Advertisement

Journal of Community Health

, Volume 44, Issue 6, pp 1027–1036 | Cite as

Indigenizing Academics Through Leadership, Awareness, and Healing: The Impact of a Native American Health Seminar Series for Health Professionals, Students, and Community

  • Patricia A. CarneyEmail author
  • Cynthia Taylor
  • Rosa Frutos
  • Dove Spector
  • Erik Brodt
Original Paper
  • 172 Downloads

Abstract

Health disparities have long affected American Indian and Alaska Native (AI/AN) populations. Transformations are needed in academia to help understand Indigenous ‘ways of knowing.’ Lifting the voices of AI/ANs in telling their stories could improve the education of students, faculty and the lay public. We collaborated to develop, implement and evaluate a Native American Health Seminar Series taught by AI/AN leaders on addressing health disparities among AI/AN people. A quasi-experimental mixed methods design included a 15-item survey to assess the impact of the Seminar Series on knowledge of AI/AN health issues and its influence, among students, on health career choices. During the 2018 academic year, three seminars were held and 243 participants attended. In total, 182 surveys (74.9%) were completed by faculty members, students and members of the lay public. Students (all categories combined) represented the highest participant group (48.4%), followed by the lay public at 30% and faculty at 21.6%. The highest scores on knowledge of Native health issues prior to seminar attendance were reported by those representing the lay public with a mean of 3.96 compared to 3.67 for faculty and 3.43 among students (p = 0.01), which was highly represented by Indigenous people. Increases in knowledge occurred in all participant groups. Among students, 65.6% initially indicated that they were not planning on pursuing a career in Native health. Among these, 56.9% indicated they were somewhat to extremely likely to pursue a career in Native health as a result of having attended the seminar.

Keywords

Indigenous health and healing Career choice Health disparities Tribal health workforce Indigenous health education 

Notes

Acknowledgements

This work was supported by the Northwest Native American Center of Excellence (NNACOE), funded by the Health Resources and Services Administration, Bureau of Health Workforce under Grant No. D34HP31026 for NNACOE.

Compliance with Ethical Standards

Conflict of interest

The authors have no conflicts of interest to declare.

References

  1. 1.
    Kunitz, S. J. (2008). Changing patterns of mortality among American Indians. American Journal of Public Health, 98, 404–411.CrossRefGoogle Scholar
  2. 2.
    Board, Northwest Portland Area Indian Health. (2012). Northwest American Indian and Alaska Native Mortality. Portland: Northwest Tribal EpiCenter.Google Scholar
  3. 3.
    James, C., Schwartz, K., & Berndt, J. (2009). A profile of American Indians and Alaska natives and their health coverage. Menlo Park: Kaiser Family Foundation.Google Scholar
  4. 4.
    Board, Northwest Portland Area Indian Health. (2014). American Indian & Alaska Native Community Health Profile: Oregon, Washington, Idaho. Portland: Northwest Tribal Epidemiology Center.Google Scholar
  5. 5.
    U.S. Census Bureau. (2016). American Community Survey 5-year estimates. 2010–2014. Retrieved December 21, 2016 from https://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=CF.
  6. 6.
    FY16 Government Performance and Results Act (GPRA). (2016). Indian health service performance results. Retrieved December 20, 2016 from https://www.ihs.gov/crs/includes/themes/newihstheme/display_objects/documents/gpra/2016_GPRAResults_CRS.pdf.
  7. 7.
    Centers for Disease Control and Prevention (CDC). High school youth risk behavior survey data. 1991–2015. Retrieved December 20, 2016 from http://nccd.cdc.gov/youthonline/.
  8. 8.
    Indian Health Service. (2015). IHS vacancy rates. Retrieved December 21, 2016 from https://www.ihs.gov/dhps/programperformancedata/recruitment/.
  9. 9.
    AMN Healthcare. (2013). Clinical Workforce Survey: A National Survey of Hospital Executives Examining Clinical Workforce Issues in the Era of Health Reform, San Diego, CA. Retrieved December 20, 2018 from https://www.amnhealthcare.com/uploadedFiles/MainSite/Content/Healthcare_Industry_Insights/Industry_Research/executivesurvey13.pdf.
  10. 10.
    National Association of Community Health Centers. (2016). Staffing the safety net: Building the Primary Care Workforce at America’s Health Centers, Bethesda, MD. Retrieved December 20, 2018 from http://nachc.org/wp-content/uploads/2015/10/NACHC_Workforce_Report_2016.pdf.
  11. 11.
    Pathman, D. E., Konrad, T. R., & Ricketts, T. C. (1992). The comparative retention of National Health Service Corps and other rural physicians. Results of a 9-year follow-up study. Journal of the American Medical Association, 268(12), 1552–1558.CrossRefGoogle Scholar
  12. 12.
    Chino, M., & DeBruyn, L. (2006). Building true capacity: Indigenous models for indigenous communities. American Journal of Public Health, 96(4), 596–599.CrossRefGoogle Scholar
  13. 13.
    Wallerstein, N. B., & Duran, B. (2006). Using community-based participatory research to address health disparities. Health Promotion Practice, 7(3), 312–323.CrossRefGoogle Scholar
  14. 14.
    Blue Bird Jernigan, V., Peercy, M., Branam, D., Saunkeah, B., Wharton, D., Winkleby, M., et al. (2015). Beyond health equity: Achieving wellness within American Indian and Alaska Native communities. American Journal of Public Health, 105(Suppl 3), S376–S379.CrossRefGoogle Scholar
  15. 15.
    Sharma, M., Pinto, A. D., & Kumagai, A. K. (2018). Teaching the social determinants of health: A path to equity or a road to nowhere? Academic Medicine, 93(1), 25–30.CrossRefGoogle Scholar
  16. 16.
    Phillips, C. (2011). Institutional racism and ethnic inequalities: An expanded multi-level framework. Journal of Social Policy, 40(1), 173–192.CrossRefGoogle Scholar
  17. 17.
    Cajate, G. (2000). Native Science: Natural Laws of Interdependence. Santa Fe: Clear Light Press.Google Scholar
  18. 18.
    Brodt, E., Empey, A., Mayinger, P., Fuqua Miller, M., Spector, D., Frutos, R., et al. Shifting the Tide: Innovative Strategies to Develop an American Indian/Alaska Native Physician Workforce. Hawaii Journal of Medicine & Public Health (In Review).Google Scholar
  19. 19.
    Bauer, M. W. (2000). Classical content analysis: A review. In M. W. Bauer & Gaskel (Eds.), Qualitative researching with Text, Image and Sound. Thousand Oaks: Sage.CrossRefGoogle Scholar
  20. 20.
    Fuch, S. J., Kouyate, A., Kroboth, L., & McFarland, W. (2016). Growing the pipeline of diverse HIV investigators: The impact of mentored research experiences to engage underrepresented minority students. AIDS Behavior, 20(Suppl 2), 249–257.CrossRefGoogle Scholar
  21. 21.
    Evans, K. H., Bereknyei, S., Yeo, G., Hikoyeda, N., Tzuang, M., & Braddoci, C. H. (2014). The impact of a faculty development program in health literacy and ethnogeriatics. Academic Medicine, 89(12), 160–1604.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Family Medicine, School of MedicineOregon Health & Science UniversityPortlandUSA

Personalised recommendations