Introduction: The United States has a trust responsibility to provide health care to members of the 574 federally recognized American Indian and Alaska Native (AI/AN) Tribes and Villages through the Indian Health Service, an agency tasked with promoting AI/AN health and cultural connectedness. Despite the presence of a comprehensive health care system in 37 states, physicians and allied health professionals receive minimal health professional education regarding the sociocultural factors affecting AI/AN health. This module addresses the underrepresentation of AI/AN health professional curricula and promotes a greater understanding of AI/AN health determinants and cultural constructions of health for individuals with limited exposure to these topics.
Methods: We developed a 60-minute interactive session aimed at increasing trainees' understanding of AI/AN traditional healing practices across the medical education continuum. The session consisted of a PowerPoint presentation, one video, and multiple small-group discussion exercises. The session was evaluated with pre- and postsurveys and implemented four times at medical school seminars.
Results: There were 37 respondents in total. Analysis of pre/post survey responses to confidence in meeting each learning objective showed a significant increase in confidence for each of the three learning objectives ( < .01). Respondents were very interested in how traditional healing improved health intervention outcomes and showed interest in connecting AI/AN patients to these services.
Discussion: This module's positive reception indicates that it can serve as an important educational tool for learners involved in AI/AN-focused clinical care. Learners were able to explain how traditional healing practices are important in promoting AI/AN health.
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http://dx.doi.org/10.15766/mep_2374-8265.11506 | DOI Listing |
Cancer Causes Control
March 2025
University of Iowa, College of Public Health, Department of Health Management and Policy, Iowa City, IA, USA.
Purpose: State and District Comprehensive Cancer Control (CCC) plans often do not include priorities for all individuals within their state or district borders. In particular, American Indian and Alaska Native (AI/AN) people experience persistent cancer disparities, yet their inclusion in CCC plans has not been examined. Our study systematically reviewed state and district CCC plans for the inclusion of Tribal-specific cancer control strategies and priorities.
View Article and Find Full Text PDFMedEdPORTAL
March 2025
Chief Medical Officer, Southern California American Indian Health Center.
Introduction: The United States has a trust responsibility to provide health care to members of the 574 federally recognized American Indian and Alaska Native (AI/AN) Tribes and Villages through the Indian Health Service, an agency tasked with promoting AI/AN health and cultural connectedness. Despite the presence of a comprehensive health care system in 37 states, physicians and allied health professionals receive minimal health professional education regarding the sociocultural factors affecting AI/AN health. This module addresses the underrepresentation of AI/AN health professional curricula and promotes a greater understanding of AI/AN health determinants and cultural constructions of health for individuals with limited exposure to these topics.
View Article and Find Full Text PDFLancet Reg Health Am
March 2025
Department of Epidemiology & Biostatistics, Joe C. Wen School of Population & Public Health, Susan and Henry Samueli College of Health Sciences, University of California, Irvine, 856 Health Sciences Quad, Irvine, CA 92697-7550, USA.
Background: Dementia is an increasing concern among American Indian and Alaska Native (AI/AN) communities, yet machine learning models utilizing electronic health record (EHR) data have not been developed or validated for this population. This study aimed to develop a two-year dementia risk prediction model for AI/AN individuals actively using Indian Health Service (IHS) and Tribal health services.
Methods: Seven years of data were obtained from the IHS National Data Warehouse and related EHR databases and divided into a five-year baseline period (FY2007-2011) and a two-year dementia prediction period (FY2012-2013).
Health Aff (Millwood)
March 2025
Katy Backes Kozhimannil, University of Minnesota.
American Indian and Alaska Native (AI/AN) birthing people are twice as likely as White birthing people to experience maternal morbidity and mortality. AI/AN people, especially rural residents, face pervasive barriers to perinatal care. Access to health insurance (including Medicaid) and the Indian Health Service (IHS) may mitigate barriers.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!