Social and Structural Determinants of Urban American Indian and Alaska Native Health: A Case Study in Los Angeles

Introduction American Indians and Alaska Natives (AIAN) experience significant health inequities, yet there are very few curricula dedicated to training a culturally sensitive workforce to care for this population. There is a further dearth of curricula that center on Indigenous values and ways of k...

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Autores principales:	Andrea N. Garcia, Monique C. Castro, John Paul Sánchez
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2019
Materias:	Social Determinants of Health Population Health Cultural Competence Health Policy Health Equity Diversity and Inclusion Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/a26b1236853c4fc282c0e33680e8ac61
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spelling	oai:doaj.org-article:a26b1236853c4fc282c0e33680e8ac612021-11-22T13:44:06ZSocial and Structural Determinants of Urban American Indian and Alaska Native Health: A Case Study in Los Angeles10.15766/mep_2374-8265.108252374-8265https://doaj.org/article/a26b1236853c4fc282c0e33680e8ac612019-05-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10825https://doaj.org/toc/2374-8265Introduction American Indians and Alaska Natives (AIAN) experience significant health inequities, yet there are very few curricula dedicated to training a culturally sensitive workforce to care for this population. There is a further dearth of curricula that center on Indigenous values and ways of knowing. Methods We developed a 90-minute interactive workshop aimed at increasing faculty and trainee understanding of the social and structural determinants of urban AIAN health. The workshop consisted of a PowerPoint presentation, two videos, an interactive storytelling exercise, and reflection exercises. Participants also completed pre-/postworkshop questionnaires. The workshop was implemented three times at two medical schools. Results There were a total of 35 diverse participants. Regarding the effect of the workshop on participants’ knowledge base, a comparison of pre- and postworkshop questionnaire responses showed a statistically significant (p < .05) increase in the correct answer being chosen for each question. All participants agreed or strongly agreed that each of the three learning objectives had been met. Participants particularly valued the workshop's interactive nature, as well as its use of storytelling and multimedia to reinforce policy impact. Discussion This workshop provided an interactive and effective method to increase participant knowledge of the importance of a land acknowledgment, of connecting federal Indian policy to health outcomes, and of how AIAN identity may impact access to health care.Andrea N. GarciaMonique C. CastroJohn Paul SánchezAssociation of American Medical CollegesarticleSocial Determinants of HealthPopulation HealthCultural CompetenceHealth PolicyHealth EquityDiversity and InclusionMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 15 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Social Determinants of Health Population Health Cultural Competence Health Policy Health Equity Diversity and Inclusion Medicine (General) R5-920 Education L
spellingShingle	Social Determinants of Health Population Health Cultural Competence Health Policy Health Equity Diversity and Inclusion Medicine (General) R5-920 Education L Andrea N. Garcia Monique C. Castro John Paul Sánchez Social and Structural Determinants of Urban American Indian and Alaska Native Health: A Case Study in Los Angeles
description	Introduction American Indians and Alaska Natives (AIAN) experience significant health inequities, yet there are very few curricula dedicated to training a culturally sensitive workforce to care for this population. There is a further dearth of curricula that center on Indigenous values and ways of knowing. Methods We developed a 90-minute interactive workshop aimed at increasing faculty and trainee understanding of the social and structural determinants of urban AIAN health. The workshop consisted of a PowerPoint presentation, two videos, an interactive storytelling exercise, and reflection exercises. Participants also completed pre-/postworkshop questionnaires. The workshop was implemented three times at two medical schools. Results There were a total of 35 diverse participants. Regarding the effect of the workshop on participants’ knowledge base, a comparison of pre- and postworkshop questionnaire responses showed a statistically significant (p < .05) increase in the correct answer being chosen for each question. All participants agreed or strongly agreed that each of the three learning objectives had been met. Participants particularly valued the workshop's interactive nature, as well as its use of storytelling and multimedia to reinforce policy impact. Discussion This workshop provided an interactive and effective method to increase participant knowledge of the importance of a land acknowledgment, of connecting federal Indian policy to health outcomes, and of how AIAN identity may impact access to health care.
format	article
author	Andrea N. Garcia Monique C. Castro John Paul Sánchez
author_facet	Andrea N. Garcia Monique C. Castro John Paul Sánchez
author_sort	Andrea N. Garcia
title	Social and Structural Determinants of Urban American Indian and Alaska Native Health: A Case Study in Los Angeles
title_short	Social and Structural Determinants of Urban American Indian and Alaska Native Health: A Case Study in Los Angeles
title_full	Social and Structural Determinants of Urban American Indian and Alaska Native Health: A Case Study in Los Angeles
title_fullStr	Social and Structural Determinants of Urban American Indian and Alaska Native Health: A Case Study in Los Angeles
title_full_unstemmed	Social and Structural Determinants of Urban American Indian and Alaska Native Health: A Case Study in Los Angeles
title_sort	social and structural determinants of urban american indian and alaska native health: a case study in los angeles
publisher	Association of American Medical Colleges
publishDate	2019
url	https://doaj.org/article/a26b1236853c4fc282c0e33680e8ac61
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Social and Structural Determinants of Urban American Indian and Alaska Native Health: A Case Study in Los Angeles

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