...American Indian and Native Alaskan Health Status According to the Center for Disease Control, or CDC, there are currently 566 government recognized tribes of American Indian and Native Alaskan origin in the United States (2015). This group of tribes roughly equates to 5.2 million individuals who make up this minority group. There are many stereotypes that come along with Native American heritage, such as alcoholism, poverty, and illness. Sadly, these stereotypes are true and this minority has several major health disparities which affect them as a whole, including those previously mentioned. Current Health Status and Health Disparities Of the 5.2 million American Indian and Native Alaskan population, a measured 26.9% lack health insurance (CDC, 2015). The unemployment rate does not help the poor health status of this group, being the second highest of all minority groups at 15.8%. A major health concern for Native Americans is diabetes. Compared to non-Hispanic whites, American Indians and Alaskan Natives are 2.2 times higher to develop diabetes. Ninety-five percent of American Indians and Alaskan Natives effected by diabetes have type 2 diabetes (American Diabetes Association, 2015). According to US News, only 51 percent of Native American high school students graduate (2013). The educational status of this minority group already puts them at a disadvantage for receiving proper health promotion and maintaining self-preservation. Higher dropout rates can be...
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...Health Promotion Among Diverse Populations Shahla Tehrani Grand Canyon University Family-Centered Health Promotion NRS-429V Dana McKay May 1, 2015 Health Promotion Among Diverse Populations With the advancement of medical technology and increasing self awareness of both mental and physical well being, the health of most Americans has increasingly improved. However, the same cannot be said of the health of American Indians and Alaskan Natives. Health improvements for American Indians and Alaska Natives have not improved, with health disparities still existing in areas such as: infant mortality, chronic diseases such as cardiovascular disease, diabetes, asthma, obesity, cirrhosis and liver disease, arthritis, smoking, and cancer (Indian Health, n.d.). According to the 2000 Census, there are 4.1 million Native Americans/Alaskan Indians in the United States (U.S Census Bureau, 2000). Historically, Native Americans have lived in extreme poverty. The U.S. Census reported in both 1990 and 2000 that poverty still prevails in Native American populations throughout the nation, accounting for 25% of the nation (Selected Population, 2012). There are known health disparities between the Native American population and the rest of the U.S. Some of these disparities exist due to geographic isolation, cultural barriers and economic factors. Health care experts, policymakers and tribal leaders are trying to account for the many factors that impact the health of Indian people...
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...Health Promotion Among Diverse Populations Marcia Maris Grand Canyon University NRS-429v November 14, 2015 The purpose of this paper is to discuss the health status of the American Indian/ Alaskan Native (AI/AN). A comparison and contrast of AI/ANs with the national average regarding the health status such as heart disease and strokes will be presented. Multifactorial barriers limiting health, and the overall factors affecting health within this population are identified. Current health status will be presented including health promotion and disparities among this US population. Primary, secondary, and tertiary health promotions will be discussed along with one approach to promoting health offered. According to the office of Management and Budget’s “American Indian or Alaskan Native” refers to one who has origins in any of the original peoples of North and South America, including Central America, and maintains ties and connections to a tribe or tribal community (United States Census Bureau, 2010). Results of the 2010 census revealed there were 5.2 million people or 1.7 percent of the population who were Native American/ Alaskan Native. Chronic diseases and risk factors among AI/AN groups remain high. When compared to white populations AI/ANs are more likely to have diabetes and high blood pressure, be obese, and smoke cigarettes ( Centers for Diseas Control, 2015). The death rates from heart disease is 20 percent greater and from strokes are 14...
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...Native American Teen Health " Nearly one in Native American adolescents has attempted suicide, a rate four times that of other teenagers, according to a study that found alarming health problems on reservations." Suicide has a big affect on Native American teens. Providing more awareness about teen health in the Native American culture, would result in a fewer teen suicide." Native American teenagers/ Youth are planning on taking their life's or they have already took their life's for many reasons. Out of all the races Native American/ Alaskan Natives have the highest risk for teen suicide. In the article " Teen Suicide Statistics" has noted that "77.9% of all suicide are male and females has attempted suicide 3 times as often as males, fire arms are used in 51% of males suicides, also 38% of females suicides are use drugs ( poising) as the method of suicide." Statistics like these have shown many times they have tried to commit suicide. Suicide very's from Native communities to other Native communities around Native country. So many Native people are overwhelmed to be going to funerals...
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...Disease in Native Americans Smoking Disease in Native Americans Smoking cigarettes is a very dangerous habit and according to the American Psychological Association (APA) is highly addictive. Because smoking is such an addictive habit most people consider it a disease on its own. Although this is a universal known fact, people still choose to smoke. “Nicotine is the ingredient in cigarettes that causes addiction. Smokers not only become physically addicted to nicotine; they also link smoking with many social activities, making smoking an, extremely difficult addiction to break” (The American Lung Association, 2011). Smoking is also related to many health problems especially respiratory diseases such as lung cancer and chronic obstructive pulmonary disease (COPD). They also relate smoking with relaxation and as a stress reliever, but there is nothing positive about this nasty habit. Even though some say smoking helps them to relax, they need to stop smoking for their health because smoking is the cause of many health problems. According to the Center for Disease Control (CDC), “the percentage of American adults who smoke decreased from 20.9 percent in 2005 to 19.3 percent in 2010. That translates to three million fewer smokers than there would have been with no decline. But almost one in five adults still smoke” (Centers for Disease Control and Prevention, 2011. P. 1). Based on a national health survey conducted in 2010 of the three million of American adults...
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...Health Promotion Among Diverse Populations Healthcare is an ever changing entity with an ever changing population of clients. In current day 2016, the United Sates has become a melting pot of many different cultural backgrounds, which has led to changes within the system to accommodate the patient base. Unfortunately, not all changes have been able to effectively reach any and all persons from every background. We still see language and cultural barriers that have direct correlation to the inability to seek healthcare and or the ability to change cultural perspectives to ensure healthy lifestyles. Within this paper, the health of American Indian and Alaskan Native populations will be discussed along with the barriers to care and the health disparities within this culture. According to the Centers for Disease Control and Prevention (CDC) the number of American Indian or Alaskan Native (AI/AN) residents residing within the US was 4.5 million in 2013 and among that population 14.3% were considered in fair or poor health (CDC, 2016. p.1). Taking into consideration cultural and geographic location, one may think that number would be higher. There is a predominant amount of people within the selected group that live off the grid, which makes means for proper healthcare almost none existent. Traditional health remedies within this group also makes seeking out modern medicine a non-likely occurrence. Because of these barriers, the current health status of the described group is...
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...The Alaskan Native and Health Promotion The Alaskan Native and Health Promotion In the United States in 2013 there were 11.2 million American Indians and Alaska Natives nation wide representing approx. 2% of the population. The state with the highest population percentage of natives was Alaska, with 134,361 accounting for 14.3% of the population (United States Census Bureau. 2013). It is this group that is going to be focused on now in this paper because of the unique issues and barriers that are found in attempting health promotion within this minority. Many different problems arise when attempting change in the region ranging from education levels, large cultural differences, geological isolation, and substance abuse. There is a strong and deep-seated lack of trust towards anyone who is not from the area because of past mistakes and abuses. In 1950 46% of all Alaskan native deaths were because of tuberculosis and other infectious diseases which were brought in by outsiders (Alaska Native Health Status Report. 2009). The medical profession to this day is still regarded as a possible threat instead of an asset especially by the older population. What level of health promotion prevention will work best to facilitate the changes needed in Alaskan Native health? The current health status of Alaska natives is well below the national average in a multitude of ways. It has improved markedly in the past couple of decades but still needs considerable attention. The Alaskan Native...
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...Eubanks Cultural Diversity in Health and Illness Mansour Rostami, Instructor November 13, 2010 Minority Population | Health disparities | Native American Indian Native Alaskan | Health disparities are believed to be the result of the complex interaction among genetic variations, environmental factors, and specific health behaviors. Compared with other Americans, Indians experience disproportionately high mortality from alcoholism, tuberculosis, diabetes, injuries, suicide, and homicide. Tribal leaders report that diabetes, unintentional injuries, alcoholism, and substance abuse are rising to crisis proportions in American Indian and Alaska Native communities | Asian | Lack of access to regular care. Asians are least likely to report having a personal doctor compared to other racial and ethnic groups in the US. 19.4 % of Asian adults compared to 12.9% of whites report being without a usual source of health care. Cambodians and Vietnamese are three times more likely to forgo visiting a doctordue to cost compared to all Asians or US residents.• Less satisfaction with care. Compared to other racial and ethnic groups, Asians are least likely to be satisfied with the speed of their care, doctor-patient communication, and office staff.• Fewer preventive services. Asians are less likely to have blood pressure monitoring and pap smears. In fact,cervical cancer screening rates are significantly lower among Asian women in California compared...
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...Health Disparities in the African American Cultures Grand Canyon University February 14, 2016 Health Disparities in the African American Culture Health care disparities affect every group of ethnic minorities. These groups include African Americans, Hispanics/Latinos, Asian Americans, Pacific Islanders, Native Hawaiian, American Indian/Alaskan Natives or multiracial people. Racial and ethnic disparities are one of the many factors that produce inequalities in the health status of an individual in the United States. Whether it is caused by the quality of care, assess to care or insurance coverage. All cause problems for these cultures. In the 2000 census, 36.4 million persons, approximately 12.9% of the U.S. population, identified themselves as Black or African American; 35.4 million of these persons identified themselves as non-Hispanic (cdc, 2012). In 2007, the U.S. Census Bureau estimated that the United States had almost 38.8 million Black or African American (12.9% of the U.S. population); more than 45.5 million Hispanics or Latinos (15.1%); almost 13.4 million Asians (4.4%); more than 0.5 million Native Hawaiians or Other Pacific Islanders (NHOPIs) (0.2%) and more than 2.9 million American Indians and Alaskan Natives (AI/ANS) (1.0%) of whom 57% reside on federal trust lands (archive. ahrq,2014). African Americans by both censuses only make up 12.9% of the U.S. population but suffer ethnic and racial disparities at a high rate. This may be due to the lack of...
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...American Indian and Alaska Native Populations: How They Fair vs. the National Average Kari L. Singer Grand Canyon University: NRS- March 1, 2015 American Indian and Alaska Native Populations: How They Fair vs. the National Average There are many different ethnicities and cultures in the United States. This paper will be comparing American Indians and Alaska Natives health to that of the national average. We will be looking at the current health status of this ethnic group compared to the national average, their definition of Health Promotion, three health disparities affecting this ethnic group, and finally we will see an example of a program that promotes health prevention. Current Health Status of American Indians and Alaska Natives The American Indian and Alaska Native populations make up about 2% of the total U.S. population, numbering roughly 5.2 million, according to the 2013 census. American Indians and Alaska Natives (AI/AN), differ from the national average in culture, socioeconomic status, and education. The percentage of AI/AN’s who lacked health insurance in 2013 was 26.9% compared to the 16.6% of the national average (CDC, 2015). They have limited access to employer-sponsored health coverage due to working in low wage jobs and jobs that don’t offer insurance (Artiga, et. al., 2013). AI/AN have the highest poverty rate of all ethnic groups at 0.9% to 1.5% of the total population. This group is more likely to report being in fair or poor health. When comparing...
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...of culture on health and healing.” McEwen & Wills, (2014, p.233) reports “the goal for application of Leininger’s theory is to provide culturally congruent nursing care to persons of diverse cultures.” Purnell (2013) explains if the care plan doesn’t include the patient’s own health cultural viewpoints; the plan will more than likely not be followed. Native American people place high importance on their culture and heritage. Interacting with this unique group of people, becoming more knowledgeable, and culturally sensitive to their needs is the basis for this paper. By increasing knowledge and appreciating the Native American culture, nurses may improve communication to better care for their Native American patients. Even though the Native American population in Colorado is a mere 56,000, according to the 2010 United States Census Bureau, it has grown from 1.1 percent to 1.6 percent of...
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...Running Head: INDIAN HEALTH SERVICE: CREATING A CLIMATE FOR CHANGE 1 Indian Health Service: Creating a Climate for Change Michele Kratter Keiser University Professor Bush HSM692/Strategic Management of Health Services Organization 9/26/2015 Running Head: INDIAN HEALTH SERVICE: CREATING A CLIMATE FOR CHANGE 2 Dr. Michael Trujillo was appointed as a Director of the Indian Health Service. Dr. Trujillo was nominee for the position of Director of National Healthcare program. A member of the Sun Clan in the Laguna Pueblo in New Mexico. He became the President, for the national health care program, and the comprehensive healthcare for the American Indians and Alaska Natives for more than 500 federally recognized tribes. He spoke to the United States Senate Committee on Indian Affairs in 1994. During his confirmation hearing as Director of the Indian Health Service, he told the committee that he understood the remoteness of Neah Bay at the northwest tip of Washington on the Makah reservation, and being a resident of the Dakotas, he understood the geographic challenges for health care in the area of Eagle Butte, Rosebud and Twin Buttes.” (1) In front of the same Committee, he negotiated the fiscal...
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...TAX PROVISIONS AND ANALYSIS OF SELECTED ISSUES RELATING TO NATIVE AMERICAN TRIBES AND THEIR MEMBERS Scheduled for a Public Hearing Before the SENATE COMMITTEE ON FINANCE on May 15, 2012 Prepared by the Staff of the JOINT COMMITTEE ON TAXATION May 14, 2012 JCX-40-12 CONTENTS Page INTRODUCTION AND SUMMARY I. 1 GENERAL RULES REGARDING THE TAXATION OF INDIAN TRIBES AND TRIBAL MEMBERS AND THE TAXING POWERS OF INDIAN TRIBES ................. 3 A. Income Taxation of Indian Tribes and Wholly Owned Tribal Corporations................ 3 1. Federal income taxation of Indian tribes and wholly owned tribal corporations ... 3 2. State taxation of Indian tribes ................................................................................. 4 B. Tax Treatment of Enrolled Members of Indian Tribes ................................................. 7 1. Federal tax............................................................................................................... 7 2. State tax................................................................................................................... 7 C. Taxing Powers of Indian Tribes .................................................................................... 9 D. Alaska Native Settlement Trusts................................................................................. 10 II. SELECTED FEDERAL TAX RULES AND ISSUES RELATING TO INDIAN TRIBES AND THEIR MEMBERS ..................................
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...The Navajo Indian Cultural Anthropology The Navajo Indians of the Southwestern United states have a distinct social organization, kinship, and a both traditional and biomedical way that they approach sickness and healing. Their social organization revolves around their community and the Earth. Kinship for the Navajo is matriarchal and they are a pastoral society. The traditional Navajo have medicine men that the tribe goes to for any sickness and healing that needs to be done. The modern Navajo has established the Indian Health Service as their standard medical facility and agency. I will go into more detail on all three areas of the tribe’s society of the Navajo people throughout this paper. The tribes of the Navajo Indians are located in Southwest region of the United States. They range from Southwestern Colorado, Northwestern New Mexico, and Northeastern Arizona. Most of the Navajo Indians live on reservations in northeastern Arizona and northwestern New Mexico. The Navajo are the second largest of the Native American tribes and have a population of 7.2% of the Native Americans. They are second to Native Alaskans ((U.S. Census Bureau, 2008).. The marriage rate in the Navajo nation is forty five percent. Only seven percent have a college degree. They have the lowest income level out of all of the Native American tribes. They have a large poverty rate at thirty seven percent. The La Plata Mountain of Southwest Colorado are considered a sacred place for the Navajo...
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...Health of Hawaiian and Pacific Islanders Today the United States is a melting pot of ethnicity. The United States was founded and built by immigrants. Even though minorities help build the U.S., they suffer health issues disproportionately compared to white non-Hispanics. The World Health Organizetion defines health promotion as the process of enabling people to increase control over, and to improve their health. The Hawaiian and Pacific islanders’ racial category refers to a person having original origins to Hawaii, Guam, Samoa, or other Pacific Islands. The Hawaiian and pacific islanders make up about 1.2million of the United States population. This comes out to be only 0.5 % of the US population. Hawaiian and Pacific islanders are the smallest percentage of the U.S. population. Some percentages of other minorities are: Hispanic 17%, African American 14%, and American Indians and Alaskan natives 2%. Even with such a small percentage of population reported, they were fastest growing from 2000 to 2010 according to the CDC. The largest population of Hawaiian and Pacific Islanders reside in Hawaii and California. The top 3 leading causes of death among this ethnic group include cancer, heart disease and stroke. While cancer and heart disease are the top leading cause of death among most ethnic groups. The cancer survival rate among this group is less than 47% compared to 55% of all races combined according to the CDC. Hawaiian and pacific islanders are less likely to seek...
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