Communities in Action


Book Description

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.




American Indian Health


Book Description

Disease processes among American Indians and Alaska Natives often have distinct manifestations that need to be considered by clinicians and health policy makers involved with these populations. Equally important, all aspects of Indian life—including health—are governed by the special relationship between Indian tribes and the U.S. federal government. For American Indian Health, Everett R. Rhoades has gathered a distinguished group of scholars and practitioners to present a comprehensive assessment of the health of American Indian peoples today and the delivery of health services to them.




American Indian Health and Nursing


Book Description

The average life expectancy of a male born on the Pine Ridge reservation in South Dakota today is 40 years oldóthe lowest life expectancy of all peoples not only in the U.S. but also in the entire Western Hemisphere. Written by and for nurses, this is the first text to focus exclusively on American Indian health and nursing. It addresses the profound disparities in policy, health care law, and health outcomes that affect American Indians, and describes how these disparities, bound into the cultural, environmental, historical, and geopolitical fabric of American Indian society, are responsible for the marked lack of wellbeing of American Indians. American Indian nurse authors, natives of nine unique American Indian cultures, address the four domains of healthóphysical, mental, spiritual, and emotional--within each region to underscore the many stunning disparities of opportunity for health and wellbeing within the American Indian culture as opposed to those of "Anglo" culture. In an era of cultural competency, these expert nurse authors bring awareness about what is perhaps the least understood minority population in the U.S. The text covers the history of American Indians with a focus on the drastic changes that occurred following European contact. Included are relevant journal articles, historical reports, interviews with tribal health officials, and case studies. The book addresses issues surrounding American Indian nursing and nursing education, and health care within nine unique American Indian cultural populations. Also discussed are the health care needs of American Indians living in urban areas. Additionally, the book examines the future of American Indian Nursing in regard to the Affordable Care Act. Key Features: Focuses exclusively on American Indian health and nursing, the first book to do so Written by predominately American Indian nurses Covers four domains of health: physical, mental, spiritual and emotional Highlights nine specific cultural areas of Indian country, each with its own unique history and context Includes chapter objectives, end-of-chapter review questions, and case studies




Changing Numbers, Changing Needs


Book Description

The reported population of American Indians and Alaska Natives has grown rapidly over the past 20 years. These changes raise questions for the Indian Health Service and other agencies responsible for serving the American Indian population. How big is the population? What are its health care and insurance needs? This volume presents an up-to-date summary of what is known about the demography of American Indian and Alaska Native populationâ€"their age and geographic distributions, household structure, employment, and disability and disease patterns. This information is critical for health care planners who must determine the eligible population for Indian health services and the costs of providing them. The volume will also be of interest to researchers and policymakers concerned about the future characteristics and needs of the American Indian population.




Tribal Health in India


Book Description

Contributed papers.




Tribal Health and Medicines


Book Description

The Present Work Is An Attempts To Bring Together The Clinical And Biogenetic Aspects, On One Hand, And The Traditional Cultural Heritage In The Form Of Traditions Medical Systems, On The Other.




American Indian Health Disparities in the 21st Century


Book Description

Equity in health care is a basic human right, yet disparities in health and wellness exist across racial lines. Despite the fact that disparities in Indigenous People’s health are particularly dramatic, they are less well understood. This volume focuses on the American Indian, in whom disparities in health are particularly severe. In a disease-specific format, health disparities in the American Indian are identified and discussed, with an emphasis on causes and solutions. Edited by experts in healthcare disparities, one of whom is a member of the Oglala Lakota Tribe, this book focuses attention on the historically overlooked and underappreciated problem of inadequate healthcare for the American Indian and has relevance for Indigenous People’s health around the world. Of interest to all concerned with equity and inclusiveness in healthcare, it will be essential reading for physicians, public health workers, academics, and Indigenous People worldwide.




Medicine Ways


Book Description

Improving the dire health problems faced by many Native American communities is central to their cultural, political, and economic well being. However, it is still too often the case that both theoretical studies and applied programs fail to account for Native American perspectives on the range of factors that actually contribute to these problems in the first place. The authors in Medicine Ways examine the ways people from a multitude of indigenous communities think about and practice health care within historical and socio-cultural contexts. Cultural and physical survival are inseparable for Native Americans. Chapters explore biomedically-identified diseases, such as cancer and diabetes, as well as Native-identified problems, including historical and contemporary experiences such as forced evacuation, assimilation, boarding school, poverty and a slew of federal and state policies and initiatives. They also explore applied solutions that are based in community prerogatives and worldviews, whether they be indigenous, Christian, biomedical, or some combination of all three. Medicine Ways is an important volume for scholars and students in Native American studies, medical anthropology, and sociology as well as for health practitioners and professionals working in and for tribes. Visit the UCLA American Indian Studies Center web site




Leveraging Culture to Address Health Inequalities


Book Description

Leveraging Culture to Address Health Inequalities: Examples from Native Communities is the summary of a workshop convened in November 2012 by the Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities of the Institute of Medicine. The workshop brought together more than 100 health care providers, policy makers, program administrators, researchers, and Native advocates to discuss the sizable health inequities affecting Native American, Alaska Native, First Nation, and Pacific Islander populations and the potential role of culture in helping to reduce those inequities. This report summarizes the presentations and discussion of the workshop and includes case studies that examine programs aimed at diabetes prevention and management and cancer prevention and treatment programs. In Native American tradition, the medicine wheel encompasses four different components of health: physical, emotional, mental, and spiritual. Health and well-being require balance within and among all four components. Thus, whether someone remains healthy depends as much on what happens around that person as on what happens within. Leveraging Culture to Address Health Inequalities addresses the broad role of culture in contributing to and ameliorating health inequities.




Pathways to Careers in Health Care


Book Description

This book provides analyses and evaluations of the Health Profession Opportunity Grants (HPOG) program, a federal government demonstration project that is targeted at providing career opportunities in the health care field for individuals in low-wage populations.