A5001469476- Indigenous Health, Education, and Rights
- LGBTQ Health, Identity, and Policy
- Racial and Ethnic Identity Research
- Community Health and Development
- HIV/AIDS Research and Interventions
- Homelessness and Social Issues
- HIV, Drug Use, Sexual Risk
- Indigenous Studies and Ecology
- Adolescent Sexual and Reproductive Health
- Migration, Health and Trauma
- Food Security and Health in Diverse Populations
- Public Health Policies and Education
- Global Health Workforce Issues
- Gender Roles and Identity Studies
- Sex work and related issues
- Cultural Competency in Health Care
- Health disparities and outcomes
- Child Abuse and Trauma
- Qualitative Research Methods and Ethics
- Intimate Partner and Family Violence
- Global Public Health Policies and Epidemiology
- Sexual Assault and Victimization Studies
- Obesity and Health Practices
- Mentoring and Academic Development
- Intergenerational Family Dynamics and Caregiving
National Heart Lung and Blood Institute
2024
University of Hawaiʻi at Mānoa
2024
Johns Hopkins University
2024
National Institutes of Health
2024
University of Washington
2013-2023
Seattle University
2016-2022
Tulane University
2020
Behavioral Tech Research, Inc.
2016
Washington University in St. Louis
2015
Cherokee Nation
2011
Lesbian, gay, and bisexual individuals who are also racial/ethnic minorities (LGBT-POC) a multiply marginalized population subject to microaggressions associated with both racism heterosexism. To date, research on this has been hampered by the lack of measurement tool assess unique experiences intersection these oppressions. address gap in literature, we conducted three-phase, mixed method empirical study among LGBT-POC. The LGBT People Color Microaggressions Scale is an 18-item self-report...
This commentary presents an “indigenist” model of Native women's health, a stress-coping paradigm that situates health within the larger context their status as colonized people. The is grounded in empirical evidence traumas such “soul wound” historical and contemporary discrimination among women influence mental outcomes. preliminary also incorporates cultural resilience, including moderators identity, enculturation, spiritual coping, traditional healing practices. Current epidemiological...
National health initiatives emphasize the importance of eliminating disparities among historically disadvantaged populations.Yet, few studies have examined range outcomes lesbian, gay, bisexual, and transgender (LGBT) people.To stimulate more inclusive research in area, we present Health Equity Promotion Model-a framework oriented toward LGBT people reaching their full mental physical potential that considers both positive adverse health-related circumstances.The model highlights (a)...
Increasingly, understanding how the role of historical events and context affect present-day health inequities has become a dominant narrative among Native American communities. Historical trauma, which consists traumatic targeting community (e.g., forced relocation) that cause catastrophic upheaval, been posited by communities some researchers to have pernicious effects persist across generations through myriad mechanisms from biological behavioral. Consistent with contemporary societal...
We surveyed American Indian/Alaska Native (AIAN) women in New York City to determine the prevalence of 3 types interpersonal violence among urban AIAN and behavioral health mental factors associated with this violence.Using a survey, we questioned 112 adult about their experiences violence, health, HIV risk behaviors, help-seeking. The sampling plan utilized multiple-wave approach modified respondent-driven sampling, chain referral, target sampling.Among respondents, over 65% had experienced...
Background: Systematic efforts of assimilation removed many Native children from their tribal communities and placed in non-Indian-run residential schools. Objectives: To explore substance use mental health concerns among a community-based sample 447 urban two-spirit American Indian/Alaska adults who had attended boarding school as and/or were raised by someone school. Method: Eighty-two respondents Indian compared to with no history respect use. Results: Former attendees reported higher...
In a community-based sample of urban American Indian and Alaska Native adults, 25 lesbian, gay, bisexual, two-spirit participants were compared with 154 heterosexual respect to sociodemographic characteristics, Native, cultural participation, trauma, physical mental health, substance use. Compared their counterparts, reported higher rates childhood abuse more historical trauma in families, levels psychological symptoms, health service utilization. Two-spirit differences patterns alcohol use...
We examined associations between racial discrimination and actualization, defined as the degree of positive integration self-identity group identity, self-rated health physical pain impairment.We used logistic regressions to analyze data from 447 gay, lesbian, bisexual, other sexual-minority American Indians/Alaska Natives.Greater self-reported was associated with higher odds impairment (odds ratio [OR] = 1.42; 95% confidence interval [CI] 1.13, 1.78); high levels actualization were lower...
American Indian and Alaska Native (AIAN) scholars in the fields of mental health HIV face formidable barriers to scientific success. These include justifiable mistrust historically oppressive educational systems, disparities, role burdens within academe, devaluation marginalization their research interests, outright discrimination. Research partners can work dismantle these by embracing indigenous worldviews, engaging collaborative partnerships, building capacity universities tribal...
This invited article introduces the concept of grand challenges—ambitious yet achievable goals for society that mobilize profession, capture public's imagination, and require innovation breakthroughs in science practice to achieve (Kalil, 2012). We call broad deep participation social work scientists practitioners Grand Challenges Social Work initiative, which will be coordinated by American Academy Welfare.
This paper reports the findings of a survey 108 elderly heterosexual and homosexual men women in urban Central Southern California. The purpose study was to test assumption that gay lesbians are more depressed socially-isolated than their cohort. indicate there no significant differences between older heterosexuals homosexuals regard depression social support. However, sources support from friends, while derive family. suggest need redefine concept family include "friendship families."...
American Indian and Alaska Native (AIAN) women have endured a history of colonial oppression in the United States. Current manifestations colonization include an epidemic violence toward AIAN women, who often are sexually physically abused from early on life. Such may erode women's sense agency or mastery contribute to their poor physical mental health outcomes. identify as lesbian, bisexual, "two-spirit" appear experience disproportionate levels be particularly vulnerable disparities In...
American Indian and Alaska Native sexual minority (two-spirit) women are vulnerable to substance misuse mental health challenges due multiple oppressed status exposure stress trauma. Yet, these find pathways toward healing wellness. We conducted a qualitative data analysis of interviews derived from national study gained an understanding 11 two-spirit women's resilience recovery patterns. Emergent the data, braided resiliency framework was developed which elucidates multilayered abilities,...
(1) Background: Settler colonialism has severely disrupted Indigenous ancestral ways of healing and being, contributing to an onslaught health disparities. In particular, the United Houma Nation (UHN) faced large land loss trauma, dispossession, marginalization. Given paucity research addressing for individuals living in Louisiana, this study sought co-identify a framework, by co-developing community land-based approach order inform future community-based prevention programs. (2) Methods:...
The coronavirus disease 2019 (COVID-19) pandemic has disproportionately impacted communities of color (CoC) amid increasing incidents racial injustices and racism. In this article, we describe our culturalist methodologies for designing implementing a multi-ethnic, interdisciplinary national needs assessment developed in partnership with CoC. Instead typical western-centric social science approach that typically ignores perpetuates structural racism settler colonialism, the research team...
Abstract We propose that heterosexuals' attitudes toward their own heterosexual identity evolve in a manner similar to the development of racial among Whites -another dominant group with privileged social status. A more developed identity, we hypothesized, would be associated diminished levels negative non-heterosexuals. To test our hypotheses, administered 154 students Herek's (1988) Attitudes Toward Gays and Lesbians scale measuring heterosexist (i.e., anti-gay) version Helms Carter's...
SUMMARY Many Native women embrace the term two-spirit to capture their sexuality and gender expression. By analyzing narratives of five who are activists, we explored contemporary understandings concept what it means for communities. The incorporation identity within indigenous worldviews, its manifestation in terms (be)coming out, triple stressors heterosexism, racism, sexism emerged as key themes.
Many tribal and urban American Indians Alaska Native communities have initiated HIV/AIDS prevention treatment services. The richness, depth, scope of these efforts, however, are not well known been sufficiently documented in the academic literature. In this article we assess strengths weakness published literature using constructs socioecological framework. We discuss need to apply an “indigenist” etiology paradigm risk protection. Finally, define varied postcolonial approaches prevention,...