“…This definition is applicable to a wide range of dynamic systems, including biological systems within the human body (e.g., cardiovascular system), individuals, communities, and societies (Masten et al, 2021). Resilience has been central to the survival of American Indian and Alaska Native people, and this resilience has been demonstrated across the lifespan (Oré et al, 2016), including youth (Gilgun, 2002; Henson et al, 2017; Lafromboise et al, 2006; Stumblingbear-Riddle & Romans, 2012), young adults (Nikolaus et al, 2021), and older adults (Kahn et al, 2016; Reinschmidt et al, 2016). Although the resilience observed in these groups is a response to challenges rooted in long and ongoing history of cultural loss and degradation, and continued discrimination, what remains less clear are the multi-level factors underpinning resilience, and how these factors relate to positive physical and mental health outcomes.…”