Urban Dwelling American Indian Adolescent Girls’ Beliefs Regarding Health Care Access and Trust
Keywords:
American Indians, Native Americans, Indigenous, tobacco, smoking, community based researchAbstract
Indigenous people, specifically American Indians (AI), have historically had a greater mistrust of the medical system compared to their White counterparts. The purpose of this paper is to explore the perceptions of AI adolescent girls living in an urban, Midwest area about health care providers, health care systems, and access to health care as related to sexual health care. Using grounded theory methodology, twenty 15-19 year old AI girls participated in talking circles and individual interviews. Two distinct themes emerged related to sexual health care: 1. AI adolescent girls trust their health care providers and the health care system; and 2. Access to health care is critical to practicing safe sex and obtaining information about healthy sexual practices. These findings are unique and may help health care providers and social workers providing care and support to the urban adolescent AI girl.
References
Becker, S. A., Affonso, D. D., & Beard, M. B. (2006). Talking circles: Northern Plains tribes American Indian women’s views of cancer as a health issue. Public Health Nursing, 23(1), 27-36. doi:10.1111/j.0737-1209.2006.230105.x
Buchwald, D., Mendoza-Jenkins, V., Croy, C., McGough, H., Bezdek, M., & Spicer, P. (2006). Attitudes of urban Indians and Alaska Natives regarding participation in research. Journal of General Internal Medicine, 21(6), 648-651. doi:10.1111/j.1525- 1497.2006.00449.x
Call, K. T., McAlpine, D. D., Johnson, P. J., Beebe, T. J., McRae, J. A., & Song, Y. (2006). Barriers to care among American Indians in public health care programs. Medical Care, 44(6), 595-600. doi:10.1097/01. mlr.0000215901.37144.94
Canales, M. K., Weiner, D., Samos, M., & Wampler, N. S. (2011). Multi- generational perspectives on health, cancer, and biomedicine: Northeastern Native American perspectives shaped by mistrust. Journal of Health Care for the
Poor and Underserved, 22(3), 894-911. doi:10.1353/hpu.2011.0096
Centers for Disease Control and Prevention. (2014) Sexually Transmitted Disease Surveillance 2012. Atlanta, GA: U.S. Department of Health and Human Services.
Glaser, B. (1978). Theoretical sensitivity. Mill Valley, CA: The Sociology Press.
Guadagnolo, B. A., Cina, K., Helbig, P., Molloy, K., Reiner, M., Cook, E. F., & Petereit, D. G. (2009). Medical mistrust and less satisfaction with health care among Native Americans presenting for cancer treatment. Journal of Health Care for the Poor and Underserved, 20(1), 210-226. doi:10.1353/hpu.0.01084
Hall, J. A., Blanch-Hartigan, D., & Roter, D. L. (2011). Patients’ satisfaction with male versus female physicians: A meta-analysis. Medical Care, 49(7), 611-617. doi:10.1097/MLR.0b013e318213c03f
Haozous, E. A., Eschiti, V., Lauderdale, J., Hill, C., & Amos, C. (2010). Use of the talking circle for Comanche women’s breast health education. Journal of Transcultural Nursing, 21(4), 377-385. doi:10.1177/1043659609360847
Hodge, F. S., Fredericks, L., & Rodriguez, B. (1996). American Indian women’s talking circles: A cervical cancer screening and prevention program. Cancer, 78(7), 1592-1597. doi:10.1002/(SICI)1097-0142
Hunt, K. A., Gaba, A., & Lavizzo-Mourey, R. (2005). Racial and ethnic disparities and perceptions of health care: Does health plan type matter? Health Service Research, 40(2), 551-576. doi:10.1111/j.1475-6773.2005.00372.x
Hutchinson, S. A., (1993). Grounded theory: The method. In P. L. Munhall & C. O. Boyd (Eds.), Nursing research: A qualitative perspective (2nd ed., pp. 180-212). New York, NY: National League for Nursing Press.
Indian Health Service. (2013). Urban Indian Health Program. Retrieved from http://www.ihs.gov/newsroom/factsheets/urbanindianhealthprogram/
Johnson, A. M., Schnatz, P. F., Kelsey, A. M., & Ohannessian, C. M. (2005). Do women prefer care from female or male obstetrician-gynecologists? A study of patient gender preference. The Journal of the American Osteopathic Association, 105(8), 369-379.
Katz, R. J. (2004). Addressing the health care needs of American Indians and Alaska Natives. American Journal of Public Health, 94(1), 13-14. doi:10.2105/ AJPH.94.1.13
Lillie-Blanton, M., & Roubideaux, Y. (2005). Understanding and addressing the health care needs of American Indians and Alaska Natives. American Journal of Public Health, 95(5), 759-761. doi:10.2105/AJPH.2005.063230
Moreno-John, G., Gachie, A., Fleming, C. M., Napoles-Springer, A., Mutran, E., Manson, S. M., & Perez-Stable, E. J. (2004). Ethnic minority older adults participating in clinical research: Developing trust. Journal of Aging and Health,
(5 Suppl.), 93S-123S. doi:10.1177/0898264304268151
Office of Minority Health. (2012). American Indian/Alaska Native profile. Retrieved from http://minorityhealth.hhs.gov/templates/browse.aspx?lvl=3&lvlid=26
Picou, J. S. (2000). The ‘talking circle’ as a sociological practice: Cultural transformation of chronic disaster impacts. Sociological Practice: A Journal of Clinical and Applied Sociology, 2(2), 77-97. Retrieved from http://link.springer. com/journal/11210
Plunkett, B. A., Kohli, P., & Milad, M. P. (2002). The importance of physician gender in the selection of an obstetrician or a gynecologist. American Journal of
Obstetrics and Gynecology, 186(5), 926-928.
Saftner, M. A., Martyn, K. K., Momper, S. L., Loveland-Cherry, C. J., & Low, L. K. (in press). Urban American Indian adolescent girls: Framing sexual risk behavior. Journal of Transcultural Nursing.
Shnatz, P. F., Murphy, J. L., O’Sullivan, D. M., & Sorosky, J. I. (2007). Patient choice: Comparing criteria for selecting an obstetrician-gynecologist based on image, gender, and professional attributes. American Journal of Obstetrics and
Gynecology, 197(5), 548e 1-7. doi:10.1016/j.ajog.2007.07.025
Strickland, J. C. (1999). Conducting focus groups cross-culturally: Experiences with Pacific Northwest Indian people. Public Health Nursing, 16(3), 190-197. doi:10.1046/j.1525-1446.1999.00190.x
The National Campaign to Prevent Teen and Unplanned Pregnancy. (2013). Teen childbearing in the United States, Preliminary 2012 birth data. Retrieved from http://www.thenationalcampaign.org/resources/pdf/Fast-Facts-2012-NCHS- Preliminary-Birth-Data-Summary.pdf