American Indians fitting into Medical School

1999 ◽  
Vol 27 (2) ◽  
pp. 5-11
Author(s):  
Apanakhi Buckley
Keyword(s):  
United States ◽  
Medical School ◽  
American Indians ◽  
Alaska Native ◽  
White Women ◽  
The United States ◽  
Alaska Natives ◽  
Indian Health Service ◽  
Native Women ◽  
Indian Health

This paper describes a qualitative study of how indigenous people experience medical school in the United States. Nine American Indians and Alaska Natives participated in the study: five women and four men. They came from eight different tribes, but they have asked me to protect their confidentiality, so I will not identify their tribes. Their ages ranged from 27 to 39. Five of them had children. Two of them were unmarried.In the United States, the need for indigenous physicians is great. Twice as many American Indians die from homicide and suicide as non-Indians in the United States (Wallace, Kirk, Houston, Amnest, and Emrich, 1993); three times as many die from accidents and more than four times as many die from alcoholism (Indian Health Service, 1996). Diabetes is rampant among American Indians and Alaska Natives. Women are the hardest hit (Gilliland, Gilliland, and Carter; 1997). More than five times as many American Indian and Alaska Native women die from diabetes than non-Latina white women.

Special Section: Training Practicing Anthropologists

1980 ◽  
Vol 2 (3) ◽  
pp. 4-24 ◽  
Author(s):  
Spero Manson ◽  
Bea Medicine ◽  
Walter Funmaker
Keyword(s):  
American Indians ◽  
Alaska Native ◽  
Special Section ◽  
Alaska Natives ◽  
Health Programs ◽  
Doctoral Degrees ◽  
Indian Health Service ◽  
Indian Health ◽  
Mental Health Programs ◽  
Service Agencies

No more than 60 American Indians and Alaska Natives currently hold doctoral degrees in the fields of anthropology, psychiatry, psychology, social work, and sociology. Only a few of these persons actually work in positions where they can directly impact American Indian and Alaska Native mental health programs. Moreover, lacking graduate level trained Indian professionals, many of these programs—as within the Indian Health Service, for example—have become almost solely dependent upon an Indian paraprofessional workforce. Communities and service agencies alike, however, prefer more trained Indian and Native psychologists, psychiatrists, social workers, medical sociologists, and medical anthropologists.

scholarly journals Identification in a time of invisibility for American Indians and Alaska Natives in the United States

2019 ◽  
Vol 35 (1) ◽  
pp. 71-89 ◽  
Author(s):  
Michele Connolly ◽  
Mehgan Gallagher ◽  
Felicia Hodge ◽  
Mary Cwik ◽  
Victoria O’Keefe ◽  
...  
Keyword(s):  
United States ◽  
American Indians ◽  
The United States ◽  
Alaska Natives

scholarly journals Disparities in Cancer Incidence and Trends among American Indians and Alaska Natives in the United States, 2010–2015

2019 ◽  
Vol 28 (10) ◽  
pp. 1604-1611 ◽  
Author(s):  
Stephanie C. Melkonian ◽  
Melissa A. Jim ◽  
Donald Haverkamp ◽  
Charles L. Wiggins ◽  
Jeffrey McCollum ◽  
...  
Keyword(s):  
United States ◽  
American Indians ◽  
Cancer Incidence ◽  
The United States ◽  
Alaska Natives

scholarly journals Incidence, deaths, and lifetime costs of injury among American Indians and Alaska Natives

2019 ◽  
Vol 6 (1) ◽  
Author(s):  
Amanda A. Honeycutt ◽  
Olga Khavjou ◽  
Simon J. Neuwahl ◽  
Grant A. King ◽  
Meredith Anderson ◽  
...  
Keyword(s):  
Health Service ◽  
Injury Prevention ◽  
American Indians ◽  
Motor Vehicle ◽  
Medical Costs ◽  
The United States ◽  
Indian Health Service ◽  
Service Users ◽  
Indian Health ◽  
Productivity Losses

Abstract Background In the United States, the mortality burden of injury is higher among American Indians and Alaska Natives (AI/AN) than any other racial/ethnic group, and injury contributes to considerable medical costs, years of potential life lost (YPLL), and productivity loss among AI/AN. This study assessed the economic burden of injuries for AI/AN who are eligible for services through Indian Health Service, analyzing direct medical costs of injury for Indian Health Service’s users and years of potential life lost (YPLL) and the value of productivity losses from injury deaths for AI/AN in the Indian Health Service population. Methods Injury-related lifetime medical costs were estimated for Indian Health Service users with medically treated injuries using data from the 2011–2015 National Data Warehouse. Productivity costs and YPLL were estimated using data on injury-related deaths among AI/AN in Indian Health Service’s 2008–2010 service population. Costs were reported in 2017 U.S. dollars. Results The total estimated costs of injuries per year, including injuries among Indian Health Service users and productivity losses from injury-related deaths, were estimated at $4.5 billion. Lifetime medical costs to treat annual injuries among Indian Health Service users were estimated at $549 million, with the largest share ($131 million) going toward falls, the most frequent injury cause. Total estimated YPLL from AI/AN injury deaths in Indian Health Service’s service population were 106,400. YPLL from injury deaths for men (74,000) were 2.2 times YPLL for women (33,000). Productivity losses from all injury-related deaths were $3.9 billion per year. The highest combined lifetime medical and mortality costs were for motor vehicle/traffic injuries, with an estimated cost of $1.6 billion per year. Conclusions Findings suggest that targeted injury prevention efforts by Indian Health Service likely contributed to lower rates of injury among AI/AN, particularly for motor vehicle/traffic injuries. However, because of remaining disparities in injury-related outcomes between AI/AN and all races in the United States, Indian Health Service should continue to monitor changes in injury incidence and costs over time, evaluate the impacts of previous injury prevention investments on current incidence and costs, and identify additional injury prevention investment needs.

scholarly journals Survival on Dialysis Among American Indians and Alaska Natives With Diabetes in the United States, 1995–2010

2014 ◽  
Vol 104 (S3) ◽  
pp. S490-S495 ◽  
Author(s):  
Nilka Ríos Burrows ◽  
Pyone Cho ◽  
Kai McKeever Bullard ◽  
Andrew S. Narva ◽  
Paul W. Eggers
Keyword(s):  
United States ◽  
American Indians ◽  
The United States ◽  
Alaska Natives
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