Karina L Walters
Biographic Data
| ID | 454441 |
|---|---|
| NAME | Karina L Walters |
| GIVEN NAMES | Karina L |
| FAMILY NAME | Walters |
| SIGNATURE | WALTERS K L |
| AFFILIATIONS | University of Washington |
| ORCID | 0000-0002-7946-1867 |
| VERIFIED | Yes |
| TOTAL WORKS | 48 |
| TOTAL CITATIONS | 806 |
| AUTHOR COUNT | 48 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1997 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 13 |
Erased in Translation”: Decoding Settler Colonialism Embedded in Cultural Adaptations to Family Group Conferencing (FGC)
Māori wisdom revolutionized the child welfare system through the now manualized Family Group Conferencing method. The global trend of adopting and adapting this culturally grounded child welfare practice has been well documented. However, as this service model is adapted and imported to other countries, so is its legacy of settler colonialism. This qualitative case study applies Settler Colonialism Theory to unpack the settler colonialism embedde…
Elevating Voice and Visibility: Health Research for American Indian and Alaska Native, Asian American, and Native Hawaiian and Pacific Islander Populations in the United States
Elevating Voice and Visibility: Health Research for American Indian and Alaska Native, Asian American, and Native Hawaiian and Pacific Islander Populations in the United States, an article from American Journal of Public Health, Vol 114 Issue S1
Prevalence of Mental Health Disorders and Treatment Utilization among Urban Lesbian, Gay, Bisexual, and Transgender American Indians and Alaska Natives
We examined prevalence of mental health treatment utilization among 447 lesbian, gay, bisexual, transgender, and Two-Spirit (LGBTT-S) American Indian/Alaska Native (AI/AN) adults and the association of mental health treatment utilization with socio-demographic factors, social support, and mental health diagnoses. We derived data from the HONOR Project, a multi-site cross-sectional survey of Native LGBTT-S adults from seven U.S. metropolitan citie…
Applying culturalist methodologies to discern Covid‐19's impact on communities of color
The coronavirus disease 2019 (COVID-19) pandemic has disproportionately impacted communities of color (CoC) amid increasing incidents of racial injustices and racism. In this article, we describe our culturalist methodologies for designing and implementing a multi-ethnic, interdisciplinary national needs assessment developed in partnership with CoC. Instead of a typical western-centric social science approach that typically ignores and perpetuate…
Mental, physical and social dimensions of health equity and wellness among U.S. Indigenous peoples: What is known and next steps
This special issue and introduction focuses on promoting health equity and addressing health disparities among Indigenous peoples of the United States (U.S.) and associated Territories in the Pacific Islands and Caribbean. We provide an overview of the current state of health equity across social, physical, and mental health domains. In Part 1 of the special issue, we trace promotive, protective, and risk factors related to Indigenous health equi…
Indigenous Health Equity and Wellness
Growing from Our Roots: Strategies for Developing Culturally Grounded Health Promotion Interventions in American Indian, Alaska Native, and Native Hawaiian Communities
Returning to Our Roots: Tribal Health and Wellness through Land-Based Healing
(1) Background: Settler colonialism has severely disrupted Indigenous ancestral ways of healing and being, contributing to an onslaught of health disparities. In particular, the United Houma Nation (UHN) has faced large land loss and trauma, dispossession, and marginalization. Given the paucity of research addressing health for Indigenous individuals living in Louisiana, this study sought to co-identify a United Houma Nation health framework, by …
Being on the walk put it somewhere in my body”: The meaning of place in health for Indigenous women
Relationship to place is integral to Indigenous health. A qualitative, secondary phenomenological analysis of in-depth interviews with four non-Choctaw Indigenous women participating in an outdoor, experiential tribally-specific Choctaw health leadership study uncovered culturally grounded narratives using thematic analysis as an analytic approach. Results revealed that physically being in historical trauma sites of other Indigenous groups involv…
Before they kill my spirit entirely’: Insights into the lived experiences of American Indian Alaska Native faculty at research universities
American Indian and Alaska Natives (AIAN) comprise about 2% of the US population and 0.5% of the faculty in higher education. While scholars have documented the experiences of underrepresented minority (URM) faculty, the perspectives of AIAN faculty at elite universities are largely absent. Although AIAN faculty share many of the same barriers to success as URM colleagues, their unique status as Tribal peoples and their relationship to settler co…
And [They] Even Followed Her Into the Hospital: Primary Care Providers’ Attitudes Toward Referral for Traditional Healing Practices and Integrating Care for Indigenous Patients
Introduction/Importance: Given the promise of integrating traditional healing practices into primary care, we sought to examine the influence of primary care providers’ racial concordance and Indigenous patients’ ethnic salience on traditional healing treatment decisions. Method: Using a descriptive comparative design with an online clinical case vignette, we measured provider decision making via a 5-point Provider Acceptance of Traditional Heali…
Discriminatory distress, HIV risk behavior, and community participation among American Indian/Alaska Native men who have sex with men
Objectives Research regarding men who have sex with men (MSM) indicates that exposure to discrimination based on race and sexuality are positively associated with increased incidence of unprotected anal intercourse (UAI). In an effort to better understand this association, we assessed the associations of discriminatory distress with UAI among a sample of 183 American Indian and Alaska Native (AI/AN) MSM using survey data drawn from the HONOR Proj…
From Ambivalence to Revitalization: Negotiating Cardiovascular Health Behaviors Related to Environmental and Historical Trauma in a Northwest American Indian Community
Cardiovascular disease is the number one cause of death among American Indians and Alaska Natives (AI/AN). Utilizing narratives from members of a Pacific Northwest tribe, this paper explores perceptions about behaviors affecting cardiovascular health through tribal members' lived experiences related to place-based environmental historical trauma. Findings from narrative analysis indicate that ambivalence is an effect of historical trauma and comp…
The Relationship Between Bias-Related Victimization and Generalized Anxiety Disorder Among American Indian and Alaska Native Lesbian, Gay, Bisexual, Transgender, Two-Spirit Community Members
Lesbian, gay, bisexual, transgender, two-spirit, and American Indian and Alaska Native community members share long histories of discrimination and poorer health status as compared to mainstream Americans. In particular, these groups experience bias-related victimization, a type of discrimination based on inherent traits such as race or ethnicity and sexual orientation. This cross-sectional study (N = 334) used a revised bias-related victimizatio…
They tell us “we don’t belong in the world and we shouldn’t take up a place”: HIV discourse within two-spirit communities
This study is important to social work as well as HIV prevention and care as it affords voice to two-spirit men, a highly marginalized community and one often silenced in scientific discourse. And, it centralizes language and context, complicating social epidemiological characterizations of HIV/AIDS, risk, and historically traumatized populations
Mentoring the Mentors of Underrepresented Racial/Ethnic Minorities Who are Conducting HIV Research: Beyond Cultural Competency
I'm stronger than I thought”: Native women reconnecting to body, health, and place
I'm in this world for a reason”: Resilience and recovery among American Indian and Alaska Native two-spirit women
American Indian and Alaska Native sexual minority (two-spirit) women are vulnerable to substance misuse and mental health challenges due to multiple minority oppressed status and exposure to stress and trauma. Yet, these women find pathways toward healing and wellness. We conducted a qualitative data analysis of interviews derived from a national health study and gained an understanding of 11 two-spirit women's resilience and recovery patterns. E…
Alcohol Misuse and Associations with Childhood Maltreatment and Out-of-Home Placement among Urban Two-Spirit American Indian and Alaska Native People
This study examined associations between alcohol misuse and childhood maltreatment and out-of-home placement among urban lesbian, gay, and bisexual (referred to as two-spirit) American Indian and Alaska Native adults. In a multi-site study, data were obtained from 294 individuals who consumed alcohol during the past year. The results indicated that 72.3% of men and 62.4% of women engaged in hazardous and harmful alcohol use and 50.8% of men and 4…
The health equity promotion model: Reconceptualization of lesbian, gay, bisexual, and transgender (LGBT) health disparities
National health initiatives emphasize the importance of eliminating health disparities among historically disadvantaged populations. Yet, few studies have examined the range of health outcomes among lesbian, gay, bisexual, and transgender (LGBT) people. To stimulate more inclusive research in the area, we present the Health Equity Promotion Model-a framework oriented toward LGBT people reaching their full mental and physical health potential that…
Racial Discrimination’s Influence on Smoking Rates among American Indian Alaska Native Two-Spirit Individuals: Does Pain Play a Role
High rates of racial discrimination and non-ceremonial tobacco smoking exist among American Indian/Alaska Native (AIAN) Two-Spirit/LGBT (Lesbian, Gay, Bisexual, Transgender) populations. The authors examined whether or not pain mediates between racial discrimination and smoking among Two-Spirits. Two-Spirit adults (n=447) from seven urban U.S. locations were surveyed during the HONOR project. The Indigenist stress coping model was used as framewo…
Grand Challenges for Social Work
This invited article introduces the concept of grand challenges—ambitious yet achievable goals for society that mobilize the profession, capture the public’s imagination, and require innovation and breakthroughs in science and practice to achieve (Kalil, 2012). We call for broad and deep participation of social work scientists and practitioners in the Grand Challenges for Social Work initiative, which will be coordinated by the American Academy o…
Indian Boarding School Experience, Substance Use, and Mental Health among Urban Two-Spirit American Indian/Alaska Natives
BACKGROUND: Systematic efforts of assimilation removed many Native children from their tribal communities and placed in non-Indian-run residential schools. OBJECTIVES: To explore substance use and mental health concerns among a community-based sample of 447 urban two-spirit American Indian/Alaska Native adults who had attended boarding school as children and/or who were raised by someone who attended boarding school. METHOD: Eighty-two respondent…
Project həli?dxw/Healthy Hearts Across Generations: Development and Evaluation Design of a Tribally Based Cardiovascular Disease Prevention Intervention for American Indian Families
Keeping Our Hearts from Touching the Ground: HIV/Aids in American Indian and Alaska Native Women
Measuring multiple minority stress: The LGBT People of Color Microaggressions Scale
Lesbian, gay, and bisexual individuals who are also racial/ethnic minorities (LGBT-POC) are a multiply marginalized population subject to microaggressions associated with both racism and heterosexism. To date, research on this population has been hampered by the lack of a measurement tool to assess the unique experiences associated with the intersection of these oppressions. To address this gap in the literature, we conducted a three-phase, mixed…
Bodies Don't Just Tell Stories, They Tell Histories: Embodiment of Historical Trauma Among American Indians and Alaska Natives
Increasingly, understanding how the role of historical events and context affect present-day health inequities has become a dominant narrative among Native American communities. Historical trauma, which consists of traumatic events targeting a community (e.g., forced relocation) that cause catastrophic upheaval, has been posited by Native communities and some researchers to have pernicious effects that persist across generations through a myriad …
Reconceptualizing Native Women's Health: An “Indigenist” Stress-Coping Model
This commentary presents an “indigenist” model of Native women's health, a stress-coping paradigm that situates Native women's health within the larger context of their status as a colonized people. The model is grounded in empirical evidence that traumas such as the “soul wound” of historical and contemporary discrimination among Native women influence health and mental health outcomes. The preliminary model also incorporates cultural resilience…
The health equity promotion model: Reconceptualization of lesbian, gay, bisexual, and transgender (LGBT) health disparities
National health initiatives emphasize the importance of eliminating health disparities among historically disadvantaged populations. Yet, few studies have examined the range of health outcomes among lesbian, gay, bisexual, and transgender (LGBT) people. To stimulate more inclusive research in the area, we present the Health Equity Promotion Model-a framework oriented toward LGBT people reaching their full mental and physical health potential that…
Racial Discrimination and Racial Identity Attitudes in Relation to Self-Rated Health and Physical Pain and Impairment Among Two-Spirit American Indians/Alaska Natives
Among two-spirit American Indians/Alaska Natives, discrimination may be a risk factor for physical pain and impairment and for fair or poor self-rated health among those with low levels of actualization. Actualization may protect against physical pain and impairment and poor self-rated health and buffer the negative influence of discrimination
Urban American Indian Identity Attitudes and Acculturation Styles
Implicit in much of American Indian acculturation research is the erroneous assumption that acculturation is synonymous with identity and, as a result, can be used as a proxy for identity in survey research. This lack of distinction between the two means may partly explain some discrepant findings in American Indian wellness studies. To clarify the conceptual distinction, the current study examined the relationship between urban American Indian i…
My Spirit in My Heart”: Identity Experiences and Challenges Among American Indian Two-Spirit Women
Many Native women embrace the term two-spirit to capture their sexuality and gender expression. By analyzing the narratives of five two-spirit women who are Native activists, we explored contemporary understandings of the concept and what it means for Native communities. The incorporation of the identity within indigenous worldviews, its manifestation in terms of (be)coming out, and the triple stressors of heterosexism, racism, and sexism emerged…
Heterosexual Identity and Heterosexism: Recognizing Privilege to Reduce Prejudice
We propose that heterosexuals' attitudes toward their own heterosexual identity evolve in a manner similar to the development of racial identity attitudes among Whites-another dominant group with privileged social status. A more developed heterosexual identity, we hypothesized, would be associated with diminished levels of negative attitudes toward non-heterosexuals. To test our hypotheses, we administered to 154 heterosexual students Herek's (19…
"HIV/Aids Prevention in "Indian Country: Current Practice, Indigenist Etiology Models, and Postcolonial Approaches to Change
Many tribal and urban American Indians and Alaska Native communities have initiated HIV/AIDS prevention and treatment services. The richness, depth, and scope of these efforts, however, are not well known and have not been sufficiently documented in the academic literature. In this article we assess the strengths and weakness of the published literature using the constructs of the socioecological framework. We discuss the need to apply an "indige…
Interpersonal Violence in the Lives of Urban American Indian and Alaska Native Women: Implications for Health, Mental Health, and Help-Seeking
Objective. We surveyed American Indian/Alaska Native (AIAN) women in New York City to determine the prevalence of 3 types of interpersonal violence among urban AIAN women and the behavioral health and mental health factors associated with this violence. Methods. Using a survey, we questioned 112 adult AIAN women in New York City about their experiences with interpersonal violence, mental health, HIV risk behaviors, and help-seeking. The sampling …
Culture, trauma, and wellness: A comparison of heterosexual and lesbian, gay, bisexual, and two-spirit Native Americans
In a community-based sample of urban American Indian and Alaska Native adults, 25 lesbian, gay, bisexual, and two-spirit participants were compared with 154 heterosexual participants with respect to sociodemographic characteristics, Native, cultural participation, trauma, physical and mental health, and substance use. Compared with their heterosexual counterparts, two-spirit participants reported higher rates of childhood physical abuse and more …
I'm stronger than I thought”: Native women reconnecting to body, health, and place
Abuse, mastery, and health among lesbian, bisexual, and two-spirit American Indian and Alaska Native women
American Indian and Alaska Native (AIAN) women have endured a history of colonial oppression in the United States. Current manifestations of colonization include an epidemic of violence toward AIAN women, who often are sexually and physically abused from early on in life. Such violence may erode AIAN women's sense of agency or mastery and contribute to their poor physical and mental health outcomes. AIAN women who identify as lesbian, bisexual, o…
Decolonizing Strategies for Mentoring American Indians and Alaska Natives in HIV and Mental Health Research
American Indian and Alaska Native (AIAN) scholars in the fields of mental health and HIV face formidable barriers to scientific success. These include justifiable mistrust of historically oppressive educational systems, educational disparities, role burdens within academe, the devaluation and marginalization of their research interests, and outright discrimination. Research partners can work to dismantle these barriers by embracing indigenous wor…
Trauma, substance use, and HIV risk among urban American Indian women
I'm in this world for a reason”: Resilience and recovery among American Indian and Alaska Native two-spirit women
American Indian and Alaska Native sexual minority (two-spirit) women are vulnerable to substance misuse and mental health challenges due to multiple minority oppressed status and exposure to stress and trauma. Yet, these women find pathways toward healing and wellness. We conducted a qualitative data analysis of interviews derived from a national health study and gained an understanding of 11 two-spirit women's resilience and recovery patterns. E…
Urban Lesbian and Gay American Indian Identity: Implications for Mental Health Service Delivery
Research on American Indian identity has been, for the most part, poorly conceptualized and its findings contradictory. Indian identity has been shown to relate to positive mental health and cultural continuity and survival. However, the identity of gay and lesbian American Indians has not yet been addressed. Toward the formulation of a preliminary model of urban lesbian and gay American Indian (GAI) identity development, the author delineates ac…
Applying culturalist methodologies to discern Covid‐19's impact on communities of color
The coronavirus disease 2019 (COVID-19) pandemic has disproportionately impacted communities of color (CoC) amid increasing incidents of racial injustices and racism. In this article, we describe our culturalist methodologies for designing and implementing a multi-ethnic, interdisciplinary national needs assessment developed in partnership with CoC. Instead of a typical western-centric social science approach that typically ignores and perpetuate…
Safer Sex Among HIV+ Women: The Role of Relationships
Before they kill my spirit entirely’: Insights into the lived experiences of American Indian Alaska Native faculty at research universities
American Indian and Alaska Natives (AIAN) comprise about 2% of the US population and 0.5% of the faculty in higher education. While scholars have documented the experiences of underrepresented minority (URM) faculty, the perspectives of AIAN faculty at elite universities are largely absent. Although AIAN faculty share many of the same barriers to success as URM colleagues, their unique status as Tribal peoples and their relationship to settler co…
Grand Challenges for Social Work
This invited article introduces the concept of grand challenges—ambitious yet achievable goals for society that mobilize the profession, capture the public’s imagination, and require innovation and breakthroughs in science and practice to achieve (Kalil, 2012). We call for broad and deep participation of social work scientists and practitioners in the Grand Challenges for Social Work initiative, which will be coordinated by the American Academy o…
Who, and what, causes health inequities? Reflections on emerging debates from an exploratory Latin American/North American workshop
Objective: To examine the associations between childhood socioeconomic and family circumstances, health and behavioural and cognitive development, and health and mental well-being outcomes in adulthood; exploring whether associations are different for cohorts born in 1958 and 1970, or for men and women. Design: Pooled analysis of two prospective, population-based, British birth cohort studies. Participants: 11 327 men and women born in 1958 and 1…
Sexual Orientation Bias Experiences and Service Needs of Gay, Lesbian, Bisexual, Transgendered, and Two-Spirited American Indians
Employing both quantitative and qualitative methodologies, this study examined: sexual orientation bias experiences among American Indians (AIs) who were gay, lesbian, bisexual, transgend-ered, or two-spirited (GLBTT-S); service provider attitudes toward AI GLBTT-S; and service barriers and needs with respect to AI GLBTT-S at one AI community-based organization. Among the 14 AI GLBTT-S surveyed, the percentages reporting various bias-related expe…
Caregiving Experiences Among American Indian Two-Spirit Men and Women: Contemporary and Historical Roles
Many Native men and women embrace the term two-spiritto capture their sexuality and gender expression. By analyzing the narratives of almost 70 two-spirit Native leaders from across the U.S., we explored contemporary experiences of caregiving among two-spirit people, historical two-spirit roles related to caregiving, and the implications of these roles for two-spirit and Native communities. The central role of caregiving among two-spirit people, …
Victimization, Substance Use, and HIV Risk Behaviors Among Gay/Bisexual/Two-Spirit and Heterosexual American Indian Men in New York City
Objectives.secondary aims included describing condom-use attitudes, beliefs about HIV/AIDS in the Indian community, HIV knowledge, HIV status, and preference for and access to HIV prevention services in this population. Methods. A survey was mailed to all members of an American Indian community organization in New York City. Results. The 20 men self-identifying as gay, two-spirit, or bisexual (hereafter, “two-spirit”) were more likely to report b…
Urban Lesbian and Gay American Indian Identity: Implications for Mental Health Service Delivery
Research on American Indian identity has been, for the most part, poorly conceptualized and its findings contradictory. Indian identity has been shown to relate to positive mental health and cultural continuity and survival. However, the identity of gay and lesbian American Indians has not yet been addressed. Toward the formulation of a preliminary model of urban lesbian and gay American Indian (GAI) identity development, the author delineates ac…
Trauma, substance use, and HIV risk among urban American Indian women
Urban American Indian Identity Attitudes and Acculturation Styles
Implicit in much of American Indian acculturation research is the erroneous assumption that acculturation is synonymous with identity and, as a result, can be used as a proxy for identity in survey research. This lack of distinction between the two means may partly explain some discrepant findings in American Indian wellness studies. To clarify the conceptual distinction, the current study examined the relationship between urban American Indian i…
Safer Sex Among HIV+ Women: The Role of Relationships
Sexual Orientation Bias Experiences and Service Needs of Gay, Lesbian, Bisexual, Transgendered, and Two-Spirited American Indians
Employing both quantitative and qualitative methodologies, this study examined: sexual orientation bias experiences among American Indians (AIs) who were gay, lesbian, bisexual, transgend-ered, or two-spirited (GLBTT-S); service provider attitudes toward AI GLBTT-S; and service barriers and needs with respect to AI GLBTT-S at one AI community-based organization. Among the 14 AI GLBTT-S surveyed, the percentages reporting various bias-related expe…
Heterosexual Identity and Heterosexism: Recognizing Privilege to Reduce Prejudice
We propose that heterosexuals' attitudes toward their own heterosexual identity evolve in a manner similar to the development of racial identity attitudes among Whites-another dominant group with privileged social status. A more developed heterosexual identity, we hypothesized, would be associated with diminished levels of negative attitudes toward non-heterosexuals. To test our hypotheses, we administered to 154 heterosexual students Herek's (19…
Reconceptualizing Native Women's Health: An “Indigenist” Stress-Coping Model
This commentary presents an “indigenist” model of Native women's health, a stress-coping paradigm that situates Native women's health within the larger context of their status as a colonized people. The model is grounded in empirical evidence that traumas such as the “soul wound” of historical and contemporary discrimination among Native women influence health and mental health outcomes. The preliminary model also incorporates cultural resilience…
Triangle of Risk: Urban American Indian Women's Sexual Trauma, Injection Drug Use, and HIV Sexual Risk Behaviors
Culture, trauma, and wellness: A comparison of heterosexual and lesbian, gay, bisexual, and two-spirit Native Americans
In a community-based sample of urban American Indian and Alaska Native adults, 25 lesbian, gay, bisexual, and two-spirit participants were compared with 154 heterosexual participants with respect to sociodemographic characteristics, Native, cultural participation, trauma, physical and mental health, and substance use. Compared with their heterosexual counterparts, two-spirit participants reported higher rates of childhood physical abuse and more …
"HIV/Aids Prevention in "Indian Country: Current Practice, Indigenist Etiology Models, and Postcolonial Approaches to Change
Many tribal and urban American Indians and Alaska Native communities have initiated HIV/AIDS prevention and treatment services. The richness, depth, and scope of these efforts, however, are not well known and have not been sufficiently documented in the academic literature. In this article we assess the strengths and weakness of the published literature using the constructs of the socioecological framework. We discuss the need to apply an "indige…
My Spirit in My Heart”: Identity Experiences and Challenges Among American Indian Two-Spirit Women
Many Native women embrace the term two-spirit to capture their sexuality and gender expression. By analyzing the narratives of five two-spirit women who are Native activists, we explored contemporary understandings of the concept and what it means for Native communities. The incorporation of the identity within indigenous worldviews, its manifestation in terms of (be)coming out, and the triple stressors of heterosexism, racism, and sexism emerged…
Interpersonal Violence in the Lives of Urban American Indian and Alaska Native Women: Implications for Health, Mental Health, and Help-Seeking
Objective. We surveyed American Indian/Alaska Native (AIAN) women in New York City to determine the prevalence of 3 types of interpersonal violence among urban AIAN women and the behavioral health and mental health factors associated with this violence. Methods. Using a survey, we questioned 112 adult AIAN women in New York City about their experiences with interpersonal violence, mental health, HIV risk behaviors, and help-seeking. The sampling …
Victimization, Substance Use, and HIV Risk Behaviors Among Gay/Bisexual/Two-Spirit and Heterosexual American Indian Men in New York City
Objectives.secondary aims included describing condom-use attitudes, beliefs about HIV/AIDS in the Indian community, HIV knowledge, HIV status, and preference for and access to HIV prevention services in this population. Methods. A survey was mailed to all members of an American Indian community organization in New York City. Results. The 20 men self-identifying as gay, two-spirit, or bisexual (hereafter, “two-spirit”) were more likely to report b…
Determinants of Health Among Two-Spirit American Indians and Alaska Natives
Caregiving Experiences Among American Indian Two-Spirit Men and Women: Contemporary and Historical Roles
Many Native men and women embrace the term two-spiritto capture their sexuality and gender expression. By analyzing the narratives of almost 70 two-spirit Native leaders from across the U.S., we explored contemporary experiences of caregiving among two-spirit people, historical two-spirit roles related to caregiving, and the implications of these roles for two-spirit and Native communities. The central role of caregiving among two-spirit people, …
Reflections on a proposed theory of reservation-dwelling American Indian alcohol use: Comment on Spillane and Smith (2007)
In their recent article, N. Spillane and G. Smith suggested that reservation-dwelling American Indians have higher rates of problem drinking than do either non-American Indians or those American Indians living in nonreservation settings. These authors further argued that problematic alcohol use patterns in reservation communities are due to the lack of contingencies between drinking and "standard life reinforcers" (SLRs), such as employment, hous…
Abuse, mastery, and health among lesbian, bisexual, and two-spirit American Indian and Alaska Native women
American Indian and Alaska Native (AIAN) women have endured a history of colonial oppression in the United States. Current manifestations of colonization include an epidemic of violence toward AIAN women, who often are sexually and physically abused from early on in life. Such violence may erode AIAN women's sense of agency or mastery and contribute to their poor physical and mental health outcomes. AIAN women who identify as lesbian, bisexual, o…
My Ever Dear’’: Social Work’s ‘‘Lesbian’’ Foremothers—A Call for Scholarship
Same-sex intimate relationships were central to the lives of many of social work’s early women leaders. Recognizing these relationships is important to address the erasure of sexuality in the profession’s historical record and to give sexual minority social workers access to their history. This article explores conceptual issues in lesbian historical scholarship, describes the same-sex relationships of four remarkable social workers—Jane Addams, …
Decolonizing Strategies for Mentoring American Indians and Alaska Natives in HIV and Mental Health Research
American Indian and Alaska Native (AIAN) scholars in the fields of mental health and HIV face formidable barriers to scientific success. These include justifiable mistrust of historically oppressive educational systems, educational disparities, role burdens within academe, the devaluation and marginalization of their research interests, and outright discrimination. Research partners can work to dismantle these barriers by embracing indigenous wor…
Racial Discrimination and Racial Identity Attitudes in Relation to Self-Rated Health and Physical Pain and Impairment Among Two-Spirit American Indians/Alaska Natives
Among two-spirit American Indians/Alaska Natives, discrimination may be a risk factor for physical pain and impairment and for fair or poor self-rated health among those with low levels of actualization. Actualization may protect against physical pain and impairment and poor self-rated health and buffer the negative influence of discrimination
Who, and what, causes health inequities? Reflections on emerging debates from an exploratory Latin American/North American workshop
Objective: To examine the associations between childhood socioeconomic and family circumstances, health and behavioural and cognitive development, and health and mental well-being outcomes in adulthood; exploring whether associations are different for cohorts born in 1958 and 1970, or for men and women. Design: Pooled analysis of two prospective, population-based, British birth cohort studies. Participants: 11 327 men and women born in 1958 and 1…
Keeping Our Hearts from Touching the Ground: HIV/Aids in American Indian and Alaska Native Women
Measuring multiple minority stress: The LGBT People of Color Microaggressions Scale
Lesbian, gay, and bisexual individuals who are also racial/ethnic minorities (LGBT-POC) are a multiply marginalized population subject to microaggressions associated with both racism and heterosexism. To date, research on this population has been hampered by the lack of a measurement tool to assess the unique experiences associated with the intersection of these oppressions. To address this gap in the literature, we conducted a three-phase, mixed…
Bodies Don't Just Tell Stories, They Tell Histories: Embodiment of Historical Trauma Among American Indians and Alaska Natives
Increasingly, understanding how the role of historical events and context affect present-day health inequities has become a dominant narrative among Native American communities. Historical trauma, which consists of traumatic events targeting a community (e.g., forced relocation) that cause catastrophic upheaval, has been posited by Native communities and some researchers to have pernicious effects that persist across generations through a myriad …
Indian Boarding School Experience, Substance Use, and Mental Health among Urban Two-Spirit American Indian/Alaska Natives
BACKGROUND: Systematic efforts of assimilation removed many Native children from their tribal communities and placed in non-Indian-run residential schools. OBJECTIVES: To explore substance use and mental health concerns among a community-based sample of 447 urban two-spirit American Indian/Alaska Native adults who had attended boarding school as children and/or who were raised by someone who attended boarding school. METHOD: Eighty-two respondent…
Psychology (36 works) · Sociology (29 works) · Medicine (28 works) · Indigenous Health, Education, and Rights (17 works) · Psychiatry (17 works) · Social Psychology (16 works) · Gender Studies (14 works) · Gerontology (14 works) · Political science (14 works) · Gender Studies (13 works)