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Native American and Alaska Native Populations

Journal Article
Bidirectional Associations Between Daily Sleep and Wake Behaviors in Urban American Indian/Alaska Native (AI/AN) Youth
This is the first study to examine daily, bidirectional associations between sleep and wake behaviors/mood in urban American Indian/Alaska Native (AI/AN) adolescents.
Oct 25, 2023
Journal Article
Changes in Sleep-Wake Patterns and Disturbances Before and During COVID-19 in Urban American Indian/Alaska Native Adolescents
Findings demonstrate positive and negative changes in sleep during COVID-19 stay-at-home orders, including simultaneous increases in sleep duration and sleep-wake disturbances.
Oct 9, 2023
Journal Article
Cultural Dynamics, Substance Use, and Resilience Among American Indian/Alaska Native Emerging Adults in Urban Areas
We conducted 13 focus groups with urban AI/AN emerging adults, parents, and providers. We found risks of substance use from cultural isolation and that culture provided a source of strength and resilience for urban AI/AN emerging adults.
Jun 27, 2023
Journal Article
Traditions and Connections for Urban Native Americans (TACUNA): Utilizing Community-Based Input to Develop an Opioid Prevention Intervention for Urban American Indian/Alaska Native Emerging Adults
Very few opioid prevention programs exist for urban Native American emerging adults. Community participation enhances opioid prevention programs for urban Native Americans. Engaging in Native American traditional practices promotes healthy behaviors.
Jun 21, 2023
Journal Article
Integrating Traditional Practices and Social Network Visualization to Prevent Substance Use: Study Protocol for a Randomized Controlled Trial Among Urban Native American Emerging Adults
A community-informed and culturally grounded opioid prevention intervention can be developed for urban AI/AN emerging adults and can help to build resilience and hopefully decrease opioid use among this underserved population.
Jun 21, 2023
Journal Article
Risk and Protective Factors of Social Networks on Alcohol, Cannabis, and Opioid Use Among Urban American Indian/Alaska Native Emerging Adults
A higher proportion of network members engaging in traditional practices but not heavy substance use was associated with lower intentions to use cannabis or drink alcohol. Traditional practices may be an important part of prevention.
Jun 16, 2023
Journal Article
International Humanitarian Narratives of Disasters, Crises and Indigeneity
Narratives are a means of making sense of disasters and crises. We identify and characterise narratives in humanitarian communications involving Indigenous Peoples by conducting a narrative analysis of humanitarian communications.
Feb 22, 2023
Journal Article
Feasibility and Acceptability of Incorporating Social Network Visualizations Into a Culturally Centered Motivational Network Intervention to Prevent Substance Use Among Urban Native American Emerging Adults: A Qualitative Study
Social network visualizations are a promising tool for increasing awareness of social challenges and sources of resilience for urban American Indian/Alaska Native emerging adults.
Nov 22, 2022
Journal Article
Food Insecurity, Sleep, and Cardiometabolic Risks in Urban American Indian/Alaska Native Youth
Food insecurity contributes to racial/ethnic disparities in health. This is the first study to examine associations among food insecurity, sleep, and cardiometabolic outcomes in urban American Indian/Alaska Native (AI/AN) youth.
Nov 4, 2022
Journal Article
Geographic Disparities in Rising Rates of Firearm-Related Homicide
Our study shows that the rise since 2014 in firearms homicides is concentrated in south-central and midwestern states, and in American Indian and Alaskan Natives, and Black communities, thereby exacerbating existing disparities.
Jul 19, 2022
Journal Article
Association of Individual and Community Factors With Hepatitis C Infections Among Pregnant People and Newborns
US hepatitis C viral infections among pregnant women grew fastest among White and American Indian/Alaska Native people without a 4-year degree.
Mar 29, 2022
Tool
Cognitive Behavioral Intervention for Trauma in Schools (CBITS) for American Indian Youth
The Cognitive Behavioral Intervention for Trauma in Schools (CBITS) program helps students exposed to traumatic events who are experiencing emotional or behavioral problems. This tool is an adaptation of the CBITS program for American Indian youth.
Dec 22, 2021
Commentary
Mothers Need a Continuous System of Care Even After Babies Are Born
In the United States, babies are born into a system of well-child care—a series of planned health care visits designed to protect their health from day one through age six. But no such system exists for their mothers. How do we create a system of health care for mothers that mirrors well-child care?
May 10, 2021
Journal Article
Mental Health, Physical Health, and Cultural Characteristics Among American Indians/Alaska Natives Seeking Substance Use Treatment in an Urban Setting: A Descriptive Study
We analyze substance use, AI/AN cultural identity and involvement, physical health and cognitive functioning, and mental health symptoms among 63 AI/AN adults seeking substance use treatment within an urban area in California.
Feb 18, 2021
Journal Article
Understanding Sleep Facilitators, Barriers, and Cultural Dimensions in Native American Urban Youth
This study uses systematic qualitative methods with AI/AN youth to explore their sleep environment and sleep behaviors. Key concerns discussed were poor sleep hygiene, excessive use of electronics at bedtime, issues with temperature regulation, and noise within and outside the home.
Sep 15, 2020
Journal Article
Motivational Interviewing and Culture for Urban Native American Youth (MICUNAY): A Randomized Controlled Trial
Urban Native American teens may benefit from culturally centered programs. No differences found between MICUNAY + Community Wellness Gatherings (CWGs) and CWGs only.
Jan 14, 2020
Journal Article
Overt Perceived Discrimination and Racial Microaggressions and Their Association with Health Risk Behaviors Among a Sample of Urban American Indian/Alaska Native Adolescents
Analyzing the potential effects of the broad range of perceived discrimination (PD) experiences, including both overt PD and racial microaggressions, among urban American Indian/Alaska Native adolescents on health outcomes offers a unique opportunity to further our understanding of these health disparities.
Jun 12, 2019
Journal Article
Methodological Considerations for Home-Visiting Research in Tribal Communities
Grantees of the Tribal Maternal, Infant, and Early Childhood Home Visiting (Tribal MIECHV) program employed rigorous methods for study design, data collection, and health measures that are culturally relevant to Native populations.
Jun 29, 2018
Journal Article
Multilevel and Community-Level Interventions with Native Americans: Challenges and Opportunities
To address health disparities among Native American communities, researchers need to collaborate with community leaders to develop, adapt, and test culturally relevant and sustainable measures and interventions.
Jun 28, 2018
Report
Patient-Centered Medical Home Implementation in Indian Health Service Direct Service Facilities
In 2008, the Indian Health Service launched a patient-centered medical home (PCMH) initiative to improve the quality of care in its clinics. RAND researchers identified barriers and strategies to assist clinics on the path to PCMH recognition.
May 25, 2018

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