Knowledge Celebration #2 Flashcards

1
Q

Which IHS region had the highest infectious disease mortality rate among American Indian/Alaska Natives?

A

Southwest

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2
Q

What is the difference between endemics, epidemics, and pandemics?

A

Endemics – An infectious disease that is regularly found among particular people or in a certain area;
Pandemics – An infectious disease that is worldwide or impacts an entire country;
Epidemics – A widespread occurrence of an infectious disease in a community at a particular time, over and above what is usual.

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3
Q

Did infectious disease mortality increase or decrease in the 20th century?

A

Decreased advances in medicine

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4
Q

What infectious disease is most prevalent among American Indian youth?

A

Pneumonia

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5
Q

The highest infectious disease hospitalization rates among Native Americans is for what disease?

A

Respiratory Disease

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6
Q

Between the years 1999-2009, which infectious disease had highest American Indian/Alaska Native-White mortality rate ratio?

A

HIV, Tuberculosis

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7
Q

Between the years 1999-2009, which IHS Region had highest American Indian/Alaska Native-White tuberculosis mortality rate ratio?

A

Alaska

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8
Q

The highest heart disease and stroke mortality rate among American Indian/Alaska Natives are in which IHS regions?

A

Northern Plains

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9
Q

What are several modifiable risk factors for CVD?

A

High Blood Pressure, obesity, stress, excessive alcohol use, physical activity, smoking

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10
Q

What are some of the risk factors for CVD among American Indians/Alaska Natives

A

Obesity, Diabetes, High Blood Pressure, High Cholesterol, Sedentary, Smoking greater than 5 drinks per day

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11
Q

What are some complications for Diabetes found among American Indians/Alaska Natives?

A

Obesity, Kidney, Heart, Nerve Diseases, Stroke, Heart Failure, Injury

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12
Q

In 2011, where did Diabetes mortality rank for American Indians in Arizona?

A

4th leading cause of death in Arizona

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13
Q

How does the diabetes prevalence rate for American Indians/Alaska Natives differ from non-Hispanic whites?

A

More than twice in terms of adults higher than non-hispanic whites

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14
Q

What type of cancers have a higher incidence rate among American Indians/Alaska Natives?

A

American Indian/Alaska Native men and women have the 3rd highest incidence of cancer in the U.S.;
Breast, Colorectal and Lung Cancers are the most commonly diagnosed among AI/AN;

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15
Q

What are the top three diagnosed cancers (incidence) among American Indian/Alaska Native men and women?

A

Men, Prostate;Lung and Bronchus; and
Colorectal
Women, Breast;Lung and Bronchus; and
Colorectal

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16
Q

How do mortality rates compare among elder American Indians and non-Hispanic whites?

A

Longer

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17
Q

How do premature mortality rates compare between American Indians and non-Hispaanic whites in Arizona?

A

Higher

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18
Q

According to the article “Racism at Core of Native Teen Suicides in Pine Ridge” how many children between the ages of 12 and 17 have committed suicide in Oglala Lakota County?

A

At least 11 Children

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19
Q

Grandfather Sky illustrates the significance of what types of healing through cultural traditions?

A

Traditional Healing

20
Q

Which IHS Region-CHSDA County as the highest unintentional injury rate ratio when compared to non-Hispanic whites?

A

Northern Plains

21
Q

Which IHS County has the highest suicide mortality rates among American Indian/Alaska Natives?

A

Alaska

22
Q

What did the film State of Despair discuss?

A

Young suicides in High Schools

23
Q

Where does suicide rank among the leading causes of death for American Indian youth 10-24?

A

24

24
Q

What is the leading cause of unintentional deaths among American Indian/Alaska Natives?

A

Motor Vehicle Accidents

25
Q

What are some risk factors for suicide among American Indian/Alaska Natives?

A

suicide attempts, alcohol abuse, anxiety, health concerns, historical trauma

26
Q

Which racial/ethnic group has the highest rate of substance dependence among those aged 12 and older?

A

American Indians/Alaska Natives

27
Q

Which racial/ethnic group has the highest rate of binge drinking?

A

Native Hawaiian Pacific Islander

28
Q

In one study, what was the most prevalent help-seeking source used among American Indians/Alaska Natives for alcohol and substance abuse?

A

Biomedical sources

29
Q

What is somatization?

A

The presentation of physical symptoms in the absence of organic pathology;
The presentation of somatic complaints as a way of expressing personal or social problems;
The set of psychological mechanisms through which emotional states produce somatic signs and symptoms of illness (e.g. vegetative signs of depression and somatic symptoms of anxiety);
Thus, emotional distress becomes expressed through changes in bodily functions.

30
Q

What are some culture-bound syndromes discussed in class?

A

Ghost Sickness (American Indians): People who are preoccupied and/or consumed by the deceased are believed among some Native Americans to suffer from Ghost Sickness.
Reported symptoms include general weakness, loss of appetite, suffocation feelings, recurring nightmares, and a pervasive feeling of terror.
The sickness is attributed to ghosts (chindi) or, occasionally, to witches or witchcraft.

Pibloktog (Inuit): Excitement, coma, and convulsive seizures resembling an abrupt dissociative episode, often associated with amnesia, withdrawal, irritability, and irrational behaviors, such as breaking furniture, eating feces, and verbalization of obscenities.

Windigo: The “Windigo” is a figure in Northern Algonquin mythology, a fierce supernatural cannibal able to infect humans and make them into cannibalistic creatures by turning their hearts into ice;

31
Q

American Indian women have higher rates than American Indian men for what type of psychiatric disorder?

A
Major Depressive Episode
Dysthymic Disorder
Panic Disorder 
PTSD
Any Depressive/Anxiety Disorder
32
Q

In one major study, which American Indian Tribe had the highest rate of seeking help for mental disorders from a traditional or spiritual healer?

A

Southwest

33
Q

According to the EPA, what was dirtiest coal mine in the western U.S.?

A

Black Mesa

34
Q

What are some barriers to mental health care found among American Indians/Alaska Natives?

A

stigma, perceptions of mental illness
use of traditional healers
rural isolation
lack of specialized care for mental disorders
Lack of Al/AN culturally competent mental health providers

35
Q

What are some factors that increase the risk for substance abuse among American Indians/Alaska Natives?

A

Norms and attitudes governing behaviors, Acculturation processes
customs,
poverty, access availability, targeted marketing, marginalization, un employment

36
Q

According to Dr. Gachupin, what are three risk behaviors that are reported by American Indian Youth in the American Youth Wellness Initiative?

A

Unintentional injuries
violence alcohol drug and tobacco use
sexual behaviors

37
Q

How many American Indian tribes reside in Arizona?

A

22

38
Q

Obesity is related to which types of chronic diseases?

A

Heart disease and stroke

39
Q

From 2004–2010, what states had the highest motor vehicle-related death rate among American Indians/Alaska Natives?

A

Wyoming (72 deaths per 100,000 population);
South Dakota (59 deaths per 100,000 population);
Montana and North Dakota (56 deaths per 100,000 population); and,
Arizona (45 deaths per 100,000 population).

40
Q

What is the primary factor involved in unintentional injuries among American Indians/Alaska Natives?

A

Motor Vehicle Accidents

41
Q

What elements contribute to cultural resiliency?

A

Interpersonal, community, culture, family, and school

42
Q

How is drug addiction defined?

A

uncontrollable, drug seeking, use in face of social and negative consequences

43
Q

How is historical trauma associated with substance use among American Indians/Alaska Natives?

A

coping

44
Q

What are some health effects of coal and uranium mining?

A

Coal: Black lung disease from working in coal mines and using coal as fuel in homes;
Black lung disease is caused by long-term exposure to coal dust;
Coal dust that enters the lungs can neither be destroyed nor removed by the body.
Uranium:Other respiratory illnesses, including silicosis, tuberculosis, pneumonia, and emphysema, were causing deaths in uranium miners at rates approaching those from lung cancer.

45
Q

What was the importance of Church Rock and Black Mesa?

A

Health impacts such as coal dust and lung cancer from the uranium and Environmental justice no group of people should have to suffer negative environmental consequences