Paula Firemoon

Biographic Data

ID184380
NAMEPaula Firemoon
GIVEN NAMESPaula
FAMILY NAMEFiremoon
SIGNATUREFIREMOON P
AFFILIATIONSFort Peck Community College
VERIFIEDNo
TOTAL WORKS16
TOTAL CITATIONS17
AUTHOR COUNT16
EDITOR COUNT0
FIRST PUBLICATION YEAR2019
LATEST PUBLICATION YEAR2026
H-INDEX3

  • Condom use self-efficacy with Indigenous youth

    J Thiele, Paula Firemoon et al.ARTICLEAIDS Care2026

    Indigenous youth in the United States are at elevated risk of infection with Human Immunodeficiency Virus (HIV) and other sexually transmitted infections (STIs) compared to non-Indigenous youth populations. Condom use is an effective strategy to mitigate HIV and STI transmission, and condom use self-efficacy (CUSE) is a key focal point of sexual and reproductive health interventions for Indigenous youth. CUSE scales can be used to measure CUSE, b…

  • A qualitative study of ecological factors impacting American Indian adolescents living on the Fort Peck Reservation during the Covid-19 pandemic

    Open AccessE Rink, Olivia Johnson et al.ARTICLEEthnicity and Health2026

    These findings support the importance of promoting family connectedness, parent/caregiver-adolescent communication, and the use of traditional American Indian healing practices to mitigate risk and promote health and wellness during future pandemics

  • Self-reported head trauma among Native Americans who inject methamphetamine

    Open AccessMonica R Lininger, Mike Anastario et al.ARTICLEFrontiers in Public Health2025

    Introduction: Traumatic brain injury (TBI) is a significant public health concern, with disparities in prevalence and care access among Native Americans. The syndemic relationship between substance use and TBI remains underexplored in Native Americans who inject methamphetamine, a population at high risk for both conditions. This study examines the association between self-reported TBI and substance use patterns in a sample of Native Americans wh…

  • Injection preparation filtration and health concerns among indigenous people who inject methamphetamine

    Open AccessMike Anastario, Michael Anastario et al.ARTICLEFrontiers in Public Health2024

    Introduction: Injecting methamphetamine poses significant health risks, but little is known about how methamphetamine injectors filter their injection preparations and experience related health concerns. Methods: = 30) was recruited and semistructured interviews were conducted to collect information on filtration practices and health concerns. Results: Filtration of the injection preparation was described by 53% of injectors. Elevated levels of c…

  • Caregiver-Youth Communication Patterns and Sexual and Reproductive Health Among American Indian Youth

    Open AccessJ Thiele, Olivia Williamson et al.ARTICLEJournal of Immigrant and Minority…2024

    Improving communication between American Indian caregivers and their youth has been suggested as an Indigenous-forward strategy to help alleviate the sexual and reproductive health (SRH) disparities faced by American Indian youth as a result of the legacy of colonial violence against American Indian communities. Studies with non-American Indian and American Indian populations suggest that effective communication about SRH between parents and yout…

  • Development and Preliminary Validation of the Complicated and Adaptive Grief Inventory for Native Americans

    Open AccessJulie A Gameon, Paula Firemoon et al.ARTICLEThe Counseling Psychologist2024Cited by: 1References: 46

    Grief research among American Indian (AI) and Alaska Native (AN) people has been limited to studies on historical trauma and elevated mortality rates among AI/ANs. A lack of validated measures is one barrier to grief research with AI/ANs. Therefore, we conducted three studies to develop and validate a culturally congruent measure of grief. In Study 1, interviews were conducted with 12 AI reservation-based community members to understand perspecti…

  • Baseline results from NenŨnkUmbi/EdaHiYedo

    Open AccessE Rink, Mike Anastario et al.ARTICLEJournal of Adolescence2023

    We report on baseline findings from NenUnkUmbi/EdaHiYedo , a community based participatory research randomized controlled trial with American Indian adolescents to reduce sexual and reproductive health disparities. American Indian adolescents aged 13−19 years participated in a baseline survey that was administered in five schools. We used zero‐inflated negative binomial regression to evaluate how the count of protected sexual acts was associated …

  • Rationale, Design, and Methods for Nen Unkumbi/Edahiyedo (“We Are Here Now”)

    Open AccessE Rink, Paula Firemoon et al.ARTICLEFrontiers in Public Health2022

    American Indian (AI) youth in the United States experience disproportionate sexual and reproductive health (SRH) disparities relative to their non-Indigenous, white counterparts, including increased rates of sexually transmitted infections (STIs), earlier sexual debut, increased rates of teen birth, and reduced access to SRH services. Past research shows that to improve SRH outcomes for AI youth in reservation communities, interventions must addr…

  • Retrospective Assessment of Human–Chemical Interactions in Health-Disparity Populations

    Open AccessMike Anastario, Olivia Ceavers et al.ARTICLEInternational Journal of…2022

    Life-history calendars (LHCs) can produce retrospective data regarding numerous events, exposures, and sequences that have occurred across participants' lifespans. In this mixed-quantitative-and-qualitative-methods study, processes of LHC administration were evaluated in two populations experiencing health disparities: foreign-born agricultural workers (n = 41) and Indigenous people who used injection drugs (IPWIDS) (n = 40). LHC administrator an…

  • Adaptations Due to the Covid-19 Pandemic in a Community-Based Participatory Research Randomized Control Trial Examining Sexual and Reproductive Health Outcomes among American Indian Youth

    Open AccessE Rink, Olivia Johnson et al.ARTICLEAmerican Indian and Alaska Native…2022

    In this manuscript, we present changes in study design and analytical strategy due to the COVID-19 pandemic for Nen ŨnkUmbi/EdaHiYedo ("We Are Here Now," or NE). NE is a community-based participatory research multi-level randomized control trial using a stepped wedge design to address sexual and reproductive health disparities among American Indian youth. Adaptations in NE's research design, data collection, and analysis due to the COVID-19 pande…

  • Indigenous standpoint theory as a theoretical framework for decolonizing social science health research with American Indian communities

    Open AccessG R Cox, Paula Firemoon et al.ARTICLEAlterNative An International…2021

    Theoretical frameworks rooted in Western knowledge claims utilized for public health research in the social sciences are not inclusive of American Indian communities. Developed by Indigenous researchers, Indigenous standpoint theory builds from and moves beyond Western theoretical frameworks. We argue that using Indigenous standpoint theory in partnership with American Indian communities works to decolonize research related to American Indian hea…

  • Narrative frames as choice over structure of American Indian sexual and reproductive health consequences of historical trauma

    Open AccessG R Cox, Mike Anastario et al.ARTICLESociology of Health & Illness2021Cited by: 2References: 14

    Emerging evidence suggests that the historical trauma associated with settler colonialism affects the sexual and reproductive health (SRH) of American Indian (AI) communities today. This article examines how one AI community narratively frames the influence of historical trauma within the context of community‐based participatory research (CBPR) and the implications of this framing for health behaviours, internalized oppression, SRH outcomes, and …

  • The development and testing of a multi-level, multi-component pilot intervention to reduce sexual and reproductive health disparities in a tribal community

    E Rink, Mike Anastario et al.ARTICLEJournal of Ethnic & Cultural…2020References: 2

    This manuscript presents the results from a multi- level, multi-component pilot intervention designed to reduce sexual and reproductive health (SRH) among American Indian (AI) youth living on a reservation in the Northwestern United States. Our theoretical framework included community based participatory research (CBPR) and Ecological Systems Theory (EST). The pilot intervention was a school-based curriculum for youth and parents and a cultural m…

  • Health Disparities Research with American Indian Communities

    Open AccessMonica C Skewes, Vivian M Gonzalez et al.ARTICLEAmerican Journal of Community…2020Cited by: 5References: 44

    American Indian and Alaska Native (AI/AN) communities experience notable health disparities associated with substance use, including disproportionate rates of accidents/injuries, diabetes, liver disease, suicide, and substance use disorders. Effective treatments for substance use are needed to improve health equity for AI/AN communities. However, an unfortunate history of unethical and stigmatizing research has engendered distrust and reluctance …

  • Sexual risk behaviors and the legacy of colonial violence among Northern plains American Indian youth

    Open AccessMike Anastario, Paula Firemoon et al.ARTICLESocial Science & Medicine2020Cited by: 4References: 37

  • Partnering with Native Communities to Develop a Culturally Grounded Intervention for Substance Use Disorder

    Open AccessMonica C Skewes, Rachel Hallum‐Montes et al.ARTICLEAmerican Journal of Community…2019Cited by: 5References: 34

    Studies have documented serious disparities in drug and alcohol‐related morbidity and mortality among American Indians and Alaska Natives ( AI / AN s) compared to other ethnic groups in the U.S. despite high rates of abstinence in these groups. Further complicating these health disparities are barriers to accessing evidence‐based treatments that are culturally appropriate and acceptable. As part of a research program to promote health equity in r…