American Indian and Alaska Native Infant and Pediatric Mortality, United States, 1999–2009

Wong, Charlene A.; Gachupin, Francine C.; Holman, Robert C.; MacDorman, Marian F.; Cheek, James E.; Holve, Steve; Singleton, Rosalyn

doi:10.2105/ajph.2013.301598

Cited by 56 publications

(43 citation statements)

References 41 publications

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“…The infant mortality rates for African-Americans and American Indians are 12.4/1,000 live births and 9.1/1,000 live births, respectively, compared to 5.3/1,000 live births for whites [8, 14]. In Michigan, these disparities are even wider; the African-American and American Indian infant mortality rates in 2009 were 15.5/1,000 live births and 9.0/1,000 live births, respectively, compared to 5.4/1,000 live births in whites [2].…”

Section: Introductionmentioning

confidence: 99%

Knowledge and Beliefs of African-American and American Indian Parents and Supporters About Infant Safe Sleep

2014

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To investigate, by using qualitative methods, beliefs among African-American and American Indian families about infant safe sleep practices, barriers to acceptance of prevention recommendations, and more effective messaging strategies. Seventy-three mothers and supporters participated in focus groups. Participants discussed infant sleep practices and effectiveness of safe sleep messages. Data were coded, and themes were developed and revised in an iterative manner as patterns became more apparent. Themes included reasons for and influences on sleep decisions, and concerns about safe sleep recommendations. Parental sleep decisions seemed to be driven by perceptions of what would make their infant most comfortable and safe, and what would be most convenient. Parents were aware of safe sleep recommendations but unaware of the rationale. Because they generally did not believe that their infants were at risk for a sleep-related death, day-to-day decisions seemed to focus on what was most effective in getting their infant to sleep. There appeared to be no distinctions in opinions among African-American and American Indian families. African-American and American Indian families seemed to have similar concerns about infant comfort and safety, and their perceptions about what would be most effective in achieving these goals appeared to be important influences on their sleep practices. Adherence with safe sleep recommendations may be enhanced if health care providers and educational materials discussed rationale underlying recommendations and addressed common parental concerns. It may be beneficial to target educational interventions towards fathers, as they may be untapped sources in implementing safe sleep practices.

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Section: Introductionmentioning

confidence: 99%

Knowledge and Beliefs of African-American and American Indian Parents and Supporters About Infant Safe Sleep

2014

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“…Furthermore, in 2011 AI/AN females aged 15-24 years reported the highest age-specific rates of chlamydial infections among US women [5]. Between 1999 and 2009, AI/AN youth aged 15-19 were more than twice as likely as white youth to be at risk for unintentional injuries, and three times as likely to be at risk for suicide [6]. …”

Section: Introductionmentioning

confidence: 99%

Internet-Based Delivery of Evidence-Based Health Promotion Programs Among American Indian and Alaska Native Youth: A Case Study

et al. 2016

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BackgroundAmerican Indian and Alaska Native (AI/AN) youth face multiple health challenges compared to other racial/ethnic groups, which could potentially be ameliorated by the dissemination of evidence-based adolescent health promotion programs. Previous studies have indicated that limited trained personnel, cultural barriers, and geographic isolation may hinder the reach and implementation of evidence-based health promotion programs among AI/AN youth. Although Internet access is variable in AI/AN communities across the United States, it is swiftly and steadily improving, and it may provide a viable strategy to disseminate evidence-based health promotion programs to this underserved population.ObjectiveWe explored the potential of using the Internet to disseminate evidence-based health promotion programs on multiple health topics to AI/AN youth living in diverse communities across 3 geographically dispersed regions of the United States. Specifically, we assessed the Internet’s potential to increase the reach and implementation of evidence-based health promotion programs for AI/AN youth, and to engage AI/AN youth.MethodsThis randomized controlled trial was conducted in 25 participating sites in Alaska, Arizona, and the Pacific Northwest. Predominantly AI/AN youth, aged 12-14 years, accessed 6 evidence-based health promotion programs delivered via the Internet, which focused on sexual health, hearing loss, alcohol use, tobacco use, drug use, and nutrition and physical activity. Adult site coordinators completed computer-based education inventory surveys, connectivity and bandwidth testing to assess parameters related to program reach (computer access, connectivity, and bandwidth), and implementation logs to assess barriers to implementation (program errors and delivery issues). We assessed youths’ perceptions of program engagement via ratings on ease of use, understandability, credibility, likeability, perceived impact, and motivational appeal, using previously established measures.ResultsSites had sufficient computer access and Internet connectivity to implement the 6 programs with adequate fidelity; however, variable bandwidth (ranging from 0.24 to 93.5 megabits per second; mean 25.6) and technical issues led some sites to access programs via back-up modalities (eg, uploading the programs from a Universal Serial Bus drive). The number of youth providing engagement ratings varied by program (n=40-191; 48-60% female, 85-90% self-identified AI/AN). Across programs, youth rated the programs as easy to use (68-91%), trustworthy (61-89%), likeable (59-87%), and impactful (63-91%). Most youth understood the words in the programs (60-83%), although some needed hints to complete the programs (16-49%). Overall, 37-66% of the participants would recommend the programs to a classmate, and 62-87% found the programs enjoyable when compared to other school lessons.ConclusionsFindings demonstrate the potential of the Internet to enhance the reach and implementation of evidence-based health promotion programs, and to engage AI/AN ...

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“…American Indian and Alaska Native (AI/AN) children have the highest mortality from unintentional injury in the Unites States [1,2]. Further, AI/AN people have the highest traumatic brain injury (TBI)-related mortality in the United States (27.3/100,000 for AI/AN versus 18.4/100,000 for the total population) [3].…”

Section: Introductionmentioning

confidence: 99%

Functional outcomes during inpatient rehabilitation for American Indian and Alaska Native children with traumatic brain injury

Fuentes

Jimenez

Apkon

et al. 2016

PRM

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PURPOSE American Indian/Alaska Native (AI/AN) people have the highest traumatic brain injury (TBI)-related mortality in the United States, but little is known about AI/AN children who survive traumatic brain injury (TBI). This study compares function and factors associated with discharge function between AI/AN and White children with TBI during inpatient rehabilitation. METHODS Retrospective national cohort study of 114 AI/AN and 7,267 White children aged 6 months-18 years who received inpatient TBI rehabilitation between 2002–2012 at facilities utilizing the Uniform Data System for Medical Rehabilitation®. The outcome measure was developmental functional quotients (DFQ is the FIM® or WeeFIM® score divided by age norms × 100) at discharge. RESULTS AI/AN race was not associated with motor (regression coefficient (β) 0.18, 95% confidence interval (CI) −2.39, 2.76) or cognitive (β −1.54, 95% CI −3.75, 0.67) function. Among a subgroup with loss of consciousness > 24 hours (AI/AN n = 13, White n = 643), AI/AN race was associated with lower motor DFQ (β −12.83, 95% CI −25.39, −0.34). CONCLUSIONS Overall, AI/AN race was not associated with inpatient rehabilitation function for children with TBI, but providers should not assume AI/ANs with more severe injuries have equitable outcomes.

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American Indian and Alaska Native Infant and Pediatric Mortality, United States, 1999–2009

Abstract: Death rates for AI/AN infants and children were higher than for Whites, with regional disparities. Several leading causes of death in the AI/AN pediatric population are potentially preventable.

Cited by 56 publications

References 41 publications

Knowledge and Beliefs of African-American and American Indian Parents and Supporters About Infant Safe Sleep

Knowledge and Beliefs of African-American and American Indian Parents and Supporters About Infant Safe Sleep

Internet-Based Delivery of Evidence-Based Health Promotion Programs Among American Indian and Alaska Native Youth: A Case Study

Functional outcomes during inpatient rehabilitation for American Indian and Alaska Native children with traumatic brain injury

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