Keeping Our Hearts from Touching the Ground: HIV/AIDS in American Indian and Alaska Native Women

Walters, Karina L.; Beltrán, Ramona; Evans-Campbell, Tessa; Simoni, Jane M.

doi:10.1016/j.whi.2011.08.005

Cited by 19 publications

(27 citation statements)

References 18 publications

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“…Community-based approaches have long been involved in the traditional healing process (i.e. healing circles, sharing circles, talking circles, sweat lodges and feast) with much success and can be used in conjunction with individual healing approaches (DeGagne 2007;Duran 2006;Iwasaki et al 2005;Poonwassie 2006;Walters et al 2011) and more conventional approaches that may include medications and psychotherapies. Greater awareness is needed in health care spaces that Indigenous women accessing care may be living with a dual diagnosis (e.g.…”

Section: Discussionmentioning

confidence: 99%

Experiences of chronic stress and mental health concerns among urban Indigenous women

Benoit

Cotnam²,

Raboud

et al. 2016

Arch Womens Ment Health

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We measured stress, depression and post-traumatic stress disorder (PTSD) levels of urban Indigenous women living with and without HIV in Ontario, Canada, and identified correlates of depression. We recruited 30 Indigenous women living with HIV and 60 without HIV aged 18 years or older who completed socio-demographic and health questionnaires and validated scales assessing stress, depression and PTSD. Descriptive statistics were conducted to summarize variables and linear regression to identify correlates of depression. 85.6 % of Indigenous women self-identified as First Nation. Co-morbidities other than HIV were self-reported by 82.2 % (n = 74) of the sample. High levels of perceived stress were reported by 57.8 % (n = 52) of the sample and 84.2 % (n = 75) had moderate to high levels of urban stress. High median levels of race-related (51/88, IQR 42-68.5) and parental-related stress (40.5/90, IQR 35-49) scores were reported. 82.2 % (n = 74) reported severe depressive symptoms and 83.2 % (n = 74) severe PTSD. High levels of perceived stress was correlated with high depressive symptoms (estimate 1.28 (95 % CI 0.97-1.58), p < 0.001). Indigenous women living with and without HIV reported elevated levels of stress and physical and mental health concerns. Interventions cutting across diverse health care settings are required for improving and preventing adverse health outcomes.

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Section: Discussionmentioning

confidence: 99%

Experiences of chronic stress and mental health concerns among urban Indigenous women

Benoit

Cotnam²,

Raboud

et al. 2016

Arch Womens Ment Health

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“…Historical trauma is described as one component of HIV risk in Indigenous communities attributable to disruptions in cultural practices, interpersonal relationships, and community cohesion (Evans-Campbell 2008;Walters et al 2011). Historical trauma is defined as a collective and cumulative wounding as a result of targeted mass group assaults (e.g., boarding schools, forced removal, deportations, slavery).…”

Section: Background Of Hiv/aids In Indigenous Communitiesmentioning

confidence: 99%

“…CBPR projects in Indigenous communities have been successful in centering relationships, collaboration, and sustainability within communities and have allowed for culturally-specific adaptations and iterative and fluid modifications to the research (Brockie et al 2017;Mau et al 2010). Moreover, CBPR is emphasized as a recommended approach for HIV research with Native and Indigenous communities (Walters et al 2011).…”

Section: Introductionmentioning

confidence: 99%

La Cultura Cura: An Exploration of Enculturation in a Community-Based Culture-Centered HIV Prevention Curriculum for Indigenous Youth

et al. 2020

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Community based participatory research and attention to cultural resilience is recommended in HIV prevention research with Indigenous communities. This paper presents qualitative findings from evaluation of a culture-centered HIV prevention curriculum for Indigenous youth that was developed using a community based participatory research approach. Specifically, the authors focus on youth descriptions of cultural resilience and enculturation factors after participating in the curriculum. Thematic analysis of in-depth interviews with 23 youth participants yields three salient themes associated with cultural resilience and enculturation factors including: Development of cultural pride, honoring ancestors through traditional cultural practices, and acknowledging resilience and resistance within Indigenous communities. Additionally, per community directive, the authors share an observation of changes to identity descriptions from pre-curriculum baseline to post-curriculum interviews, pointing to a possible increase in awareness of Indigenous cultural identity.

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“…However, a number of committed scholars effectively transformed understandings about accepted Native AIDS knowledge. This body of work recognizes the unique socioeconomic and political situation of American Indians, and most of the guiding principles developed for AIDS outreach and care among this population are based within research and activism by Natives (see, for example, Burks et al 2011;Gilley 2006;Nakai et al 2004;Walters and Simoni 2009;Walters et al 2012). …”

Section: The Institutionalization Of Hiv/aids Efforts On Behalf Of Namentioning

confidence: 99%

‘White man’s disease’

Gilley¹,

Pfeiffer²

2017

MAT

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Through critical reflection on the conspiracy theories told about the origins of HIV by American Indians, we learned that many community members refused the universalized aspects of AIDS prevention, education, and intervention. We found that standard HIV/AIDS-related prevention and treatment programs tend to universalize experiences with and responses to the AIDS epidemic and ignore -or push to the margin -alternative framings and understandings of this disease. Inspired by American Indians' refusal to synthesize (in the Hegelian dialectical sense) their own experience into national and international AIDS knowledges, in this article we seek to engage with such marginal understandings, as well as their interactions with universal, individual, and community notions of care, AIDS, and health causality. The use of non-standard theories of the origins of AIDS by American Indians, we argue, disrupts the logic that attempts to universalize AIDS and community experiences. By making AIDS a 'White man's disease', Natives bring the epidemic in line with a history of social and health neglect by the settler state, and refuse to collapse their own, marginalized experiences and understandings of HIV/AIDS into dominant knowledges of the disease.

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Keeping Our Hearts from Touching the Ground: HIV/AIDS in American Indian and Alaska Native Women

Cited by 19 publications

References 18 publications

Experiences of chronic stress and mental health concerns among urban Indigenous women

Experiences of chronic stress and mental health concerns among urban Indigenous women

La Cultura Cura: An Exploration of Enculturation in a Community-Based Culture-Centered HIV Prevention Curriculum for Indigenous Youth

‘White man’s disease’

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