Ethics in Public Health Research

Stephen J. Kunitz

45 citations0/0 files storedAmerican Journal of Public Health

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Indigenous Health, Education, and Rights Ethics in Clinical Research Indigenous Health and Education

Abstract

Mortality rates for American Indians (including Alaska Natives) declined for much of the 20th century, but data published by the Indian Health Service indicate that since the mid-1980s, age-adjusted deaths for this population have increased both in absolute terms and compared with rates for the White American population. This increase appears to be primarily because of the direct and indirect effects of type 2 diabetes. Despite increasing appropriations for the Special Diabetes Program for Indians, per capita expenditures for Indian health, including third-party reimbursements, remain substantially lower than those for other Americans and, when adjusted for inflation, have been essentially unchanged since the early 1990s. I argue that inadequate funding for health services has contributed significantly to the increased death rate.

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2005The Epidemiologic Transition: A Theory of the Epidemiology of Population Change 1971The Epidemiologic Transition: A Theory of the Epidemiology of Population Change 1996The history and politics of US health care policy for American Indians and Alaskan Natives.1982Selective primary health care: Old wine in new bottles 2005Mortality of White Americans, African Americans, and Canadians: The Causes and Consequences for Health of Welfare State Institutions and Policies 1975Alternative approaches to meeting basic health needs in developing countries. A joint UNICEF/ WHO study.

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2011The Costs of Treating American Indian Adults With Diabetes Within the Indian Health Service 2011Challenges in Public Health Research With American Indians and Other Small Ethnocultural Minority Populations 2010State political cultures and the mortality of African Americans and American Indians 2016A National Study of American Indian and Alaska Native Substance Abuse Treatment: Provider and Program Characteristics

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