American Indian, Alaska Native, and Native Hawaiian Program

2013 ◽  
Author(s):  
Keyword(s):  
American Indian ◽  
Alaska Native ◽  
Native Hawaiian

Dental Care Utilization and Service Needs Among American Indian/Alaska Native/Native Hawaiian Elders: 2008 to 2017

2018 ◽  
Vol 31 (10) ◽  
pp. 1917-1940
Author(s):  
Shawnda Schroeder ◽  
Collette Adamsen ◽  
Cole Ward
Keyword(s):  
Older Adults ◽  
Native American ◽  
American Indian ◽  
Dental Care ◽  
Alaska Native ◽  
Native Hawaiian ◽  
The United States ◽  
Care Utilization ◽  
Dental Care Utilization ◽  
Need For Treatment

Objective: This study describes trends in self-reported dental care utilization and services needed among American Indian/Alaska Native/Native Hawaiian (AI/AN/NH) elders 2008 to 2017, including demographic and socioeconomic variability. Method: Researchers utilized data from the Survey of Elders administered by the National Resource Center on Native American Aging, representing all regions of the United States and 262 tribes. Data were analyzed comparing means over time and between/within groups. Results: Between April 2008 and March 2017, there was a statistically significant ( p < .001) increase in the proportion of older adults who visited a dentist and an increase in need for treatment. A smaller proportion of older adults reported need for treatment among those who were privately insured, high income, had no tobacco use, were employed, and had visited a dental professional in the last year. Discussion: These findings highlight current dental needs among tribal elders while also identifying elders at greater risk of poor oral health.

scholarly journals Growing from Our Roots: Strategies for Developing Culturally Grounded Health Promotion Interventions in American Indian, Alaska Native, and Native Hawaiian Communities

2018 ◽  
Vol 21 (S1) ◽  
pp. 54-64 ◽  
Author(s):  
Karina L. Walters ◽  
Michelle Johnson-Jennings ◽  
Sandra Stroud ◽  
Stacy Rasmus ◽  
Billy Charles ◽  
...  
Keyword(s):  
Health Promotion ◽  
American Indian ◽  
Alaska Native ◽  
Native Hawaiian ◽  
Culturally Grounded ◽  
Health Promotion Interventions

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

2016 ◽  
Vol 86 (1) ◽  
pp. 72-97 ◽  
Author(s):  
Adrienne J. Keene
Keyword(s):  
American Indian ◽  
Alaska Native ◽  
Native Hawaiian ◽  
Application Process ◽  
College Application ◽  
Culturally Grounded ◽  
Portraiture Methodology ◽  
Native Identity ◽  
Native Hawaiian Students ◽  
Access Program

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 surrounding the college application process but also create a college-bound Native identity. The motto of the program, “College Pride, Native Pride” embodies a duality that emerges through the program itself.

scholarly journals American Indian, Alaska Native, Native Hawaiian, and Pacific Islander Children’s Body Mass Index: Diminished Returns of Parental Education and Family Income

2020 ◽  
Vol 5 (1) ◽  
pp. p64
Author(s):  
Shervin Assari
Keyword(s):  
Body Mass Index ◽  
American Indian ◽  
Body Mass ◽  
Alaska Native ◽  
Parental Education ◽  
Family Income ◽  
Native Hawaiian ◽  
Pacific Islander ◽  
The United States ◽  
Future Research

Background: High socioeconomic status (SES) is associated with several health-related outcomes, such as obesity and body mass index (BMI). However, we do not know whether SES is associated differently with children’s BMI from American Indian and Alaska Native and Native Hawaiian and Pacific Islander (AIAN/NHPI) families when compared to non-Hispanic White (NHW) families. Aim: To compare AIAN/NHPI and NHW families for associations between parental education, family income, and children’s BMI in the United States (U.S). Methods: This cross-sectional study used the Adolescent Brain Cognitive Development (ABCD) study. Participants (n = 8580) included 63 AIAN/NHPI and 8517 NHW children between ages 9 and 10. The independent variables were parental education and family income. The primary outcome was BMI. Race was the moderator. Age, sex, and family structure were covariates. Mixed-effects regression models were used for data analysis. Results: In the pooled sample, higher parental education and family income were associated with lower children’s BMI. We found interactions between race and parental education and family income indicating weaker associations between parental education and family income and children’s BMI in AIAN/NHPI families than in NHW families. Conclusion: The salience of parental education and family income as social determinants of children’s BMI is diminished for AIAN/NHPI families than NHW families. As a result, AIAN/NHPIs children with high SES remain at risk for high BMI, while high-SES NHW children show the lowest BMI. Future research should test if obesogenic environments, food options, and physical activity-friendly neighborhoods can explain higher-than-expected BMI in high-SES AIAN/NHPI children. In other terms, more research is needed to understand if residential segregation, discrimination, and historical trauma explain the observed differences in the social patterning of childhood BMI in AIAN/NHPI and NHW communities.

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