Susceptibility of Southwestern American Indian Tribes to Coronavirus Disease 2019 (COVID‐19)

Kakol, Monika; Upson, Dona; Sood, Akshay

doi:10.1111/jrh.12451

Cited by 68 publications

(69 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This finding is consistent with those from a similar study assessing pandemic influenza A(H1N1)–related mortality ( 1 ). Long-standing inequities in public funding; infrastructure; and access to health care, education, stable housing, healthy foods, and insurance coverage have contributed to health disparities (including higher prevalences of smoking, obesity, diabetes, and cardiovascular disease) that put indigenous peoples at higher risk for severe COVID-19–associated illness ( 4 ). The lack of consistent and complete collection of underlying health conditions prevented the workgroup from assessing the contributions of these conditions to the observed disparity in mortality.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Mortality Among American Indian and Alaska Native Persons — 14 States, January–June 2020

Arrazola¹,

Masiello²,

Joshi³

et al. 2020

MMWR Morb. Mortal. Wkly. Rep.

114

View full text Add to dashboard Cite

American Indian/Alaska Native (AI/AN) persons experienced disproportionate mortality during the 2009 influenza A(H1N1) pandemic (1,2). Concerns of a similar trend during the coronavirus disease 2019 (COVID-19) pandemic led to the formation of a workgroup* to assess the prevalence of COVID-19 deaths in the AI/AN population. As of December 2, 2020, CDC has reported 2,689 COVID-19associated deaths among non-Hispanic AI/AN persons in the United States. † A recent analysis found that the cumulative incidence of laboratory-confirmed COVID-19 cases among AI/AN persons was 3.5 times that among White persons (3). Among 14 participating states, the age-adjusted AI/AN COVID-19 mortality rate (55.8 deaths per 100,000; 95% confidence interval [CI] = 52.5-59.3) was 1.8 (95% CI = 1.7-2.0) times that among White persons (30.3 deaths per 100,000; 95% CI = 29.9-30.7). Although COVID-19 mortality rates increased with age among both AI/AN and White persons, the disparity was largest among those aged 20-49 years. Among persons aged 20-29 years, 30-39 years, and 40-49 years, the COVID-19 mortality rates among AI/AN were 10.5, 11.6, and 8.2 times, respectively, those among White persons. Evidence that AI/AN communities might be at increased risk for COVID-19 illness and death demonstrates the importance of documenting and understanding the reasons for these disparities while developing collaborative approaches with federal, state, municipal, and tribal agencies to minimize the impact of COVID-19 on AI/AN communities. Together, public health partners can plan for medical countermeasures and prevention activities for AI/AN communities.During July 22-September 3, 2020, data were collected on confirmed COVID-19-associated deaths that occurred during January 1-June 30, 2020, from 14 participating states. § These states represent approximately 46.5% of the AI/AN population * Representatives from 14 state health departments,

show abstract

Section: Discussionmentioning

confidence: 99%

COVID-19 Mortality Among American Indian and Alaska Native Persons — 14 States, January–June 2020

Arrazola¹,

Masiello²,

Joshi³

et al. 2020

MMWR Morb. Mortal. Wkly. Rep.

114

View full text Add to dashboard Cite

show abstract

“…2,3 It is likely that the COVID-19 pandemic will exacerbate disparities among American Indian tribes, particularly when coupled with existing barriers to access health services. 4 In their commentary, Kakol et al (18 April 2020) 5 summarized historical and ongoing ramifications of colonization on Southwestern American Indian tribes from an infectious disease perspective, including challenges confronting those communities amidst the COVID-19 pandemic. They comment on the need to expand telehealth to rural Southwest American Indian communities, adding to the burgeoning literature on COVID-19 that emphasizes telehealth approaches, namely telemedicine, as a means of improving access to physical and mental health care, while maintaining social distancing.…”

mentioning

confidence: 99%

Barriers to Telemedicine Implementation in Southwest Tribal Communities During COVID‐19

Graves

Mackelprang

Amiri

et al. 2020

The Journal of Rural Health

View full text Add to dashboard Cite

“…Specifically, our results suggest the needs for increasing out-of-home safe quarantine spaces, eliminating lack of health insurance as a barrier for testing, and explicit consideration of Tribal land status and infrastructure conditions, such as plumbing and information communication technology, in understanding the impacts of COVID-19. Furthermore, our results demonstrate the need for greater efforts to understand the experiences of Indigenous Peoples during COVID-19 from the social determinants of health framework (Kakol, Upson and Sood 2020) that explicitly incorporates historical racisms, but also from the Indigenous research framework that centers Indigenous knowledge and methodologies (Smith, 2013).…”

Section: Discussionmentioning

confidence: 83%

COVID-19 in New Mexico Tribal Lands: Understanding the Role of Social Vulnerabilities and Historical Racisms

2020

View full text Add to dashboard Cite

The Coronavirus 2019 (COVID-19) pandemic has disproportionally affected Indigenous Peoples. Unfortunately, there is no accurate understanding of COVID-19's impacts on Indigenous Peoples and communities due to systematic erasure of Indigenous representation in data. Early evidence suggests that COVID-19 has been able to spread through pre-pandemic mechanisms ranging from disproportionate chronic health conditions, inadequate access to healthcare, and poor living conditions stemming from structural inequalities. Using innovative data, we comprehensively investigate the impacts of COVID-19 on Indigenous Peoples in New Mexico at the zip code level. Specifically, we expand the U.S. Centers for Disease Control and Prevention's Social Vulnerability Index (SVI) to include the measures of structural vulnerabilities from historical racisms against Indigenous Peoples. We found that historically-embedded structural vulnerabilities (e.g., Tribal land status and higher percentages of house units without telephone and complete plumbing) are critical in understanding the disproportionate burden of COVID-19 that American Indian and Alaska Native populations are experiencing. We found that historically-embedded vulnerability variables that emerged epistemologically from Indigenous knowledge had the largest explanatory power compared to other social vulnerability factors from SVI and COVID-19, especially Tribal land status. The findings demonstrate the critical need in public health to center Indigenous knowledge and methodologies in mitigating the deleterious impacts of COVID-19 on Indigenous Peoples and communities, specifically designing place-based mitigating strategies.

show abstract

Susceptibility of Southwestern American Indian Tribes to Coronavirus Disease 2019 (COVID‐19)

Cited by 68 publications

References 13 publications

COVID-19 Mortality Among American Indian and Alaska Native Persons — 14 States, January–June 2020

COVID-19 Mortality Among American Indian and Alaska Native Persons — 14 States, January–June 2020

Barriers to Telemedicine Implementation in Southwest Tribal Communities During COVID‐19

COVID-19 in New Mexico Tribal Lands: Understanding the Role of Social Vulnerabilities and Historical Racisms

Contact Info

Product

Resources

About