Complex Intersections: Reproductive Justice and Native American Women

This article presents an overview of reproductive justice as a theoretical and activist paradigm developed in response to reproductive oppression in the United States, and focuses on the reproductive justice needs of Native American women, as well as the responses developed by Native American women and their allies to these needs. I make explicit the links between reproductive justice, environmental justice and human rights for Native American communities, and articulate the ways in which reproductive healthcare for Native American women as it is provided by the Indian Health Service (IHS) acts as a fulcrum for these links. Ultimately, the failure of the IHS to meet the reproductive healthcare needs of Native American women reflects the failure of the federal government to meet its obligations to Tribal nations; further, these failures produce structures of reproductive oppression in Native communities which scholars and activists seek to redress utilizing the rubric of women’s reproductive health.     

On and Off the Reservation: A Discussion of the Social,Physical, and Mental Health Indicators of Suicide in the Native American Community

This article reviews explanations for the heightened rates of suicide among the US Native American population. Particular attention is afforded to the social, historical, physical, and mental health stressors that may contribute to such high rates. A great deal of scientific research has centered on determining and analyzing the many socio‐demographic indicators of suicide. Studies at the intersection of race/ethnicity and suicide have drawn attention to the fact that certain groups have higher suicide rates than others. At the pinnacle of groups most susceptible to suicide are Native Americans, followed closely by White non‐Hispanics, and then all other racial/ethnic groups ( Sederer 1994 ). As of 2008, Native Americans were more than twice as likely to commit suicide as Blacks, Hispanics, or Asian‐Americans. The analysis begins with an exploration of potential explanations behind the alarming rates of suicide within the Native American community, followed by critiques of the various theories.     

Native American Food Security and Traditional Foods: A Review of the Literature

This piece explores the emergent themes and subthemes represented within the recent contemporary discourse on Native American food security. Analysis revealed traditional foods as the most common theme present within the sampled literature. We offer a review of this theme (and related subthemes such as food access and human and environmental health) to illuminate the primary concerns, opportunities, preferences, and barriers associated with Native American food security. Our assessments also provide a nuanced understanding of existing literature related to food security and sovereignty, as well as key dimensions of environmental and social equality.     

Women and toxic waste protests: Race,class and gender as resources of resistance

In recent years, women have been at the forefront of grassroot toxic waste protests in the United States. Out of their experience of protest, women construct ideologies of environmental justice, which reveal broader issues of inequality underlying environmental hazards. I examine the environmental discourse of white working class, African American and Native American women activists. The voices of these women show the ways in which their traditional role as mothers becomes a resource for their resistance. At the same time, their emerging analysis of environmental justice is mediated by different experiences of class, race, and ethnicity.     

Agenda Setting and African American Women in State Legislatures

SUMMARY

Political scientists have, in recent years, uncovered substantial evidence that political representation in the United States is influenced by gender and race, yet generally examine the effects of gender entirely separate from the effects of race. In this article, we explore the agenda-setting behavior of African American female state legislators. We find that African American women do respond to both women's interests and black interests. We also find that while the sponsorship of black interest measures by African American women (or other legislators) is not influenced by the proportion of African Americans within the chamber, African American women are less likely to sponsor women's interest measures in legislatures with a relatively high proportion of women present. We conclude that because of their focus on multiple groups, black women occupy a unique place in representation, and that their choices are influenced by the institutional context in which they work.     

Black slaves and English liberty: A re‐examination of racial slavery in England

Blacks in eighteenth‐century England were caught in a half‐way stage between colonial slavery and English domestic servitude, and out of the ambiguities of their position they were able to alter their status. Consequently slavery came to an end in England between the 1760s and the 1790s, not from the Somerset Case in 1772, nor from the Act of Parliament in 1833, but from the escape of the slaves themselves. Certain institutional elements, namely the traditions of household servitude, a popular libertarian political culture, and the ideology of the rule of law, provided a climate conducive to black resistance. Nonetheless, the initiative for ending slavery, the force which brought the institutional elements into play, came from individual members of the black community.     

Comparing Offers and Take‐ups of Employee Health Insurance across Race,Gender, and Decade*

How often do U.S. employees receive health insurance offers from employers? When offered, how often do they take up their employer‐based health insurance? This article uses the 1992 and 2002 waves of the National Study of the Changing Workforce (NSCW) to investigate changes in access to (offers) and employees electing to accept, take, or purchase their employers’ health insurance plans (take‐ups) among wage and salaried workers. Although much research has studied employee health benefits, little has examined the intersection of gender and race regarding both offers and take‐ups of such benefits. Logistic regression results indicate that offers and take‐ups of personal health benefits declined from 1992 to 2002, net of salient controls. Further analyses demonstrate that these declines did not affect all workers identically. Offers declined somewhat for both women and men among whites and African Americans, but declined more among Hispanic women and men. Among other ethnoracial groups, offers declined the most among men, but increased among comparable women. Take‐ups declined among white men and Hispanic workers. However, white and African American women's take‐ups did not change and among African American men take‐ups increased. We discuss the need to examine gender and race simultaneously and urge researchers to more closely examine changes in health benefit offers and take‐ups.     

Research Note: The LIVITY study: research challenges and strategies for engaging with the black caribbean community in a study of HIV infection

There is an increasing incidence of new HIV‐1 diagnoses among black Caribbeans in the UK, but there has been limited research in this area. The LIVITY study is the first in‐depth epidemiological and behavioural study to examine the impact of HIV among black Caribbeans in the UK. The UK black Caribbean community has traditionally been regarded as less likely to participate in clinical research and surveys. We identified three major challenges to recruitment to the LIVITY study: general distrust of the research process; the considerable stigma surrounding HIV in the black Caribbean community and the sensitivity of obtaining detailed sexual histories. The strategies devised to help overcome these barriers to optimise recruitment included: the establishment of a black Caribbean Community Advisory Group to facilitate communication between the community and the researchers and assist in questionnaire design to improve acceptability to the participants; use of healthcare practitioners as gatekeepers; extensive piloting and modification of the questionnaire among black Caribbean patients; reassurances of confidentiality during recruitment; and ethnic matching between interviewer and study participants. Another challenge was the high rate of loss to follow‐up among eligible patients, potentially compromising the study’s generalisability. Nevertheless, use of the above strategies resulted in a satisfactory enrolment rate of 57%, who were representative of all eligible patients.     

Guinea Pig Kids: Myths or Modern Tuskegees?

The Tuskegee syphilis study represents a nadir in health research in the U.S., when individuals' bodies were used to satisfy researchers' curiosity with no anticipated clinical benefit. The study is often used as a teaching case, in research methods and biomedical ethics training, symbolizing the past, before the federal government intervened and created human protections regulations to protect participants. The Tuskegee study continues to have other ripple effects, contributing to African Americans' distrust of health research. This paper analyzes three medical studies from the 1990s that involved African American children. We examine the institutional actors that implemented these studies, and the community members of color who protested against them, and compare the tone of media accounts in African American and mainstream publications. We find that powerful governmental and medical institutions collaborated to implement these problematic studies, and that both mainstream and African American news outlets conveyed protestors' concerns about the ethics of the studies, resulting in federal investigations. Our hypothesis that African American outlets provided more negative coverage was not supported, suggesting distrust of biomedicine regarding race is more widespread. The unethical practices reported here raise key questions about the inclusion of both minority populations and children in medical research.     

Alaskan villagers' views on problem drinking: "those who forget"

Statewide statistics suggest that problems relating to alcohol abuse represent a major public health problem for Native Alaskans but very little is known about alcohol use on a community level, due to deficient reporting mechanisms and a lack of relevant research. The research reported here was designed to begin to fill this stated need. Alcohol use patterns, the extent of drinking, and associated problems as perceived by residents of two Alaskan Eskimo villages are documented. The structure and effects of alcohol programs in the villages, which represent local attempts to manage alcohol, are also examined. The research demonstrates that it cannot be assumed that all Native Alaskan communities have the same scale of drinking and consequent problems. Differential response to alcohol programs, which have essentially the same structure, is demonstrated and related to the recent development of contrasting levels of community organization in the two villages, which share a common cultural tradition. The utility of a comparative case study approach in examining alcohol problems in Native American communities and the need for expanded research for informed alcohol program planning and implementation are emphasized.     

Adolescent Behavioral,Emotional, and Cognitive Engagement Trajectories in School and Their Differential Relations to Educational Success

The current study used a multidimensional approach to examine developmental trajectories of three dimension of school engagement (school participation, sense of school belonging, and self‐regulated learning) from grades 7 to 11 and their relationships to changes in adolescents’ academic outcomes over time. The sample includes 1,148 African American and European American adolescents (52% females, 56% black, 34% white, and 10% others). As expected, the downward trajectories of change in school participation, sense of belonging to school, and self‐regulated learning differed as did their predictive relationships with academic performance and educational aspiration, with school belonging declining most markedly, but being least predictive of changes in grade point average.     

Urban and Indigenous: The Challenges of being a Native American in the City

The United States is home to more than 4 million Native Americans, the majority of whom live in urban areas. Urban Native Americans often experience significant social, health, and economic problems while having access to substantially fewer Native-specific resources than their reservation-based counterparts. They also face challenges with access to tribal services and political processes, as well as identity-sustaining cultural resources. This article describes the urban nature of many contemporary Native American communities. Examples from various urban Native American communities highlight the challenges faced by urban Native people, as well as creative initiatives developed to serve this population. This paper draws on and synthesizes the literature on contemporary urban Native communities, thus providing needed information for service providers and researchers working in these communities.     

Racism and Xenophobia

Racism is perhaps the most serious basic problem affecting the welfare of people referred to as migrants or black people in Europe today. Racism is not just about personal racial prejudice but also about institutional processes, ways of thinking and ways of doing things that are deeply ingrained in European culture, including health care—especially mental health care. The prevention of racism in a health service requires a clear statement of intent in a race equality policy that generates monitoring systems, action plans and forward planning. Combating racism must go hand‐in‐hand with the promotion of cultural sensitivity in health care; equal opportunities in access to a service must be balanced by strict control of institutional racism in the quality of the service and employment practices.     

The Impact of Intersecting Dimensions of Inequality and Identity on the Racial Status of Eastern African Immigrants1

In this article, we examine how immigrants from eastern Africa to the Minneapolis and St. Paul metropolitan area understand and navigate the U.S. color line and its implications for nonwhites. Although these immigrants are subject to constraints based on their racial status as black, they mobilize other intersecting aspects of their identities to manipulate racial classifications in the hopes of attaining upward mobility in the United States, even when doing so creates other social costs for them. Eastern African immigrants draw on their ethnicity and, among Muslim immigrants, their religion to differentiate themselves from African Americans, who occupy the lowest position in the U.S. racial hierarchy. In challenging their categorization as racially black and seeking to move up the racial hierarchy, Eastern African immigrants refine the color line to distinguish between African‐American blacks and non‐African‐American blacks.     

Alcohol Use Among Black and White Adolescents Exploring the Influence of Interracial Friendship,the Racial Composition of Peer Groups,and Communities

Black adolescents use less alcohol, on average, than white adolescents. Prior research has struggled to explain the disparity in alcohol use between blacks and whites but not for a lack of potential mediating mechanisms. The current study draws on differential association theory and two waves of panel data (n = 1,016) to examine the influence of interracial friendship, the racial composition of peer groups, and communities on black–white differences in alcohol use. Findings indicate that (1) the racial composition of peer groups and communities influence changes in alcohol use, and (2) racial segregation contributes to racial disparities in alcohol use while interracial friendship reduces these disparities. Results suggest that the socially conservative values of the African‐American community are a strong deterrent to adolescent drinking, affecting even those adolescents who are themselves white but associate with black youth.     

Accounting for the Performance of Environmentally Significant Behavior: The Symbolic Significance of Recycling

The scientific community has pronounced climate change unequivocal and its consequences disastrous. Yet Americans' behavioral response to the global social problem of environmental degradation has been largely confined to the individual act of recycling. This article examines why Americans are not doing more to address climate change and other environmental issues. Taking a cognitive sociological perspective, I describe how Americans think about environmental issues and pro‐environmental behavior. I draw on Swidler's concept of a “cultural tool kit,” to examine the cultural narratives Americans use to account for the small amount of pro‐environmental behavior they perform. The act of recycling functions as a synecdoche for pro‐environmental behavior in general, allowing individuals to over‐claim the significance of a modest amount of pro‐environmental behavior. I argue that Americans' failure to engage with environmental issues at a collective level is rooted in the individualized culture of American environmentalism.     

Understanding Environmental Risk Perceptions: A Case of Contested Illness in South Florida

Communities facing environmental health threats can experience contention when residents have conflicting interpretations of risks; yet little is known about the social–psychological processes that contribute to divergent risk perceptions in these cases. Drawing on previous work on environmental contamination, contested illness, and literature on risk perceptions, we offer a framework for analyzing how residents assess potential environmental risks. Using the case of The Acreage, Florida, we examine a community where a cancer cluster has been established, but an environmental cause has not been determined. Specifically, we ask how residents individually assess risks concerning possible environmental contamination in cases of contested illness. Data come from 57 in‐depth interviews conducted with current and former residents of The Acreage. We argue that residents utilized particular cognitive heuristics to develop understandings and assessments of the situation. However, when these assessments contradicted those of other residents, community conflict emerged. We conclude by discussing how the framework utilized in our analysis can be applied in future research of contaminated communities.     

Messages Matter: Investigating the Thematic Content of Picture Books Portraying Underrepresented Racial and Cultural Groups

Books depicting underrepresented racial or cultural groups and the messages they convey offer vehicles for change. But not all messages have the same impact, and thought should be given to which messages are used when and for what purpose. Our research contributes to the national conversation about diverse children's books by illuminating nine themes dominant in fiction and narrative nonfiction picture books (K–3) published between 2008–2015 featuring characters who are Asian/Pacific Islander, black/African/African American, Central and South American (Hispanic/Latinx), Middle Eastern/North African/Arab, First/Native Nations, and bi‐/multiracial. We also provide insight into the messages communicated by the relative prevalence of characters portrayed in each theme from each group. Inviting those who use books with children to turn their attention to overarching messages, we provide a model of how these themes can be used to interrogate a collection and its nuances of representation.     

Providing psychiatric-mental health care for Native Americans: lessons learned by a non-Native American PMHNP

Providing culturally sensitive psychiatric-mental health nursing care to Native Americans requires a unique set of understandings. Traditional tribal customs and beliefs, historical events of the past 500 years, and acculturation and enculturation have affected Native Americans' health and well-being. In 2004, I had the opportunity to practice as a psychiatric-mental health nurse practitioner with a Native American tribe in the southwestern United States. This article describes the lessons I learned while practicing on the reservation and suggests ways other non-Native American practitioners can best serve this population.     

Racial Residential Segregation,Perceived Neighborhood Conditions,and Self-Rated Health: The Case of Houston,Texas

Previous research has linked racial residential segregation to a number of poor health outcomes. Yet, the mechanisms that could account for this association remain poorly understood and have seldom been empirically tested in the literature. In an analysis of the Houston area, we test one potential mechanism—perceived neighborhood conditions, as measured by two indices for neighborhood disorder and environmental quality. Using individual-level health data from a survey of Houston residents and neighborhood-level sociodemographic data from the U.S. Census, we estimate a series of multilevel models. We find that black and Latino segregation are linked to the perceived neighborhood disorder index, but no such relationship for the environmental quality index. Moreover, we find that both indices are related to poor self-rated health in that residents who evaluate their neighborhood conditions negatively are more likely to evaluate their health as poor. We also find a direct effect of black and Latino segregation on poor self-rated health, and that perceived neighborhood disorder partially mediates this relationship. We do not find a mediation effect for environmental quality. The results suggest that in order to improve the health of these communities, both residential segregation and neighborhood conditions need to be addressed.