Systemic inequities, including a lack of culturally appropriate sexual health education, put American Indian and Alaska Native (AI/AN) adolescents at higher-than-average risk for adverse sexual and reproductive health outcomes. For example, in 2013, the birth rate among AI/AN adolescents aged 15 to 19 years was 31.1 per 1000 individuals, compared with 18.6 for White adolescents. AI/AN youths report earlier onset of sexual activity and greater numbers of sexual partners than do youths in general.
American Indian/Alaskan Native/Native Hawaiian/Pacific Islander
A portion of the federal funds that support home visiting for mothers and young children are designated specifically for supporting home visiting in tribal communities. Therefore, policymakers and program administrators need to know what research has learned about home visiting in these communities.
When there is evidence of racial and ethnic differences at any point in the service delivery spectrum—for example, in access to and take-up of human services, in the nature and quality of services received, or in the outcomes of services—it can be challenging to interpret what those differences mean. In particular, it can be challenging to understand whether and to what extent those differences represent disparities. Disparities mean that one group is systematically faring worse than another for reasons that are not due to the group’s needs, eligibility, or preferences.
This practice brief summarizes how the Tribal Health Profession Opportunity Grants (HPOG) 2.0 evaluation team applied the findings from the their literature review and the values of the Roadmap for Collaborative and Effective Evaluation in Tribal Communities to inform the Tribal HPOG 2.0 evaluation approach. (Author abstract)
This report summarizes:
The nation’s old, predominantly white population is being replaced by children of racially and ethnically diverse backgrounds. The ability of the safety net to adapt will determine how well these groups are able to successfully transition into stable, self-sufficient adults. (Author introduction)
High-quality child care and early education can build a strong foundation for young children's healthy development; yet, current federal and state child care and early education investments are not sufficient to meet the great need among young children. While these gaps in access to child care and early education are widely recognized, less is understood about how access differs by race and ethnicity. (Author introduction)
Socially and legally it is acknowledged that families with children with disabilities are a critical component of any educational program or Individualized Education Plan (Yell, 2002). Indigenous families with children who have disabilities face unique additional challenges in working collaboratively with schools and education professionals. Parent Training and Information Centers started as a result of federally funded research on the needs of families of children with disabilities.
The UC Davis Center for Reducing Health Disparities (CRHD) works on building relationships with communities, conducting research, and working with policy makers to improve the health of underserved groups in California. In 2006, the CRHD launched a project to reach out to communities and find out more about their ideas on mental health, the kinds of mental health concerns they have in their communities, and the types of programs that might help prevent mental illness from developing.
As descendants of the indigenous peoples of the United States, American Indians and Alaska Natives (AI/ANs) have experienced a resurgence in population and prospects since the beginning of the twentieth century. Today, tribally affiliated individuals number over two million, distributed across 565 federally recognized tribal communities and countless metropolitan and nonreservation rural areas. Although relatively little evidence is available, the existing data suggest that AI/AN adults and youth suffer a disproportionate burden of mental health problems compared with other Americans.