American Indian and Alaska Native Mental Health Research最新文献

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Factors Associated with Breastfeeding Initiation and Continuation at Two Months Postpartum in American Indian Women: An Exploratory Analysis. 美国印第安妇女产后两个月开始和继续母乳喂养的相关因素:探索性分析。
IF 1.9 4区 心理学
American Indian and Alaska Native Mental Health Research Pub Date : 2024-01-01 DOI: 10.5820/aian.3101.2024.71
Addison Reimer, Bonny L Specker, Christine W Hockett, Katelyn Strasser, Linda Ahrendt, Lacey A McCormack
{"title":"Factors Associated with Breastfeeding Initiation and Continuation at Two Months Postpartum in American Indian Women: An Exploratory Analysis.","authors":"Addison Reimer, Bonny L Specker, Christine W Hockett, Katelyn Strasser, Linda Ahrendt, Lacey A McCormack","doi":"10.5820/aian.3101.2024.71","DOIUrl":"10.5820/aian.3101.2024.71","url":null,"abstract":"<p><p>This study aimed to determine the prevalence of breastfeeding initiation and continuation at two months postpartum in American Indian (AI) mothers in South Dakota and to identify factors associated with breastfeeding. Using logistic regression, data from the South Dakota Pregnancy Risk Assessment Monitoring System were used to investigate the relationship between binary breastfeeding initiation and continuation outcomes and maternal behaviors and experiences including access to health care, safe sleep practices, ability to handle life events, depression, and sources of breastfeeding information. Higher odds of initiation were seen for factors including access to health care services, ability to handle life events, and sources of breastfeeding information, while lower odds were seen for factors including safe sleep. Higher odds of continuation were seen among mothers who reported not taking long to get over setbacks and among mothers who reported no postpartum depression, while lower odds of continuation were seen among mothers practicing safe sleep. Several modifiable factors were identified as reasons for stopping breastfeeding. This information about factors associated with higher odds of breastfeeding initiation and continuation at two months postpartum can be used to inform interventions, programs, and policies designed to support breastfeeding among AI women and to guide future research in this area.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"31 1","pages":"71-92"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Relationships of Historical Loss, Acculturation, and Alcohol Expectancies with Alcohol Use Among American Indian and Alaska Native People. 美国印第安人和阿拉斯加原住民中的历史损失、文化适应和酒精预期与酒精使用的关系》(The Relationships of Historical Loss, Acculturation, and Alohol Expectancies with Alohol Use Among American Indian and Alaska Native People.
IF 1.2 4区 心理学
American Indian and Alaska Native Mental Health Research Pub Date : 2024-01-01 DOI: 10.5820/aian.3101.2024.93
Melanie J Cain, Carrie Winterowd, Aisha Farra
{"title":"The Relationships of Historical Loss, Acculturation, and Alcohol Expectancies with Alcohol Use Among American Indian and Alaska Native People.","authors":"Melanie J Cain, Carrie Winterowd, Aisha Farra","doi":"10.5820/aian.3101.2024.93","DOIUrl":"10.5820/aian.3101.2024.93","url":null,"abstract":"<p><p>The primary purpose of this study was to 1) explore the relationship among the following variables: thoughts and feelings associated with historical loss, levels of acculturation, alcohol expectancies, and alcohol use among American Indian and Alaska Native (AI/AN) people, as well as to 2) explore predictive relationships among historical loss thoughts and feelings, alcohol expectancies, and alcohol use for AI/AN people within this sample. A convenience (community, non-clinical) sample of 188 AI/AN people completed an online survey, including questions related to alcohol use, alcohol expectancies, thoughts and feelings of historical loss, and acculturation experiences. Results indicated that gender and feelings of historical loss were the significant individual predictors of alcohol use and alcohol expectancies in a sample of AI/AN people. In addition, specific types of alcohol expectancies, when considered together, explained 24% of the variance in alcohol use experiences. Gender differences were noted in that AI/AN men were more likely than AI/AN women to engage in hazardous drinking and expected more feelings of social and physical pleasure as well as power and aggression as a result of drinking alcohol. Areas for further research were highlighted, with an emphasis on further research exploring the correlates and predictors of alcohol use and alcohol expectancies for community, non-clinical samples of AI/AN people, to further understand alcohol use motivation among AI/AN people.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"31 1","pages":"93-123"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ethnic Racial Identity Development and Self-Esteem among Native American Adolescents: The Mediating Role of Peer Belonging. 美国原住民青少年的种族认同发展与自尊:同伴归属感的中介作用。
IF 1.9 4区 心理学
American Indian and Alaska Native Mental Health Research Pub Date : 2024-01-01 DOI: 10.5820/aian.3101.2024.1
Zainab Hosseini, Teresa LaFromboise
{"title":"Ethnic Racial Identity Development and Self-Esteem among Native American Adolescents: The Mediating Role of Peer Belonging.","authors":"Zainab Hosseini, Teresa LaFromboise","doi":"10.5820/aian.3101.2024.1","DOIUrl":"10.5820/aian.3101.2024.1","url":null,"abstract":"<p><p>While ethnic racial identity (ERI) development is associated with a variety of psychological well-being outcomes, the mechanisms through which this association operates is yet to be fully explained. During adolescence, social belonging is a developmentally salient process that can play a key role in how ERI impacts well-being. We sought to explore the mediating role of belonging to peer networks in the association between ERI and self-esteem among Native American adolescents. In this cross-sectional, mediational study, we used survey data from 317 Native American students attending a reservation high school (46.9% female; M age =16). Students' levels of ERI development were measured by combining items from two scales pertaining to ethnic identity development and racial identity. We employed a structural equation modeling approach to explore the mediating role of peer belonging in the association between ERI and self-esteem. Results suggest that our 4-item index of peer belonging was an acceptable measure of this construct. Further, the significant indirect effect of peer belonging explains a notable portion (β=.22, p ≤ .05) of the total effects of ERI on self- esteem (β=.54, p ≤ .05). This finding suggests that higher levels of ERI achievement contribute to higher levels of peer belongingness, which in turn lead to improved self-esteem among students. Implications for research and practice are discussed.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"31 1","pages":"1-30"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cultural Connection and Well-being for American Indian Adolescents. 美国印第安青少年的文化联系和福祉。
IF 1.2 4区 心理学
American Indian and Alaska Native Mental Health Research Pub Date : 2024-01-01 DOI: 10.5820/aian.3101.2024.31
Alessandra C Angelino, Joseph Bell, Ronny Bell, Feng-Chang Lin, Huaying Qiu, Martha F Perry
{"title":"Cultural Connection and Well-being for American Indian Adolescents.","authors":"Alessandra C Angelino, Joseph Bell, Ronny Bell, Feng-Chang Lin, Huaying Qiu, Martha F Perry","doi":"10.5820/aian.3101.2024.31","DOIUrl":"10.5820/aian.3101.2024.31","url":null,"abstract":"<p><p>American Indian and Alaska Native (AI/AN) adolescents face health disparities resulting from historical traumas. There is a paucity of research focusing on mental health in AI/AN adolescents or the relationship between cultural connection and health. This project assesses the relationship between cultural identity and markers of mental health and well-being for AI/AN adolescents. Adolescents 12 to 18 years old from the Lumbee Tribe of North Carolina participated in this mixed-methods study. Phase 1, discussed in this manuscript, involved surveys using validated instruments to assess cultural connection and markers of mental health and well-being. Characteristics of the 122 AI/AN youth who completed the survey included: mean age 14.9 years (SD = 2.0); 61% (n = 75) assigned female at birth; 56% (n = 70) identified as female; and 4.1% (n = 5) identified as non-binary. Mean tribal affiliation (TA) and ethnic identity (EI) scores suggest strong cultural connection (TA: M = 3.1/5, SD = 0.6; EI: M = 3.4/5, SD = 0.9). Sleep quality (M = 2.63/5) and positive stress management (M = 2.06/5) were low. Bivariate and logistic regression demonstrated moderate positive correlations between EI and friendship, EI and emotional support, TA and friendship, and TA and emotional support. AI/AN adolescents in this sample have a moderate-strong connection with Native culture, marked by ethnic identity and tribal affiliation, and positive markers of mental health and well-being. Data from this study may be used for policy formulation to promote increased funding and programming addressing mental health for AI/AN youth.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"31 1","pages":"31-49"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The History of Trauma Treatment Intervention and the Movement Into Creative Arts Therapy 创伤治疗干预的历史和进入创造性艺术治疗运动
4区 心理学
American Indian and Alaska Native Mental Health Research Pub Date : 2023-05-23 DOI: 10.4018/978-1-6684-7856-1.ch008
Deanna Alyssa Villetto, Kayla Villetto
{"title":"The History of Trauma Treatment Intervention and the Movement Into Creative Arts Therapy","authors":"Deanna Alyssa Villetto, Kayla Villetto","doi":"10.4018/978-1-6684-7856-1.ch008","DOIUrl":"https://doi.org/10.4018/978-1-6684-7856-1.ch008","url":null,"abstract":"This chapter focuses on how trauma and post-traumatic stress disorder impact children, adolescents, and adults. It explores the history of trauma treatment as well as the benefits of creative arts therapy as a trauma treatment intervention. Creative arts therapy is crucial in the psychological realm, as it uses the building blocks of evidence-based practices to transform the narrative around healing the brain and body. Within the chapter, trauma and PTSD are explained, along with the history of trauma therapy, the history of creative art therapy around the world, and the rise of creative arts therapy in the United States.","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"1 1","pages":"162-183"},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147893934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Social Support in the Management of Type 2 Diabetes Mellitus among American Indians: A Qualitative Study. 社会支持在美国印第安人2型糖尿病管理中的作用:一项定性研究。
IF 1.3 4区 心理学
American Indian and Alaska Native Mental Health Research Pub Date : 2022-03-01 DOI: 10.5820/aian.2901.2022.59
I. Ishak, Melissa L. Walls, B. Aronson
{"title":"The Role of Social Support in the Management of Type 2 Diabetes Mellitus among American Indians: A Qualitative Study.","authors":"I. Ishak, Melissa L. Walls, B. Aronson","doi":"10.5820/aian.2901.2022.59","DOIUrl":"https://doi.org/10.5820/aian.2901.2022.59","url":null,"abstract":"The purpose of this study is to gain insights of American Indian (AI) communities on the role of social support in type 2 diabetes (T2D) management. Social support is a means of enhancing social and personal resources that can address underlying stressors that contribute to T2D inequities and represents a potential channel of intervention to improve management of T2D in these communities. This community-based participatory research included AI adults from the Bois Forte and Lac Courte Oreilles Bands of Ojibwe and consisted of focus groups that were conducted with people with T2D, social support persons, and service providers. Overall findings underscore the importance of social support in T2D management, especially in providing emotional support, fulfilling an appraisal function, and enabling positive health behaviors. It is also important for policies and practices to consider the social and cultural contexts, particularly the socio-historical context of life within AI communities that has inevitably shaped certain mindsets that may present barriers to care-seeking and optimal T2D management. These findings can inform interventions related to T2D management, especially in incorporating social support and complementing community strengths in achieving a broader goal of reducing diabetes inequities in AI communities.","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"145 1","pages":"59-91"},"PeriodicalIF":1.3,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82621569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Feasibility and Acceptability of Virtual Implementation of a Sexual Reproductive Health Teen Pregnancy Prevention Program for Native Youth. 本地青少年性生殖健康预防青少年怀孕项目虚拟实施的可行性和可接受性。
IF 1.3 4区 心理学
American Indian and Alaska Native Mental Health Research Pub Date : 2022-01-01 DOI: 10.5820/aian.2902.2022.63
Hima Patel, Kristin Masten, Rachel Chambers, Abagail Edwards, Laura Fleszar, Barbara Harvey, Janice Dunn, Danielle Nelson, Tracy Goldtooth, Monique James, Ronni Huskon, Alicia Tsosie, Jennifer Richards, Lauren Tingey
{"title":"Feasibility and Acceptability of Virtual Implementation of a Sexual Reproductive Health Teen Pregnancy Prevention Program for Native Youth.","authors":"Hima Patel,&nbsp;Kristin Masten,&nbsp;Rachel Chambers,&nbsp;Abagail Edwards,&nbsp;Laura Fleszar,&nbsp;Barbara Harvey,&nbsp;Janice Dunn,&nbsp;Danielle Nelson,&nbsp;Tracy Goldtooth,&nbsp;Monique James,&nbsp;Ronni Huskon,&nbsp;Alicia Tsosie,&nbsp;Jennifer Richards,&nbsp;Lauren Tingey","doi":"10.5820/aian.2902.2022.63","DOIUrl":"https://doi.org/10.5820/aian.2902.2022.63","url":null,"abstract":"<p><p>American Indian/Alaska Native (Native) youth face high rates of substance use, teen pregnancy and sexually transmitted infections. In response to the COVID-19 pandemic, Respecting the Circle of Life (RCL), a sexual reproductive health and teen pregnancy prevention program for Native youth and their trusted adult, was adapted and delivered in a virtual format with Native youth in a rural, reservation-based Native community. This manuscript describes the adaptation process, feasibility, and acceptability of virtual program implementation. The manuscript describes the process of rapidly shifting the RCL program into a virtual format. In addition, a mixed-methods process evaluation of implementation forms, program feedback forms, in-depth interviews with participants, and staff debriefing sessions was completed. Results show virtual implementation of RCL is both feasible and acceptable for Native youth and their trusted adults. A key benefit of virtual implementation is the flexibility in scheduling and ability to have smaller groups of youth, which offers greater privacy for youth participants compared to in-person implementation with larger groups. However, internet connectivity did present a challenge for virtual implementation. Ultimately, sexual and reproductive health programs seeking to reach Native youth and families should consider virtual implementation methods, both during and outside of pandemic situations.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":" ","pages":"63-84"},"PeriodicalIF":1.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40541198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Positive Indian Parenting: A Unique Collaborative Study in the Age of COVID-19. 积极的印度育儿:新冠肺炎时代的独特合作研究
IF 1.3 4区 心理学
American Indian and Alaska Native Mental Health Research Pub Date : 2022-01-01 DOI: 10.5820/aian.2902.2022.104
Puneet Chawla Sahota, Alexis Contreras, Sarah Kastelic, Amanda Cross-Hemmer, April Ybarra Black, Terry Cross, D J Personius, Peter J Pecora, Patty Kinswa-Gaiser, Deana Around Him
{"title":"Positive Indian Parenting: A Unique Collaborative Study in the Age of COVID-19.","authors":"Puneet Chawla Sahota,&nbsp;Alexis Contreras,&nbsp;Sarah Kastelic,&nbsp;Amanda Cross-Hemmer,&nbsp;April Ybarra Black,&nbsp;Terry Cross,&nbsp;D J Personius,&nbsp;Peter J Pecora,&nbsp;Patty Kinswa-Gaiser,&nbsp;Deana Around Him","doi":"10.5820/aian.2902.2022.104","DOIUrl":"https://doi.org/10.5820/aian.2902.2022.104","url":null,"abstract":"<p><p>Positive Indian Parenting (PIP) is a culturally based training developed by the National Indian Child Welfare Association in the mid-1980s that has been widely used across Indian Country. However, quantitative studies on its efficacy have not been conducted. This manuscript reports on the study design and development of an ongoing pilot study evaluating PIP and related adaptations that occurred within the context of the COVID-19 pandemic. Adaptations to the study were required to accommodate social distancing requirements, including changing to virtual platforms for curriculum delivery, fidelity monitoring, and data collection. Lessons learned include the importance of flexibility and supportive collaborations among study partners, including unique relationships with funders, that have enabled the ongoing study adaptations during the pandemic.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":" ","pages":"104-125"},"PeriodicalIF":1.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40540149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Managing Threats and Potential Solutions to Mitigating Mass Violence 管理威胁和减轻大规模暴力的潜在解决办法
4区 心理学
American Indian and Alaska Native Mental Health Research Pub Date : 2021-01-01 DOI: 10.4018/978-1-7998-4957-5.ch015
Abel Ebiega Enokela
{"title":"Managing Threats and Potential Solutions to Mitigating Mass Violence","authors":"Abel Ebiega Enokela","doi":"10.4018/978-1-7998-4957-5.ch015","DOIUrl":"https://doi.org/10.4018/978-1-7998-4957-5.ch015","url":null,"abstract":"Terrorism has become a global security threat that requires interdisciplinary and multidisciplinary approaches to address. The challenge posed by it is huge and can only be minimized through the collective efforts of stakeholders. Therefore, this study explores mass violence as a global phenomenon with its consequences on security of lives and properties. Terrorism as an act of mass violence hinged on ideological persuasions has become a great challenge in many parts of the world. In addition to surging cases of conventional terrorism, lone wolf terrorism seems to be seeking special research attention, considering its continued prevalence and multifaceted evolvement and peculiarities. Definitional complexity seems to continue to blur the understanding of lone wolf terrorism as authorities differ in their approaches to definitions. However, all definitional positions point to the lethality of lone wolf terrorism. The study systemically applies ecological system theory to provide measures for the mitigation of mass violence with an emphasis on lone wolf terrorism.","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"1 1","pages":"259-277"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147910592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using Concept Mapping to Understand Gender- and Age-Specific Factors Influencing Health Care Access among American Indian Elders. 使用概念图了解影响美国印第安老年人获得医疗保健的性别和年龄特定因素。
IF 1.3 4区 心理学
American Indian and Alaska Native Mental Health Research Pub Date : 2021-01-01 DOI: 10.5820/aian.2802.2021.52
Elise Trott Jaramillo, David H Sommerfeld, Erik Lujan, Cathleen E Willging
{"title":"Using Concept Mapping to Understand Gender- and Age-Specific Factors Influencing Health Care Access among American Indian Elders.","authors":"Elise Trott Jaramillo,&nbsp;David H Sommerfeld,&nbsp;Erik Lujan,&nbsp;Cathleen E Willging","doi":"10.5820/aian.2802.2021.52","DOIUrl":"https://doi.org/10.5820/aian.2802.2021.52","url":null,"abstract":"<p><p>Inequities in access to health care create barriers to physical and mental health treatment for the rapidly aging American Indian population in the United States. This study uses concept mapping-a participatory, mixed-methods approach to understanding complex phenomena-to examine the perceived impacts of multilevel factors influencing Elders' ability to access and use health care and how these perceptions vary according to gender and age, with the aim of identifying tailored strategies to address inequities. Using data from a purposive sample of American Indian Elders (n = 65) in two states, we compared ratings of thematic clusters and individual factors perceived to impact Elder health care across four participant subgroups: women aged 55-64, women aged 65+, men aged 55-64, and men aged 65+. Provider Issues and Relationships and Tribal/National Policy were themes perceived to have a particularly high impact on Elder health. Key variations between subgroups regarding individual health care access factors reflected unique interpersonal and accessibility challenges among older women, problems stemming from lack of familiarity with health care among younger Elders and men, and challenges navigating complex bureaucracies and tribal decision-making processes among older Elders. Findings underscore the need to address multilevel gender- and age-specific factors contributing to health disparities for Elders.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"28 2","pages":"52-76"},"PeriodicalIF":1.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8722384/pdf/nihms-1762647.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39469171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
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