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.
Objectives While a great deal of research has considered racial disparities in the criminal justice system, empirical research on the American Indian/Alaska Native (AIAN) population is still in its infancy. Instead, AIAN people are most often grouped in the “other race” category. In this research, we move beyond this categorization and advance research by considering differential handling of AIAN-involved violent crime. Methods We use 2016 NIBRS data—including information on 5,740 AIAN victims and 6,591 AIAN suspects—to examine variation in the likelihood of clearance by arrest and variation in these patterns according to victim race, offender race, and offense type. Results Results indicate that incidents involving AIAN suspects and White victims are especially likely to result in arrest, but incidents involving AIAN suspects and AIAN victims are less likely to result in arrest. AIAN sexual assault victimization is particularly unlikely to result in arrest. Conclusions The AIAN population is both disproportionately arrested when suspected of crime, and disproportionately neglected when victimized. If we wish to better understand the role of race in the criminal justice, it is imperative that we move beyond simple Black-White dichotomies, and begin centering attention on other marginalized populations, including the AIAN population, as well.
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