Publications by authors named "Ramey GrowingThunder"
"We don't separate out these things. Everything is related": Partnerships with Indigenous Communities to Design, Implement, and Evaluate Multilevel Interventions to Reduce Health Disparities.
Prev Sci
July 2024
Article Synopsis
- - Multilevel interventions (MLIs) are effective in reducing health disparities among Indigenous peoples by considering their unique histories, cultures, and community dynamics, promoting a shift towards community-level focus rather than individual-level interventions.
- - The paper reviews three case studies where Indigenous communities collaborated with researchers throughout the MLI process, emphasizing the importance of ongoing conversations, incorporating Indigenous knowledge, and using qualitative methods to better understand health issues.
- - Key to successful MLIs are building respectful relationships, addressing historical research abuses, and fostering mutual collaboration to create equitable and meaningful solutions that benefit both Indigenous and academic communities.
We report on baseline findings from NenUnkUmbi/EdaHiYedo, a community based participatory research randomized controlled trial with American Indian adolescents to reduce sexual and reproductive health disparities. American Indian adolescents aged 13-19 years participated in a baseline survey that was administered in five schools. We used zero-inflated negative binomial regression to evaluate how the count of protected sexual acts was associated with independent variables of interest.
View Article and Find Full Text PDFAmerican 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.
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