NAU publications by CHER
Faculty & staff publications
NAU faculty and staff have the opportunity to publish their findings and knowledge as authors. CHER has many researchers that have been cited multiple times in major publications for their great work. The Center for Health Equity Research has accumulated all faculty publications into one, easy to navigate database.
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Rink, Elizabeth; Firemoon, Paula; Anastario, Michael; Johnson, Olivia; GrowingThunder, Ramey; Ricker, Adriann; Peterson, Malory; Baldwin, Julie Frontiers in Public Health, 10 , 2022. @article{Rink2022, title = {Rationale, Design, and Methods for Nen Unkumbi/Edahiyedo ("We Are Here Now"): A Multi-Level Randomized Controlled Trial to Improve Sexual and Reproductive Health Outcomes in a Northern Plains American Indian Reservation Community}, author = {Elizabeth Rink and Paula Firemoon and Michael Anastario and Olivia Johnson and Ramey GrowingThunder and Adriann Ricker and Malory Peterson and Julie Baldwin}, url = {https://www.frontiersin.org/articles/10.3389/fpubh.2022.823228/full}, doi = {10.3389/fpubh.2022.823228}, year = {2022}, date = {2022-07-13}, journal = {Frontiers in Public Health}, volume = {10}, abstract = {American Indian (AI) youth in the United States experience disproportionate sexual and reproductive health (SRH) disparities relative to their non-Indigenous, white counterparts, including increased rates of sexually transmitted infections (STIs), earlier sexual debut, increased rates of teen birth, and reduced access to SRH services. Past research shows that to improve SRH outcomes for AI youth in reservation communities, interventions must address complex factors and multiple levels of community that influence sexual risk behaviors. Here, we describe development of a multi-level, multi-component randomized controlled trial (RCT) to intervene upon SRH outcomes in a Northern Plains American Indian reservation community. Our intervention is rooted in a community based participatory research framework and is evaluated with a stepped wedge design that integrates 5 reservation high schools into a 5-year, cluster-randomized RCT. Ecological Systems Theory was used to design the intervention that includes (1) an individual level component of culturally specific SRH curriculum in school, (2) a parental component of education to improve parent-child communication about SRH and healthy relationships, (3) a community component of cultural mentorship, and (4) a systems-level component to improve delivery of SRH services from reservation healthcare agencies. In this article we present the rationale and details of our research design, instrumentation, data collection protocol, analytical methods, and community participation in the intervention. Our intervention builds upon existing community strengths and integrates traditional Indigenous knowledge and values with current public health knowledge to reduce SRH disparities.}, keywords = {}, pubstate = {published}, tppubtype = {article} } American Indian (AI) youth in the United States experience disproportionate sexual and reproductive health (SRH) disparities relative to their non-Indigenous, white counterparts, including increased rates of sexually transmitted infections (STIs), earlier sexual debut, increased rates of teen birth, and reduced access to SRH services. Past research shows that to improve SRH outcomes for AI youth in reservation communities, interventions must address complex factors and multiple levels of community that influence sexual risk behaviors. Here, we describe development of a multi-level, multi-component randomized controlled trial (RCT) to intervene upon SRH outcomes in a Northern Plains American Indian reservation community. Our intervention is rooted in a community based participatory research framework and is evaluated with a stepped wedge design that integrates 5 reservation high schools into a 5-year, cluster-randomized RCT. Ecological Systems Theory was used to design the intervention that includes (1) an individual level component of culturally specific SRH curriculum in school, (2) a parental component of education to improve parent-child communication about SRH and healthy relationships, (3) a community component of cultural mentorship, and (4) a systems-level component to improve delivery of SRH services from reservation healthcare agencies. In this article we present the rationale and details of our research design, instrumentation, data collection protocol, analytical methods, and community participation in the intervention. Our intervention builds upon existing community strengths and integrates traditional Indigenous knowledge and values with current public health knowledge to reduce SRH disparities. |
O’Keefe, Victoria M; Fish, Jillian; Maudrie, Tara L; Hunter, Amanda M; Rakena, Hariata Tai G; Ullrich, Jessica Saniġaq; Clifford, Carrie; Crawford, Allison; Brockie, Teresa; Walls, Melissa; Haroz, Emily E; Cwik, Mary; Whitesell, Nancy Rumbaugh; Barlow, Allison Int. J. Environ. Res. Public Health, 19 (10), pp. 6271, 2022. @article{O’Keefe2022, title = {Centering Indigenous Knowledges and Worldviews: Applying the Indigenist Ecological Systems Model to Youth Mental Health and Wellness Research and Programs}, author = {Victoria M. O’Keefe and Jillian Fish and Tara L. Maudrie and Amanda M. Hunter and Hariata G. Tai Rakena and Jessica Saniġaq Ullrich and Carrie Clifford and Allison Crawford and Teresa Brockie and Melissa Walls and Emily E. Haroz and Mary Cwik and Nancy Rumbaugh Whitesell and Allison Barlow}, url = {https://doi.org/10.3390/ijerph19106271}, doi = {10.3390/ijerph19106271}, year = {2022}, date = {2022-05-21}, journal = {Int. J. Environ. Res. Public Health}, volume = {19}, number = {10}, pages = {6271}, abstract = {Globally, Indigenous communities, leaders, mental health providers, and scholars have called for strengths-based approaches to mental health that align with Indigenous and holistic concepts of health and wellness. We applied the Indigenist Ecological Systems Model to strengths-based case examples of Indigenous youth mental health and wellness work occurring in CANZUS (Canada, Australia, New Zealand, and United States). The case examples include research, community-led programs, and national advocacy. Indigenous youth development and well-being occur through strengths-based relationships across interconnected environmental levels. This approach promotes Indigenous youth and communities considering complete ecologies of Indigenous youth to foster their whole health, including mental health. Future research and programming will benefit from understanding and identifying common, strengths-based solutions beyond narrow intervention targets. This approach not only promotes Indigenous youth health and mental health, but ripples out across the entire ecosystem to promote community well-being.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Globally, Indigenous communities, leaders, mental health providers, and scholars have called for strengths-based approaches to mental health that align with Indigenous and holistic concepts of health and wellness. We applied the Indigenist Ecological Systems Model to strengths-based case examples of Indigenous youth mental health and wellness work occurring in CANZUS (Canada, Australia, New Zealand, and United States). The case examples include research, community-led programs, and national advocacy. Indigenous youth development and well-being occur through strengths-based relationships across interconnected environmental levels. This approach promotes Indigenous youth and communities considering complete ecologies of Indigenous youth to foster their whole health, including mental health. Future research and programming will benefit from understanding and identifying common, strengths-based solutions beyond narrow intervention targets. This approach not only promotes Indigenous youth health and mental health, but ripples out across the entire ecosystem to promote community well-being. |
McCarthy, Michael J; Garcia, Evie Y; Remiker, Mark; Hustead, Morgan Lee-Regalado; Bacon, Rachel; Williamson, Heather J; Dunn, Dorothy J; Baldwin, Julie A Aging Mental Health, 1 , pp. 94-100, 2022. @article{McCarthy2022b, title = {Diverse rural caregivers for individuals with Alzheimer's disease or related dementias: analysis of health factors at the individual, interpersonal, and community level}, author = {Michael J. McCarthy and Y. Evie Garcia and Mark Remiker and Morgan Lee-Regalado Hustead and Rachel Bacon and Heather J. Williamson and Dorothy J. Dunn and Julie A. Baldwin}, url = {https://www.tandfonline.com/doi/full/10.1080/13607863.2022.2026880}, doi = {10.1080/13607863.2022.2026880}, year = {2022}, date = {2022-01-31}, journal = {Aging Mental Health}, volume = {1}, pages = {94-100}, abstract = {Approximately 6.2 million Americans aged 65 or older have Alzheimer’s disease or related dementias (ADRD). Unpaid family members and friends provide the bulk of caregiving for these individuals. Caregiving in rural areas adds unique challenges, particularly for ethnically/racially diverse caregivers. This study provides a profile of diverse, rural ADRD caregivers with an emphasis on multi-level factors that influence physical and mental health. A cross-sectional survey was conducted with 156 diverse rural ADRD caregivers. 65% of participants identified as White/Non-Hispanic (WNH; n = 101) and 35% identified as ethnically/racially diverse (ERD; n = 55). The majority of participants reported economic deprivation. More ERD caregivers were uninsured and had at least one chronic health condition. Higher proportions of ERD caregivers smoked cigarettes, consumed alcohol regularly, and had not seen or talked to a doctor in the previous year. There were no ethnic/racial group differences in stress, anxiety, depressive symptoms, subjective health, or sleep quality. Rural caregivers, regardless of ethnicity/race, may benefit from extra support in order to maintain optimal health. Further research is needed to disentangle the complex relationship between culture, caregiving, and health.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Approximately 6.2 million Americans aged 65 or older have Alzheimer’s disease or related dementias (ADRD). Unpaid family members and friends provide the bulk of caregiving for these individuals. Caregiving in rural areas adds unique challenges, particularly for ethnically/racially diverse caregivers. This study provides a profile of diverse, rural ADRD caregivers with an emphasis on multi-level factors that influence physical and mental health. A cross-sectional survey was conducted with 156 diverse rural ADRD caregivers. 65% of participants identified as White/Non-Hispanic (WNH; n = 101) and 35% identified as ethnically/racially diverse (ERD; n = 55). The majority of participants reported economic deprivation. More ERD caregivers were uninsured and had at least one chronic health condition. Higher proportions of ERD caregivers smoked cigarettes, consumed alcohol regularly, and had not seen or talked to a doctor in the previous year. There were no ethnic/racial group differences in stress, anxiety, depressive symptoms, subjective health, or sleep quality. Rural caregivers, regardless of ethnicity/race, may benefit from extra support in order to maintain optimal health. Further research is needed to disentangle the complex relationship between culture, caregiving, and health. |
Pachter, Lee M; Weller, Susan C; Baer, Roberta D; de Garcia, Javier Garcia Alba E; Glazer, Mark; Trotter, Robert; Klein, Robert E; Gonzalez, Eduardo Culture and Dehydration: A Comparative Study of Caída de la Mollera (Fallen Fontanel) in Three Latino Populations Journal Article Journal of Immigrant and Minority Health, 18 (5), pp. 1066-1075, 2016. @article{Pachter2016, title = {Culture and Dehydration: A Comparative Study of Caída de la Mollera (Fallen Fontanel) in Three Latino Populations}, author = {Lee M Pachter and Susan C Weller and Roberta D Baer and Javier Garcia Alba E de Garcia and Mark Glazer and Robert Trotter and Robert E Klein and Eduardo Gonzalez}, url = {https://link.springer.com/article/10.1007/s10903-015-0259-0}, doi = {10.1007/s10903-015-0259-0}, year = {2016}, date = {2016-10-01}, journal = {Journal of Immigrant and Minority Health}, volume = {18}, number = {5}, pages = {1066-1075}, abstract = {A sunken soft-spot or fontanel is a sign for dehydration in infants. Around the world, folk illnesses, such as caída de la mollera in some Latin American cultures, often incorporate this sign as a hallmark of illness, but may or may not incorporate re-hydration therapies in treatment strategies. This report describes a study of lay descriptions of causes, symptoms, and treatments for caída de la mollera in three diverse Latin American populations. A mixed-methods approach was used. Representative community-based samples were interviewed in rural Guatemala, Guadalajara, Mexico, and Edinburgh, Texas, with a 132 item questionnaire on the causes, susceptibility, symptoms, and therapies for caída de la mollera. Cultural consensus analysis was used to estimate community beliefs about caída. Interviews conducted in rural Guatemala (n = 60), urban Mexico (n = 62), and rural Texas on the Mexican border (n = 61) indicated consistency in thematic elements within and among these three diverse communities. The high degree of consistency in the illness explanatory models indicated shared beliefs about caída de la mollera in each of the communities and a core model shared across communities. However, an important aspect of the community beliefs was that rehydration therapies were not widely endorsed. The consistency in explanatory models in such diverse communities, as well as the high degree of recognition and experience with this illness, may facilitate communication between community members, and health care providers/public health intervention planners to increase use of rehydration therapies for caída de la mollera. Recommendations for culturally informed and respectful approaches to clinical communication are provided.}, keywords = {}, pubstate = {published}, tppubtype = {article} } A sunken soft-spot or fontanel is a sign for dehydration in infants. Around the world, folk illnesses, such as caída de la mollera in some Latin American cultures, often incorporate this sign as a hallmark of illness, but may or may not incorporate re-hydration therapies in treatment strategies. This report describes a study of lay descriptions of causes, symptoms, and treatments for caída de la mollera in three diverse Latin American populations. A mixed-methods approach was used. Representative community-based samples were interviewed in rural Guatemala, Guadalajara, Mexico, and Edinburgh, Texas, with a 132 item questionnaire on the causes, susceptibility, symptoms, and therapies for caída de la mollera. Cultural consensus analysis was used to estimate community beliefs about caída. Interviews conducted in rural Guatemala (n = 60), urban Mexico (n = 62), and rural Texas on the Mexican border (n = 61) indicated consistency in thematic elements within and among these three diverse communities. The high degree of consistency in the illness explanatory models indicated shared beliefs about caída de la mollera in each of the communities and a core model shared across communities. However, an important aspect of the community beliefs was that rehydration therapies were not widely endorsed. The consistency in explanatory models in such diverse communities, as well as the high degree of recognition and experience with this illness, may facilitate communication between community members, and health care providers/public health intervention planners to increase use of rehydration therapies for caída de la mollera. Recommendations for culturally informed and respectful approaches to clinical communication are provided. |
Trotter, Robert Applied Medical Anthropology: Praxis, Pragmatics, Politics, and Promises Book Chapter A Companion to Medical Anthropology, Chapter 3, pp. 49-68, Wiley-Blackwell, 2011. @inbook{Trotter2011, title = {Applied Medical Anthropology: Praxis, Pragmatics, Politics, and Promises}, author = {Robert Trotter}, url = {https://nau.pure.elsevier.com/en/publications/applied-medical-anthropology-praxis-pragmatics-politics-and-promi}, doi = {10.1002/9781444395303.ch3}, year = {2011}, date = {2011-07-14}, booktitle = {A Companion to Medical Anthropology}, pages = {49-68}, publisher = {Wiley-Blackwell}, chapter = {3}, abstract = {Applied medical anthropology is a natural extension of basic anthropology theory and methods into a practical exploration of the relationships between culture, society, health, healing, and the definition of distress and disease, with the ultimate goal of deliberately improving health, healing, medicine, and the overall well being of individuals, communities, cultures, and societies. Modern applied medical anthropology has its roots in the earliest exploration of cultural differences in the common everyday experiences that shape peoples’ lives (Rylko-Bauer et al. 2006). While some areas of anthropological research draw heavily on a relatively narrow range of theory and methods, applied medical anthropology tends to draw from all of the primary and secondary areas of anthropological theory. This empirical and eclectic approach often produces crucial new links between different theoretical perspectives and viewpoints within anthropology. It also challenges, supports, expands, and even defeats theoretical paradigms from psychology, economics, political science, public health, epidemiology, and other parts of the biomedical and health research spectrum.}, keywords = {}, pubstate = {published}, tppubtype = {inbook} } Applied medical anthropology is a natural extension of basic anthropology theory and methods into a practical exploration of the relationships between culture, society, health, healing, and the definition of distress and disease, with the ultimate goal of deliberately improving health, healing, medicine, and the overall well being of individuals, communities, cultures, and societies. Modern applied medical anthropology has its roots in the earliest exploration of cultural differences in the common everyday experiences that shape peoples’ lives (Rylko-Bauer et al. 2006). While some areas of anthropological research draw heavily on a relatively narrow range of theory and methods, applied medical anthropology tends to draw from all of the primary and secondary areas of anthropological theory. This empirical and eclectic approach often produces crucial new links between different theoretical perspectives and viewpoints within anthropology. It also challenges, supports, expands, and even defeats theoretical paradigms from psychology, economics, political science, public health, epidemiology, and other parts of the biomedical and health research spectrum. |
Johnson, Jeannette L; Baldwin, Julie A; Haring, Rodney C; Wiechelt, Shelly A; Roth, Susan; Gryczynski, Jan; Lozano, Henry Essential information for disaster management and trauma specialists working with American Indians Book Chapter Marsella, A; Johnson, J; Watson, P; Gryczynski, J (Ed.): Ethnocultural Perspectives on Disaster and Trauma: Foundations, Issues, and Applications, Chapter 4, pp. 73-113, 2008, ISBN: 978-0-387-73285-5. @inbook{Johnson2008, title = {Essential information for disaster management and trauma specialists working with American Indians}, author = {Jeannette L Johnson and Julie A Baldwin and Rodney C Haring and Shelly A Wiechelt and Susan Roth and Jan Gryczynski and Henry Lozano}, editor = {A Marsella and J Johnson and P Watson and J Gryczynski}, url = {http://www.springer.com/us/book/9780387732848}, isbn = {978-0-387-73285-5}, year = {2008}, date = {2008-01-01}, booktitle = {Ethnocultural Perspectives on Disaster and Trauma: Foundations, Issues, and Applications}, pages = {73-113}, chapter = {4}, abstract = {In this pioneering volume, experts on individual and collective trauma experience, posttraumatic stress and related syndromes, and emergency and crisis intervention – share knowledge and insights on the cultural context of working with ethnic and racial minority communities during disasters. In each chapter, emotional, psychological, and social needs as well as communal strengths and coping skills that arise in disasters are documented for major minority groups in the United States including specific chapters on African Americans, Native Americans, Arab Americans, Asian Indians, Chinese Americans, Caribbean Americans, Latin Americans, Native Hawaiians, and Vietnamese Americans. Each chapter features information on: Demographics, major historical events, and core values of each population Important cultural insights, including communication styles, culture-specific disorders, and valid assessment instruments Therapeutic and healing traditions versus conventional medicine and therapy Perspectives specific to the population’s experience with disaster and trauma Authors’ recommendations for improving services to the population Practical appendices for readers new to the field This unique volume is a cultural competency compendium that will increase to the effectiveness of all who respond to disasters. It will also be of interest and value to scholars, policy makers, and health professionals working in the areas of disaster management, crisis intervention, and trauma. Ethnocultural Perspectives on Disaster and Trauma points readers to what the editors call the path "beyond simple assistance to healing and the restoration of hope and meaning."}, keywords = {}, pubstate = {published}, tppubtype = {inbook} } In this pioneering volume, experts on individual and collective trauma experience, posttraumatic stress and related syndromes, and emergency and crisis intervention – share knowledge and insights on the cultural context of working with ethnic and racial minority communities during disasters. In each chapter, emotional, psychological, and social needs as well as communal strengths and coping skills that arise in disasters are documented for major minority groups in the United States including specific chapters on African Americans, Native Americans, Arab Americans, Asian Indians, Chinese Americans, Caribbean Americans, Latin Americans, Native Hawaiians, and Vietnamese Americans. Each chapter features information on: Demographics, major historical events, and core values of each population Important cultural insights, including communication styles, culture-specific disorders, and valid assessment instruments Therapeutic and healing traditions versus conventional medicine and therapy Perspectives specific to the population’s experience with disaster and trauma Authors’ recommendations for improving services to the population Practical appendices for readers new to the field This unique volume is a cultural competency compendium that will increase to the effectiveness of all who respond to disasters. It will also be of interest and value to scholars, policy makers, and health professionals working in the areas of disaster management, crisis intervention, and trauma. Ethnocultural Perspectives on Disaster and Trauma points readers to what the editors call the path "beyond simple assistance to healing and the restoration of hope and meaning." |
2022 |
Rink, Elizabeth; Firemoon, Paula; Anastario, Michael; Johnson, Olivia; GrowingThunder, Ramey; Ricker, Adriann; Peterson, Malory; Baldwin, Julie Frontiers in Public Health, 10 , 2022. @article{Rink2022, title = {Rationale, Design, and Methods for Nen Unkumbi/Edahiyedo ("We Are Here Now"): A Multi-Level Randomized Controlled Trial to Improve Sexual and Reproductive Health Outcomes in a Northern Plains American Indian Reservation Community}, author = {Elizabeth Rink and Paula Firemoon and Michael Anastario and Olivia Johnson and Ramey GrowingThunder and Adriann Ricker and Malory Peterson and Julie Baldwin}, url = {https://www.frontiersin.org/articles/10.3389/fpubh.2022.823228/full}, doi = {10.3389/fpubh.2022.823228}, year = {2022}, date = {2022-07-13}, journal = {Frontiers in Public Health}, volume = {10}, abstract = {American Indian (AI) youth in the United States experience disproportionate sexual and reproductive health (SRH) disparities relative to their non-Indigenous, white counterparts, including increased rates of sexually transmitted infections (STIs), earlier sexual debut, increased rates of teen birth, and reduced access to SRH services. Past research shows that to improve SRH outcomes for AI youth in reservation communities, interventions must address complex factors and multiple levels of community that influence sexual risk behaviors. Here, we describe development of a multi-level, multi-component randomized controlled trial (RCT) to intervene upon SRH outcomes in a Northern Plains American Indian reservation community. Our intervention is rooted in a community based participatory research framework and is evaluated with a stepped wedge design that integrates 5 reservation high schools into a 5-year, cluster-randomized RCT. Ecological Systems Theory was used to design the intervention that includes (1) an individual level component of culturally specific SRH curriculum in school, (2) a parental component of education to improve parent-child communication about SRH and healthy relationships, (3) a community component of cultural mentorship, and (4) a systems-level component to improve delivery of SRH services from reservation healthcare agencies. In this article we present the rationale and details of our research design, instrumentation, data collection protocol, analytical methods, and community participation in the intervention. Our intervention builds upon existing community strengths and integrates traditional Indigenous knowledge and values with current public health knowledge to reduce SRH disparities.}, keywords = {}, pubstate = {published}, tppubtype = {article} } American Indian (AI) youth in the United States experience disproportionate sexual and reproductive health (SRH) disparities relative to their non-Indigenous, white counterparts, including increased rates of sexually transmitted infections (STIs), earlier sexual debut, increased rates of teen birth, and reduced access to SRH services. Past research shows that to improve SRH outcomes for AI youth in reservation communities, interventions must address complex factors and multiple levels of community that influence sexual risk behaviors. Here, we describe development of a multi-level, multi-component randomized controlled trial (RCT) to intervene upon SRH outcomes in a Northern Plains American Indian reservation community. Our intervention is rooted in a community based participatory research framework and is evaluated with a stepped wedge design that integrates 5 reservation high schools into a 5-year, cluster-randomized RCT. Ecological Systems Theory was used to design the intervention that includes (1) an individual level component of culturally specific SRH curriculum in school, (2) a parental component of education to improve parent-child communication about SRH and healthy relationships, (3) a community component of cultural mentorship, and (4) a systems-level component to improve delivery of SRH services from reservation healthcare agencies. In this article we present the rationale and details of our research design, instrumentation, data collection protocol, analytical methods, and community participation in the intervention. Our intervention builds upon existing community strengths and integrates traditional Indigenous knowledge and values with current public health knowledge to reduce SRH disparities. |
O’Keefe, Victoria M; Fish, Jillian; Maudrie, Tara L; Hunter, Amanda M; Rakena, Hariata Tai G; Ullrich, Jessica Saniġaq; Clifford, Carrie; Crawford, Allison; Brockie, Teresa; Walls, Melissa; Haroz, Emily E; Cwik, Mary; Whitesell, Nancy Rumbaugh; Barlow, Allison Int. J. Environ. Res. Public Health, 19 (10), pp. 6271, 2022. @article{O’Keefe2022, title = {Centering Indigenous Knowledges and Worldviews: Applying the Indigenist Ecological Systems Model to Youth Mental Health and Wellness Research and Programs}, author = {Victoria M. O’Keefe and Jillian Fish and Tara L. Maudrie and Amanda M. Hunter and Hariata G. Tai Rakena and Jessica Saniġaq Ullrich and Carrie Clifford and Allison Crawford and Teresa Brockie and Melissa Walls and Emily E. Haroz and Mary Cwik and Nancy Rumbaugh Whitesell and Allison Barlow}, url = {https://doi.org/10.3390/ijerph19106271}, doi = {10.3390/ijerph19106271}, year = {2022}, date = {2022-05-21}, journal = {Int. J. Environ. Res. Public Health}, volume = {19}, number = {10}, pages = {6271}, abstract = {Globally, Indigenous communities, leaders, mental health providers, and scholars have called for strengths-based approaches to mental health that align with Indigenous and holistic concepts of health and wellness. We applied the Indigenist Ecological Systems Model to strengths-based case examples of Indigenous youth mental health and wellness work occurring in CANZUS (Canada, Australia, New Zealand, and United States). The case examples include research, community-led programs, and national advocacy. Indigenous youth development and well-being occur through strengths-based relationships across interconnected environmental levels. This approach promotes Indigenous youth and communities considering complete ecologies of Indigenous youth to foster their whole health, including mental health. Future research and programming will benefit from understanding and identifying common, strengths-based solutions beyond narrow intervention targets. This approach not only promotes Indigenous youth health and mental health, but ripples out across the entire ecosystem to promote community well-being.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Globally, Indigenous communities, leaders, mental health providers, and scholars have called for strengths-based approaches to mental health that align with Indigenous and holistic concepts of health and wellness. We applied the Indigenist Ecological Systems Model to strengths-based case examples of Indigenous youth mental health and wellness work occurring in CANZUS (Canada, Australia, New Zealand, and United States). The case examples include research, community-led programs, and national advocacy. Indigenous youth development and well-being occur through strengths-based relationships across interconnected environmental levels. This approach promotes Indigenous youth and communities considering complete ecologies of Indigenous youth to foster their whole health, including mental health. Future research and programming will benefit from understanding and identifying common, strengths-based solutions beyond narrow intervention targets. This approach not only promotes Indigenous youth health and mental health, but ripples out across the entire ecosystem to promote community well-being. |
McCarthy, Michael J; Garcia, Evie Y; Remiker, Mark; Hustead, Morgan Lee-Regalado; Bacon, Rachel; Williamson, Heather J; Dunn, Dorothy J; Baldwin, Julie A Aging Mental Health, 1 , pp. 94-100, 2022. @article{McCarthy2022b, title = {Diverse rural caregivers for individuals with Alzheimer's disease or related dementias: analysis of health factors at the individual, interpersonal, and community level}, author = {Michael J. McCarthy and Y. Evie Garcia and Mark Remiker and Morgan Lee-Regalado Hustead and Rachel Bacon and Heather J. Williamson and Dorothy J. Dunn and Julie A. Baldwin}, url = {https://www.tandfonline.com/doi/full/10.1080/13607863.2022.2026880}, doi = {10.1080/13607863.2022.2026880}, year = {2022}, date = {2022-01-31}, journal = {Aging Mental Health}, volume = {1}, pages = {94-100}, abstract = {Approximately 6.2 million Americans aged 65 or older have Alzheimer’s disease or related dementias (ADRD). Unpaid family members and friends provide the bulk of caregiving for these individuals. Caregiving in rural areas adds unique challenges, particularly for ethnically/racially diverse caregivers. This study provides a profile of diverse, rural ADRD caregivers with an emphasis on multi-level factors that influence physical and mental health. A cross-sectional survey was conducted with 156 diverse rural ADRD caregivers. 65% of participants identified as White/Non-Hispanic (WNH; n = 101) and 35% identified as ethnically/racially diverse (ERD; n = 55). The majority of participants reported economic deprivation. More ERD caregivers were uninsured and had at least one chronic health condition. Higher proportions of ERD caregivers smoked cigarettes, consumed alcohol regularly, and had not seen or talked to a doctor in the previous year. There were no ethnic/racial group differences in stress, anxiety, depressive symptoms, subjective health, or sleep quality. Rural caregivers, regardless of ethnicity/race, may benefit from extra support in order to maintain optimal health. Further research is needed to disentangle the complex relationship between culture, caregiving, and health.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Approximately 6.2 million Americans aged 65 or older have Alzheimer’s disease or related dementias (ADRD). Unpaid family members and friends provide the bulk of caregiving for these individuals. Caregiving in rural areas adds unique challenges, particularly for ethnically/racially diverse caregivers. This study provides a profile of diverse, rural ADRD caregivers with an emphasis on multi-level factors that influence physical and mental health. A cross-sectional survey was conducted with 156 diverse rural ADRD caregivers. 65% of participants identified as White/Non-Hispanic (WNH; n = 101) and 35% identified as ethnically/racially diverse (ERD; n = 55). The majority of participants reported economic deprivation. More ERD caregivers were uninsured and had at least one chronic health condition. Higher proportions of ERD caregivers smoked cigarettes, consumed alcohol regularly, and had not seen or talked to a doctor in the previous year. There were no ethnic/racial group differences in stress, anxiety, depressive symptoms, subjective health, or sleep quality. Rural caregivers, regardless of ethnicity/race, may benefit from extra support in order to maintain optimal health. Further research is needed to disentangle the complex relationship between culture, caregiving, and health. |
2016 |
Pachter, Lee M; Weller, Susan C; Baer, Roberta D; de Garcia, Javier Garcia Alba E; Glazer, Mark; Trotter, Robert; Klein, Robert E; Gonzalez, Eduardo Culture and Dehydration: A Comparative Study of Caída de la Mollera (Fallen Fontanel) in Three Latino Populations Journal Article Journal of Immigrant and Minority Health, 18 (5), pp. 1066-1075, 2016. @article{Pachter2016, title = {Culture and Dehydration: A Comparative Study of Caída de la Mollera (Fallen Fontanel) in Three Latino Populations}, author = {Lee M Pachter and Susan C Weller and Roberta D Baer and Javier Garcia Alba E de Garcia and Mark Glazer and Robert Trotter and Robert E Klein and Eduardo Gonzalez}, url = {https://link.springer.com/article/10.1007/s10903-015-0259-0}, doi = {10.1007/s10903-015-0259-0}, year = {2016}, date = {2016-10-01}, journal = {Journal of Immigrant and Minority Health}, volume = {18}, number = {5}, pages = {1066-1075}, abstract = {A sunken soft-spot or fontanel is a sign for dehydration in infants. Around the world, folk illnesses, such as caída de la mollera in some Latin American cultures, often incorporate this sign as a hallmark of illness, but may or may not incorporate re-hydration therapies in treatment strategies. This report describes a study of lay descriptions of causes, symptoms, and treatments for caída de la mollera in three diverse Latin American populations. A mixed-methods approach was used. Representative community-based samples were interviewed in rural Guatemala, Guadalajara, Mexico, and Edinburgh, Texas, with a 132 item questionnaire on the causes, susceptibility, symptoms, and therapies for caída de la mollera. Cultural consensus analysis was used to estimate community beliefs about caída. Interviews conducted in rural Guatemala (n = 60), urban Mexico (n = 62), and rural Texas on the Mexican border (n = 61) indicated consistency in thematic elements within and among these three diverse communities. The high degree of consistency in the illness explanatory models indicated shared beliefs about caída de la mollera in each of the communities and a core model shared across communities. However, an important aspect of the community beliefs was that rehydration therapies were not widely endorsed. The consistency in explanatory models in such diverse communities, as well as the high degree of recognition and experience with this illness, may facilitate communication between community members, and health care providers/public health intervention planners to increase use of rehydration therapies for caída de la mollera. Recommendations for culturally informed and respectful approaches to clinical communication are provided.}, keywords = {}, pubstate = {published}, tppubtype = {article} } A sunken soft-spot or fontanel is a sign for dehydration in infants. Around the world, folk illnesses, such as caída de la mollera in some Latin American cultures, often incorporate this sign as a hallmark of illness, but may or may not incorporate re-hydration therapies in treatment strategies. This report describes a study of lay descriptions of causes, symptoms, and treatments for caída de la mollera in three diverse Latin American populations. A mixed-methods approach was used. Representative community-based samples were interviewed in rural Guatemala, Guadalajara, Mexico, and Edinburgh, Texas, with a 132 item questionnaire on the causes, susceptibility, symptoms, and therapies for caída de la mollera. Cultural consensus analysis was used to estimate community beliefs about caída. Interviews conducted in rural Guatemala (n = 60), urban Mexico (n = 62), and rural Texas on the Mexican border (n = 61) indicated consistency in thematic elements within and among these three diverse communities. The high degree of consistency in the illness explanatory models indicated shared beliefs about caída de la mollera in each of the communities and a core model shared across communities. However, an important aspect of the community beliefs was that rehydration therapies were not widely endorsed. The consistency in explanatory models in such diverse communities, as well as the high degree of recognition and experience with this illness, may facilitate communication between community members, and health care providers/public health intervention planners to increase use of rehydration therapies for caída de la mollera. Recommendations for culturally informed and respectful approaches to clinical communication are provided. |
2011 |
Trotter, Robert Applied Medical Anthropology: Praxis, Pragmatics, Politics, and Promises Book Chapter A Companion to Medical Anthropology, Chapter 3, pp. 49-68, Wiley-Blackwell, 2011. @inbook{Trotter2011, title = {Applied Medical Anthropology: Praxis, Pragmatics, Politics, and Promises}, author = {Robert Trotter}, url = {https://nau.pure.elsevier.com/en/publications/applied-medical-anthropology-praxis-pragmatics-politics-and-promi}, doi = {10.1002/9781444395303.ch3}, year = {2011}, date = {2011-07-14}, booktitle = {A Companion to Medical Anthropology}, pages = {49-68}, publisher = {Wiley-Blackwell}, chapter = {3}, abstract = {Applied medical anthropology is a natural extension of basic anthropology theory and methods into a practical exploration of the relationships between culture, society, health, healing, and the definition of distress and disease, with the ultimate goal of deliberately improving health, healing, medicine, and the overall well being of individuals, communities, cultures, and societies. Modern applied medical anthropology has its roots in the earliest exploration of cultural differences in the common everyday experiences that shape peoples’ lives (Rylko-Bauer et al. 2006). While some areas of anthropological research draw heavily on a relatively narrow range of theory and methods, applied medical anthropology tends to draw from all of the primary and secondary areas of anthropological theory. This empirical and eclectic approach often produces crucial new links between different theoretical perspectives and viewpoints within anthropology. It also challenges, supports, expands, and even defeats theoretical paradigms from psychology, economics, political science, public health, epidemiology, and other parts of the biomedical and health research spectrum.}, keywords = {}, pubstate = {published}, tppubtype = {inbook} } Applied medical anthropology is a natural extension of basic anthropology theory and methods into a practical exploration of the relationships between culture, society, health, healing, and the definition of distress and disease, with the ultimate goal of deliberately improving health, healing, medicine, and the overall well being of individuals, communities, cultures, and societies. Modern applied medical anthropology has its roots in the earliest exploration of cultural differences in the common everyday experiences that shape peoples’ lives (Rylko-Bauer et al. 2006). While some areas of anthropological research draw heavily on a relatively narrow range of theory and methods, applied medical anthropology tends to draw from all of the primary and secondary areas of anthropological theory. This empirical and eclectic approach often produces crucial new links between different theoretical perspectives and viewpoints within anthropology. It also challenges, supports, expands, and even defeats theoretical paradigms from psychology, economics, political science, public health, epidemiology, and other parts of the biomedical and health research spectrum. |
2008 |
Johnson, Jeannette L; Baldwin, Julie A; Haring, Rodney C; Wiechelt, Shelly A; Roth, Susan; Gryczynski, Jan; Lozano, Henry Essential information for disaster management and trauma specialists working with American Indians Book Chapter Marsella, A; Johnson, J; Watson, P; Gryczynski, J (Ed.): Ethnocultural Perspectives on Disaster and Trauma: Foundations, Issues, and Applications, Chapter 4, pp. 73-113, 2008, ISBN: 978-0-387-73285-5. @inbook{Johnson2008, title = {Essential information for disaster management and trauma specialists working with American Indians}, author = {Jeannette L Johnson and Julie A Baldwin and Rodney C Haring and Shelly A Wiechelt and Susan Roth and Jan Gryczynski and Henry Lozano}, editor = {A Marsella and J Johnson and P Watson and J Gryczynski}, url = {http://www.springer.com/us/book/9780387732848}, isbn = {978-0-387-73285-5}, year = {2008}, date = {2008-01-01}, booktitle = {Ethnocultural Perspectives on Disaster and Trauma: Foundations, Issues, and Applications}, pages = {73-113}, chapter = {4}, abstract = {In this pioneering volume, experts on individual and collective trauma experience, posttraumatic stress and related syndromes, and emergency and crisis intervention – share knowledge and insights on the cultural context of working with ethnic and racial minority communities during disasters. In each chapter, emotional, psychological, and social needs as well as communal strengths and coping skills that arise in disasters are documented for major minority groups in the United States including specific chapters on African Americans, Native Americans, Arab Americans, Asian Indians, Chinese Americans, Caribbean Americans, Latin Americans, Native Hawaiians, and Vietnamese Americans. Each chapter features information on: Demographics, major historical events, and core values of each population Important cultural insights, including communication styles, culture-specific disorders, and valid assessment instruments Therapeutic and healing traditions versus conventional medicine and therapy Perspectives specific to the population’s experience with disaster and trauma Authors’ recommendations for improving services to the population Practical appendices for readers new to the field This unique volume is a cultural competency compendium that will increase to the effectiveness of all who respond to disasters. It will also be of interest and value to scholars, policy makers, and health professionals working in the areas of disaster management, crisis intervention, and trauma. Ethnocultural Perspectives on Disaster and Trauma points readers to what the editors call the path "beyond simple assistance to healing and the restoration of hope and meaning."}, keywords = {}, pubstate = {published}, tppubtype = {inbook} } In this pioneering volume, experts on individual and collective trauma experience, posttraumatic stress and related syndromes, and emergency and crisis intervention – share knowledge and insights on the cultural context of working with ethnic and racial minority communities during disasters. In each chapter, emotional, psychological, and social needs as well as communal strengths and coping skills that arise in disasters are documented for major minority groups in the United States including specific chapters on African Americans, Native Americans, Arab Americans, Asian Indians, Chinese Americans, Caribbean Americans, Latin Americans, Native Hawaiians, and Vietnamese Americans. Each chapter features information on: Demographics, major historical events, and core values of each population Important cultural insights, including communication styles, culture-specific disorders, and valid assessment instruments Therapeutic and healing traditions versus conventional medicine and therapy Perspectives specific to the population’s experience with disaster and trauma Authors’ recommendations for improving services to the population Practical appendices for readers new to the field This unique volume is a cultural competency compendium that will increase to the effectiveness of all who respond to disasters. It will also be of interest and value to scholars, policy makers, and health professionals working in the areas of disaster management, crisis intervention, and trauma. Ethnocultural Perspectives on Disaster and Trauma points readers to what the editors call the path "beyond simple assistance to healing and the restoration of hope and meaning." |