Out of Harmony: Health Problems and Young Native American Men

Abstract

Studies of the current health status of healthy young Native American men (American Indians and Alaska Natives) are rare compared with the attention researchers have given the many problems that plague the lives of these young men. Native American men are frequently not included in other studies focusing on men, and information on college-aged, healthy young Native American men is generally not readily available. Despite those drawbacks, this article brings together what is written or known about the health status of young Native American men. The emphasis, based on available information, is placed on some of the major health problems confronting this population.     

Primary care for young African American men

Young African American men in the inner city have higher rates of mortality and morbidity from potentially preventable causes than other American men of the same age. They suffer disproportionately high rates of preventable illness from violence, sexually transmitted diseases, and HIV infection. These young men present with problems related to sexual concerns, mental health issues, substance abuse, and violence. They also report substantial risk-taking behaviors, including unprotected sex, substance use, and weapon carrying, as well as exposure to violence. Access to and use of preventive primary care services has been limited for these patients in the past because of financial barriers and competing social issues. Racism and historical oppression have created barriers of mistrust for young men of color. Factors that contribute to their adverse health status, as well as ways to address these problems, are discussed.     

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.     

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.     

The Native American Family Circle: Roots of Resiliency

SUMMARY

This paper examines the structure, values, and identity of Native families. It discusses the history and context of Native Americans and offers specific practice principles and interventions for enhancing one's work with Native people.     

Native American drinking: a neglected subject of study and research

Although Native Americans are plagued by high rates of alcoholism, violence, suicide and early death, these social and clinical problems are usually given little more than cursory treatment in textbooks. A content analysis of twenty-six textbooks on alcoholism and substance misuse revealed that only four provided a detailed discussion of Native American drinking. Greater attention needs to be given to the cultural, psychological, and biological issues of drinking and drunkenness among this special population.     

AIDS Prevention in a Rural Native American Population:

Currently, the primary form of AIDS prevention is behavioral. Therefore, social workers must anchor preventive efforts on empirical knowledge of the beliefs, attitudes and behavioral norms of the target reference group. This paper presents the development and implementation of a preventive social work intervention project in a rural Native American population in Maine. In order to gain an understanding of the needs of the target group, a pilot study was conducted. Based on the findings of the study, which are presented herein, and knowledge of the cultural norms of the population, a prevention program was implemented. A discussion of implications for multicultural social work practice aimed at AIDS prevention concludes the article.     

Cohabitation and commitment: partnership plans of young men and women

Popular commentators on marriage and the family often interpret the increase in heterosexual couples living together without marrying as reduced willingness to create and honour life‐long partnerships. Survey and in‐depth interviews with samples of 20–29 year olds living in an urban area of Scotland finds little support for the postulated link between growing cohabitation and a weakened sense of commitment to long‐term arrangements. Most of the cohabiting couples strongly stressed their ‘commitment’. Socially acceptable vocabularies of motive undoubtedly influenced answers but interviews helped to explore deeper meanings. Many respondents’ views were consistent with previous research predictions of a weakening sense of any added value of marriage. At the same time, some respondents continued to stress the social significance of the distinction between marriage and cohabitation, consistent with research interpreting cohabitation as a ‘try and see’ strategy part‐way to the perceived full commitment of marriage. The notion that ‘marriage is better for children’ continued to have support among respondents. While, on average, cohabiting couples had lower incomes and poorer employment situations than married couples, only very extreme adverse circumstances were presented as making marriage ‘too risky’. Pregnancy‐provoked cohabitation was not always in this category. Cohabitation was maintained because marriage would ‘make no difference’ or because they ‘had not yet got round to’ marriage. Most respondents were more wary of attempting to schedule or plan in their personal life than in other domains and cohabitees’ attitudes to partnership, including their generally ‘committed’ approach, do not explain the known greater vulnerability of this group to dissolution.     

Agency among young people in marginalised positions: towards a better understanding of mental health problems

ABSTRACT

Agency in marginalised youth has been studied from various perspectives, yet the challenges that mental health problems pose for their agency remain poorly understood. Drawing on data from a study on youth transitions fractured by mental health problems, this study sheds light on this important issue. The data consists of 49 life story interviews with young adults. Using Ruth Lister’s four-dimensional taxonomy of agency, the analysis shows how everyday struggles with mental distress are entangled with the practices of the social security system, medical care, education, labour markets, and work life. It also reveals how emerging attempts at strategic agency can fail or flourish depending on the response of the social and structural context. If strategic agency is restricted by institutional practices, it will soon return to day-to-day struggling or become everyday resistance and cynicism towards the system. However, if the strategic agency is supported by institutional practices, a genuine path out of distress emerges. The paper suggests that taking seriously the experiences of mental distress and situating them in a specific socio-political context is essential for understanding youth agency today.     

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.     

Native American men-women,lesbians, two-spirits: Contemporary and historical perspectives

ABSTRACT

People living in the role of the “other” sex in Native American cultures, often entering into same-sex relationships, have been subject to various anthropological, historical, and psychological analyses and interpretations. Most recently, there has been a shift to an indigenist/decolonial interdisciplinary focus on lesbian, gay, bisexual, transgender, and queer Native people. This article gives a discussion of approaches to the subject, with a focus on female gender variability. An overview is given of the latter, complemented by a discussion of the identities and concerns of contemporary Native lesbians, many of whom identify as “two-spirit,” a term that alludes to the dual, spiritually powerful nature traditionally attributed in a number of Native American cultures to individuals who combine the feminine and masculine.     

Treading Upon Separate Paths: Native American Ideology and Marxist Analysis*

Sociologists have paid much attention to the phenomenon of ideology. In particular, there have been numerous efforts to develop theories of ideology formation from a Marxist perspective. However, one finds that such efforts almost without exception deal with shared beliefs which are characteristic of western, industrial societies. Ideologies of so-called primitive societies, such as Native American tribes, remain largely neglected by Marxist analysis. This can be explained in large measure by the fact that Marxist analysis, with its emphasis on relations of production, is ill-equipped to deal with Native American beliefs. Relations of production are an appropriate focal point for explaining the ideology of the European, industrial tradition. They are not useful in accounting for Native American ideology, which must be viewed as landbased rather than production-based. Awareness of this difference leads to an appreciation of the influence of land and nature upon Native American thought.     

Disability Through a Native American Lens: Examining Influences of Culture and Colonization

Disability is a socially constructed identity. What constitutes a disability and what it means to be a person with a disability can vary across cultures. This article explores meanings of disability within Native American cultures, including how ideas about wellness, balance, roles, and responsibilities influence perceptions of disabilities. This is followed by a review of disability prevalence, discussion of services, and explorations of possible reasons for the disproportionate impact of disabilities in Native American populations. The article concludes with an examination of how the colonial context frames both attitudes about and services for Native Americans with disabilities.     

At the intersection of criminal justice involvement and sexual orientation: Dynamic networks and health among a population-based sample of young Black men who have sex with men

Mass incarceration of young Black men has a significant impact on their network composition and stability that, in turn, may have major implications for health and well-being. A sub-group of young Black men with criminal justice involvement (CJI) identify as gay, bisexual or are non-identified men who have sex with men (hereafter MSM). This paper focuses on the potential effects of CJI on the composition of Black MSM social and sexual networks, their stability over time, and concomitant health and social outcomes. We use data from the UConnect study, a population-based cohort of young Black MSM 16–29 years of age (n = 618) selected using respondent-driven sampling in Chicago from 2013 to 2016. Both confidant and sexual network name generators and interpreters were administered at 9-month intervals over three waves of data collection. Ego and dyadic-level data were collected on behaviors prevalent among MSM and including factors associated with network CJI, network stability, and health outcomes. Generalized Structural Equation Models (GSEM) were utilized to determine the relationship between CJI network composition, network stability and behaviors prevalent among young Black MSM and their networks. In the UConnect cohort, 46% had at least once been detained, arrested or spent time in jail or prison. In addition, 20% of participants reported incident CJI over the study period. Respondents with a history of CJI were significantly more likely to have CJI homophily in their confidant and sexual networks. Multivariate analyses demonstrate that the association between one’s history of CJI, housing instability and drug use is partially explained by one’s network CJI. In addition, a higher prevalence of network CJI is associated with increased turnover in the confidant network, and this network instability is also related to important health and social outcomes. This analysis describes the networks of criminal justice involved men among a representative sample of young Black MSM and demonstrates the relationship between CJI network homophily, network stability and their impact on several key health and social outcomes relevant to this population.     

城市的空间和谐与社会和谐

改革开放以来"中国摆脱了运用政治力量抑制正常的社会成员分化,运用意识形态力量控制社会成员分化的历史,进入了一个以阶层为单位的社会成员的分化期".     

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.     

Between Two Worlds: Slovak Language and American Identity in Out of This Furnace

Abstract

Thomas Bell’s 1941 novel Out of This Furnace, a fictionalized account of his family’s immigration from eastern Slovakia to industrial Pittsburgh, is a significant example of the use of ‘mixed languages’ in ethnic American literature. It was translated from English into Slovak in 1949 as Dva svety (Two Worlds). The novel has bridged the gap between Slovak and American culture in the three ways explored here: Bell’s use of Slovak dialect, the Slovak translation, and two dramatic adaptations from the 1970s (an American play and a Slovak televised film). This case illuminates the complex relationship between ethnic American writers and their lands of origin, particularly in the case of less commonly spoken languages.