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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Advancing Health Equity for Native American Youth: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21766.
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ADVANCING HEALTH EQUITY FOR
NATIVE AMERICAN YOUTH

Workshop Summary

Karen M. Anderson and Steve Olson, Rapporteurs

Roundtable on the Promotion of Health Equity
and the Elimination of Health Disparities

Board on Population Health and Public Health Practice

Health and Medicine Division

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THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Advancing Health Equity for Native American Youth: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21766.
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THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001

This activity was supported by Merck & Co., Inc. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-37613-6
International Standard Book Number-10: 0-309-37613-0
Digital Object Identifier: 10.17226/21766

Additional copies of this report are available for sale from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

Copyright 2016 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2016. Advancing health equity for Native American youth: Workshop summary. Washington, DC: The National Academies Press. doi: 10.17226/21766.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Advancing Health Equity for Native American Youth: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21766.
×

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The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Ralph J. Cicerone is president.

The National Academy of Engineering was established in 1964 under the charter of the National Academy of Sciences to bring the practices of engineering to advising the nation. Members are elected by their peers for extraordinary contributions to engineering. Dr. C. D. Mote, Jr., is president.

The National Academy of Medicine (formerly the Institute of Medicine) was established in 1970 under the charter of the National Academy of Sciences to advise the nation on medical and health issues. Members are elected by their peers for distinguished contributions to medicine and health. Dr. Victor J. Dzau is president.

The three Academies work together as the National Academies of Sciences, Engineering, and Medicine to provide independent, objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. The Academies also encourage education and research, recognize outstanding contributions to knowledge, and increase public understanding in matters of science, engineering, and medicine.

Learn more about the National Academies of Sciences, Engineering, and Medicine at www.national-academies.org.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Advancing Health Equity for Native American Youth: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21766.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Advancing Health Equity for Native American Youth: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21766.
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PLANNING COMMITTEE ON ADVANCING HEALTH EQUITY FOR NATIVE AMERICAN YOUTH1

ANTONIA M. VILLARRUEL (Chair), University of Michigan2

FRANCISCO GARCIA, Pima County Department of Health

JEFFREY A. HENDERSON, Black Hills Center for American Indian Health

JENNIE R. JOE, University of Arizona

NEWELL McELWEE, Merck & Co., Inc.

PHYLLIS W. MEADOWS, The Kresge Foundation

GABE SANCHEZ, Department of Political Science, University of New Mexico

MELISSA SIMON, Northwestern University Feinberg School of Medicine

TERRI D. WRIGHT, American Public Health Association

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop summary rests with the workshop rapporteurs and the institution.

2 Now at the University of Pennsylvania.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Advancing Health Equity for Native American Youth: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21766.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Advancing Health Equity for Native American Youth: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21766.
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ROUNDTABLE ON THE PROMOTION OF HEALTH EQUITY AND THE ELIMINATION OF HEALTH DISPARITIES1

MILDRED THOMPSON (Co-Chair), PolicyLink

ANTONIA M. VILLARRUEL (Co-Chair), University of Michigan2

PATRICIA BAKER, Connecticut Health Foundation

GILLIAN BARCLAY, Aetna Foundation

ANNE C. BEAL, Patient-Centered Outcomes Research Institute

NED CALONGE, The Colorado Trust

IRENE DANKWA-MULLAN, National Institutes of Health

JAMILA DAVISON, ACM Medical Transition Care

FRANCISCO GARCIA, Pima County Department of Health

ALLAN GOLDBERG, Merck & Co., Inc.

J. NADINE GRACIA, U.S. Department of Health and Human Services

JEFFREY A. HENDERSON, Black Hills Center for American Indian Health

EVE J. HIGGINBOTHAM, University of Pennsylvania

CARA V. JAMES, Centers for Medicare & Medicaid Services

OCTAVIO MARTINEZ, University of Texas at Austin

NEWELL McELWEE, Merck & Co., Inc.

PHYLLIS W. MEADOWS, The Kresge Foundation

AMELIE G. RAMIREZ, University of Texas Health Science Center

MELISSA SIMON, Northwestern University Feinberg School of Medicine

CHRISTINE TORBERT, Health Resources and Services Administration

PATTIE TUCKER, Centers for Disease Control and Prevention

ROHIT VARMA, University of Southern California Keck School of Medicine

WINSTON F. WONG, Kaiser Permanente

TERRI D. WRIGHT, American Public Health Association

HMD Staff

KAREN M. ANDERSON, Senior Program Officer

COLIN F. FINK, Senior Program Assistant

ANNA W. MARTIN, Senior Program Assistant

ROSE MARIE MARTINEZ, Senior Board Director

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published workshop summary rests with the workshop rapporteurs and the institution.

2 Now at the University of Pennsylvania.

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Advancing Health Equity for Native American Youth: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21766.
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Reviewers

This workshop summary has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published workshop summary as sound as possible and to ensure that the workshop summary meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this workshop summary:

Rebecca Brune, Methodist Health Ministries

Denicia Sam Cadena, Young Women United

Kendall M. Campbell, Florida State University

Olivia Roanhorse, Notah Begay Foundation

Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the workshop summary before its release. The review of this workshop summary was overseen by Carmen Green, University of Michigan. She was responsible for making certain that an independent examination of this workshop summary was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this workshop summary rests entirely with the rapporteurs and the institution.

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More than 2 million Americans below age 24 self-identify as being of American Indian or Alaska Native descent. Many of the serious behavioral, emotional, and physical health concerns facing young people today are especially prevalent with Native youth (e.g., depression, violence, and substance abuse). Adolescent Native Americans have death rates two to five times the rate of whites in the same age group because of higher levels of suicide and a variety of risky behaviors (e.g., drug and alcohol use, inconsistent school attendance). Violence, including intentional injuries, homicide, and suicide, accounts for three-quarters of deaths for Native American youth ages 12 to 20. Suicide is the second leading cause of death—and 2.5 times the national rate—for Native youth ages 15 to 24.

Arrayed against these health problems are vital cultural strengths on which Native Americans can draw. At a workshop held in 2012, by the National Academies of Sciences, Engineering, and Medicine, presenters described many of these strengths, including community traditions and beliefs, social support networks, close-knit families, and individual resilience. In May 2014, the Academies held a follow-up workshop titled Advancing Health Equity for Native American Youth. Participants discussed issues related to (1) the visibility of racial and ethnic disparities in health and health care as a national problem, (2) the development of programs and strategies by and for Native and Indigenous communities to reduce disparities and build resilience, and (3) the emergence of supporting Native expertise and leadership. This report summarizes the presentations and discussions from the workshop.

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