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Resilience and health in American Indians and Alaska Natives: A scoping review of the literature

Published online by Cambridge University Press:  22 June 2023

Neha A. John-Henderson Open the ORCID record for Neha A. John-Henderson [Opens in a new window] ,
Evan J. White  and
Tony L. Crowder
Neha A. John-Henderson*
Affiliation:
Department of Psychology, Montana State University, Bozeman, MT, USA Center for American Indian and Rural Health Equity, Montana State University, Bozeman, MT, USA
Evan J. White
Affiliation:
Laureate Institute for Brain Research, Tulsa, OK, USA
Tony L. Crowder
Affiliation:
Center for American Indian and Rural Health Equity, Montana State University, Bozeman, MT, USA
*
Corresponding author: Neha John-Henderson; Email: neha.johnhenderson@montana.edu
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Abstract

American Indians and Alaska Natives suffer from disproportionately high rates of chronic mental and physical health conditions. These health inequities are linked to colonization and its downstream consequences. Most of the American Indian and Alaska Native health inequities research uses a deficit framework, failing to acknowledge the resilience of American Indian and Alaska Native people despite challenging historical and current contexts. This scoping review is based on a conceptual model which acknowledges the context of colonization and its consequences (psychological and health risk factors). However, rather than focusing on health risk, we focus on protective factors across three identified domains (social, psychological, and cultural/spiritual), and summarize documented relationships between these resilience factors and health outcomes. Based on the scoping review of the literature, we note gaps in extant knowledge and recommend future directions. The findings summarized here can be used to inform and shape future interventions which aim to optimize health and well-being in American Indian and Alaska Native peoples.

Keywords

health resiliencehealth disparitiesAmerican Indian

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Type
Special Issue Article
Information
Development and Psychopathology , Volume 35 , Issue 5: Special Issue: Resilience in Development: Pathways to Multisystem Integration , December 2023 , pp. 2241 - 2252
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© The Author(s), 2023. Published by Cambridge University Press

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