Consistent Honor, Persistent Disadvantage: American Indian and Alaska Native Veteran Health in the National Survey of Veterans

Huyser, Kimberly R.; Locklear, Sofia; Sheehan, Connor M.; Moore, Brenda L.; Butler, John Sibley

doi:10.1177/08982643211014034

Cited by 6 publications

(2 citation statements)

References 62 publications

(87 reference statements)

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“…AIs such as NHs are overrepresented in the military, however, perhaps because of their longer history with this institution, many tribal nations have incorporated the military into their post-contact culture [79,80]. AIs who enter into the US military, "tend to think of themselves as warriors of an older, sacred tradition, but placed in a changed set of circumstances" [81].…”

Section: Environment Militarism and Tourismmentioning

confidence: 99%

Unsilencing the Echoes of Historical Trauma: A Comparative Analysis

Riley,

Suʻesuʻe,

Ravida

2023

Trauma Care

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Indigenous communities in North America have distinct colonial histories with their own story of how their ancestors were able to survive the mass effort to take their land, resources, language, culture, and sometimes even their lives. These stories have been passed down orally and through the DNA of the descendants of survivors via epigenetics. The Historical Loss Scale (HLS) and Historical Loss Associated Symptoms Scale (HLASS) are two validated scales that measure historical trauma among Native Americans. However, as different Indigenous communities have different colonial histories, it is critical to ensure that tools used to measure historical trauma are valid for that specific communities. When these scales are applied to Native Hawaiians, these measures may not provide an accurate picture of the historical trauma experienced by Native Hawaiians. As part of the effort to adapt the HLS for Native Hawaiians, we conducted a crosswalk analysis of the HLS and HLASS with a recent study on Native Hawaiian historical trauma (NHHT) to identify areas of overlap and divergence. We found that while there was significant overlap, several areas of divergence emerged likely stemming from the unique colonial histories of different Indigenous communities.

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Section: Environment Militarism and Tourismmentioning

confidence: 99%

Unsilencing the Echoes of Historical Trauma: A Comparative Analysis

Riley,

Suʻesuʻe,

Ravida

2023

Trauma Care

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“…Nonetheless, AIAN health indicators consistently lag-often substantially-behind most other race groups in the U.S., in part a result of the trauma and discriminatory practices carried across generations [4,8,9]. AIAN veterans, have fared no better, with studies indicating an excessive burden of both physical and mental health disadvantage [10,11]. This description of AIAN military service and subsequent veteran disadvantage within the context of historical colonialism and prejudice has parallels in other settler societies, including Canada, Australia, and New Zealand [12].…”

Section: Introductionmentioning

confidence: 99%

American Indian and Alaska Native veterans in the Indian Health Service: Health status, utilization, and cost

Kaufman

Grau²,

Begay³

et al. 2022

PLoS ONE

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Purpose Many rural American Indian and Alaska Native (AIAN) veterans receive care from the Indian Health Service (IHS). United States Department of Veterans Affairs (VA) has reimbursement agreements with some IHS facilities and tribal programs and seeks to expand community partnerships in tribal areas, but details of how AIAN veterans use IHS are unknown. We aimed to assess the health status, service utilization patterns, and cost of care of veterans who use IHS. Methods We used comprehensive and integrated IHS data to compare health status, health service utilization and treatment cost of veterans (n = 12,242) to a matched sample of non-veterans (n = 12,242). We employed logistic, linear, or negative binomial regressions as appropriate, by sex and overall. Findings Compared to non-veterans, veterans had lower odds of having hypertension, renal disease, all-cause dementia, and alcohol or drug use disorders, but had similar burden of other conditions. In service utilization, veterans had lower hospital inpatient days; patterns were mixed across outpatient services. Unadjusted treatment costs for veterans and non-veterans were $3,923 and $4,145, respectively; veteran adjusted treatment costs were statistically lower. Differences in significance by sex were found for health conditions and service use. Conclusions AIAN veterans, compared to AIAN non-veterans, were not less healthy, nor did they require more intensive or more costly care under IHS. Our results indicate the viability and importance of expanding IHS-VA partnerships in community care.

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