“…The wellbeing of Indigenous youth in the USA is connected closely to traditional culture and practices, which are under constant pressure from colonialism and racism [ 117 , 118 , 122 , 123 , 124 , 125 , 126 , 127 , 128 , 129 , 130 , 131 , 132 , 133 , 134 , 135 , 136 , 137 , 138 , 139 , 140 , 141 , 142 , 143 , 144 ]. Traditional community-based activities, such as subsistence based living (including hunting and fishing), and cultural practices, such as smudging and pow-wows, provide youth with a sense of purpose, connection and cultural pride [ 117 , 118 , 123 , 128 , 129 , 130 , 131 , 132 , 133 , 134 , 137 , 143 , 144 ]. The passing on of language closely bonds Indigenous generations [ 122 , 125 , 127 , 137 , 138 , 141 ], however, there are a decreasing number of fluent native language speakers to ensure continuation through the next generation [ 11...…”