Abstract B044: Assessing knowledge and perceptions about cancer among American Indians of Zuni Pueblo, New Mexico

Author(s):  
Safia Safi ◽  
Donica Ghahate ◽  
Jeanette Bobelu ◽  
Angela Wandinger-Ness ◽  
Thomas Faber ◽  
...  
Crisis ◽  
1999 ◽  
Vol 20 (3) ◽  
pp. 121-126 ◽  
Author(s):  
Lenora Olson ◽  
Frank Huyler ◽  
Arthur W Lynch ◽  
Lynne Fullerton ◽  
Deborah Werenko ◽  
...  

Suicide is among the leading causes of death in the United States, and in women the second leading cause of injury death overall. Previous studies have suggested links between intimate partner violence and suicide in women. We examined female suicide deaths to identify and describe associated risk factors. We reviewed all reports from the New Mexico Office of the Medical Investigator for female suicide deaths occurring in New Mexico from 1990 to 1994. Information abstracted included demographics, mechanism of death, presence of alcohol/drugs, clinical depression, intimate partner violence, health problems, and other variables. Annual rates were calculated based on the 1990 census. The New Mexico female suicide death rate was 8.2/100,000 persons per year (n = 313), nearly twice the U. S. rate of 4.5/100,000. Non-Hispanic whites were overrepresented compared to Hispanics and American Indians. Decedents ranged in age from 14 to 93 years (median = 43 years). Firearms accounted for 45.7% of the suicide deaths, followed by ingested poisons (29.1%), hanging (10.5%), other (7.7%), and inhaled poisons (7.0%). Intimate partner violence was documented in 5.1% of female suicide deaths; in an additional 22.1% of cases, a male intimate partner fought with or separated from the decedent immediately preceding the suicide. Nearly two-thirds (65.5%) of the decedents had alcohol or drugs present in their blood at autopsy. Among decedents who had alcohol present (34.5%), blood alcohol levels were far higher among American Indians compared to Hispanics and non-Hispanic Whites (p = .01). Interpersonal conflict was documented in over 25% of cases, indicating that studies of the mortality of intimate partner violence should include victims of both suicide and homicide deaths to fully characterize the mortality patterns of intimate partner violence.


Crisis ◽  
2000 ◽  
Vol 21 (1) ◽  
pp. 36-44 ◽  
Author(s):  
DD Werenko ◽  
LM Olson ◽  
L Fullerton-Gleason ◽  
AW Lynch ◽  
RE Zumwalt ◽  
...  

The suicide death rate in New Mexico is consistently higher than the national rate. Among adolescents, suicide is the third leading cause of death nationally, but in New Mexico it is the second leading cause of death. This study describes the pattern of adolescent suicide deaths in New Mexico. We conducted a retrospective review of all medical examiner autopsies for adolescent suicides (ages 20 years and younger) in New Mexico from 1990-1994. Records were reviewed for demographics and possible contributing factors such as depression, previous attempts, and alcohol and drug use. We identified 184 suicide deaths among children and adolescents ages 9-20 years for an overall rate of 12.9 per 100,000. Our rates for ages 5-9 years (0.2), 10-14 years (3.8), and 15-19 years (22.3) are over twice the U.S. rates. Suicide deaths resulted primarily from firearms (67%), hanging (16%), poisoning (6%), inhalation (4%), and other methods (7%). Method varied by ethnicity (p = .01) and gender (p = .03); males and non-Hispanic Whites were overrepresented among firearm deaths. Firearm ownership was known in 60 (48%) of the firearm deaths. Of these, 53% of the firearms belonged to a family member, 25% to the decedent, and 22% to a friend. Over one-third of decedents (41%) experienced mental disorders, primarily depressed mood and clinical depression. Previous suicide attempts were noted for 15% of the decedents. Some 50% of the decedents had alcohol or drugs present at the time of death; among American Indians/Alaska Natives, 74% had drugs or alcohol present (p = .003). Targeted interventions are needed to reduce adolescent suicide in New Mexico. We suggest raising awareness about acute and chronic contributing factors to suicide; training physicians to look for behavioral manifestations of depression; and involving physicians, teachers, and youth activity leaders in efforts to limit firearm accessibility, such as advising parents to remove firearms from their households.


Author(s):  
Safia Safi ◽  
Donica Ghahate ◽  
Jeanette Bobelu ◽  
Andrew L. Sussman ◽  
Joseph Rodman ◽  
...  

AbstractAmerican Indians (AIs) in New Mexico have lower cancer screening rates compared to other populations and are more likely to be diagnosed with cancer at an advanced stage of the disease as reported by Li et al. (Archives of Internal Medicine 163(1):49–56, 2003). AIs also have the lowest 5-year cancer survival rates compared to any ethnic/racial group in the USA as reported by Clegg et al. (Arch Intern Med 162:1985–1993, 2002) and Edwards et al. (Cancer 97:1407–1427, 2005). Numerous barriers such as cultural beliefs, fear, fatalism, mistrust, stigma, and lack of culturally appropriate interventions could contribute to low cancer screening rates as reported by Daley et al. (J Health Dispar Res Pract 5(2), 2012); Filippi et al. (J Prim Care Community Health 4(3):160–166, 2013); James et al. (Prev Chronic Dis 10:E170, 2013); and Schumacher et al. (Cancer Causes Control 19(7):725–737, 2008). Trained Community Health Representatives (CHRs) from the Zuni Pueblo and native Zuni undergraduate students led six 1-h focus group sessions using a structured focus group guide with probes. The focus groups were conducted among 51 participants from different age groups (20–29 years, n = 19; 30–49 years, n = 17; and 50 years and older, n = 15) stratified by sex. Focus groups were conducted in both English and Shiwi (Zuni) languages. Sessions were audio recorded, and team members took notes. CHRs transcribed the notes and audio recordings, and created a codebook for qualitative data analysis. In the focus groups, participants provided Zuni-specific cultural context, opinion, and experience regarding (1) general knowledge about cancer, (2) cancer risk, (3) cancer risk reduction, (4) personal experiences with cancer, and (5) culturally competent delivery of cancer information and resources. Understanding the perceptions of cancer within the Zuni Pueblo is an essential component in the development of interventional/preventative measures and improvement of current care. Ultimately, this information will provide a basis for the next steps in culturally sensitive cancer care for the Zuni Pueblo.


Author(s):  
Stephen Aron

Columbus discovered an Old World in 1492. Steep population declines reduced Indian numbers by more than 90 percent in the following four centuries. European maps of the seventeenth and eighteenth centuries claimed to have carved up most of North America, but ‘Empires and enclaves’ shows that control over North American lands remained hotly contested during this time. Well into the eighteenth century, the vast majority of North American Indians had not become the subordinates of European colonizers and in most places there were no European settlements yet. The first contacts between European and Indians are described along with seventeenth-century English settlements in New England, the Spanish conquest in New Mexico, and the alternative approaches of the French.


Cancer ◽  
1978 ◽  
Vol 42 (5) ◽  
pp. 2472-2477 ◽  
Author(s):  
Dexter L. Morris ◽  
Robert W. Buechley ◽  
Charles R. Key ◽  
Marion V. Morgan

1997 ◽  
Vol 16 (4) ◽  
pp. 24-32
Author(s):  
Elaine Jordan ◽  
Laurence French ◽  
Phyllis Tempest

American Indians have a disproportionately high incidence of social and health problems which impact on education. Further, there are many American Indian tribes that represent a wide range of cultural differences and belief systems. The Navajo Tribe represents the largest concentration of American Indians in the nation. This paper highlights one school district in Western New Mexico, the Gallup McKinley School District (geographically the largest in the U.S. with 73% American Indian, mostly Navajo) and analyzes the overall needs of Navajo Indian children and youth, and their families. The article explores specific Navajo acculturation variables creating culture conflict, problems affecting the community, test results, interpretation issues resulting in inappropriate placement decisions and the profile of the high-risk Navajo child based on research data. It concludes with specific recommendations for interviewing, testing, and counseling.


1977 ◽  
Vol 26 (1) ◽  
pp. 121-126 ◽  
Author(s):  
P. M. Schantz ◽  
T. Welty ◽  
C. F. von Reyn ◽  
F. L. Andersen ◽  
M. G. Schultz ◽  
...  

2017 ◽  
Vol 35 (4_suppl) ◽  
pp. 269-269
Author(s):  
Khine Zar Win ◽  
Diaa Osman ◽  
Ruofei Du ◽  
Yehuda Z. Patt

269 Background: Common hepatocellular carcinoma (HCC) risk factors, such as hepatitis C virus (HCV) and hepatitis B virus infections, heavy exposure to alcohol and non-alcoholic steatohepatitis (NASH), vary in relation to gender, ethnicity, and geographic regions. New Mexico (NM) has the highest adjusted risk ratio of 1.27 for HCC when compared with other US geographic regions. The population of Hispanic Whites (HW), non-Hispanic Whites (NHW) and American Indians (AI) in NM provides a unique opportunity to study the prevalence of the known HCC risk factors among different ethnicities. Methods: We identified about 550 patients who were diagnosed and/or received treatment for HCC at the University of New Mexico (UNM) Hospital and the UNM Cancer Center from 2003 to 2015, using ICD 9/10 codes. Following approval by institutional review board, a retrospective chart review was conducted to correlate the known HCC risk factors and ethnicity of patients. This is a preliminary report of the findings in a randomly selected 226 of the 550 patients, and we expect to complete the analysis by the time of the GI ASCO symposium. A logistic regression with pairwise comparison was conducted to determine the distribution of the HCC risk factors among different ethnicities. Results: Among NHW, HCV is the most prevalent risk factor for HCC. AI have lower proportion of HCV infection, compared to NHW (35% vs 74%; P= 0.0008). However, DM and NASH were more frequently observed among AI than NHW, 54% vs 27% and 27% vs 9% ( P= 0.025 and 0.038) respectively. Table 1: Proportion of HCV, diabetes, NASH among AI, NHW and HW and pairwise comparison between ethnic groups. Conclusions: Among AI, the major risk factors for HCC seem diabetes mellitus and NASH. However, among NHW, chronic HCV infection is the most prevalent risk factor for HCC.[Table: see text]


2002 ◽  
Vol 67 (4) ◽  
pp. 665-676 ◽  
Author(s):  
Jonathan E. Damp ◽  
Stephen A. Hall ◽  
Susan J. Smith

The introduction of maize agriculture into the Southwest and onto the Colorado Plateau was accompanied by irrigation techniques. Twenty-six radiocarbon dates at two sites, K'yana Chabina and K'yawa:na'a Deyatchinanne, in the Zuni area of New Mexico, establish the use of irrigation canals to between 3,000 and 1,000 years ago. Associated features and the presence of nearby habitation sites independently corroborate the chronology of canal building. The geomorphology of the Zuni landscape and the morphology of the irrigation canals are consistent with the artificial construction of the canals. Pollen evidence points to an agricultural landscape and the cultivation of maize.


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