Sections 1 and 2 draw from archeological evidence and oral tradition, respectively, to present two different perspectives on the origins and lifeways of early peoples. The academic…

  3. The Tundra Is the Text: Using Alaska Native Contexts To Promote Cultural Relevancy in Teacher Professional Development.

    ERIC Educational Resources Information Center

    Fickel, Letitia Hochstrasser; Jones, Ken

    In summer 2000, the University of Alaska Anchorage and cooperating professional development schools organized four summer institutes to enhance teachers' cultural and subject matter knowledge. This dual focus was prompted by the new Alaska Content Standards and by guidelines for preparing culturally responsive teachers, developed by Alaska Native…

  4. Tribal Veterans Representative (TVR) training program: the effect of community outreach workers on American Indian and Alaska Native Veterans access to and utilization of the Veterans Health Administration.

    PubMed

    Kaufmann, L Jeanne; Buck Richardson, W J; Floyd, James; Shore, Jay

    2014-10-01

    American Indians and Alaska Natives serve at the highest rate of any US race or ethnic group, yet are the most underserved population of Veterans and do not take advantage of the Department of Veterans Affairs (VA) benefits and services. Barriers to seeking care include stigma, especially for mental health issues; distance to care; and lack of awareness of benefits and services they are entitled to receive. In response to this underutilization of the VA, an innovative program--the Tribal Veterans Representative (TVR) program--was developed within the VA to work with American Indians and Alaska Natives in rural and remote areas. The TVR goes through extensive training every year; is a volunteer, a Veteran and tribal community member who seeks out unenrolled Native Veterans, provides them with information on VA health care services and benefits, and assists them with enrollment paperwork. Being from the community they serve, these outreach workers are able to develop relationships and build rapport and trust with fellow Veterans. In place for over a decade in Montana, this program has enrolled a countless number of Veterans, benefiting not only the individual, but their family and the community as well. Also resulting from this program, are the implementation of Telemental Health Clinics treating Veterans with PTSD, a transportation program helping Veterans get to and from distant VA facilities, a Veteran Resource Center, and a Veteran Tribal Clinic. This program has successfully trained over 800 TVRs, expanded to other parts of the country and into remote areas of Alaska.

  5. Integrating Motivational Interviewing and Traditional Practices to Address Alcohol and Drug Use Among Urban American Indian/Alaska Native Youth.

    PubMed

    Dickerson, Daniel L; Brown, Ryan A; Johnson, Carrie L; Schweigman, Kurt; D'Amico, Elizabeth J

    2016-06-01

    American Indians/Alaska Natives (AI/AN) exhibit high levels of alcohol and drug (AOD) use and problems. Although approximately 70% of AI/ANs reside in urban areas, few culturally relevant AOD use programs targeting urban AI/AN youth exist. Furthermore, federally-funded studies focused on the integration of evidence-based treatments with AI/AN traditional practices are limited. The current study addresses a critical gap in the delivery of culturally appropriate AOD use programs for urban AI/AN youth, and outlines the development of a culturally tailored AOD program for urban AI/AN youth called Motivational Interviewing and Culture for Urban Native American Youth (MICUNAY). We conducted focus groups among urban AI/AN youth, providers, parents, and elders in two urban communities in northern and southern California aimed at 1) identifying challenges confronting urban AI/AN youth and 2) obtaining feedback on MICUNAY program content. Qualitative data were analyzed using Dedoose, a team-based qualitative and mixed methods analysis software platform. Findings highlight various challenges, including community stressors (e.g., gangs, violence), shortage of resources, cultural identity issues, and a high prevalence of AOD use within these urban communities. Regarding MICUNAY, urban AI/AN youth liked the collaborative nature of the motivational interviewing (MI) approach, especially with regard to eliciting their opinions and expressing their thoughts. Based on feedback from the youth, three AI/AN traditional practices (beading, AI/AN cooking, and prayer/sage ceremony) were chosen for the workshops. To our knowledge, MICUNAY is the first AOD use prevention intervention program for urban AI/AN youth that integrates evidence-based treatment with traditional practices. This program addresses an important gap in services for this underserved population.

  6. Process and Outcomes of Patient-Centered Medical Care With Alaska Native People at Southcentral Foundation

    PubMed Central

    Driscoll, David L.; Hiratsuka, Vanessa; Johnston, Janet M.; Norman, Sara; Reilly, Katie M.; Shaw, Jennifer; Smith, Julia; Szafran, Quenna N.; Dillard, Denise

    2013-01-01

    PURPOSE This study describes key elements of the transition to a patient-centered medical home (PCMH) model at Southcentral Foundation (SCF), a tribally owned and managed primary care system, and evaluates changes in emergency care use for any reason, for asthma, and for unintentional injuries, during and after the transition. METHODS We conducted a time series analyses of emergency care use from medical record data. We also conducted 45 individual, in-depth interviews with PCMH patients (customer-owners), primary care clinicians, health system employees, and tribal leaders. RESULTS Emergency care use for all causes was increasing before the PCMH implementation, dropped during and immediately after the implementation, and subsequently leveled off. Emergency care use for adult asthma dropped before, during, and immediately after implementation, subsequently leveling off approximately 5 years after implementation. Emergency care use for unintentional injuries, a comparison variable, showed an increasing trend before and during implementation and decreasing trends after implementation. Interview participants observed improved access to primary care services after the transition to the PCMH tempered by increased staff fatigue. Additional themes of PCMH transformation included the building of relationships for coordinated, team-based care, and the important role of leadership in PCMH implementation. CONCLUSIONS All reported measures of emergency care use show a decreasing trend after the PCMH implementation. Before the implementation, overall use and use for unintentional injuries had been increasing. The combined quantitative and qualitative results are consistent with decreased emergency care use resulting from a decreased need for emergency care services due to increased availability of primary care services and same-day appointments. PMID:23690385

  7. Looking across three generations of Alaska Natives to explore how culture fosters indigenous resilience.

    PubMed

    Wexler, Lisa

    2014-02-01

    Research has established connection between indigenous culture--often described in terms of cultural identity, enculturation, and participation in traditional activities--and resilience, the process by which people overcome acute and ongoing challenges. Despite correlations between culture and resilience, research has seldom described the ways these concepts are linked in indigenous people's narratives. Furthermore, little attention has been paid to the affect of historical trauma on different generations' understanding and deployment of "culture" in the context of hardship. This project, conducted in the summer of 2008 in an indigenous Arctic community, focuses on narratives from three generations who have experienced different degrees of cultural suppression in their lifetimes. From this starting point, the study explores how individuals make meaning and take strength from particular notions of culture, and illuminates the ways each generation accesses and deploys their cultural understandings in the face of hardship. By identifying the similarities and differences in both the challenges and sources of strength for each generation, the paper highlights how understandings of culture are shaped by historical experiences and modified through time. The differing ways that culture fosters strength, purpose, and fortitude (or does not) in indigenous young people's, adults' and Elders' life stories provide clues for enhancing indigenous youth resilience. Findings suggest that "culture" can galvanize Inupiaq people's sense of identity, feeling of commitment, and purpose, all of which are protective. However, young people need support in developing particular ideas around cultural identity and group membership that can contribute to resilience.

  8. Racial discrimination's influence on smoking rates among American Indian Alaska Native two-spirit individuals: does pain play a role?

    PubMed

    Johnson-Jennings, Michelle D; Belcourt, Annie; Town, Matthew; Walls, Melissa L; Walters, Karina L

    2014-11-01

    High rates of racial discrimination and non-ceremonial tobacco smoking exist among American Indian/Alaska Native (AIAN) Two-Spirit/LGBT (Lesbian, Gay, Bisexual, Transgender) populations. The authors examined whether or not pain mediates between racial discrimination and smoking among Two-Spirits. Two-Spirit adults (n=447) from seven urban U.S. locations were surveyed during the HONOR project. The Indigenist stress coping model was used as framework in which to conduct descriptive, bivariate and regression analyses. A majority of the participants reported smoking (45.2%) and pain (57%). Pain was found to mediate the association between racial discrimination and smoking. Racial discrimination appears to be a significant factor influencing tobacco smoking and health behaviors within Two-Spirit populations. Effective tobacco cessation and/or prevention planning for Two-Spirits and others who experience frequent racial discrimination, stress, and trauma should also consider the influence of pain. Pain may serve as the embodiment of discrimination, and this possibility requires future research

  9. Promoting healing and restoring trust: policy recommendations for improving behavioral health care for American Indian/Alaska Native adolescents.

    PubMed

    Goodkind, Jessica R; Ross-Toledo, Kimberly; John, Susie; Hall, Janie Lee; Ross, Lucille; Freeland, Lance; Coletta, Ernest; Becenti-Fundark, Twila; Poola, Charlene; Begay-Roanhorse, Regina; Lee, Christopher

    2010-12-01

    American Indian/Alaska Native youth represent the strength and continued survival of many Nations and Tribes. However, they currently experience numerous health disparities and challenges, including the highest rate of suicide among 15-24 year-olds in the United States. Our comprehensive review of the literature on the mental health of AI/AN youth highlighted seven focal causes of behavioral health disparities: (1) high levels of violence and trauma exposure and traumatic loss, (2) past and current oppression, racism, and discrimination, (3) underfunded systems of care, (4) disregard for effective indigenous practices in service provision, policy, and funding, (5) overreliance on evidence-based practices, (6) lack of cultural competence among systems of care and providers, and (7) barriers to care. Seven policy recommendations that recognize the importance of moving beyond exclusive reliance on western models of care and that seek to foster transformation of individuals, families, communities, behavioral health service systems of care, and social structures are presented, supported, and discussed.

  10. Abuse, Mastery, and Health Among Lesbian, Bisexual, and Two-Spirit American Indian and Alaska Native Women

    PubMed Central

    Lehavot, Keren; Walters, Karina L.; Simoni, Jane M.

    2014-01-01

    American Indian and Alaska Native (AIAN) women have endured a history of colonial oppression in the United States. Current manifestations of colonization include an epidemic of violence toward AIAN women, who often are sexually and physically abused from early on in life. Such violence may erode AIAN women's sense of agency or mastery and contribute to their poor physical and mental health outcomes. AIAN women who identify as lesbian, bisexual, or “two-spirit” appear to experience disproportionate levels of violence and may be particularly vulnerable to disparities in health outcomes. In this study, 152 sexual minority AIAN women were interviewed as part of an investigation addressing the health concerns of two-spirit persons. Participants reported disturbingly high prevalence of both sexual (85%) and physical (78%) assault, both of which were associated with worse overall mental and physical health. These relationships generally were mediated by a diminished sense of control or mastery. The need to indigenize the concept of mastery is discussed, as is the urgency of interventions to work toward decreasing levels of abuse and increasing mastery among sexual minority AIAN women. PMID:19594256

  11. Psychosocial Predictors of Weight Loss among American Indian and Alaska Native Participants in a Diabetes Prevention Translational Project.

    PubMed

    Dill, Edward J; Manson, Spero M; Jiang, Luohua; Pratte, Katherine A; Gutilla, Margaret J; Knepper, Stephanie L; Beals, Janette; Roubideaux, Yvette; Special Diabetes Program For Indians Diabetes Prevention Demonstration Project

    2016-01-01

    The association of psychosocial factors (psychological distress, coping skills, family support, trauma exposure, and spirituality) with initial weight and weight loss among American Indians and Alaska Natives (AI/ANs) in a diabetes prevention translational project was investigated. Participants (n = 3,135) were confirmed as prediabetic and subsequently enrolled in the Special Diabetes Program for Indians Diabetes Prevention (SDPI-DP) demonstration project implemented at 36 Indian health care programs. Measures were obtained at baseline and after completing a 16-session educational curriculum focusing on weight loss through behavioral changes. At baseline, psychological distress and negative family support were linked to greater weight, whereas cultural spirituality was correlated with lower weight. Furthermore, psychological distress and negative family support predicted less weight loss, and positive family support predicted greater weight loss, over the course of the intervention. These bivariate relationships between psychosocial factors and weight remained statistically significant within a multivariate model, after controlling for sociodemographic characteristics. Conversely, coping skills and trauma exposure were not significantly associated with baseline weight or change in weight. These findings demonstrate the influence of psychosocial factors on weight loss in AI/AN communities and have substantial implications for incorporating adjunctive intervention components. PMID:26649314

  12. Racial discrimination's influence on smoking rates among American Indian Alaska Native two-spirit individuals: does pain play a role?

    PubMed

    Johnson-Jennings, Michelle D; Belcourt, Annie; Town, Matthew; Walls, Melissa L; Walters, Karina L

    2014-11-01

    High rates of racial discrimination and non-ceremonial tobacco smoking exist among American Indian/Alaska Native (AIAN) Two-Spirit/LGBT (Lesbian, Gay, Bisexual, Transgender) populations. The authors examined whether or not pain mediates between racial discrimination and smoking among Two-Spirits. Two-Spirit adults (n=447) from seven urban U.S. locations were surveyed during the HONOR project. The Indigenist stress coping model was used as framework in which to conduct descriptive, bivariate and regression analyses. A majority of the participants reported smoking (45.2%) and pain (57%). Pain was found to mediate the association between racial discrimination and smoking. Racial discrimination appears to be a significant factor influencing tobacco smoking and health behaviors within Two-Spirit populations. Effective tobacco cessation and/or prevention planning for Two-Spirits and others who experience frequent racial discrimination, stress, and trauma should also consider the influence of pain. Pain may serve as the embodiment of discrimination, and this possibility requires future research PMID:25418234

  13. Psychological and demographic correlates of early academic skill development among American Indian and Alaska Native youth: a growth modeling study.

    PubMed

    Marks, Amy Kerivan; Coll, Cynthia García

    2007-05-01

    Research regarding the development of early academic skills among American Indian and Alaska Native (AIAN) students has been very limited to date. Using a nationally representative sample of AIAN, Hispanic, African American, and White children at school entry, the authors used latent growth models to estimate the associations among poverty, low parental education, living in a rural location, as well as child attitudes toward learning and internalizing/externalizing behaviors, with mathematical and reading cognitive skill development across the 1st 4 years of school. Results indicate that AIAN children entered kindergarten with scores on both mathematical and reading cognitive tests that were comparable to their peers from other ethnic groups of color. Importantly, all children who entered kindergarten with lower cognitive skill scores also acquired skills more slowly over the next 4 years. Having a positive approach to learning at the start of kindergarten was associated with cognitive skill levels at school entry nearly 1 standard deviation above the population average. Results are discussed with reference to the shared early educational profiles observed between AIAN and other children of color. These findings provide a much-needed update regarding early academic development among AIAN children.

  14. Psychosocial Predictors of Weight Loss among American Indian and Alaska Native Participants in a Diabetes Prevention Translational Project.

    PubMed

    Dill, Edward J; Manson, Spero M; Jiang, Luohua; Pratte, Katherine A; Gutilla, Margaret J; Knepper, Stephanie L; Beals, Janette; Roubideaux, Yvette; Special Diabetes Program For Indians Diabetes Prevention Demonstration Project

    2016-01-01

    The association of psychosocial factors (psychological distress, coping skills, family support, trauma exposure, and spirituality) with initial weight and weight loss among American Indians and Alaska Natives (AI/ANs) in a diabetes prevention translational project was investigated. Participants (n = 3,135) were confirmed as prediabetic and subsequently enrolled in the Special Diabetes Program for Indians Diabetes Prevention (SDPI-DP) demonstration project implemented at 36 Indian health care programs. Measures were obtained at baseline and after completing a 16-session educational curriculum focusing on weight loss through behavioral changes. At baseline, psychological distress and negative family support were linked to greater weight, whereas cultural spirituality was correlated with lower weight. Furthermore, psychological distress and negative family support predicted less weight loss, and positive family support predicted greater weight loss, over the course of the intervention. These bivariate relationships between psychosocial factors and weight remained statistically significant within a multivariate model, after controlling for sociodemographic characteristics. Conversely, coping skills and trauma exposure were not significantly associated with baseline weight or change in weight. These findings demonstrate the influence of psychosocial factors on weight loss in AI/AN communities and have substantial implications for incorporating adjunctive intervention components.

  15. Ovarian and Uterine Cancer Incidence and Mortality in American Indian and Alaska Native Women, United States, 1999–2009

    PubMed Central

    Ryerson, A. Blythe; Wu, Manxia; Kaur, Judith S.

    2014-01-01

    Objectives. We examined geographic differences and trends in incidence and mortality of ovarian and uterine cancer in American Indian/Alaska Native (AI/AN) women. Methods. We linked mortality data (1990–2009) and incidence data (1999–2009) to Indian Health Service (IHS) records. Death (and incidence) rates for ovarian and uterine cancer were examined for AI/AN and White women; Hispanics were excluded. Analyses focused on Contract Health Service Delivery Area (CHSDA) counties. Results. AI/AN and White women had similar ovarian and uterine cancer death rates. Ovarian and uterine cancer incidence and death rates were higher for AI/ANs residing in CHSDA counties than for all US counties. We also observed geographic differences, regardless of CHSDA residence, in ovarian and uterine cancer incidence and death rates in AI/AN women by IHS region; Pacific Coast and Southern Plains women had higher ovarian cancer death rates and Northern Plains women had higher uterine cancer death rates. Conclusions. Regional differences in the incidence and mortality of ovarian and uterine cancers among AI/AN women in the United States were significant. More research among correctly classified AI/AN women is needed to understand these differences. PMID:24754663

  16. Psychosocial Predictors of Weight Loss among American Indian and Alaska Native Participants in a Diabetes Prevention Translational Project

    PubMed Central

    Dill, Edward J.; Manson, Spero M.; Jiang, Luohua; Pratte, Katherine A.; Gutilla, Margaret J.; Knepper, Stephanie L.; Beals, Janette; Roubideaux, Yvette; Special Diabetes Program for Indians Diabetes Prevention Demonstration Project

    2016-01-01

    The association of psychosocial factors (psychological distress, coping skills, family support, trauma exposure, and spirituality) with initial weight and weight loss among American Indians and Alaska Natives (AI/ANs) in a diabetes prevention translational project was investigated. Participants (n = 3,135) were confirmed as prediabetic and subsequently enrolled in the Special Diabetes Program for Indians Diabetes Prevention (SDPI-DP) demonstration project implemented at 36 Indian health care programs. Measures were obtained at baseline and after completing a 16-session educational curriculum focusing on weight loss through behavioral changes. At baseline, psychological distress and negative family support were linked to greater weight, whereas cultural spirituality was correlated with lower weight. Furthermore, psychological distress and negative family support predicted less weight loss, and positive family support predicted greater weight loss, over the course of the intervention. These bivariate relationships between psychosocial factors and weight remained statistically significant within a multivariate model, after controlling for sociodemographic characteristics. Conversely, coping skills and trauma exposure were not significantly associated with baseline weight or change in weight. These findings demonstrate the influence of psychosocial factors on weight loss in AI/AN communities and have substantial implications for incorporating adjunctive intervention components. PMID:26649314

  17. Preventing baby bottle tooth decay in American Indian and Alaska native communities: a model for planning.

    PubMed

    Bruerd, B; Kinney, M B; Bothwell, E

    1989-01-01

    Baby bottle tooth decay (BBTD) is a preventable dental disease which surveys have shown affects more than 50 percent of Native American children. An experimental program to prevent BBTD was implemented in 12 Native American communities. The project represented a cooperative effort by three Department of Health and Human Service agencies: Administration for Children, Youth, and Families, Head Start Bureau; Indian Health Service, Dental Program; and Centers for Disease Control, Dental Disease Prevention Activity. Intervention strategies included the training of parent volunteers, health professionals, and the tribal employees who counseled caretakers of young children and made group presentations. There was also a media campaign in each community that ran for a 3-year period. Numerous educational materials were developed including training manuals, counseling booklets, tippee cups, posters, and bumper stickers. The BBTD project's planners encouraged tailoring the education materials and strategies to fit each community. Preliminary results documented statistically significant decreases in the prevalence of BBTD at the pilot sites. This multidisciplinary, comprehensive intervention offers a model for organizing members of minority communities to prevent health problems.

  18. Building Native Nations through Native Student's Commitment to Their Communities

    ERIC Educational Resources Information Center

    Lee, Tiffany S.

    2009-01-01

    One aspect of building Native nations entails motivating American Indian/Alaska Native youth to become committed to their communities so as to sustain and move forward with the goals of American Indian/Alaska Native nations. This study determined the impact of one Native American Studies department on its Native students' life goals. Through its…

  19. High incidence of nasopharyngeal carcinoma in native people of Sarawak, Borneo Island.

    PubMed

    Devi, Beena C R; Pisani, Paola; Tang, Tieng Swee; Parkin, D Maxwell

    2004-03-01

    Nasopharyngeal cancer (NPC) is generally a rare malignancy with a few well-known exceptions, notably South-East China. In this article, we describe evidence of a high risk of NPC in the population of Sarawak State, Malaysia, and particularly in one native ethnic group. Sarawak State is one of the two provinces of Malaysia located on the island of Borneo. The native population (71.6%) includes the Iban, Malay, Bidayuh, Melanau, and diverse smaller ethnic groups. The Chinese are the largest nonindigenous group (27.5%). We identified 392 newly diagnosed cases (292 males and 100 females) of NPC in 1996-1998 in Malaysian citizens, permanent residents of Sarawak. Age-standardized rates by sex and ethnic group were compared with the highest rates in the world. The age-adjusted rate (ASR) in Sarawak residents was 13.5/100,000 [95% confidence interval (CI) 12.2-15.0] and 6.2/100,000 (95% CI 5.7-6.7) in males and females, respectively. The risk in the Bidayuh people was 2.3-fold (M) and 1.9-fold (F) higher than the Sarawak average, and about 50% higher than that in Hong Kong-the highest recorded by any population-based registry for the same period. Local dietary habits, environmental exposures, and genetic susceptibility deserve investigation in this population. PMID:15006927

  20. Jewish immigrant encounters with Canada's Native Peoples: Yiddish writings on Tekahionwake.

    PubMed

    Margolis, Rebecca

    2009-01-01

    During the mass Jewish immigration of Eastern-European Jews to Canada in the first decades of the twentieth century, Yiddish publications offered a primary forum for a group of local writers to negotiate with their new identities as Canadian Jews. Within this wider process, Montreal writers H.M. Caiserman and B.G. Sack authored studies of Canadian literature in the early 1920s centred on Mohawk-English writer E. Pauline Johnson (Tekahionwake). What these essays show is that, despite the long-standing association of Canada's Jewish population with the country's dominant English culture, their status as "other" impelled leading members of the local Yiddish cultural milieu to seek out literary models among other historically marginalized groups. For Caiserman and Sack, Johnson's Native heritage offered a model for resistance to assimilation into Canada's dominant culture. In contrast, the advent of literature responding to the Nazi Holocaust by A.M. Klein and Eli Mandel, Native peoples became a symbol of loss and vanished landscapes.

  1. Feasibility of a Community Intervention for the Prevention of Suicide and Alcohol Abuse with Yup’ik Alaska Native Youth: The Elluam Tungiinun and Yupiucimta Asvairtuumallerkaa Studies

    PubMed Central

    Mohatt, Gerald V.; Fok, Carlotta Ching Ting; Henry, David; Allen, James

    2014-01-01

    The Elluam Tungiinun and Yupiucimta Asvairtuumallerkaa studies evaluated the feasibility of a community intervention to prevent suicide and alcohol abuse among rural Yup’ik Alaska Native youth in two remote communities. The intervention originated in an Indigenous model of protection, and its development used a community based participatory research (CBPR) process. Feasibility assessment aimed to assess the extent to which (1) the intervention could be implemented in rural Alaska Native communities, and (2) the intervention was capable of producing measurable effects. Scales maximally sensitive to change were derived from earlier measurement work, and the study contrasted implementation process and outcomes across the two communities. In one community, medium dose response effects (d = .30–.50), with dose defined as number of intervention activities attended, were observed in the growth of intermediate protective factors and ultimate variables. In the other community, medium dose effects were observed for one intermediate protective factor variable, and small dose effects were observed in ultimate variables. Differences across communities in resources supporting intervention explain these contrasting outcomes. Results suggest implementation in these rural Alaska settings is feasible when sufficient resources are available to sustain high levels of local commitment. In such cases, measureable effects are sufficient to warrant a prevention trial. PMID:24952248

  2. Feasibility of a community intervention for the prevention of suicide and alcohol abuse with Yup'ik Alaska Native youth: the Elluam Tungiinun and Yupiucimta Asvairtuumallerkaa studies.

    PubMed

    Mohatt, Gerald V; Fok, Carlotta Ching Ting; Henry, David; Allen, James

    2014-09-01

    The Elluam Tungiinun and Yupiucimta Asvairtuumallerkaa studies evaluated the feasibility of a community intervention to prevent suicide and alcohol abuse among rural Yup'ik Alaska Native youth in two remote communities. The intervention originated in an Indigenous model of protection, and its development used a community based participatory research process. Feasibility assessment aimed to assess the extent to which (1) the intervention could be implemented in rural Alaska Native communities, and (2) the intervention was capable of producing measurable effects. Scales maximally sensitive to change were derived from earlier measurement work, and the study contrasted implementation process and outcomes across the two communities. In one community, medium dose response effects (d = .30-.50), with dose defined as number of intervention activities attended, were observed in the growth of intermediate protective factors and ultimate variables. In the other community, medium dose effects were observed for one intermediate protective factor variable, and small dose effects were observed in ultimate variables. Differences across communities in resources supporting intervention explain these contrasting outcomes. Results suggest implementation in these rural Alaska settings is feasible when sufficient resources are available to sustain high levels of local commitment. In such cases, measureable effects are sufficient to warrant a prevention trial.

  3. Hepatitis C Virus in American Indian/Alaskan Native and Aboriginal Peoples of North America

    PubMed Central

    Rempel, Julia D.; Uhanova, Julia

    2012-01-01

    Liver diseases, such as hepatitis C virus (HCV), are “broken spirit” diseases. The prevalence of HCV infection for American Indian/Alaskan Native (AI/AN) in the United States and Canadian Aboriginals varies; nonetheless, incidence rates of newly diagnosed HCV infection are typically higher relative to non-indigenous people. For AI/AN and Aboriginal peoples risk factors for the diagnosis of HCV can reflect that of the general population: predominately male, a history of injection drug use, in midlife years, with a connection with urban centers. However, the face of the indigenous HCV infected individual is becoming increasingly female and younger compared to non-indigenous counterparts. Epidemiology studies indicate that more effective clearance of acute HCV infection can occur for select Aboriginal populations, a phenomenon which may be linked to unique immune characteristics. For individuals progressing to chronic HCV infection treatment outcomes are comparable to other racial cohorts. Disease progression, however, is propelled by elevated rates of co-morbidities including type 2 diabetes and alcohol use, along with human immunodeficiency virus (HIV) co-infection relative to non-indigenous patients. Historical and personal trauma has a major role in the participation of high risk behaviors and associated diseases. Although emerging treatments provide hope, combating HCV related morbidity and mortality will require interventions that address the etiology of broken spirit diseases. PMID:23342378

  4. Genetics and epidemiology of gallbladder disease in New World native peoples.

    PubMed Central

    Weiss, K M; Ferrell, R E; Hanis, C L; Styne, P N

    1984-01-01

    Native peoples of the New World, including Amerindians and admixed Latin Americans such as Mexican-Americans, are highly susceptible to diseases of the gallbladder. These include cholesterol cholelithiasis (gallstones) and its complications, as well as cancer of the gallbladder. Although there is clearly some necessary dietary or other environmental risk factor involved, the pattern of disease prevalence is geographically associated with the distribution of genes of aboriginal Amerindian origin, and levels of risk generally correspond to the degree of Amerindian admixture. This pattern differs from that generally associated with Westernization, which suggests a gene-environment interaction, and that within an admixed population there is a subset whose risk is underestimated when admixture is ignored. The risk that an individual of a susceptible New World genotype will undergo a cholecystectomy by age 85 can approach 40% in Mexican-American females, and their risk of gallbladder cancer can reach several percent. These are heretofore unrecognized levels of risk, especially of the latter, because previous studies have not accounted for admixture or for the loss of at-risk individuals due to cholecystectomy. A genetic susceptibility may, thus, be as "carcinogenic" in New World peoples as any known major environmental exposure; yet, while the risk has a genetic basis, its expression as gallbladder cancer is so delayed as to lead only very rarely to multiply-affected families. Estimates in this paper are derived in part from two studies of Mexican-Americans in Starr County and Laredo, Texas. PMID:6517051

  5. Hepatitis C virus in American Indian/Alaskan Native and Aboriginal peoples of North America.

    PubMed

    Rempel, Julia D; Uhanova, Julia

    2012-12-01

    Liver diseases, such as hepatitis C virus (HCV) infection, are "broken spirit" diseases. The prevalence of HCV infection for American Indian/Alaskan Native (AI/AN) in the United States and Canadian Aboriginals varies; nonetheless, incidence rates of newly diagnosed HCV infection are typically higher relative to non-indigenous people. For AI/AN and Aboriginal peoples risk factors for the diagnosis of HCV infection can reflect that of the general population: predominately male, a history of injection drug use, in midlife years, with a connection with urban centers. However, the face of the indigenous HCV infected individual is becoming increasingly female and younger compared to non-indigenous counterparts. Epidemiology studies indicate that more effective clearance of acute HCV infection can occur for select Aboriginal populations, a phenomenon which may be linked to unique immune characteristics. For individuals progressing to chronic HCV infection treatment outcomes are comparable to other racial cohorts. Disease progression, however, is propelled by elevated rates of co-morbidities including type 2 diabetes and alcohol use, along with human immunodeficiency virus (HIV) co-infection relative to non-indigenous patients. Historical and personal trauma has a major role in the participation of high risk behaviors and associated diseases. Although emerging treatments provide hope, combating HCV-related morbidity and mortality will require interventions that address the etiology of broken spirit diseases.

  6. Genetics and epidemiology of gallbladder disease in New World native peoples.

    PubMed

    Weiss, K M; Ferrell, R E; Hanis, C L; Styne, P N

    1984-11-01

    Native peoples of the New World, including Amerindians and admixed Latin Americans such as Mexican-Americans, are highly susceptible to diseases of the gallbladder. These include cholesterol cholelithiasis (gallstones) and its complications, as well as cancer of the gallbladder. Although there is clearly some necessary dietary or other environmental risk factor involved, the pattern of disease prevalence is geographically associated with the distribution of genes of aboriginal Amerindian origin, and levels of risk generally correspond to the degree of Amerindian admixture. This pattern differs from that generally associated with Westernization, which suggests a gene-environment interaction, and that within an admixed population there is a subset whose risk is underestimated when admixture is ignored. The risk that an individual of a susceptible New World genotype will undergo a cholecystectomy by age 85 can approach 40% in Mexican-American females, and their risk of gallbladder cancer can reach several percent. These are heretofore unrecognized levels of risk, especially of the latter, because previous studies have not accounted for admixture or for the loss of at-risk individuals due to cholecystectomy. A genetic susceptibility may, thus, be as "carcinogenic" in New World peoples as any known major environmental exposure; yet, while the risk has a genetic basis, its expression as gallbladder cancer is so delayed as to lead only very rarely to multiply-affected families. Estimates in this paper are derived in part from two studies of Mexican-Americans in Starr County and Laredo, Texas. PMID:6517051

  7. A longitudinal study of tobacco use among American Indian and Alaska Native tribal college students

    PubMed Central

    2010-01-01

    Background American Indians (AI) have the highest smoking rates of any ethnic group in the US (40.8%), followed most closely by African Americans (24.3%) and European Americans (23.6%). AI smokers also have more difficulty quitting smoking compared to other ethnic groups, evidenced by their significantly lower quit ratios, and are among the least successful in maintaining long term abstinence. While health disparities like these have existed for years among AI, the epidemiology of smoking and nicotine dependence has not been optimally described among this underserved population. Our overarching hypothesis is that the susceptibility of AI to cigarette smoking and nicotine dependence and its consequences has both an underlying nicotine metabolism component as well as psychosocial, cultural, and environment causes. We are well-positioned to explore this issue for the first time in this population. Our objective is to establish a cohort of AI tribal college/university students to determine the predictors of smoking initiation (non-use to experimentation), progression (experimentation to established use), and cessation (established use to cessation). Much of what is known about the process of smoking initiation and progression comes from quantitative studies with non-Native populations. Information related to smoking use among AI tribal college/university (TCU) students is entirely unknown and critically needs further investigation. This study will be the first of its kind among AI college students who are at the highest risk among all ethnic groups for tobacco dependence. Methods/design First year students at Haskell Indian Nations University in Kansas will be recruited over four consecutive years and will be surveyed annually and repeatedly through year 5 of the study. We will use both longitudinal quantitative surveys and qualitative focus group methods to examine key measures and determinants of initiation and use among this high risk group. PMID:20955575

  8. Estimating cotinine associations and a saliva cotinine level to identify active cigarette smoking in alaska native pregnant women.

    PubMed

    Smith, Julia J; Robinson, Renee F; Khan, Burhan A; Sosnoff, Connie S; Dillard, Denise A

    2014-01-01

    Studies indicate nicotine metabolism varies by race and can change during pregnancy. Given high rates of tobacco use and limited studies among Alaska Native (AN) women, we estimated associations of saliva cotinine levels with cigarette use and second-hand smoke (SHS) exposure and estimated a saliva cotinine cutoff to distinguish smoking from non-smoking pregnant AN women. Using questionnaire data and saliva cotinine, we utilized multi-variable linear regression (n = 370) to estimate cotinine associations with tobacco use, SHS exposure, demographic, and pregnancy-related factors. Additionally, we estimated an optimal saliva cotinine cutoff for indication of active cigarette use in AN pregnant women using receiver operating characteristic (ROC) curve analysis (n = 377). Saliva cotinine significantly decreased with maternal age and significantly increased with cigarettes smoked per day, SHS exposure, and number of previous full term pregnancies. Using self-reported cigarette use in the past 7 days as indication of active smoking, the area under the ROC curve was 0.975 (95 % CI: 0.960-0.990). The point closest to 100 % specificity and sensitivity occurred with a cotinine concentration of 1.07 ng/mL, which corresponded to sensitivity of 94 % and specificity of 94 %. We recommend using a saliva cotinine cutoff of 1 ng/mL to distinguish active smoking in pregnant AN women. This cutoff is lower than used in other studies with pregnant women, most likely due to high prevalence of light or intermittent smoking in the AN population. Continued study of cotinine levels in diverse populations is needed.

  9. Estimating cotinine associations and a saliva cotinine level to identify active cigarette smoking in alaska native pregnant women.

    PubMed

    Smith, Julia J; Robinson, Renee F; Khan, Burhan A; Sosnoff, Connie S; Dillard, Denise A

    2014-01-01

    Studies indicate nicotine metabolism varies by race and can change during pregnancy. Given high rates of tobacco use and limited studies among Alaska Native (AN) women, we estimated associations of saliva cotinine levels with cigarette use and second-hand smoke (SHS) exposure and estimated a saliva cotinine cutoff to distinguish smoking from non-smoking pregnant AN women. Using questionnaire data and saliva cotinine, we utilized multi-variable linear regression (n = 370) to estimate cotinine associations with tobacco use, SHS exposure, demographic, and pregnancy-related factors. Additionally, we estimated an optimal saliva cotinine cutoff for indication of active cigarette use in AN pregnant women using receiver operating characteristic (ROC) curve analysis (n = 377). Saliva cotinine significantly decreased with maternal age and significantly increased with cigarettes smoked per day, SHS exposure, and number of previous full term pregnancies. Using self-reported cigarette use in the past 7 days as indication of active smoking, the area under the ROC curve was 0.975 (95 % CI: 0.960-0.990). The point closest to 100 % specificity and sensitivity occurred with a cotinine concentration of 1.07 ng/mL, which corresponded to sensitivity of 94 % and specificity of 94 %. We recommend using a saliva cotinine cutoff of 1 ng/mL to distinguish active smoking in pregnant AN women. This cutoff is lower than used in other studies with pregnant women, most likely due to high prevalence of light or intermittent smoking in the AN population. Continued study of cotinine levels in diverse populations is needed. PMID:23423858

  10. Systematic Review of Health Disparities for Cardiovascular Diseases and Associated Factors among American Indian and Alaska Native Populations

    PubMed Central

    Hutchinson, Rebecca Newlin; Shin, Sonya

    2014-01-01

    Background American Indians and Alaska Native (AI/AN) populations experience significant health disparities compared to non-Hispanic white populations. Cardiovascular disease and related risk factors are increasingly recognized as growing indicators of global health disparities. However, comparative reports on disparities among this constellation of diseases for AI/AN populations have not been systematically reviewed. Objectives We performed a literature review on the prevalence of diabetes, metabolic syndrome, dyslipidemia, obesity, hypertension, and cardiovascular disease; and associated morbidity and mortality among AI/AN. Data sources A total of 203 articles were reviewed, of which 31 met study criteria for inclusion. Searches were performed on PUBMED, MEDLINE, the CDC MMWR, and the Indian Health Services. Study eligibility criteria Published literature that were published within the last fifteen years and provided direct comparisons between AI/AN to non-AI/AN populations were included. Study appraisal and synthesis methods We abstracted data on study design, data source, AI/AN population, comparison group, and. outcome measures. A descriptive synthesis of primary findings is included. Results Rates of obesity, diabetes, cardiovascular disease, and metabolic syndrome are clearly higher for AI/AN populations. Hypertension and hyperlipidemia differences are more equivocal. Our analysis also revealed that there are likely regional and gender differences in the degree of disparities observed. Limitations Studies using BRFSS telephone surveys administered in English may underestimate disparities. Many AI/AN do not have telephones and/or speak English. Regional variability makes national surveys difficult to interpret. Finally, studies using self-reported data may not be accurate. Conclusions and implications of key findings Profound health disparities in cardiovascular diseases and associated risk factors for AI/AN populations persist, perhaps due to low

  11. Adverse Childhood Experiences among American Indian/Alaska Native Children: The 2011-2012 National Survey of Children's Health

    PubMed Central

    2016-01-01

    We examined parent-reported adverse childhood experiences (ACEs) and associated outcomes among American Indian and Alaska Native (AI/AN) children aged 0–17 years from the 2011-2012 National Survey of Children's Health. Bivariate and multivariable analyses of cross-sectional data on 1,453 AI/AN children and 61,381 non-Hispanic White (NHW) children assessed race-based differences in ACEs prevalence and differences in provider-diagnosed chronic emotional and developmental conditions, health characteristics, reported child behaviors, and health services received as a function of having multiple ACEs. AI/AN children were more likely to have experienced 2+ ACEs (40.3% versus 21%), 3+ ACEs (26.8% versus 11.5%), 4+ ACEs (16.8% versus 6.2%), and 5+ ACEs (9.9% versus 3.3%) compared to NHW children. Prevalence rates for depression, anxiety, and ADHD were higher among AI/AN children with 3+ ACEs (14.4%, 7.7%, and 12.5%) compared to AI/ANs with fewer than 2 ACEs (0.4%, 1.8%, and 5.5%). School problems, grade failures, and need for medication and counseling were 2-3 times higher among AI/ANs with 3+ ACEs versus the same comparison group. Adjusted odds ratio for emotional, developmental, and behavioral difficulties among AI/AN children with 2+ ACEs was 10.3 (95% CI = 3.6–29.3). Race-based differences were largely accounted for by social and economic-related factors. PMID:27529052

  12. Adverse Childhood Experiences among American Indian/Alaska Native Children: The 2011-2012 National Survey of Children's Health.

    PubMed

    Kenney, Mary Kay; Singh, Gopal K

    2016-01-01

    We examined parent-reported adverse childhood experiences (ACEs) and associated outcomes among American Indian and Alaska Native (AI/AN) children aged 0-17 years from the 2011-2012 National Survey of Children's Health. Bivariate and multivariable analyses of cross-sectional data on 1,453 AI/AN children and 61,381 non-Hispanic White (NHW) children assessed race-based differences in ACEs prevalence and differences in provider-diagnosed chronic emotional and developmental conditions, health characteristics, reported child behaviors, and health services received as a function of having multiple ACEs. AI/AN children were more likely to have experienced 2+ ACEs (40.3% versus 21%), 3+ ACEs (26.8% versus 11.5%), 4+ ACEs (16.8% versus 6.2%), and 5+ ACEs (9.9% versus 3.3%) compared to NHW children. Prevalence rates for depression, anxiety, and ADHD were higher among AI/AN children with 3+ ACEs (14.4%, 7.7%, and 12.5%) compared to AI/ANs with fewer than 2 ACEs (0.4%, 1.8%, and 5.5%). School problems, grade failures, and need for medication and counseling were 2-3 times higher among AI/ANs with 3+ ACEs versus the same comparison group. Adjusted odds ratio for emotional, developmental, and behavioral difficulties among AI/AN children with 2+ ACEs was 10.3 (95% CI = 3.6-29.3). Race-based differences were largely accounted for by social and economic-related factors. PMID:27529052

  13. Socioeconomic Disparities in Weight and Behavioral Outcomes Among American Indian and Alaska Native Participants of a Translational Lifestyle Intervention Project

    PubMed Central

    Huang, Haixiao; Johnson, Ann; Dill, Edward J.; Beals, Janette; Manson, Spero M.; Roubideaux, Yvette

    2015-01-01

    OBJECTIVE To investigate possible socioeconomic disparities in weight and behavioral outcomes among American Indian and Alaska Native (AI/AN) participants in a translational diabetes prevention project. RESEARCH DESIGN AND METHODS We analyzed data from the Special Diabetes Program for Indians Diabetes Prevention (SDPI-DP) Program, an evidence-based lifestyle intervention to prevent diabetes in 36 AI/AN grantee sites. A total of 2,553 participants started the 16-session Lifestyle Balance Curriculum between 1 January 2006 and 31 July 2008. Linear mixed models were used to evaluate the relationships of participant and staff socioeconomic characteristics with weight and behavioral outcomes at the end of the curriculum. RESULTS A strong, graded association existed between lower household income and less BMI reduction, which remained significant after adjusting for other socioeconomic characteristics. Compared with others, participants with annual income <$15,000 also had less improvement in physical activity and unhealthy food consumption in bivariate models, but the relationships were only marginally significant in multivariate regressions. Furthermore, grantee sites with fewer professionally prepared staff were less successful at improving participant BMI and healthy food consumption than the other sites. The strong association between income and BMI reduction was reduced by 20–30% in the models with changes in diet variables but was unrelated to changes in physical activity. CONCLUSIONS Significant socioeconomic disparities exist in weight outcomes of lifestyle intervention at both participant and site staff levels. Helping low-income participants choose more affordable healthy foods and increasing the proportion of professionally trained staff might be practical ways to maximize the effectiveness of lifestyle interventions implemented in “real-world” settings. PMID:26494807

  14. Speaking out about physical harms from tobacco use: response to graphic warning labels among American Indian/Alaska Native communities

    PubMed Central

    Patterson Silver Wolf, David A; Tovar, Molly; Thompson, Kellie; Ishcomer, Jamie; Kreuter, Matthew W; Caburnay, Charlene; Boyum, Sonia

    2016-01-01

    Objective This study is the first to explore the impact of graphic cigarette labels with physical harm images on members of American Indian/Alaska Native (AI/AN) communities. The aim of this article is to investigate how AI/AN respond to particular graphic warning labels. Methods The parent study recruited smokers, at-risk smokers and non-smokers from three different age groups (youths aged 13–17 years, young adults aged 18–24 years and adults aged 25+ years) and five population subgroups with high smoking prevalence or smoking risk. Using nine graphic labels, this study collected participant data in the field via an iPad-administered survey and card sorting of graphic warning labels. This paper reports on findings for AI/AN participants. Results After viewing graphic warning labels, participants rated their likelihood of talking about smoking risks to friends, parents and siblings higher than their likelihood of talking to teachers and doctors. Further, this study found that certain labels (eg, the label of the toddler in the smoke cloud) made them think about their friends and family who smoke. Conclusions Given the influence of community social networks on health beliefs and attitudes, health communication using graphic warning labels could effect change in the smoking habits of AI/AN community members. Study findings suggest that graphic labels could serve as stimuli for conversations about the risks of smoking among AI/AN community members, and could be an important element of a peer-to-peer smoking cessation effort. PMID:27009143

  15. Native American Archaeologists: Continuing the Tradition of Protecting the Past, for the Present and Future Generations of Native Peoples.

    ERIC Educational Resources Information Center

    Two Bears, Davina Ruth

    2003-01-01

    Prior to any development on the Navajo Reservation, cultural resource inventories must be completed by archaeologists. Navajo and other Native students are trained to become archaeologists through employment at the Navajo Nation Archaeology Department at Northern Arizona University. Many program graduates have returned to their tribes to work in…

  16. Engaging Elements of Cancer-Related Digital Stories in Alaska.

    PubMed

    Cueva, Melany; Kuhnley, Regina; Revels, Laura; Schoenberg, Nancy E; Lanier, Anne; Dignan, Mark

    2016-09-01

    The tradition of storytelling is an integral part of Alaska Native cultures that continues to be a way of passing on knowledge. Using a story-based approach to share cancer education is grounded in Alaska Native traditions and people's experiences and has the potential to positively impact cancer knowledge, understandings, and wellness choices. Community health workers (CHWs) in Alaska created a personal digital story as part of a 5-day, in-person cancer education course. To identify engaging elements of digital stories among Alaska Native people, one focus group was held in each of three different Alaska communities with a total of 29 adult participants. After viewing CHWs' digital stories created during CHW cancer education courses, focus group participants commented verbally and in writing about cultural relevance, engaging elements, information learned, and intent to change health behavior. Digital stories were described by Alaska focus group participants as being culturally respectful, informational, inspiring, and motivational. Viewers shared that they liked digital stories because they were short (only 2-3 min); nondirective and not preachy; emotional, told as a personal story and not just facts and figures; and relevant, using photos that showed Alaskan places and people. PMID:25865400

  17. Engaging Elements of Cancer-Related Digital Stories in Alaska.

    PubMed

    Cueva, Melany; Kuhnley, Regina; Revels, Laura; Schoenberg, Nancy E; Lanier, Anne; Dignan, Mark

    2016-09-01

    The tradition of storytelling is an integral part of Alaska Native cultures that continues to be a way of passing on knowledge. Using a story-based approach to share cancer education is grounded in Alaska Native traditions and people's experiences and has the potential to positively impact cancer knowledge, understandings, and wellness choices. Community health workers (CHWs) in Alaska created a personal digital story as part of a 5-day, in-person cancer education course. To identify engaging elements of digital stories among Alaska Native people, one focus group was held in each of three different Alaska communities with a total of 29 adult participants. After viewing CHWs' digital stories created during CHW cancer education courses, focus group participants commented verbally and in writing about cultural relevance, engaging elements, information learned, and intent to change health behavior. Digital stories were described by Alaska focus group participants as being culturally respectful, informational, inspiring, and motivational. Viewers shared that they liked digital stories because they were short (only 2-3 min); nondirective and not preachy; emotional, told as a personal story and not just facts and figures; and relevant, using photos that showed Alaskan places and people.

  18. The Visualization of Native-American Peoples in a Late-Nineteenth-Century Sculpture Program in Vienna, Austria

    ERIC Educational Resources Information Center

    Van Bussel, Gerard W.

    2007-01-01

    In this article, the author addresses historical representational strategies in his "inside" look at how Native culture and people were viewed from the perspective of Europeans. He presents an interesting study of a series of late-nineteenth-century sculptures at the Natural History Museum in Vienna that represents Indians from throughout the…

  19. Native People and the Social Work Profession: A Critical Exploration of Colonizing Problematics and the Development of Decolonized Thought.

    ERIC Educational Resources Information Center

    Waterfall, Barbara

    2002-01-01

    Discusses relationship between the social work profession and indigenous populations living in colonial Canada. Examines characteristics of Eurocentrism and historical and ongoing colonial processes, and implicates the profession of social work as a colonizing practice. Urges native people to disengage from current neo-colonial and constitutional…

  20. Justice-Related Children and Family Services for Native People in Ontario. A Discussion Paper. Revised.

    ERIC Educational Resources Information Center

    Loucks, Bryan; Timothy, Arnette

    Extensive evidence indicates that the Native family and society are "at risk," having been undermined by the existing non-Native child welfare, education, and justice systems. This paper examines issues in juvenile justice, child welfare, and family services with regard to control by Canada Native communities of their own social services. The…

  1. "I'm in this world for a reason": Resilience and recovery among American Indian and Alaska Native two-spirit women.

    PubMed

    Elm, Jessica H L; Lewis, Jordan P; Walters, Karina L; Self, Jen M

    2016-01-01

    American Indian and Alaska Native sexual minority (two-spirit) women are vulnerable to substance misuse and mental health challenges due to multiple minority oppressed status and exposure to stress and trauma. Yet, these women find pathways toward healing and wellness. We conducted a qualitative data analysis of interviews derived from a national health study and gained an understanding of 11 two-spirit women's resilience and recovery patterns. Emergent from the data, a braided resiliency framework was developed which elucidates multilayered abilities, processes, and resources involved in their resiliency. We recommend that resilience-promoting strategies be incorporated into substance misuse and mental health interventions. PMID:27254761

  2. Best Practices for Effective Clinical Partnerships with Indigenous Populations of North America (American Indian, Alaska Native, First Nations, Métis, and Inuit).

    PubMed

    Haozous, Emily A; Neher, Charles

    2015-09-01

    This article presents a review of the literature to identify best practices for clinical partnerships with indigenous populations of North America, specifically American Indian/Alaska Native, First Nations, Métis, and Inuit of Canada. The authors have identified best practices and lessons learned from collaborating with indigenous populations, presented in 2 categories: conceptual guidelines and health care delivery guidelines. Major themes include the importance of trust and communication, the delivery of culturally congruent health care, and the necessity of working in partnership with tribal entities for successful delivery of health care. Best practices in health care delivery with indigenous populations are presented.

  3. "I'm in this world for a reason": Resilience and recovery among American Indian and Alaska Native two-spirit women.

    PubMed

    Elm, Jessica H L; Lewis, Jordan P; Walters, Karina L; Self, Jen M

    2016-01-01

    American Indian and Alaska Native sexual minority (two-spirit) women are vulnerable to substance misuse and mental health challenges due to multiple minority oppressed status and exposure to stress and trauma. Yet, these women find pathways toward healing and wellness. We conducted a qualitative data analysis of interviews derived from a national health study and gained an understanding of 11 two-spirit women's resilience and recovery patterns. Emergent from the data, a braided resiliency framework was developed which elucidates multilayered abilities, processes, and resources involved in their resiliency. We recommend that resilience-promoting strategies be incorporated into substance misuse and mental health interventions.

  4. The Seventh Generation: Native Students Speak about Finding the Good Path.

    ERIC Educational Resources Information Center

    Bergstrom, Amy; Cleary, Linda Miller; Peacock, Thomas D.

    Many American Indian, First Nations, and Alaska Native cultures have prophecies about the "Seventh Generation"--young people who will have a spiritual and cultural awakening and lead the regeneration of the nations and the earth. This book honors the Seventh Generation. It draws on the words of 120 Native youth, interviewed in the United States…

  5. Engaging the Athabascan Native American students of Venetie, Alaska in the auroral research occurring over their village

    NASA Astrophysics Data System (ADS)

    Michell, R. G.; Powell, D.; Samara, M.; Jahn, J.; Pfeifer, M.; Ibarra, S.; Hampton, D. L.

    2012-12-01

    During February 2012, an optical auroral obversing campaign was conducted from the remote village of Venetie, located in North-central Alaska. The approximately 200 people in the village of are mostly Gwich'in Athabaskan. Venetie is in a unique location in that it is one of the only villages that has sounding rockets launched directly over it. While there for the research campaign of approximately one week, I spent several days meeting with and talking to the students about the auroral research that occurs literaly over their village. The John Fredson School in Venetie is a K-12 school and I was able to talk with all of the classes. They were very receptive and interested in science, but have very limited connectivity with the rest of the world, even with a slow internet connection at the school. Their perspective about the aurora is completely different, for them, the aurora is a nearly everyday experience in the winter and therefore they do not think much of it, much like students in the lower 48 would think of clouds. Using the internet, we were able to connect the 4th and 5th grade students in Venetie (through Skype) with a group of 4th and 5th grade students at Sunshine Cottage School for Deaf Children in San Antonio, TX. This was very successful on both ends and resulted in many ideas for future activities. We will discuss the experiences from this trip and the lessons learned for conducting K-12 outreach in such remote schools.; Dr. Michell presenting to the students in Venetie, AK. ; Tribal office building in Venetie, AK, with the aurora overhead.

  6. Impact of heptavalent pneumococcal conjugate vaccine on invasive disease, antimicrobial resistance and colonization in Alaska Natives: progress towards elimination of a health disparity.

    PubMed

    Hennessy, Thomas W; Singleton, Rosalyn J; Bulkow, Lisa R; Bruden, Dana L; Hurlburt, Debby A; Parks, Debra; Moore, Matthew; Parkinson, Alan J; Schuchat, Anne; Butler, Jay C

    2005-12-01

    We evaluated invasive pneumococcal disease (IPD), antimicrobial resistance and nasopharyngeal colonization before and after introduction of pneumococcal conjugate vaccine (PCV7) in Alaska Natives (AN), a population with high IPD rates. We obtained IPD rates from population-based surveillance. Colonization was determined from annual surveys among rural AN of all ages and from urban children. After vaccine introduction, vaccine-type IPD rates declined by 91% among AN children <2 years, by 80% among non-Natives <2 years, and by 40% for adults of all races (P<0.001 each). IPD decreased for isolates resistant to penicillin, erythromycin and cotrimoxazole (P<0.001 each). Vaccine-type colonization decreased among rural and urban children <5 years and among rural adults (P<0.001 each). PCV7 vaccine has eliminated a longstanding disparity of vaccine-type IPD for AN children. Decreased vaccine-type colonization and IPD in adults demonstrate indirect vaccine effects.

  7. Case–control study of breast cancer and exposure to synthetic environmental chemicals among Alaska Native women

    PubMed Central

    Holmes, Adrianne K.; Koller, Kathryn R.; Kieszak, Stephanie M.; Sjodin, Andreas; Calafat, Antonia M.; Sacco, Frank D.; Varner, D. Wayne; Lanier, Anne P.; Rubin, Carol H.

    2014-01-01

    Background Exposure to environmental chemicals may impair endocrine system function. Alaska Native (AN) women may be at higher risk of exposure to these endocrine disrupting chemicals, which may contribute to breast cancer in this population. Objective To measure the association between exposure to select environmental chemicals and breast cancer among AN women. Design A case–control study of 170 women (75 cases, 95 controls) recruited from the AN Medical Center from 1999 to 2002. Participants provided urine and serum samples. Serum was analyzed for 9 persistent pesticides, 34 polychlorinated biphenyl (PCB) congeners, and 8 polybrominated diethyl ether (PBDE) congeners. Urine was analyzed for 10 phthalate metabolites. We calculated geometric means (GM) and compared cases and controls using logistic regression. Results Serum concentrations of most pesticides and 3 indicator PCB congeners (PCB-138/158; PCB-153, PCB-180) were lower in case women than controls. BDE-47 was significantly higher in case women (GM=38.8 ng/g lipid) than controls (GM=25.1 ng/g lipid) (p=0.04). Persistent pesticides, PCBs, and most phthalate metabolites were not associated with case status in univariate logistic regression. The odds of being a case were higher for those with urinary mono-(2-ethylhexyl) phthalate (MEHP) concentrations that were above the median; this relationship was seen in both univariate (OR 2.16, 95% CI 1.16–4.05, p=0.02) and multivariable (OR 2.43, 95% CI 1.13–5.25, p=0.02) logistic regression. Women with oestrogen receptor (ER)–/progesterone receptor (PR)-tumour types tended to have higher concentrations of persistent pesticides than did ER+/PR+ women, although these differences were not statistically significant. Conclusions Exposure to the parent compound of the phthalate metabolite MEHP may be associated with breast cancer. However, our study is limited by small sample size and an inability to control for the confounding effects of body mass index. The

  8. Challenges to providing quality substance abuse treatment services for American Indian and Alaska native communities: perspectives of staff from 18 treatment centers

    PubMed Central

    2014-01-01

    Background Substance abuse continues to exact a significant toll, despite promising advancements in treatment, and American Indian and Alaska Native (AI/AN) communities remain disproportionately impacted. Understanding the challenges to providing quality substance abuse treatment to AI/AN communities could ultimately result in more effective treatment interventions, but no multi-site studies have examined this important issue. Methods This qualitative study examined the challenges of providing substance abuse treatment services for American Indian and Alaska Native (AI/AN) communities. We conducted key informant interviews and focus groups at 18 substance abuse treatment programs serving AI/AN communities. Seventy-six service participants (21 individuals in clinical administrative positions and 55 front-line clinicians) participated in the project. Interview transcripts were coded to identify key themes. Results We found that the challenges of bringing effective substance abuse treatment to AI/AN communities fell into three broad categories: challenges associated with providing clinical services, those associated with the infrastructure of treatment settings, and those associated with the greater service/treatment system. These sets of challenges interact to form a highly complex set of conditions for the delivery of these services. Conclusions Our findings suggest that substance abuse treatment services for AI/AN communities require more integrated, individualized, comprehensive, and longer-term approaches to care. Our three categories of challenges provide a useful framework for eliciting challenges to providing quality substance abuse treatment in other substance abuse treatment settings. PMID:24938281

  9. Dialectical behavior therapy with American Indian/Alaska Native adolescents diagnosed with substance use disorders: combining an evidence based treatment with cultural, traditional, and spiritual beliefs.

    PubMed

    Beckstead, D Joel; Lambert, Michael J; DuBose, Anthony P; Linehan, Marsha

    2015-12-01

    This pilot study examined pre to post-change of patients in a substance use residential treatment center that incorporated Dialectical Behavior Therapy with specific cultural, traditional and spiritual practices for American Indian/Alaska Native adolescents. Specifically, the incorporation of cultural, spiritual and traditional practices was done while still maintaining fidelity to the evidence based treatment (DBT). 229 adolescents participated in the study and were given the Youth Outcome Questionnaire-Self-Report version at pre-treatment and post-treatment and the total scores were compared. The results of the research study showed that 96% of adolescents were either "recovered" or "improved" using clinical significant change criteria. Additionally, differences between the group's pre-test scores and post-test scores were statistically significant using a matched standard T-test comparison. Finally, the effect size that was calculated using Cohen's criteria was found to be large. The results are discussed in terms of the implication for integrating western and traditional based methods of care in addressing substance use disorders and other mental health disorders with American Indian/Alaska Native adolescents.

  10. American Indian and Alaska Native Adult Education and Vocational Training Programs: Historical Beginnings, Present Conditions and Future Directions.

    ERIC Educational Resources Information Center

    Hatch, John

    The success of Native adult education and vocational training programs is linked to the economic health of Native communities. Reports since 1923 document the failure of Federal Government programs in producing educated Native adults and the inadequacy of adult education delivery systems. An array of federal legislation has attempted to increase…

  11. The Healing Generation's Journey to the Year 2000...The National Agenda for American Indian/Alaska Native Youth.

    ERIC Educational Resources Information Center

    United National Indian Tribal Youth, Inc., Oklahoma City, OK.

    Based on the ideas of participants at a Native American youth conference, this document sets out an agenda to bring about a new future for Native American youth by the year 2000. The agenda presents 12 interrelated goals concerned with the development of a stronger, more self-reliant Native American society. Several strategies for action are…

  12. Human plasma levels of POPs, and diet among native people from Uelen, Chukotka.

    PubMed

    Sandanger, Torkjel M; Brustad, Magritt; Odland, Jon Oyvind; Doudarev, Alexey A; Miretsky, Georgy I; Chaschin, Valery; Burkow, Ivan C; Lund, Eiliv

    2003-08-01

    Some of the people living in the Chukotka Peninsula of Russia depend heavily on marine mammals, but little is known of the exact dietary patterns and plasma levels of POPs among these populations. In this study, POPs levels in plasma from 50 participants from the isolated community of Uelen (Bering Strait) were determined and related to dietary information obtained through a food frequency questionnaire. The intake of marine mammals was high and the combined intake of blubber from walrus, seal and whale was a significant predictor (p < 0.01) of plasma concentrations of sum PCBs and borderline for sum CDs (p = 0.02) and sum DDTs (p = 0.04). There was a significant gender difference in the levels of POPs, and among women there was a significant increase with age. Extensive breastfeeding and lower blubber intake among women could be possible explanations for this gender difference. Despite the high intake of blubber the plasma levels of PCBs and DDTs were lower than some of those reported for the East Coast of Greenland. The geometric mean values for sum PCBs (17 congeners) and sum DDTs were 1316 ng g(-1) lipids and 563 ng g(-1) lipids, respectively. PCB 163, which partly co-eluted with PCB 138, was found in high concentrations (40% of PCB 138). This raises questions regarding the validity of using PCB 138 and PCB 153 to calculate the level of Arochlor 1260. The geometric mean of sum CDs was 518 ng g(-1) lipids. Concentrations of beta-HCH (geometric mean; 410 ng g(-1) lipids) were higher than observed for other native populations depending on marine mammals. Transportation of beta-HCH by ocean currents through the Bering Strait into the Arctic Ocean or regional point sources might explain these elevated levels.

  13. Human plasma levels of POPs, and diet among native people from Uelen, Chukotka.

    PubMed

    Sandanger, Torkjel M; Brustad, Magritt; Odland, Jon Oyvind; Doudarev, Alexey A; Miretsky, Georgy I; Chaschin, Valery; Burkow, Ivan C; Lund, Eiliv

    2003-08-01

    Some of the people living in the Chukotka Peninsula of Russia depend heavily on marine mammals, but little is known of the exact dietary patterns and plasma levels of POPs among these populations. In this study, POPs levels in plasma from 50 participants from the isolated community of Uelen (Bering Strait) were determined and related to dietary information obtained through a food frequency questionnaire. The intake of marine mammals was high and the combined intake of blubber from walrus, seal and whale was a significant predictor (p < 0.01) of plasma concentrations of sum PCBs and borderline for sum CDs (p = 0.02) and sum DDTs (p = 0.04). There was a significant gender difference in the levels of POPs, and among women there was a significant increase with age. Extensive breastfeeding and lower blubber intake among women could be possible explanations for this gender difference. Despite the high intake of blubber the plasma levels of PCBs and DDTs were lower than some of those reported for the East Coast of Greenland. The geometric mean values for sum PCBs (17 congeners) and sum DDTs were 1316 ng g(-1) lipids and 563 ng g(-1) lipids, respectively. PCB 163, which partly co-eluted with PCB 138, was found in high concentrations (40% of PCB 138). This raises questions regarding the validity of using PCB 138 and PCB 153 to calculate the level of Arochlor 1260. The geometric mean of sum CDs was 518 ng g(-1) lipids. Concentrations of beta-HCH (geometric mean; 410 ng g(-1) lipids) were higher than observed for other native populations depending on marine mammals. Transportation of beta-HCH by ocean currents through the Bering Strait into the Arctic Ocean or regional point sources might explain these elevated levels. PMID:12948250

  14. Culturally Competent Research with American Indians and Alaska Natives: Findings and Recommendations of the First Symposium of the Work Group on American Indian Research and Program Evaluation Methodology

    ERIC Educational Resources Information Center

    Caldwell, Joyce Y.; Davis, Jamie D.; Du Bois, Barbara; Echo-Hawk, Holly; Erickson, Jill Shepard; Goins, R. Turner; Hill, Calvin; Hillabrant, Walter; Johnson, Sharon R.; Kendall, Elizabeth; Keemer, Kelly; Manson, Spero M.; Marshall, Catherine A.; Running Wolf, Paulette; Santiago, Rolando L.; Schacht, Robert; Stone, Joseph B.

    2005-01-01

    This article describes the collective experience of a multidisciplinary network of researchers, practitioners, and program evaluators who support appropriate research and evaluation methods in working with Native peoples. Our experience underlines the critical importance of culture in understanding and conducting research with the diverse…

  15. Work of the Bureau of Education for the Natives of Alaska, 1917-18. Bulletin, 1919, No. 40

    ERIC Educational Resources Information Center

    Bureau of Education, Department of the Interior, 1919

    1919-01-01

    During the year the field force of the Bureau of Education in Alaska consisted of 5 superintendents, 1 assistant superintendent, 116 teachers, 9 physicians, and 11 nurses. Sixty-nine schools were maintained with an enrollment of 3,635. School buildings were erected at White Mountain, whither the Eskimos had migrated from Council; at Elim, within a…

  16. The Potential of a Culturally Based Supplemental Mathematics Curriculum to Improve the Mathematics Performance of Alaska Native and Other Students

    ERIC Educational Resources Information Center

    Kisker, Ellen Eliason; Lipka, Jerry; Adams, Barbara L.; Rickard, Anthony; Andrew-Ihrke, Dora; Yanez, Eva Evelyn; Millard, Ann

    2012-01-01

    A randomized controlled trial conducted in Alaska examined the efficacy of 2 second-grade modules of the reform-oriented and culturally based Math in a Cultural Context (MCC) teacher training and curriculum. The results show that the "Picking Berries" (representing and measuring) and "Going to Egg Island" (grouping and place…

  17. “What makes life good?” Developing a culturally grounded quality of life measure for Alaska Native college students

    PubMed Central

    Sharma, Dinghy Kristine B.; Lopez, Ellen D. S.; Mekiana, Deborah; Ctibor, Alaina; Church, Charlene

    2013-01-01

    Background Alaska Native (AN) college students experience higher attrition rates than their non-Native peers. Understanding the factors that contribute to quality of life (“what makes life good”) for AN students will help inform supportive programs that are congruent with their culture and college life experiences. Objectives Co-develop a conceptual model and a measure of quality of life (QOL) that reflects the experiences of AN college students. Methods Six focus groups were conducted with 26 AN college students. Within a community–academic partnership, interactive data collection activities, co-analysis workgroup sessions and an interactive findings forum ensured a participant-driven research process. Findings Students identified and operationally defined eight QOL domains (values, culture and traditions, spirituality, relationships, basic needs, health, learning and leisure). The metaphor of a tree visually illustrates how the domains values, culture and traditions and spirituality form the roots to the other domains that appear to branch out as students navigate the dual worldviews of Native and Western ways of living. Conclusions The eight QOL domains and their items identified during focus groups were integrated into a visual model and an objective QOL measure. The hope is to provide a useful tool for developing and evaluating university-based programs and services aimed toward promoting a positive QOL and academic success for AN students. PMID:23984302

  18. National Indian Education Study--Part I: Performance of American Indian and Alaska Native Students at Grades 4 and 8 on NAEP 2009 Reading and Mathematics Assessments. NCES 2010-462

    ERIC Educational Resources Information Center

    Grigg, W.; Moran, R.; Kuang, M.

    2010-01-01

    The National Indian Education Study (NIES) is administered as part of the National Assessment of Educational Progress (NAEP), which was expanded to allow more in-depth reporting on the achievement and experiences of American Indian/Alaska Native (AI/AN) students. It fulfills a mandate of Executive Order 13336 issued in 2004 calling for closer…

  19. National Indian Education Study, 2007. Part I: Performance of American Indian and Alaska Native Students at Grades 4 and 8 on NAEP 2007 Reading and Mathematics Assessments. NCES 2008-457

    ERIC Educational Resources Information Center

    Moran, R.; Rampey, B. D.; Dion, G.; Donahue, P.

    2008-01-01

    This report presents the results for Part I of the study focusing on the performance of American Indian and Alaska Native (AI/AN) fourth- and eighth-graders on the 2007 National Assessment of Educational Progress in reading and mathematics. A national sample of approximately 10,100 AI/AN students at grades 4 and 8 participated in the 2007 reading…

  20. National Indian Education Study--Part II: The Educational Experiences of American Indian and Alaska Native Students in Grades 4 and 8. Statistical Analysis Report. NCES 2010-463

    ERIC Educational Resources Information Center

    Mead, N.; Grigg, W.; Moran, R.; Kuang, M.

    2010-01-01

    Since 2005, the National Indian Education Study (NIES) has provided educators, policymakers, and the public with information about the background and academic performance of fourth- and eighth-grade American Indian and Alaska Native (AI/AN) students in the United States. This report, the second in a two-part series based on the 2009 NIES survey,…

  1. National Indian Education Study Part I: The Performance of American Indian and Alaska Native Fourth-and Eighth-Grade Students on NAEP 2005 Reading and Mathematics Assessments Statistical Analysis Report. NCES 2006-463

    ERIC Educational Resources Information Center

    Rampey, B.D.; Lutkus, Anthony D.; Weiner, Arlene W.; Rahman, Taslima

    2006-01-01

    The National Indian Education Study is a two-part study designed to describe the condition of education for American Indian/Alaska Native students in the United States. The study was conducted by the National Center for Education Statistics for the U.S. Department of Education, with the support of the Office of Indian Education. This report, Part…

  2. National Indian Education Study, 2007. Part II: The Educational Experiences of American Indian and Alaska Native Students in Grades 4 and 8. Statistical Analysis Report. NCES 2008-458

    ERIC Educational Resources Information Center

    Moran, R.; Rampey, B.

    2008-01-01

    This report presents information about the educational, home, and community experiences of American Indian and Alaska Native (AI/AN) fourth- and eighth-grade students that was collected during the National Indian Education Study (NIES) of 2007. AI/AN students represent about 1 percent of the student population in the United States. Approximately…

  3. Work Group on American Indian Research and Program Evaluation Methodology, Symposium on Research and Evaluation Methodology: Lifespan Issues Related to American Indians/Alaska Natives with Disabilities (Washington, DC, April 26-27, 2002).

    ERIC Educational Resources Information Center

    Davis, Jamie D., Ed.; Erickson, Jill Shepard, Ed.; Johnson, Sharon R., Ed.; Marshall, Catherine A., Ed.; Running Wolf, Paulette, Ed.; Santiago, Rolando L., Ed.

    This first symposium of the Work Group on American Indian Research and Program Evaluation Methodology (AIRPEM) explored American Indian and Alaska Native cultural considerations in relation to "best practices" in research and program evaluation. These cultural considerations include the importance of tribal consultation on research projects and…

  4. American Indian and Alaska Native Higher Education: Toward a New Century of Academic Achievement and Cultural Integrity.

    ERIC Educational Resources Information Center

    Wright, Bobby

    This paper reviews the history of higher education for Native Americans and proposes change strategies. Assimilation was the primary goal of higher education from early colonial times to the 20th century. Tribal response ranged from resistance to support of higher education. When the Federal Government began to dominate Native education in the…

  5. Strategic Plans for Use of Modern Technology in the Education of American Indian and Alaska Native Students.

    ERIC Educational Resources Information Center

    Berg, Paul K.; Ohler, Jason

    The American school system is an invention of the Industrial Revolution. Schools were organized like industries to train workers for an industrial society. The resulting large, low-context, industrial schools institutionally discriminate against Native students. Also antagonistic to Native students is the dogma of Western science, a reductionist…

  6. Acceptability of a Web-based Community Reinforcement Approach for Substance Use Disorders with Treatment-seeking American Indians/Alaska Natives

    PubMed Central

    Campbell, Aimee N. C.; Turrigiano, Eva; Moore, Michelle; Miele, Gloria M.; Rieckmann, Traci; Hu, Mei-Chen; Kropp, Frankie; Ringor-Carty, Roz; Nunes, Edward V.

    2014-01-01

    Longstanding disparities in substance use disorders and treatment access exist among American Indian/Alaska Natives (AI/AN). Computerized, web-delivered interventions have potential to increase access to quality treatment and improve patient outcomes. Prior research supports the efficacy of a web-based version (Therapeutic Education System [TES]) of the Community Reinforcement Approach to improve outcomes among outpatients in substance abuse treatment; however, TES has not been tested among AI/AN. The results from this mixed method acceptability study among a diverse sample of urban AI/AN (N=40) show that TES was acceptable across seven indices (range=7.8 to 9.4 on 0 to 10 scales with 10 indicating highest acceptability). Qualitative interviews suggest adaptation specific to AI/AN culture could improve adoption. Additional efforts to adapt TES and conduct a larger effectiveness study are warranted. PMID:25022913

  7. Capacity building from the inside out: development and evaluation of a CITI ethics certification training module for American Indian and Alaska Native community researchers.

    PubMed

    Pearson, Cynthia R; Parker, Myra; Fisher, Celia B; Moreno, Claudia

    2014-02-01

    Current human subject research training modules fail to capture ethically relevant cultural aspects of research involving American Indian and Alaska Native (AI/AN) community members. Applying a Community Engaged Research (CEnR) approach, we adapted the Collaborative IRB Training Initiative training module "assessing risk and benefits." In a two-arm randomized controlled trial, followed by debriefing interviews, we evaluated module acceptability and understandability (test scores) among 40 reservation-based community members. Participants who took the adapted module, compared to those who took the standard module, reported higher scores on relevance of the material overall satisfaction, module quiz scores, and a trend toward higher self-efficacy. Implications of the efficacy of this approach for enhancing ethics training and community participation in research within AI/AN and other cultural populations within and outside the United States are discussed.

  8. Capacity Building from the Inside Out: Development and Evaluation of a CITI Ethics Certification Training Module for American Indian and Alaska Native Community Researchers

    PubMed Central

    Pearson, Cynthia R.; Parker, Myra; Fisher, Celia B.; Moreno, Claudia

    2014-01-01

    Current Human Subject Research training modules fail to capture ethically relevant cultural aspects of research involving American Indian and Alaska Native (AI/AN) community members. Applying a Community Engaged Research (CEnR) approach, we adapted the Collaborative IRB Training Initiative training module “assessing risk and benefits.” In a two-arm randomized controlled trial, followed by debriefing interviews, we evaluated module acceptability and understandability (test scores) among 40 reservation-based community members. Participants who took the adapted module, compared to those who took the standard module, reported higher scores on relevance of the material overall satisfaction, module quiz scores, and a trend toward higher self-efficacy. Implications of the efficacy of this approach for enhancing ethics training and community participation in research within AI/AN and other cultural populations within and outside the United States are discussed. PMID:24572083

  9. Central role of relatedness in Alaska native youth resilience: Preliminary themes from one site of the Circumpolar Indigenous Pathways to Adulthood (CIPA) study.

    PubMed

    Wexler, Lisa; Moses, Joshua; Hopper, Kim; Joule, Linda; Garoutte, Joseph

    2013-12-01

    This qualitative study of youth resilience takes place in an Alaska Native community, which has undergone rapid, imposed social change over the last three generations. Elders, and successive generations have grown up in strikingly different social, economic and political contexts. Youth narratives of relationships in the context of adolescent growth and development offer insights to better understand culturally-patterned experience, continuity and change. Local youth and adults shaped the design, implementation and analysis phases of this participatory study. Multiple interviews, totaling 20 older (ages 15-18) and younger (11-14) boys and girls provide accounts of everyday lives and life histories. Although losing close relationships was the most common stressor, many of the participants' resilience strategies centered on their connections to others. Participants cultivated 'relatedness', nurturing relationships that took on kinship qualities. Within these relationships, youth participants acted more responsibly and/or developed a sense of competency and self-worth because of others' reliance on them.

  10. Acceptability of a web-based community reinforcement approach for substance use disorders with treatment-seeking American Indians/Alaska Natives.

    PubMed

    Campbell, Aimee N C; Turrigiano, Eva; Moore, Michelle; Miele, Gloria M; Rieckmann, Traci; Hu, Mei-Chen; Kropp, Frankie; Ringor-Carty, Roz; Nunes, Edward V

    2015-05-01

    Longstanding disparities in substance use disorders and treatment access exist among American Indians/Alaska Natives (AI/AN). Computerized, web-delivered interventions have potential to increase access to quality treatment and improve patient outcomes. Prior research supports the efficacy of a web-based version [therapeutic education system (TES)] of the community reinforcement approach to improve outcomes among outpatients in substance abuse treatment; however, TES has not been tested among AI/AN. The results from this mixed method acceptability study among a diverse sample of urban AI/AN (N = 40) show that TES was acceptable across seven indices (range 7.8-9.4 on 0-10 scales with 10 indicating highest acceptability). Qualitative interviews suggest adaptation specific to AI/AN culture could improve adoption. Additional efforts to adapt TES and conduct a larger effectiveness study are warranted.

  11. Mental health and substance abuse characteristics among a clinical sample of urban American Indian/Alaska native youths in a large California metropolitan area: a descriptive study.

    PubMed

    Dickerson, Daniel L; Johnson, Carrie L

    2012-02-01

    This study analyzes descriptive data among a clinical sample of American Indian/Alaska Native (AI/AN) youths receiving mental health services in a large California metropolitan area. Among 118 urban AI/AN youths, mood disorders (41.5%) and adjustment disorder (35.4%) were the most common mental health diagnoses. Alcohol (69.2%) and marijuana (50.0%) were the most commonly used substances. Witnessing domestic violence (84.2%) and living with someone who had a substance abuse problem (64.7%) were reported. The majority of patients demonstrated various behavior and emotional problems. Enhancing culturally relevant mental health and substance abuse treatment and prevention programs for urban AI/AN youth is suggested.

  12. Suicidal ideation in American Indian/Alaska Native and White adolescents: The role of social isolation, exposure to suicide, and overweight.

    PubMed

    Zamora-Kapoor, Anna; Nelson, Lonnie A; Barbosa-Leiker, Celestina; Comtois, Katherine A; Walker, Leslie R; Buchwald, Dedra S

    2016-01-01

    Social isolation, exposure to suicide, and overweight increase suicidal ideation in adolescents, but no study to date has examined their relative significance in American Indian and Alaska Native (AI/AN) youth. Generalized estimating equations and path analyses were used to measure the significance and mediation of these variables in the suicidal ideation of 721 AI/ANs and 12,107 White adolescents. Social isolation, exposure to suicide, and overweight were risk factors for suicidal ideation in both races, and the associations among the variables of interest and suicidal ideation varied by race. Interventionists need to consider race in the prevention of suicidal ideation in AI/AN and White youth. PMID:27536899

  13. Twelve Years of Interviews with the Inupiat people of Arctic Alaska: Report from a Community Workshop

    NASA Astrophysics Data System (ADS)

    Eisner, W. R.; Hinkel, K. M.; Cuomo, C.

    2015-12-01

    On 20 August 2015, a workshop was held in Barrow, Alaska, which presented the highlights of 12 years of research connecting local indigenous knowledge of landscape processes with scientific research on arctic lakes, tundra changes, and permafrost stability. Seventy-six Iñupiat elders, hunters, and other knowledge-holders from the North Slope villages of Barrow, Atqasuk, Wainwright, Nuiqsut, and Anaktuvuk Pass were interviewed, and over 75 hours of videotaped interviews were produced. The interviews provided information and observations on landforms, lakes, erosion, permafrost degradation and thermokarst, changes in the environment and in animal behavior, human modification of lakes, tundra damage from 4-wheel off-road vehicles, tundra trail expansion, and other phenomena. Community concerns regarding the impact of environmental change on food procurement, animal migration, human travel routes, and the future of subsistence practices were also prominent themes. Following an interview, each videotaped session was logged. Each time an elder pointed to a location on a map and explained a landscape event/observation or told a story, the time-stamp in the video was recorded. Each logged event consisted of a code and a short account of the observation. From these reference sheets, a Geographic Information System (GIS) dataset was created. A logged account for each videotape, with geographic coordinates, event code, and event description is available for each videotape. The goal of the workshop was to report on our findings, thank the community for their support, and collaboratively develop plans for archiving and disseminating this data. A complete video library and searchable, printed and digital issues of the logging dataset for archiving in the communities were also produced. Discussions with administrative personnel at the Tuzzy Library in Barrow and the Inupiat Heritage Center have enabled us to set standards and develop a timeline for turning over the library of

  14. Native People in Areas of Internal National Expansion: Indians and Inuit in Canada. IWGIA Document 14.

    ERIC Educational Resources Information Center

    Sanders, Douglas Esmond

    In the last few years there have been an increasing number of major development projects which have raised issues of native rights. The list includes the Bennett Dam, the Bighorn Dam, the James Bay project, the flooding of Southern Indian Lake, exploration and resource development in the Arctic and the Mackenzie valley pipeline. All these projects…

  15. First Person, First Peoples: Native American College Graduates Tell Their Life Stories.

    ERIC Educational Resources Information Center

    Garrod, Andrew, Ed.; Larimore, Colleen, Ed.

    This book presents 13 stories of Native American college students struggling for survival on several planes--intellectual, emotional, physical, spiritual--and striving for success in their own terms in a cultural setting not their own. Although all the students attended Dartmouth College and graduated, the salient common theme of the stories is…

  16. Community of Learning: Music Learning and Performance Practices among the Native Peoples of North America

    ERIC Educational Resources Information Center

    Burton, J. Bryan

    2010-01-01

    Through descriptions drawn from interviews of Native American musicians and observations of tribal musical events, this paper presents a challenge to the "conservative educational practices" in public schools of the United States. In conclusion, the paper suggests that by more closely examining different cultural learning, values and traditions,…

  17. Responding to Change in NW Alaska: Ethnographic Film and the Voices of the People

    NASA Astrophysics Data System (ADS)

    Betcher, S. R.; Gerlach, S. C.; Atkinson, D. E.; Loring, P. A.

    2014-12-01

    Communities in the NW arctic rely on subsistence activities such as hunting, fishing and gathering to ensure their food security and to maintain a cultural identity but climate change is altering the timing and distribution of plants and animals. Arctic Alaskan villages are only accessible by air or watercraft thus limiting the options of goods and services and increasing the cost due to vast distances traveled. Additionally, these goods and services must be transported during winter months, which include some of the most extreme temperatures and landscapes people permanently occupy. Many rural community members mitigate these high food prices by maintaining their traditional lifestyle of hunting fishing and gathering of marine mammals, fish, greens and berries. These essential subsistence activities are impacted by a warming arctic as reduced sea ice extent, permafrost thaw, increased storm severity and shifting seasonality alters plant and animal patterns that people in the region have knowledge about for thousands of years. Now with increased weather variability and a changing climate the people in the region are adapting and responding to these changes. Local traditional knowledge (LTK) of active hunters, fishers, and gatherers can provide a deeper and more comprehensive understanding to western science of how climate change is impacting the Arctic. This documentary film captures footage from the summer and fall of 2013 of activities of hunters fishers and gatherers and recorded their sentiments of how climate changes has impacted their subsistence way of life, and how arctic residence are responding to both climate and extreme weather events. Video is taken from the land, sea and air in and around Kotzebue, Kivalina, Point Hope, Noatak, Ambler, Buckland and Deering. The presenters will discuss how the film shows responses to change and how the film was made in close collaboration with NW arctic residents.

  18. Blood group O alleles in Native Americans: implications in the peopling of the Americas.

    PubMed

    Estrada-Mena, Benito; Estrada, F Javier; Ulloa-Arvizu, Raúl; Guido, Miriam; Méndez, Rocío; Coral, Ramón; Canto, Thelma; Granados, Julio; Rubí-Castellanos, Rodrigo; Rangel-Villalobos, Héctor; García-Carrancá, Alejandro

    2010-05-01

    All major ABO blood alleles are found in most populations worldwide, whereas the majority of Native Americans are nearly exclusively in the O group. O allele molecular characterization could aid in elucidating the possible causes of group O predominance in Native American populations. In this work, we studied exon 6 and 7 sequence diversity in 180 O blood group individuals from four different Mesoamerican populations. Additionally, a comparative analysis of genetic diversity and population structure including South American populations was performed. Results revealed no significant differences among Mesoamerican and South American groups, but showed significant differences within population groups attributable to previously detected differences in genetic drift and founder effects throughout the American continent. Interestingly, in all American populations, the same set of haplotypes O(1), O(1v), and O(1v(G542A)) was present, suggesting the following: (1) that they constitute the main genetic pool of the founding population of the Americas and (2) that they derive from the same ancestral source, partially supporting the single founding population hypothesis. In addition, the consistent and restricted presence of the G542A mutation in Native Americans compared to worldwide populations allows it to be employed as an Ancestry informative marker (AIM). Present knowledge of the peopling of the Americas allows the prediction of the way in which the G542A mutation could have emerged in Beringia, probably during the differentiation process of Asian lineages that gave rise to the founding population of the continent. PMID:19862808

  19. EarthScope Transportable Array Siting Outreach Activities in Alaska and Western Canada

    NASA Astrophysics Data System (ADS)

    Dorr, P. M.; Gardine, L.; Tape, C.; McQuillan, P.; Cubley, J. F.; Samolczyk, M. A.; Taber, J.; West, M. E.; Busby, R.

    2015-12-01

    The EarthScope Transportable Array is deploying about 260 stations in Alaska and western Canada. IRIS and EarthScope are partnering with the Alaska Earthquake Center, part of the University of Alaska's Geophysical Institute, and Yukon College to spread awareness of earthquakes in Alaska and western Canada and the benefits of the Transportable Array for people living in these regions. We provide an update of ongoing education and outreach activities in Alaska and Canada as well as continued efforts to publicize the Transportable Array in the Lower 48. Nearly all parts of Alaska and portions of western Canada are tectonically active. The tectonic and seismic variability of Alaska, in particular, requires focused attention at the regional level, and the remoteness and inaccessibility of most Alaskan and western Canadian villages and towns often makes frequent visits difficult. When a community is accessible, every opportunity to engage the residents is made. Booths at state fairs and large cultural gatherings, such as the annual convention of the Alaska Federation of Natives, are excellent venues to distribute earthquake information and to demonstrate a wide variety of educational products and web-based applications related to seismology and the Transportable Array that residents can use in their own communities. Meetings and interviews with Alaska Native Elders and tribal councils discussing past earthquakes has led to a better understanding of how Alaskans view and understand earthquakes. Region-specific publications have been developed to tie in a sense of place for residents of Alaska and the Yukon. The Alaska content for IRIS's Active Earth Monitor emphasizes the widespread tectonic and seismic features and offers not just Alaska residents, but anyone interested in Alaska, a glimpse into what is going on beneath their feet. The concerted efforts of the outreach team will have lasting effects on Alaskan and Canadian understanding of the seismic hazard and

  20. 5 CFR 5501.103 - Gifts from federally recognized Indian tribes or Alaska Native villages or regional or village...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    .... In addition to the gifts which come within the exceptions set forth in 5 CFR 2635.204, and subject to all provisions of 5 CFR 2635.201 through 2635.205, an employee may accept unsolicited gifts of native... contained in 5 CFR 2635.202(c)....