N493 Project: Core Determinants of Health in Native American Community

This presentation analyzes the core determinants of health within Native American communities, focusing on how various factors impact their health outcomes. It examines community demographics, including gender distribution and social structures, highlighting that 68.5% of people are living in family and 31.5% of non family households. The presentation delves into social determinants such as education levels, employment rates (with a high unemployment rate of 69% in 2014), physical environment (including smoking rates), child development, and the influence of culture (Mississippian, Adena, Hohokam, and Iroquois cultures). The presentation also reviews the health services provided by the U.S. Department of Health and Human Services, coping skills, social support networks, and the impact of genetic endowment, particularly the risk of cardiovascular diseases. The presentation references several studies to support its findings and emphasizes the interconnectedness of these determinants in shaping the health and well-being of Native American populations, identifying challenges and providing insights for improving healthcare interventions.

Core determinants of health
In native American
community

Community demographics
Social determinants Stats of native American community
Employment The rate of unemployment in this community was 69% in 2014,
compared to 6.7% of the national rate
Education Less than 5% of the community members have acquired graduate
degree and the national rate is 10%.
Physical environment 32.2% of Native Americans were associated with smoking and in
that 23.1% of the youth were associated. 17.8% pregnant women
were associated with smoking.
Child development The children of this community were provided with chicken pox,
polio, rubella, mumps, measles, Hib and others.
Social environment The social structure of the society was inclusive of family households
as 68.5% of people were living in family and 31.5% of non family
households.
Culture The culture of this community was associated with Mississippian
culture, Adena culture, hohokam culture, Iroquois culture.

Community demographics
Social status Stats of native American community
Gender Gender distribution in native American families are equal and in
3.1 million of native Americans which indicates 0.9% of the total
American population
Health service The health service for native Americans is developed by the U.S.
Department of Health and Human Service and this service is
termed as the Indian Health services.
Coping skills The community does not believe in contemporary health services
and were completely associated with traditional healthcare
services of the community.
Social support Several social support networks were developed by the U.S.
government so that their mental health, healthcare literacy and
coping skills could be targeted.
Genetic endowment Genetic endowment determined that majority of the native
Americans were suffering from risk of cardiovascular diseases
and due to this, their healthcare and well-being strategies
required revision.

Social determinants of
health
• Education: the lowered rate of higher education
limited the scope of employment or financial stability,
hence limiting the chance of healthcare interventions
(Sadana et al. , 2016).
• Employment: the high rate of unemployment of this
community points out towards 25% poverty rate of
this community hence, affecting their health and
wellbeing achievement.
• Physical environment: higher rate of smoking
among young, pregnant women and elders indicated
towards lack of health awareness. (Heiman & Artiga,
2015)

Social determinants of
health
• Child development: providing the children with vaccines of
chicken pox, polio, rubella, mumps, measles, Hibs indicated
that they are aware of the vaccination and other preventive
measures provided by the government (Heiman & Artiga,
2015).
• Social development: the social structure of the community
indicated that their family values are high and they are able
to achieve healthcare intervention in their community
(Phillips & Malone, 2014).
• Culture: the culture of the community is developed with
Mississippian culture, Adena culture, hohokam culture,
Iroquois culture and hence, indicated towards inclusive
society, hence indicated towards ability to accept modern
healthcare means.

Social determinants of
health
• Gender: the gender distribution helped to
understand that the distribution of resources in the
community equally.
• Healthcare services: the healthcare service
developed by the USA healthcare ministry was able
to solve the chronic healthcare management of the
community but it was able to determine (Chen &
Yang, 2014).
• Coping skills: mental and physical coping skills
were provided to this community so that the
community members could overcome their stigma
(Heiman & Artiga, 2015).

Social determinants of
health
• Social support: the social support network
developed my the US government included
mental , physical healthcare organisations,
psychological coping skills and their lifestyle
development stress (Espey et al., 2014).
• Genetic endowment: genetically the
community is suffering from the risk of
cardiovascular diseases and hence, it affected
their health and wellbeing by affecting their
social determinants of health (Stawarz et al.,
2014)

References
Chen, D., & Yang, T. C. (2014). The pathways from perceived discrimination to self-rated
health: an investigation of the roles of distrust, social capital, and health
behaviors. Social science & medicine, 104, 64-73.
Espey, D. K., Jim, M. A., Cobb, N., Bartholomew, M., Becker, T., Haverkamp, D., &
Plescia, M. (2014). Leading causes of death and all-cause mortality in American
Indians and Alaska Natives. American journal of public health, 104(S3), S303-S311.
Heiman, H. J., & Artiga, S. (2015). Beyond health care: the role of social determinants in
promoting health and health equity. Health, 20(10), 1-10.
National Congress of American Indians. (2019). Demographics | NCAI. Retrieved from
http://www.ncai.org/about-tribes/demographics
Phillips, J. M., & Malone, B. (2014). Increasing racial/ethnic diversity in nursing to
reduce health disparities and achieve health equity. Public Health
Reports, 129(1_suppl2), 45-50.
Sadana, R., Blas, E., Budhwani, S., Koller, T., & Paraje, G. (2016). Healthy ageing:
raising awareness of inequalities, determinants, and what could be done to improve
health equity. The Gerontologist, 56(Suppl_2), S178-S193.
Stawarz, B., Sulima, M., Lewicka, M., Brukwicka, I., & Wiktor, H. (2014). Health and
determinants of health-a review of literature, pI. Journal of Public Health, Nursing
and Medical Rescue, 1(2014_2), 04-10.