Domestic violence in American Indian and Alaska Native populations: a new framework for policy change and addressing the structural determinants of health.

There are 574 federally recognized Tribes in the United States. Tribes have experienced increased rates of domestic violence (DV) due to structural determinants like gender violence, loss of control, discrimination, marginalization, oppression, and political violence. American Indian and Alaska Native girls and women experience the highest rates of DV and abuse in the US, yet policy change, funding, and advocacy has been slow to address high DV rates.

Psychological distress among Plains Indian mothers with children referred to screening for Fetal Alcohol Spectrum Disorders.

Background: Psychological distress (PD) includes symptoms of depression and anxiety and is associated with considerable emotional suffering, social dysfunction and, often, with problematic alcohol use. The rate of current PD among American Indian women is approximately 2.5 times higher than that of U.