Predictors of Wellness and American Indians

Felicia Schanche Hodge · Karabi Nandy

47 citations0/0 files storedJournal of Health Care for the Poor and Underserved

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Indigenous Health, Education, and Rights Racial and Ethnic Identity Research Indigenous Health and Education

Abstract

Wellness is an important American Indian (AI) concept, understood as being in balance with one's body, mind, and environment. Wellness predictors are reported in this paper within the context of health. A cross-sectional randomized household survey of 457 AI adults at 13 rural health care sites in California was conducted. Measures included wellness perceptions, barriers, health status/health conditions, spirituality, cultural connectivity, high-risk behaviors and abuse history. Statistical analysis obtained the best predictive model for wellness. Predictors of wellness were general health status perception, participation in AI cultural practices and suicide ideation. Significant differences in wellness status were observed depending on experience of adverse events in childhood and adulthood (neglect, physical abuse, and sexual abuse). Cultural connectivity (speaking tribal language, participating in AI practices, and feeling connected to community) was also associated with perceptions of wellness. Recommendations are for culturally-appropriate education and interventions emphasizing community and cultural connectivity for improving wellness status.

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References

1919The American Psychological Association 2004Conceptualizing and Measuring Historical Trauma Among American Indian People 2006Sense of Belonging as Connectedness, American Indian Worldview, and Mental Health 2002Perspectives on Wellness: Journeys on the Red Road

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2017Adverse Childhood Experiences (ACE) among American Indians in South Dakota and Associations with Mental Health Conditions, Alcohol Use, and Smoking 2022Health effects of Indigenous language use and revitalization: a realist review 2019Living a Good Way of Life: Perspectives from American Indian and First Nation Young Adults 2017Language as a Facilitator of Cultural Connection 2021Spiritual connectedness through prayer as a mediator of the relationship between Indigenous language use and positive mental health.2022The Relationship Between Cultural Engagement and Psychological Well-being Among Indigenous Adolescents: A Systematic Review

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