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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.
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.
A rare and inspiring guide to the health and well-being of Aboriginal women and their communities. The process of “digging up medicines” - of rediscovering the stories of the past - serves as a powerful healing force in the decolonization and recovery of Aboriginal communities. In Life Stages and Native Women, Kim Anderson shares the teachings of fourteen elders from the Canadian prairies and Ontario to illustrate how different life stages were experienced by Metis, Cree, and Anishinaabe girls and women during the mid-twentieth century. These elders relate stories about their own lives, the experiences of girls and women of their childhood communities, and customs related to pregnancy, birth, post-natal care, infant and child care, puberty rites, gender and age-specific work roles, the distinct roles of post-menopausal women, and women’s roles in managing death. Through these teachings, we learn how evolving responsibilities from infancy to adulthood shaped women’s identities and place within Indigenous society, and were integral to the health and well-being of their communities. By understanding how healthy communities were created in the past, Anderson explains how this traditional knowledge can be applied toward rebuilding healthy Indigenous communities today.
In 2005, award-winning writer Richard Wagamese moved with his partner to a cabin outside Kamloops, B.C. In the crisp mountain air Wagamese felt a peace he'd seldom known before. Abused and abandoned as a kid, he'd grown up feeling there was nowhere he belonged. For years, only alcohol and moves from town to town seemed to ease the pain. In One Native Life, Wagamese looks back down the road he has travelled in reclaiming his identity and talks about the things he has learned as a human being, a man and an Ojibway in his fifty-two years. Whether he's writing about playing baseball, running away with the circus, attending a sacred bundle ceremony or meeting Pierre Trudeau, he tells these stories in a healing spirit. Through them, Wagamese celebrates the learning journey his life has been. Free of rhetoric and anger despite the horrors he has faced, Wagamese's prose resonates with a peace that has come from acceptance. Acceptance is an Aboriginal principle, and he has come to see that we are all neighbours here. One Native Life is his tribute to the people, the places and the events that have allowed him to stand in the sunshine and celebrate being alive.
Indigenous Peoples around the world and our allies often reflect on the many challenges that continue to confront us, the reasons behind health, economic, and social disparities, and the best ways forward to a healthy future. This book draws on theoretical, conceptual, and evidence-based scholarship as well as interviews with scholars immersed in Indigenous wellbeing, to examine contemporary issues for Native Americans. It includes reflections on resilience as well as disparities. In recent decades, there has been increasing attention on how trauma, both historical and contemporary, shapes the lives of Native Americans. Indigenous scholars urge recognition of historical trauma as a framework for understanding contemporary health and social disparities. Accordingly, this book uses a trauma-informed lens to examine Native American issues with the understanding that even when not specifically seeking to address trauma directly, it is useful to understand that trauma is a common experience that can shape many aspects of life. Scholarship on trauma and trauma-informed care is integrated with scholarship on historical trauma, providing a framework for examining contemporary issues for Native American populations. It should be considered essential reading for all human service professionals working with Native American clients, as well as a core text for Native American studies and classes on trauma or diversity more generally.
This pioneering collection highlights the historic, groundbreaking, and fascinating work done by doctors, researchers, and healthcare providers to improve the life of Native Hawaiians and Pacific Islanders. The relevance of their work impacts all of us regardless of ethnicity because the discoveries made in the search for solutions to health problems, cures to diseases, and improvements to healthcare benefit all who call Hawaiʻi, as well as the broader Pacific, home. The majority of the thirty-three contributors are affiliated with the Department of Native Hawaiian Health of the John A. Burns School of Medicine at the University of Hawaiʻi at Mānoa and represent many disciplines, strategies, and programs whose research, findings, and projects are built on the contributions of pioneers in medicine and healthcare in Hawaiʻi. As such, this book is dedicated to the late Richard Kekuni Blaisdell and includes an interview with him, bringing to the fore his essential voice on Native Hawaiian health. Mauli means life, heart, spirit, our essential nature. Ola means well-being, healthy. “Hoʻi hou ka mauli ola,” or, bringing back the state of vibrant health, is the chief objective and the passion of the contributors. In addition to interviews, the volume includes historical information, personal narratives, mele oli, research findings, and descriptions of community programs.
Drawing attention to the ways in which creative practices are essential to the health, well-being, and healing of Indigenous peoples, The Arts of Indigenous Health and Well-Being addresses the effects of artistic endeavour on the “good life”, or mino-pimatisiwin in Cree, which can be described as the balanced interconnection of physical, emotional, spiritual, and mental well-being. In this interdisciplinary collection, Indigenous knowledges inform an approach to health as a wider set of relations that are central to well-being, wherein artistic expression furthers cultural continuity and resilience, community connection, and kinship to push back against forces of fracture and disruption imposed by colonialism. The need for healing—not only individuals but health systems and practices—is clear, especially as the trauma of colonialism is continually revealed and perpetuated within health systems. The field of Indigenous health has recently begun to recognize the fundamental connection between creative expression and well-being. This book brings together scholarship by humanities scholars, social scientists, artists, and those holding experiential knowledge from across Turtle Island to add urgently needed perspectives to this conversation. Contributors embrace a diverse range of research methods, including community-engaged scholarship with Indigenous youth, artists, Elders, and language keepers. The Arts of Indigenous Health and Well-Being demonstrates the healing possibilities of Indigenous works of art, literature, film, and music from a diversity of Indigenous peoples and arts traditions. This book will resonate with health practitioners, community members, and any who recognize the power of art as a window, an entryway to access a healthy and good life.
Suicide prevention initiatives are part of much broader systems connected to activities such as the diagnosis of mental illness, the recognition of clinical risk, improving access to care, and coordinating with a broad range of outside agencies and entities around both prevention and public health efforts. Yet suicide is also an intensely personal issue that continues to be surrounded by stigma. On September 11-12, 2018, the National Academies of Sciences, Engineering, and Medicine held a workshop in Washington, DC, to discuss preventing suicide among people with serious mental illness. The workshop was designed to illustrate and discuss what is known, what is currently being done, and what needs to be done to identify and reduce suicide risk. Improving Care to Prevent Suicide Among People with Serious Mental Illness summarizes presentations and discussions of the workshop.