Identifying and Reducing Disparities in Mental Health Outcomes Among American Indians and Alaskan Natives Using Public Health, Mental Healthcare and Legal Perspectives

Payne, Hannah; Steele, Michalyn; Bingham, Jennie L.; Sloan, Chantel D.

doi:10.1007/s10488-016-0777-7

Cited by 16 publications

(10 citation statements)

References 22 publications

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“…In order to help eliminate health disparities, it is important to advance our understanding of the mechanisms that drive the sleep-health relationship. The direction of the associations between insufficient sleep and decreased physical and mental health is not well understood [46], but both appear to be prevalent among AI/ANs [18, 48]. Although the relationship between insufficient sleep or short sleep duration, insomnia, and decreased health is a complex one [58], with insufficient sleep increasing the risk of health problems [14, 59] and health problems and behaviors contributing to insufficient sleep [53, 60], it is clear that chronic health conditions can develop or worsen once insufficient sleep patterns have been established [13, 14, 61].…”

Section: Resultsmentioning

confidence: 99%

“…In terms of addressing health disparities, first and foremost, we consider it important to highlight that many of the issues associated with health disparities among AI/AN people have important implications for policy and that valuable recommendations in this regard have been made elsewhere [18]. In addition, AI/AN people comprise many different cultures with both similar and distinct ideologies, environments, and histories [72].…”

Section: Discussionmentioning

confidence: 99%

“…In AI/AN populations, cardiovascular disease is among the leading causes of death [16], with experiences of social injustice and discrimination contributing to significant health disparities [17]. Many of the health conditions associated with insufficient sleep and insomnia are prevalent among AI/AN people [18]. This highlights a critical need to understand the possible role of sleep duration and quality caused by insomnia and insufficient sleep on the chronic conditions prevalent in AI/AN populations.…”

Section: Introductionmentioning

confidence: 99%

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A Narrative Review of the Literature on Insufficient Sleep, Insomnia, and Health Correlates in American Indian/Alaska Native Populations

Lombardero

Hansen

Richie

et al. 2019

Journal of Environmental and Public Health

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Insufficient sleep and insomnia promote chronic disease in the general population and may combine with social and economic factors to increase rates of chronic health conditions among AI/AN people. Given that insufficient sleep and insomnia can be addressed via behavioral interventions, it is critical to understand the prevalence and correlates of these disorders among AI/AN individuals in order to elucidate the mechanisms associated with health disparities and provide guidance for subsequent treatment research and practice. We reviewed the available literature on insufficient sleep and insomnia in the AI/AN population. PubMed, PsycINFO, Google Scholar, and ProQuest were searched between June 12th and October 28th of 2018. Prevalence of insufficient sleep ranged from 15% to 40%; insomnia prevalence ranged from 25% to 33%. Insufficient sleep was associated with unhealthy diet, low physical activity levels, higher BMI, worse self-reported health, increased risk for diabetes mellitus, cardiovascular disease, frequent mental distress, smoking, binge drinking, depression, and chronic pain. Insomnia was associated with depression, childhood abuse, PTSD, anxiety, alcohol use, low social support, and low trait-resilience levels. Research on evidence-based treatment and implementation practices targeting insufficient sleep and insomnia was lacking, and only one study described the development/validation of a measure of insufficient sleep among AI/AN people. There is a need for rigorous sleep research including testing and implementation of evidence-based treatment for insufficient sleep and insomnia in this population in an effort to help eliminate health disparities. We present recommendations for research and clinical practice based on the current review.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Narrative Review of the Literature on Insufficient Sleep, Insomnia, and Health Correlates in American Indian/Alaska Native Populations

Lombardero

Hansen

Richie

et al. 2019

Journal of Environmental and Public Health

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“…Additional funding is needed to build community capacity. Previous research has described the need for funding to address the mental health inequalities of Indigenous populations ( 54 ). Given the important role of health department staff in developing PSE changes, adequate IHS funding could also influence PSE changes.…”

Section: Discussionmentioning

confidence: 99%

Journey to Promoting Structural Change for Chronic Disease Prevention: Examining the Processes for Developing Policy, Systems, and Environmental Supports in Native American Nations

Jock

Maudrie

Fleischhacker

et al. 2022

Current Developments in Nutrition

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Background Obesity and chronic disease rates continue to be disproportionally high among Native Americans (NAs) compared with the US general population. Policy, systems, and environmental (PSE) changes can address the root causes of these health inequalities by supporting access to healthy food and physical activity resources. Objective We aim to describe the actors and processes involved in developing PSE changes supporting obesity prevention in NA Nations. Methods As part of the Obesity Prevention Research and Evaluation of InterVention Effectiveness in NaTive North Americans 2 (OPREVENT2) trial (ClinicalTrials.gov registration: NCT02803853), we collected 46 in-depth interviews, 1 modified Talking Circle, 2 workshops, and 14 observations in 3 NA communities in the Midwest and Southwest regions of the United States. Participants included Tribal government representatives/staff, health staff/board members, store managers/staff, and school administrators/staff. We used a Grounded Theory analysis protocol to develop themes and conceptual framework based on our data. Results Health staff members were influential in identifying and developing PSE changes when there was a strong relationship between the Tribal Council and health department leaders. We found that Tribal Council members looked to health staff for their expertise and were involved in the approval and endorsement of PSE changes. Tribal grant writers worked across departments to leverage existing initiatives, funding, and approvals to achieve PSE changes. Participants emphasized that community engagement was a necessary input for developing PSE changes, suggesting an important role for grassroots collaboration with community members and staff. Relevant contextual factors impacting the PSE change development included historical trauma, perspectives of policy, and “tribal politics”. Conclusions This article is the first to produce a conceptual framework using 3 different NA communities, which is an important gap to be addressed if structural changes are to be explored and enacted to promote NA health. The journey to change for these NA Nations provides insights for promoting future PSE change among NA Nations and communities.

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“…AN/AI people across the lifespan consistently rank lowest in the U.S. in a wide range of health outcomes, as well as many social determinates of health [ 13 , 14 , 15 , 16 , 17 ]. A long history of government policies against tribes in the U.S.—including military aggression; deliberate introduction of alcohol and disease; religious schools, federal- and state-run boarding schools; and displacement, internment, and forced relocation—has had lasting negative impacts on the physical, mental, and community health of the AN/AI population for multiple generations and caused intergenerational trauma that contributes to substance misuse and interpersonal violence in AN/AI communities today [ 10 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Self-Determination in Health Research: An Alaska Native Example of Tribal Ownership and Research Regulation

Hiratsuka

Beans

Robinson

et al. 2017

IJERPH

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Alaska Native (AN) and American Indian (AI) people are underrepresented in health research, yet many decline to participate in studies due to past researcher misconduct. Southcentral Foundation (SCF), an Alaska Native-owned and operated health care organization, is transforming the relationship between researchers and the tribal community by making trust and accountability required features of health research in AN/AI communities. In 1998, SCF assumed ownership from the federal government of health services for AN/AI people in south central Alaska and transformed the health system into a relationship-based model of care. This change reimagines how researchers interact with tribal communities and established community oversight of all health research conducted with AN/AI people in the region. We describe the SCF research review process, which requires tribal approval of the research concept, full proposal, and dissemination products, as well as local institutional review board approval, and a researcher-signed contract. This review evaluates research through the lens of tribal principles, practices, and priorities. The SCF example provides a framework for other tribes and organizations seeking to reshape the future of health research in AN/AI communities.

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Identifying and Reducing Disparities in Mental Health Outcomes Among American Indians and Alaskan Natives Using Public Health, Mental Healthcare and Legal Perspectives

Cited by 16 publications

References 22 publications

A Narrative Review of the Literature on Insufficient Sleep, Insomnia, and Health Correlates in American Indian/Alaska Native Populations

A Narrative Review of the Literature on Insufficient Sleep, Insomnia, and Health Correlates in American Indian/Alaska Native Populations

Journey to Promoting Structural Change for Chronic Disease Prevention: Examining the Processes for Developing Policy, Systems, and Environmental Supports in Native American Nations

Self-Determination in Health Research: An Alaska Native Example of Tribal Ownership and Research Regulation

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