8 Flashcards
(23 cards)
_____ identify as AIAN
4million
____ largest minority group in the unity states
4th
____ federally recognized tribes across 35 states
547
only racial/ethnic group with higher representation in ____ areas
rural
cumulative emotional and psychological wounding over the lifespan and across generations emanating from massive group trauma experiences
historical trauma
what does historical trauma come from
centuries long history of violence
discrimination
treachery from government
gave more control to the tribes over their own affairs, enabling them to “Self-determine” their own governance and services through contracts with the government
indian self-determintation and education assistance act
health disparities in AIAN
alcohol/substance abuse
diabetes
violence
_____ rates of alcohol abuse compared to that of other racial/ethnic groups
highest
alcohol abuse accounts for ____% of all deaths
10%
elevated rartes of alcohol use in women causes
fetal alcohol syndrome
notion that ameriacn indians are more susceptible to the effects of alcohol and vulnerable to alcohol problems
firewater myth
high rate of what substances among youth
marijuana
inhalants
elevated rates of what substances in rural populations
methamphetamine production/use
opioids
substance use disparity starts in
childhood
focuses on providing a cultural immersion that is “designed to approximate the day to day experiences of pre-reservation ancestors”
culture as treatment
diabetes rates higher than
any other racial/ethnic group
diabetes risk begins in
youth and increases across lifespan
adults with diabetes have higher risks of what other outcomes
hypertension
stroke
kidney failure
amputations
liver disease
more likely to be victims of both serious violence and simple assault
adolescents
more likely to witness domestic violence than counterparts
children
90% report being abused in their lifetime
women
methods to achieve health equity
CBPR
education of researchers
encourage envolvement
culturally tailored interventions