Barriers to Achieving Reproductive Justice for an Indigenous Gulf Coast Tribe

Liddell, Jessica L.; Doria, Celina M.

doi:10.1177/08861099221083029

Cited by 18 publications

(7 citation statements)

References 58 publications

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“…A qualitative descriptive methodology emphasizes research participants' voices and understandings, rather than abstract descriptions of experiences, which makes it especially useful for health-focused research seeking findings to inform interventions (McKinley et al, 2014;Sullivan-Bolyai et al, 2005). The findings discussed here emerged out of a larger project exploring the reproductive and sexual health experiences of tribal members (Liddell, 2020;Liddell & Kington, 2021;Liddell & Lilly, 2022a;Liddell & Lilly 2022b;Liddell et al, 2022a;Liddell et al, 2022b;Liddell et al, 2022c;Liddell & Herzog, 2022;Liddell & Doria, 2022;Liddell, 2022;Liddell & Meyer, 2022;.…”

Section: Methodsmentioning

confidence: 99%

“It Adds to The Stress of the Body”: Community health needs of a state-recognized Native American tribe in the United States

2023

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While many of the health disparities, brought on by the cruelties of settler colonization, that affect Native American and Alaskan Native communities and individuals at high rates have been documented, the health risks impacting non-federally recognized tribes are less explored. In this manuscript, we explore the challenges non-recognized tribes face and how without Tribal sovereignty, autonomy, and resources, it is more difficult for non-recognized tribes to provide care and resources for the members of their communities. This study took place in the Gulf South regions of the United States, where there are environmental factors pertaining to industry, global warming, environmental racism, and rurality that further impact the quality of life and rates of cancer, respiratory illness, and reproductive health issues in the Native American communities that live there. In addition, tribes without federal recognition have increased challenges in addressing the lack of access to health equity and may not have the health resources or programming available to them that exist for federally recognized tribes. To explore these topics, a qualitative description methodology was used to conduct 31 semi-structured interviews with women from a state-recognized Native American tribe in the Gulf South to understand their healthcare experiences and concerns. Participants in this study described: high rates of cancer, vehicle accidents or collisions common, barriers to exercising, physical injuries common, chronic illnesses common in the community, loss of family members, and physical violence. These findings indicate that state-recognized tribal members may need increased, improved, and culturally contextualized healthcare programs within their communities, in addition to full recognition of their tribal sovereignty rights. This study begins to address important gaps in the research exploring the full scope of the health risks and challenges affecting non-federally recognized tribal members, while also highlighting their resilience in the face of settler colonialism.

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Section: Methodsmentioning

confidence: 99%

“It Adds to The Stress of the Body”: Community health needs of a state-recognized Native American tribe in the United States

2023

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“…This article comes from a larger research study exploring the reproductive and sexual health experiences of women tribal members. Previous articles published from this study include Liddell (2020), Liddell and Kington (2021), Liddell and McKinley (2021), Liddell and Doria (2022), Liddell and McKinley (2022), Liddell and Lilly (2022) and Liddell and Herzberg (2022).…”

Section: Methodsmentioning

confidence: 99%

Healthcare needs and infrastructure obstacles for a state‐recognised Indigenous tribe in the United States

Liddell

Meyer

2022

Health Social Care Comm

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Although Indigenous groups continue to experience extensive health disparities, little research explores the role of structural barriers in contributing to health disparities for state-recognised tribes, who do not receive healthcare services from the Indian Health Service. In addition, much research focuses on discrete physical health outcomes, without utilising community-based approaches to allow participants to identify healthcare priorities and needs in their own voices. In partnership with a community advisory board, a qualitative descriptive methodology was used to conduct 31 life-course interviews with participants of a state-recognised tribe in the Gulf South region of the United States to explore healthcare experiences. Participants identified unmet healthcare needs and healthcare infrastructure barriers. Some of the most common barriers and unmet healthcare needs included: Long Distance to Healthcare Services and Difficulty in Accessing Specialists, Need for Increased Communication, Long Hospital or Appointment Wait Times, Unmet Mental Health Needs, Need for Substance Use or Abuse Prevention Programs and Need for Health Education. These findings highlight some of the structural barriers that exacerbate existing health disparities and suggest important areas of intervention, such as including a focus on mental health needs. Increased healthcare resources and recognition of sovereignty for this state-recognised tribe are also needed to begin to address these barriers. In addition, because of the long history of exploitation of Indigenous communities, healthcare interventions should meaningfully include Indigenous tribes in the development and implementation of any healthcare programs.

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“…Data was drawn from a larger qualitative descriptive study that took a holistic ecosystemic, life course, and resilience informed approach to investigate the reproductive and sexual health experiences of women from an Indigenous Gulf Coast tribe (Liddell, 2020;Liddell & Kington, 2021;Liddell & Doria, 2022;Liddell & Lilly, 2022).…”

Section: Methodsmentioning

confidence: 99%

“We Live in a Very Toxic World”: Changing Environmental Landscapes and Indigenous Food Sovereignty

Liddell

Kington

McKinley

2022

SSJ

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The purpose of this article is to understand how historical oppression has undermined health through environmental injustices that have given rise to food insecurity. Specifically, the article examines ways in which settler colonialism has transformed and contaminated the land itself, impacting the availability and quality of food and the overall health of Indigenous peoples. Food security and environmental justice for Gulf Coast, state-recognized tribes has been infrequently explored. These tribes lack federal recognition and have limited access to recourse and supplemental resources as a result. This research fills an important gap in the literature through exploring the intersection of environmental justice and food insecurity issues for this population. Partnering with a community-advisory board and using a qualitative descriptive methodology, 31 Gulf Coast Indigenous women participated in semi-structured interviews about their healthcare experiences and concerns. Through these interviews, participants expressed concerns about (a) the environmental impacts of pollution on the contamination of food and on the health of tribal members; and (b) the impact of these changes on the land, such as negatively impacting gardening practices. The authors of this study document how environmental changes have compounded these concerns and contribute to the overall pollution of food and water sources and unviability of subsistence practices, severely effecting tribal members’ health. In conclusion, we show how social and environmental justice issues such as pollution, industry exploitation, and climate change perpetuate the goals of settler colonialism through undermining cultural practices and the overall health of Indigenous peoples.

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Barriers to Achieving Reproductive Justice for an Indigenous Gulf Coast Tribe

Cited by 18 publications

References 58 publications

“It Adds to The Stress of the Body”: Community health needs of a state-recognized Native American tribe in the United States

“It Adds to The Stress of the Body”: Community health needs of a state-recognized Native American tribe in the United States

Healthcare needs and infrastructure obstacles for a state‐recognised Indigenous tribe in the United States

“We Live in a Very Toxic World”: Changing Environmental Landscapes and Indigenous Food Sovereignty

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