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The reported population of American Indians and Alaska Natives has grown rapidly over the past 20 years. These changes raise questions for the Indian Health Service and other agencies responsible for serving the American Indian population. How big is the population? What are its health care and insurance needs? This volume presents an up-to-date summary of what is known about the demography of American Indian and Alaska Native populationâ€"their age and geographic distributions, household structure, employment, and disability and disease patterns. This information is critical for health care planners who must determine the eligible population for Indian health services and the costs of providing them. The volume will also be of interest to researchers and policymakers concerned about the future characteristics and needs of the American Indian population.
American Indians and Alaska Natives have consistently experienced disparities in access to healthcare services, funding, and resources; quality and quantity of services; treatment outcomes; and health education and prevention services. Availability, accessibility, and acceptability of behavioral health services are major barriers to recovery for American Indians and Alaska Natives. Common factors that infuence engagement and participation in services include availability of transportation and child care, treatment infrastructure, level of social support, perceived provider effectiveness, cultural responsiveness of services, treatment settings, geographic locations, and tribal affliations.
Stephen Kunitz's work raises crucial issues for public policy in the medical field, and will be valuable for social scientists, physicians, and health professionals concerned with the social context of public health and other medical facilities.
The report reveals that the Native American health care system created by the federal government has used only limited and incremental responses to the health care challenges faced by Native Americans.
Contrary to the white man's early expectations, the Indian tribes of North America neither vanished nor assimilated. Despite almost 400 years of contact with the dominant--and usually domineering--Western civilization, Native Americans have maintained their cultural identity, the size, social organization, and frequently the location of their population, and their unique position before the law. Now brought up to date with a new introduction by Peter Iverson, this classic book reviews the history of contact between whites and Indians, explaining how the aboriginal inhabitants of North America have managed to remain an ethnic and cultural enclave within American and Canadian society from colonial times to the present day. The late D'Arcy McNickle--renowned anthropologist and member of the Flathead Tribe of Montana--shows that while Native Americans have always been eager to adopt the knowledge and technology of white society, they carefully adapt these changes to fit into their own culture. Iverson's introduction discusses McNickle's singular contribution to Native American Studies, and provides an overview of recent events and scholarship in the field. With its comprehensive coverage and unique perspective, the new edition of "Native American Tribalism" is essential reading for those who want to understand the past and present of our first Americans.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.