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Grigorieva, Elena A., John E. Walsh, and Vladimir A. Alexeev. "Extremely Cold Climate and Social Vulnerability in Alaska: Problems and Prospects." Climate 12, no. 2 (February 2, 2024): 20. http://dx.doi.org/10.3390/cli12020020.
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Cold exposure remains a significant public health concern, particularly in the Arctic regions prone to extremely cold weather. While the physical health impacts of cold exposure are well documented, understanding the social vulnerability aspects is crucial for effective mitigation and policy development. This study investigates the multifaceted dimensions of social vulnerability in the face of cold temperatures across various communities in Alaska. Alaska, renowned for its extreme cold temperatures and harsh environmental conditions, poses unique challenges to its residents, particularly in the context of social vulnerability. Drawing on a combination of quantitative data analysis and qualitative insights, we examine the factors contributing to social vulnerability, including demographic, economic, geographic, and infrastructural elements, in terms of the Extremely Cold Social Vulnerability Index, for seven Public Health Regions in Alaska. The Universal Thermal Climate Index in two very cold categories (<−27 °C) was used to identify cold exposure. Factors such as income, housing quality, health status, and resilience of the population play crucial roles in determining an individual or community’s sensitivity to, and ability to cope with, cold temperatures. Our analysis reveals that social vulnerability in Alaska is not uniform but varies significantly among regions. The research findings highlight the importance of considering factors of both sensitivity and adaptivity in understanding and addressing social vulnerability, thereby informing the development of targeted strategies and policies to enhance the resilience of Alaskan communities. As cold temperatures are projected to continue to challenge the region, addressing social vulnerability is essential for ensuring the well-being and safety of Alaska’s diverse populations.
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Anderson, Clara, Malinda Chase, James Johnson, Debbie Mekiana, Drena McIntyre, Amelia Ruerup, and Sandy Kerr. "It Is Only New Because It Has Been Missing for so Long." American Journal of Evaluation 33, no. 4 (September 26, 2012): 566–82. http://dx.doi.org/10.1177/1098214012449686.
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Despite 11,000 years of honing evaluation skills in order to thrive in some of the harshest climatic conditions on the planet, there are few Alaska Native program evaluators and until a recent exchange with New Zealand Maori, there was no collective vision for building Alaska Native capacity in program evaluation. This article tells the story of a recent project that represents the first concerted attempt at building the evaluation capacity of Alaska Natives. It is written by Alaska Native and Maori people involved in that project. This evaluation capacity building story is shared with the international evaluation community in the belief that others can learn from our experiences in attempting evaluation training across cultures and across the globe. The authors also hope that it will encourage other indigenous evaluators to share their stories so that a wider audience can benefit from the considerable knowledge about evaluation held by indigenous peoples.
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Sattenspiel, Lisa, and Svenn-Erik Mamelund. "COCIRCULATING EPIDEMICS, CHRONIC HEALTH PROBLEMS, AND SOCIAL CONDITIONS IN EARLY 20TH CENTURY LABRADOR AND ALASKA." Annals of Anthropological Practice 36, no. 2 (November 2012): 402–21. http://dx.doi.org/10.1111/napa.12011.
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Buchyn, Mykola, and Anastasiia Brendak. "The issue of Alaska's status in the current Russian political rhetoric." Bulletin of Mariupol State University. Series: History. Political Studies 10, no. 28-29 (2020): 168–74. http://dx.doi.org/10.34079/2226-2830-2020-10-28-29-168-174.
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The problem of the legal status of Alaska and its reflection in the modern political rhetoric of the Russian Federation are considered in the article. The main reasons for the sale of Alaska by the Russian Empire to the United States of America were researched: the loss of the Russian empire in the Crimean War; remoteness of Alaska from the Russian capital; unprofitability of Alaska in then conditions; the desire to establish friendly relations with the US and other countries. It is found that the main reasons for the growing interest of the Russian Federation in changing the geopolitical status of Alaska at the present stage are the following: the presence of significant reserves of natural resources on the peninsula, including oil, gas, zinc, gold, wood, etc.; the importance of the geopolitical location of the peninsula, the possession of which gives access to the Arctic and the Northern Sea Route; imperial policy of the Russian Federation, etc. It is noted that the main political forces in Russia, advocating the return of the territory of Alaska to Russian jurisdiction, are the LDPR and its leader Volodymyr Zhyrynovskyi; Party of Veterans of Russia; Communist Party of the Russian Federation; individual political scientists, journalists, political figures. The nature of their statements about the revision of the status of Alaska, the active use of social networks to disseminate the opinion that Alaska should be returned under the jurisdiction of Russia, are revealed. It was determined that the Russian political rhetoric to change the geopolitical status of Alaska sounds only from certain political forces, but is not an official position of the current Russian government. At the same time, it was shown that the Russian Federation is strengthening its military presence in the territories adjacent to Alaska, that can be regarded as a desire to strengthen the influence and presence in the Arctic.
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Penn, Henry J. F., S. Craig Gerlach, and Philip A. Loring. "Seasons of Stress: Understanding the Dynamic Nature of People’s Ability to Respond to Change and Surprise." Weather, Climate, and Society 8, no. 4 (October 1, 2016): 435–46. http://dx.doi.org/10.1175/wcas-d-15-0061.1.
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Abstract Climate change is impacting coastal communities in rural Alaska in multiple direct and indirect ways. Here, findings are reported from ethnographic research done with municipal workers, community leaders, and other local experts in the Bristol Bay region of Alaska, where it is found that climate change is interacting with local social and environmental circumstances in ways more nuanced than are generally captured by frameworks for vulnerability analysis. Specifically, the research herein shows the importance of the temporal dimension of vulnerability to environmental change in rural Alaska, both in terms of temporal patterns that emerge from climate-driven stressors and also with respect to how, and under what conditions, people in rural communities may design or manage effective responses to change. There are multiple factors that play into how rural communities will be affected by some climatic or environmental stress; ultimately, the impacts of climatic and environmental stressors will differ depending on where, when, and how frequently they occur. To capture these interactions, two analytical concepts—community capacity and cumulative effects—are discussed and then incorporated into a visual tool for improved planning and vulnerability analysis.
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CHILTON, BRADLEY STEWART, and DAVID C. NICE. "Triggering Federal Court Intervention in State Prison Reform." Prison Journal 73, no. 1 (March 1993): 30–45. http://dx.doi.org/10.1177/0032855593073001003.
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What “triggers” federal court intervention in prison reform litigation? The authors present a causal model of federal judicial intervention in the prison reform litigation of 48 states (all except Alaska and Hawaii). From analysis of variables posited by numerous qualitative case studies to be critical, the causal model indicates that federal court intervention in state prison systems can be correlated to various factors, including political ideology, socioeconomic factors, and the “problem environment” of state prison conditions. The authors offer the analysis in the hope that it will stimulate additional discussion of the jurisprudence and behavior of federal judicial intervention in prison reform litigation.
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BASSETT, DEBORAH R., LONNIE NELSON, DOROTHY A. RHOADES, ELIZABETH M. KRANTZ, and ADAM OMIDPANAH. "A NATIONAL STUDY OF SOCIAL NETWORKS AND PERCEPTIONS OF HEALTH AMONG URBAN AMERICAN INDIAN/ALASKA NATIVES AND NON-HISPANIC WHITES." Journal of Biosocial Science 46, no. 4 (December 16, 2013): 556–59. http://dx.doi.org/10.1017/s0021932013000679.
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SummaryUsing data from The National Epidemiologic Survey on Alcohol and Related Conditions, the strength of social networks and the association of self-reported health among American Indians and Alaska Natives (AI/AN) and non-Hispanic Whites (NHW) were compared. Differences in social network–health relationships between AI/ANs and NHWs were also examined. For both groups, those with fewer network members were more likely to report fair or poor health than those with average or more network members, and persons with the fewest types of relationships had worse self-reported health than those with the average or very diverse types of relationships. Furthermore, small social networks were associated with much worse self-reported health in AI/ANs than in NHWs.
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Danielson, Ramona, Collette Adamsen, and Agnieszka Mason. "Chronic Diseases and Self-Reported Health Status Among American Indian/Alaska Native Older Adults." Innovation in Aging 5, Supplement_1 (December 1, 2021): 624–25. http://dx.doi.org/10.1093/geroni/igab046.2382.
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Abstract Background: In the 1800s and 1900s, U.S. federal “Indian” policy (e.g., boarding schools, relocation) created historical trauma with impacts that reverberate today, such as the significant health challenges experienced among American Indian/Alaska Native (AI/AN) populations. Our study seeks to better understand the burden of chronic disease, and also resilience, among AI/AN older adults. Methods: Data came from Cycle VII (2018-2020) of the National Resource Center on Native American Aging’s “Identifying Our Needs: A Survey of Elders” survey of AI/AN adults ages 55+ from primarily rural tribal survey sites (N=20,642). Analysis explored self-assessed health status (very good/excellent, good, fair/poor) and looked for significant differences in prevalence of chronic conditions a doctor ever told them they had (e.g., high blood pressure, diabetes, depression, arthritis, asthma). Results: Self-reported health among AI/AN adults age 55+ was: 26% very good/excellent, 39% good, and 35% fair/poor. 87% of respondents had 1+ chronic illness; 37% had 3+. Among those reporting very good/excellent health, 75% had 1+ chronic illness and 19% had 3+. High blood pressure was the most common chronic disease, at 56% (44% for very good/excellent compared to 67% for fair/poor), followed by diabetes, at 36% (24% for very good/excellent compared to 46% for fair/poor). Conclusions: All of the chronic conditions examined showed significantly higher prevalence among AI/AN adults 55+ with fair/poor health. Notably, 1 in 5 respondents with 3 or more chronic conditions indicated very good/excellent health, reinforcing that successful aging can still be experienced by those with chronic health conditions.
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Panikkar, Bindu. "“Litigation Is Our Last Resort”." Nature and Culture 15, no. 2 (June 1, 2020): 173–98. http://dx.doi.org/10.3167/nc.2020.150204.
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The permitting of large-scale industrial mines is often controversial and litigious. This article examines three legal battles over the exploratory permitting of the Pebble mine in southwestern Alaska to examine the logics and rationalities used to legitimize the permitting, the alternate epistemic arguments made by the resistance movements to redraw state-constructed boundaries, and differing definitions of land-based resources, pollution, and bias. It asks how conflicting knowledge claims and epistemic injustice are debated and settled in court. All three legal cases observed demonstrate conditions of scientific uncertainty, undone science, and bias, failing to hold space for diverse representations within legal claims. Citizen science is partially successful in addressing epistemic injustice, but to effectively mediate justice, law must distinctively question both knowledge construction and phronetic risks, including values, intent, bias, privilege, and agency, and take into consideration the ontological multiplicities and civic epistemologies of the parties within legal claims.
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Brave Heart, Maria Yellow Horse, Roberto Lewis-Fernández, Janette Beals, Deborah S. Hasin, Luisa Sugaya, Shuai Wang, Bridget F. Grant, and Carlos Blanco. "Psychiatric disorders and mental health treatment in American Indians and Alaska Natives: results of the National Epidemiologic Survey on Alcohol and Related Conditions." Social Psychiatry and Psychiatric Epidemiology 51, no. 7 (May 2, 2016): 1033–46. http://dx.doi.org/10.1007/s00127-016-1225-4.
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Lovecraft, Amy Lauren, Olivia Lee, and Nicholas Parlato. "System identity and transformation in petroleum jurisdictions: A multi-method approach for the North Slope Borough, Alaska." PLOS Sustainability and Transformation 1, no. 9 (September 30, 2022): e0000028. http://dx.doi.org/10.1371/journal.pstr.0000028.
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Capturing the multidimensionality of a bounded social-environmental system (SES) presents a range of challenges to interdisciplinary researchers due to the need to integrate divergent scientific paradigms, scalar data, and social theories. Contemporary Arctic circumpolar SESs studied under conditions of rapid and unprecedented climatic, ecological, economic, and sociopolitical change, defy any singular established methodological approach that aims to schematize and interpret the system for decision-making purposes. As a small interdisciplinary team working within a large Arctic SES modeling effort, we have found that developing systems models to support resilience in the Arctic requires an understanding of system dynamics that is attentive to holistic indicators of change, measured both quantitatively and qualitatively. Using the Alaska North Slope Borough as a case study, we apply three convergent frameworks to capture significant dimensions of the system for improved problem definition in confronting the challenges of Arctic climate change. We describe contemporary “oil and gas” social-ecological system components and dynamics, the historical processes and transformations that fundamentally altered the system, and the scientific projections for the most likely catalysts of future change. This analysis results in a typology for defining subnational Arctic hydrocarbon SESs. We conclude that the future of oil and gas development as a policy pathway in different locations experiencing rapid climate change can be evaluated when difficult-to-quantify variables are included.
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Montgomery, Laura E., and Olivia Carter-Pokras. "Health Status by Social Class and/or Minority Status: Implications for Environmental Equity Research." Toxicology and Industrial Health 9, no. 5 (September 1993): 729–73. http://dx.doi.org/10.1177/074823379300900505.
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Much of the epidemiologic research in the United States has been based only on the categories of age, sex and race; thus, race has often been used in health statistics as a surrogate for social and economic disadvantage. Few multivariate analyses distinguish effects of components of social class (such as economic level) from the relative, joint, and independent effects of sociocultural identifiers such as race or ethnicity. This paper reviews studies of social class and minority status differentials in health, with a particular emphasis on health status outcomes which are known or suspected to be related to environmental quality and conditions which increase susceptibility to environmental pollutants. Sociodemographic data are presented for the U.S. population, including blacks, Asian American/Pacific Islanders, American Indian/Alaska Natives, and Hispanics. Four areas of health status data are addressed: mortality, health of women of reproductive age, infant and child health, and adult morbidity. Conceptual and methodological issues surrounding various measures of position in the system of social strata are discussed, including the multidimensionality of social class, in the context of the importance of these issues to public health research. Whenever possible, multivariate studies that consider the role of socioeconomic status in explaining racial/ethnic disparities are discussed.
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Kelley, Allyson, Thomas McCoy, Megan Skye, Michelle Singer, Stephanie Craig Rushing, Tamara Perkins, Caitlin Donald, et al. "Psychometric evaluation of protective measures in Native STAND: A multi-site cross-sectional study of American Indian Alaska Native high school students." PLOS ONE 17, no. 5 (May 17, 2022): e0268510. http://dx.doi.org/10.1371/journal.pone.0268510.
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American Indian and Alaska Native (AI/AN) youth are strong in culture and rich in heritage and experience unique strengths and challenges throughout adolescence. Documenting conditions that protect against risk factors associated with poor health outcomes are needed. We explored scales that measure self-esteem, culture, social support, and community from a sample of 1,456 youth involved in Native STAND, a culturally-relevant evidence-based sexual health intervention. We established content validity by reviewing existing literature and community feedback. Construct validity was examined using factor analysis. The final self-esteem model included seven items, factor loadings ranged from 0.47 to 0.63 for positive self-esteem and 0.77 to 0.81 for negative self-esteem. The final culture model included three items, factor loadings 0.73 to 0.89. The social support scale included four items, factor loadings ranged from 0.86 to 0.87 for family social support and 0.75 to 0.77 for friends social support. The community and community safety scale included three items; factor loadings ranged from 0.52 to 0.82. Coefficient alphas for scales ranged from α = 0.63 to α = 0.86. This study validated scales in a national sample of AI/AN youth–psychometric scales provide an essential tool for documenting the needs and strengths of AI/AN youth.
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Herman-Mercer, Nicole M., Melinda Laituri, Maggie Massey, Elli Matkin, Ryan Toohey, Kelly Elder, Paul F. Schuster, and Edda Mutter. "Vulnerability of Subsistence Systems Due to Social and Environmental Change: A Case Study in the Yukon-Kuskokwim Delta, Alaska." ARCTIC 72, no. 3 (September 9, 2019): 258–72. http://dx.doi.org/10.14430/arctic68867.
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Arctic Indigenous communities have been classified as highly vulnerable to climate change impacts. The remoteness of Arctic communities, their dependence upon local species and habitats, and the historical marginalization of Indigenous peoples enhances this characterization of vulnerability. However, vulnerability is a result of diverse historical, social, economic, political, cultural, institutional, natural resource, and environmental conditions and processes and is not easily reduced to a single metric. Furthermore, despite the widespread characterization of vulnerability, Arctic Indigenous communities are extremely resilient as evidenced by subsistence institutions that have been developed over thousands of years. We explored the vulnerability of subsistence systems in the Cup’ik village of Chevak and Yup’ik village of Kotlik through the lens of the strong seasonal dimensions of resource availability. In the context of subsistence harvesting in Alaska Native villages, vulnerability may be determined by analyzing the exposure of subsistence resources to climate change impacts, the sensitivity of a community to those impacts, and the capacity of subsistence institutions to absorb these impacts. Subsistence resources, their seasonality, and perceived impacts to these resources were investigated via semi-structured interviews and participatory mapping-calendar workshops. Results suggest that while these communities are experiencing disproportionate impacts of climate change, Indigenous ingenuity and adaptability provide an avenue for culturally appropriate adaptation strategies. However, despite this capacity for resiliency, rapid socio-cultural changes have the potential to be a barrier to community adaptation and the recent, ongoing shifts in seasonal weather patterns may make seasonally specific subsistence adaptations to landscape particularly vulnerable.
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Olivari, Benjamin, Karen Wooten, Eva Jackson, Lisa McGuire, and Janet Croft. "RACIAL/ETHNIC DIFFERENCES IN SUBJECTIVE COGNITIVE DECLINE AMONG US ADULTS AGED ≥45 YEARS, 2015–2020." Innovation in Aging 6, Supplement_1 (November 1, 2022): 230–31. http://dx.doi.org/10.1093/geroni/igac059.915.
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Abstract Recent studies report that older minorities have a higher prevalence of subjective cognitive decline (SCD), the self-reported experience of worsening or more frequent memory loss or confusion, than older non-Hispanic Whites. This study describes the prevalence of SCD by race/ethnicity and select demographic and social characteristics among U.S. adults aged ≥45 years and whether those reporting symptoms of SCD talked with a health care professional about them. Data collected from 215,406 respondents by the Behavioral Risk Factor Surveillance System (BRFSS) in 2015-2020 were used in the analyses. Statistical comparisons were made using chi-square tests and p value of < 0.05. SCD was reported by nearly 10% of the study population. Asian/Pacific Islanders (5.0%) were least likely to report experiences of SCD and American Indian/Alaska Natives (16.7%) were most likely to report the experience compared to other racial/ethnic groups. Among adults with SCD, Asian/Pacific Islander (34.5%) and Hispanic (40.5%) adults were less likely to talk with a health care professional about their SCD symptoms compared to non-Hispanic White (48.5), non-Hispanic Black (49.5%), and American Indian/Alaska Native (50.5%) adults. Early detection of SCD symptoms can be important to identify early signs of dementia or other potentially treatable conditions and establish a care plan to help people remain as healthy and independent for as long as possible. Health care professionals, especially those working with groups with increased prevalence of SCD, could consider initiating discussions with adults as young as 45 years of age to identify early signs of dementia-like symptoms.
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Tirtawijaya, Gabriel, Jin-Hwa Lee, Jong-Su Jang, Do-Youb Kim, Jae-Hak Sohn, and Jae-Suk Choi. "The Effect of Combined Superheated Steam Roasting and Smoking on the Quality Characteristic of Alaska Pollack (Gadus chalcogrammus) Roe." Foods 10, no. 12 (December 8, 2021): 3047. http://dx.doi.org/10.3390/foods10123047.
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Alaska pollack roe (APR) is a protein source that is usually salted and fermented, containing a high salt content. Using a combination of superheated steam roasting and smoking, we developed a new low-salt ready-to-eat APR variant, whose quality characteristics we analyzed. The optimal conditions for roasting (216 °C for 4 min) and smoking (64 °C for 14 min) were obtained from sensorial attributes using response surface methodology. Under the optimal conditions, smoke-roasted APR had an overall acceptance (OA) score of 8.89. The combination of roasting and smoking significantly increased volatile basic nitrogen (VBN, 18.6%) and decreased the total bacterial count (TBC, 38.6%), while thiobarbituric acid reactive substances (TBARS) were not affected. Smoke-roasting APR also increased its nutritional content to 30% protein with 44% essential amino acids, and more than 40% DHA and EPA in 4.3% fat. During 30 days of storage, the OA, VBN, TBARS, and TBC values significantly changed with time and storage temperature (p < 0.05). The shelf life of the product was estimated to be 24 d. In conclusion, the combination of roasting and smoking APR could improve product quality and may be an alternative to diversify processed APR.
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Wyman, Mary, Debra Miller, Sunshine Wheelock, Florence Petri, Elijah Metoxen, Nickolas Lambrou, and Carey Gleason. "Utilization of Home and Community-Based Resources by Family Caregivers in a Native American Community." Innovation in Aging 5, Supplement_1 (December 1, 2021): 352–53. http://dx.doi.org/10.1093/geroni/igab046.1370.
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Abstract Family caregiving is uniquely significant for elder care within American Indian/Alaska Native (AI/AN) communities. Compared to other populations, AI/AN older adults are disproportionately impacted by chronic conditions and AI/AN are more likely to be family caregivers. However, AI/AN are underrepresented in aging research. We describe a successful research partnership with the Oneida Nation of Wisconsin and report results of a recent survey of tribal members and affiliates (N=405), covering demographics of caregiving, awareness and use of home and community-based resources, and perceptions of factors impacting service use. Approximately 42% of respondents were current caregivers; of these, roughly one-third knew how to access various resources. Most common sources of knowledge were a health care/social worker or finding information on their own. Traditional cultural values were viewed as variably supportive of resource utilization, depending on service type. Implications for efforts to address disparities for AI/AN aging and support caregivers will be discussed.
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Абакумов, Е. В., and Е. Н. Моргун. "Проблемы актуализации земледельческих практик в Ямало-Ненецком автономном округе." Biosfera 13, no. 4 (December 9, 2021): 1. http://dx.doi.org/10.24855/biosfera.v13i4.649.
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Agricultural practices in agrocenoses of different ages and in fallow lands of Yamal-Nenets Autonomous Region of the Russian Federation were studied with account for post-agrogenic transformations of soils under cryogenic conditions. Agricultural practices in the YNAR are much consistent with those in Finnish Lapland, Southern Greenland, and remote fishing villages in Alaska. Well-drained areas with sandy, light and medium loamy, sod-meadow or sod-podzolic soils, which are easily warmed and not floating in cases of heavy rainfall, are selected for gardens and fields. The depth of permafrost is reduced in plowed areas and depends on the age of their development. The content of available forms of phosphorus and potassium in the upper layer of fallow soils remains very high even through 5-20 years. The use of agricultural techniques, including mulching, drainage, and application of manure and compost derived from fish, increases soil fertility. Currently, agriculture in YNAR decays for such reasons as remoteness (logistics problems), dependence on weather conditions, difficulties in field cultivation, lack of market for agricultural products, and limited choice of products due to natural conditions and the specifics of the agricultural industry. The small indigenous peoples and the landscapes of the North are inseparable and may be sustainable only based on the traditional ways of life harmonized with the natural and social environments.
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Lombardero, Anayansi, Ciara D. Hansen, Andrew E. Richie, Duncan G. Campbell, and Aaron W. Joyce. "A Narrative Review of the Literature on Insufficient Sleep, Insomnia, and Health Correlates in American Indian/Alaska Native Populations." Journal of Environmental and Public Health 2019 (July 8, 2019): 1–14. http://dx.doi.org/10.1155/2019/4306463.
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Insufficient sleep and insomnia promote chronic disease in the general population and may combine with social and economic factors to increase rates of chronic health conditions among AI/AN people. Given that insufficient sleep and insomnia can be addressed via behavioral interventions, it is critical to understand the prevalence and correlates of these disorders among AI/AN individuals in order to elucidate the mechanisms associated with health disparities and provide guidance for subsequent treatment research and practice. We reviewed the available literature on insufficient sleep and insomnia in the AI/AN population. PubMed, PsycINFO, Google Scholar, and ProQuest were searched between June 12th and October 28th of 2018. Prevalence of insufficient sleep ranged from 15% to 40%; insomnia prevalence ranged from 25% to 33%. Insufficient sleep was associated with unhealthy diet, low physical activity levels, higher BMI, worse self-reported health, increased risk for diabetes mellitus, cardiovascular disease, frequent mental distress, smoking, binge drinking, depression, and chronic pain. Insomnia was associated with depression, childhood abuse, PTSD, anxiety, alcohol use, low social support, and low trait-resilience levels. Research on evidence-based treatment and implementation practices targeting insufficient sleep and insomnia was lacking, and only one study described the development/validation of a measure of insufficient sleep among AI/AN people. There is a need for rigorous sleep research including testing and implementation of evidence-based treatment for insufficient sleep and insomnia in this population in an effort to help eliminate health disparities. We present recommendations for research and clinical practice based on the current review.
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Magness, Dawn Robin, Ella Wagener, Emily Yurcich, Ryan Mollnow, Diane Granfors, and Jennifer L. Wilkening. "A Multi-Scale Blueprint for Building the Decision Context to Implement Climate Change Adaptation on National Wildlife Refuges in the United States." Earth 3, no. 1 (February 3, 2022): 136–56. http://dx.doi.org/10.3390/earth3010011.
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Climate change and ecological transformation are causing natural resource management to be applied to nonstationary systems. Managers can respond to dynamic ecosystems by resisting, accepting, or directing ecological change. Management response is constrained by a decision context, defined as an interconnected social system of values, rules, and knowledge that affects how problems can be addressed. We provide a multi-scale blueprint for creating a decision context that increases capacity for implementing climate adaptation, including novel approaches in the National Wildlife Refuge System, a continental conservation network administered by the U.S. Fish and Wildlife Service. We use the Tetlin National Wildlife Refuge in Alaska as case study to illustrate blueprint concepts and to provide “proof-of-concept” for application. The blueprint builds on ideas and practices from scenario planning, adaptive management, and adaptive pathway planning, which are approaches that promote action in the face of uncertainty. Management considerations focus on stewarding biodiversity in a changing climate by addressing what futures are possible, what interventions can be used to shape future conditions, and how to coordinate a regional conservation strategy. The blueprint focus on decision context promotes a longer-term social process of engagement that is complementary to, but larger than, any one decision process.
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Hoss, Aila. "Federal Indian Law as a Structural Determinant of Health." Journal of Law, Medicine & Ethics 47, S4 (2019): 34–42. http://dx.doi.org/10.1177/1073110519898041.
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Federal Indian law is the body of law that defines the rights, responsibilities, and relationships between three sovereigns, Tribes, states, and the federal government. This area of law has defined, oftentimes poorly, the contours of treaty rights, criminal and civil jurisdiction, economic development, among other issues. Much has been documented in terms of the implications of social, legal, political, and economic systems that perpetuate inequities amongst American Indian and Alaska Native populations. There has also been substantial research on health inequalities. Yet, there has been less discussion on the role of law in perpetuating these adverse health outcomes in these populations. The social and structural determinants of health are the factors and conditions, such as housing, education, and politics, that create health disparities. For years, law has been described as a tool to promote health and even a determinant of health. And while research has explored Tribal health laws and federal Indian health policies, more needs to be analyzed in terms of the role of foundational principles of federal Indian law in perpetuating health disparities. This article argues that federal Indian law is a structural determinant of health by linking health disparities to the constructs of this body of law.
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Kenney, Mary Kay, and Gopal K. Singh. "Adverse Childhood Experiences among American Indian/Alaska Native Children: The 2011-2012 National Survey of Children’s Health." Scientifica 2016 (2016): 1–14. http://dx.doi.org/10.1155/2016/7424239.
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We examined parent-reported adverse childhood experiences (ACEs) and associated outcomes among American Indian and Alaska Native (AI/AN) children aged 0–17 years from the 2011-2012 National Survey of Children’s Health. Bivariate and multivariable analyses of cross-sectional data on 1,453 AI/AN children and 61,381 non-Hispanic White (NHW) children assessed race-based differences in ACEs prevalence and differences in provider-diagnosed chronic emotional and developmental conditions, health characteristics, reported child behaviors, and health services received as a function of having multiple ACEs. AI/AN children were more likely to have experienced 2+ ACEs (40.3% versus 21%), 3+ ACEs (26.8% versus 11.5%), 4+ ACEs (16.8% versus 6.2%), and 5+ ACEs (9.9% versus 3.3%) compared to NHW children. Prevalence rates for depression, anxiety, and ADHD were higher among AI/AN children with 3+ ACEs (14.4%, 7.7%, and 12.5%) compared to AI/ANs with fewer than 2 ACEs (0.4%, 1.8%, and 5.5%). School problems, grade failures, and need for medication and counseling were 2-3 times higher among AI/ANs with 3+ ACEs versus the same comparison group. Adjusted odds ratio for emotional, developmental, and behavioral difficulties among AI/AN children with 2+ ACEs was 10.3 (95% CI = 3.6–29.3). Race-based differences were largely accounted for by social and economic-related factors.
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Steiger, Silke S., Mihai Valcu, Kamiel Spoelstra, Barbara Helm, Martin Wikelski, and Bart Kempenaers. "When the sun never sets: diverse activity rhythms under continuous daylight in free-living arctic-breeding birds." Proceedings of the Royal Society B: Biological Sciences 280, no. 1764 (August 7, 2013): 20131016. http://dx.doi.org/10.1098/rspb.2013.1016.
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Circadian clocks are centrally involved in the regulation of daily behavioural and physiological processes. These clocks are synchronized to the 24 h day by external cues ( Zeitgeber ), the most important of which is the light–dark cycle. In polar environments, however, the strength of the Zeitgeber is greatly reduced around the summer and winter solstices (continuous daylight or continuous darkness). How animals time their behaviour under such conditions has rarely been studied in the wild. Using a radio-telemetry-based system, we investigated daily activity rhythms under continuous daylight in Barrow, Alaska, throughout the breeding season in four bird species that differ in mating system and parental behaviour. We found substantial diversity in daily activity rhythms depending on species, sex and breeding stage. Individuals exhibited either robust, entrained 24 h activity cycles, were continuously active (arrhythmic) or showed ‘free-running’ activity cycles. In semipalmated sandpipers, a shorebird with biparental incubation, we show that the free-running rhythm is synchronized between pair mates. The diversity of diel time-keeping under continuous daylight emphasizes the plasticity of the circadian system, and the importance of the social and life-history context. Our results support the idea that circadian behaviour can be adaptively modified to enable species-specific time-keeping under polar conditions.
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Bogoyavlensky, V. I., and A. V. Kishankov. "Dangerous gas-saturated objects in the World Ocean: the Beaufort Sea, Alaska North Slope shelf." Arctic: Ecology and Economy 13, no. 2 (June 2023): 201–10. http://dx.doi.org/10.25283/2223-4594-2023-2-201-210.
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The article is devoted to the study of gas saturation of the upper part of the sedimentary cover in the western sector of the Beaufort Sea adjacent to Alaska. For the first time, the interpretation of the upper part of the seismic sections of CDP (common depth point) seismic survey was performed for 52 seismic lines of the United States Geological Survey (USGS) with a total length of 4050 km. 184 anomalous objects were found in near-bottom sediments, potentially associated with shallow gas accumulations (gas pockets). The average distance between these objects along the seismic lines was 22 km, which is 80% more than in the Chukchi Sea. This is apparently due to less tectonic activity in the Beaufort Sea. The statistically established similarity of anomalous objects in these seas in terms of depths and lengths is due to similar geological conditions for the formation of sedimentary deposits. In addition, 60 seismic lines with a total length of 4390 km show a wide distribution of potential gas hydrate deposits on the continental slope of the Beaufort Sea, which is consistent with the earlier conclusions of the US and Norwegian scientists (K. Andreassen, P. E. Hart, A. Grantz and others).
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Sasaki, Shiro. "Voices of Hunters on Socialist Modernisation: From a Case Study of the Udehe in the Russian Far East." Inner Asia 12, no. 1 (2010): 177–97. http://dx.doi.org/10.1163/146481710792710327.
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AbstractIn this paper I discuss how different the socialist modernisation of the equipment and techniques of indigenous hunters in Siberia and the Russian Far East was from the 'snowmobile revolution' in Finland and Alaska, and what the results of this modernisation were. In this discussion I analyse hunters' performance and narratives observed and collected in my field research on the hunting culture of the Udehe, one of the indigenous minorities in the Primor'e region in Russia. As a result, I conclude that socialist modernisation had delocalised the fundamental materials for hunting activities such as fuel, equipment for transportation and weapons. However, the serious techno-economic differentiation that had been observed in the case of the Saami in Finland seldom occurred among the indigenous hunters, because socialist egalitarian policies and standardisation of products often provided equal access to the modernised equipment. Especially in the case of the Bikin River basin, where I did my field research, differentiation between the Russian and indigenous hunters was not observed. However, the delocalisation of the fundamental equipment and materials thoroughly deprived them of the alternatives that consisted of the more traditional and pre-modern equipment and techniques. This factor seriously influenced their social and economic conditions after the collapse of the Soviet Union.
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McConnell, Joseph R., Michael Sigl, Gill Plunkett, Andrea Burke, Woon Mi Kim, Christoph C. Raible, Andrew I. Wilson, et al. "Extreme climate after massive eruption of Alaska’s Okmok volcano in 43 BCE and effects on the late Roman Republic and Ptolemaic Kingdom." Proceedings of the National Academy of Sciences 117, no. 27 (June 22, 2020): 15443–49. http://dx.doi.org/10.1073/pnas.2002722117.
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The assassination of Julius Caesar in 44 BCE triggered a power struggle that ultimately ended the Roman Republic and, eventually, the Ptolemaic Kingdom, leading to the rise of the Roman Empire. Climate proxies and written documents indicate that this struggle occurred during a period of unusually inclement weather, famine, and disease in the Mediterranean region; historians have previously speculated that a large volcanic eruption of unknown origin was the most likely cause. Here we show using well-dated volcanic fallout records in six Arctic ice cores that one of the largest volcanic eruptions of the past 2,500 y occurred in early 43 BCE, with distinct geochemistry of tephra deposited during the event identifying the Okmok volcano in Alaska as the source. Climate proxy records show that 43 and 42 BCE were among the coldest years of recent millennia in the Northern Hemisphere at the start of one of the coldest decades. Earth system modeling suggests that radiative forcing from this massive, high-latitude eruption led to pronounced changes in hydroclimate, including seasonal temperatures in specific Mediterranean regions as much as 7 °C below normal during the 2 y period following the eruption and unusually wet conditions. While it is difficult to establish direct causal linkages to thinly documented historical events, the wet and very cold conditions from this massive eruption on the opposite side of Earth probably resulted in crop failures, famine, and disease, exacerbating social unrest and contributing to political realignments throughout the Mediterranean region at this critical juncture of Western civilization.
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White, Easton R., Jill Levine, Amanda Moeser, and Julie Sorensen. "The direct and indirect effects of a global pandemic on US fishers and seafood workers." PeerJ 10 (March 21, 2022): e13007. http://dx.doi.org/10.7717/peerj.13007.
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The United States’ fishing and seafood industries experienced major shifts in consumer demand and social-distancing restrictions starting in March 2020, when the early stages of the COVID-19 pandemic were unfolding. However, the specific effects on fishers and seafood processors are less well known. Fishermen and seafood workers are potentially at risk during a pandemic given existing tight working quarters, seasonal work, and long hours. To address these concerns, and given a lack of data on the sector, we reviewed news articles, scientific articles, and white papers to assess the various effects of COVID-19 on US seafood workers. Here, we show that most COVID-19 cases among seafood workers occurred during summer 2020 and during the beginning of 2021. These cases were documented across coastal areas, with Alaska experiencing the largest number of cases and outbreaks. Seafood workers were about twice as likely to contract COVID-19 as workers in other parts of the overall US food system. We also documented a number of indirect effects of the pandemic. New social-distancing restrictions and policies limited crew size, resulting in longer hours and more physical taxation. Because of changes in demand and the closure of some processing plants because of COVID-19 outbreaks, economic consequences of the pandemic were a primary concern for fishers and seafood workers, and safety measures allowed for seafood price variation and losses throughout the pandemic. We also highlight a number of inequities in COVID-19 responses within the seafood sector, both along racial and gender lines. All of these conditions point to the diverse direct and indirect effects of the COVID-19 pandemic on fishers and seafood workers. We hope this work sets the foundation for future work on the seafood sector in relation to the COVID-19 pandemic, improving the overall workplace, and collecting systematic social and economic data on workers.
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Marra, John, Tashya Allen, David Easterling, Stephanie Fauver, Thomas Karl, David Levinson, Douglas Marcy, et al. "An Integrating Architecture for Coastal Inundation and Erosion Program Planning and Product Development." Marine Technology Society Journal 41, no. 1 (March 1, 2007): 62–75. http://dx.doi.org/10.4031/002533207787442321.
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The need for data and information that can be used to enhance community resilience to coastal inundation and erosion has been highlighted by the devastating impacts of recent events such as Hurricane Katrina and the 2004 Indian Ocean tsunami. The physical systems causing coastal inundation and erosion are governed by a complex combination of oceanic, atmospheric, and terrestrial processes interacting across a broad range of temporal and spatial scales. Depending on time and place the expression of these processes may variously take the form of episodic storm-induced surge or wave overtopping and undercutting, chronic flooding and erosion associated with long-term relative sea level rise, or catastrophic inundation attributable to tsunami. Differences related to geographic setting, such as sea ice in Alaska or coral reefs in Hawai'i and the Pacific Islands, enhance this phenomenological variability. Anticipating the expression of these phenomena is also complicated by observed and projected changes in climate. Combined with these physical systems are social systems made up of diverse cultural, economic, and environmental conditions. Like the physical systems, the social systems are changing, largely because of increases in population and infrastructure along coastlines. These diverse conditions and systems reveal wide-ranging needs for the content, format, and timing of data and information to support decision-making. In addition, other considerations complicate these requirements for data and information: (1) the decentralized acquisition of information from a variety of platforms (e.g., tide gauges, wave buoys, satellites, radars); (2) data and models of varying complexity and spatial and temporal application; and (3) gaps and overlaps in agency, institutional, and organizational activity and authority. This systemic complexity presents a challenge to scientists, planners, managers, and others working to increase community resilience in the face of the risks associated with inundation and erosion. This paper describes a conceptual framework for an integrating architecture that would support program planning and product development toward hazard resilient communities. Central to this framework is a comprehensive, horizontally and vertically integrated view of the physical and social systems that shape the risks associated with coastal inundation and erosion, and the kinds of information needed to manage those risks. Equally important, the framework addresses the necessary connections among systems and scales. This integrated approach also emphasizes the needs of planners, managers, and decision-makers in a changing physical and social environment, as well as the necessity of an iterative, nested, collaborative, and participatory process.
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Ayalon, Liat, Mary Wyman, and Anne Martin-Matthews. "Service Development and Implementation: Learning From Diverse Case Examples." Innovation in Aging 4, Supplement_1 (December 1, 2020): 709–10. http://dx.doi.org/10.1093/geroni/igaa057.2496.
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Abstract The development of health and social services should be based on a thorough needs assessment with all stakeholders, followed by ongoing monitoring of implementation and subsequent short and long term outcomes. Relying on four different service models, this symposium reviews their evaluation processes and summarizes the main lessons learned, in order to inform future efforts. Wyman and colleagues outline efforts to develop culturally-sensitive dementia care services for American Indian and Alaska Native older adults and caregivers using qualitative interviews and community-based participatory research methods. Findings offer guidance for culturally-tailored implementation of services. Shepherd-Banigan et al. report on a quantitative needs assessment of over 1,500 caregivers of older Veterans enrolled in Veterans Administration healthcare. Providing care to individuals with co-morbid conditions predicted higher levels of distress and burden among caregivers, pointing to likely benefit from additional caregiver-focused support programs. The paper by Gum and co-authors moves to assessment of outcomes by examining mortality and other outcomes among older adults screened by an Area Agency on Aging and either receiving or waiting for services. Finally, the paper by Ayalon and Shinan-Altman use service evaluation to demonstrate the importance of needs assessment and the gap between the vision of service developers and real life constraints. The included papers discuss the value of various methodologies, illustrating the important role that assessment and evaluation play in service development and implementation for older adults and caregivers.
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Singh, Gopal K., and Stella M. Yu. "Infant Mortality in the United States, 1915-2017: Large Social Inequalities have Persisted for Over a Century." International Journal of MCH and AIDS (IJMA) 8, no. 1 (March 20, 2019): 19–31. http://dx.doi.org/10.21106/ijma.271.
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Objectives. We examined trends in racial/ethnic, socioeconomic, and geographic disparities in age- and cause-specific infant mortality in the United States during 1915-2017.
Methods. Log-linear regression and inequality indices were used to analyze temporal infant mortality data from the National Vital Statistics System and the National Linked Birth/Infant Death files according to maternal and infant characteristics.
Results. During 1915-2017, the infant mortality rate (IMR) declined dramatically overall and for black and white infants; however, black/white disparities in mortality generally increased through 2000. Racial disparities were greater in post-neonatal mortality than neonatal mortality. Detailed racial/ethnic comparisons show an approximately five-fold difference in IMR, ranging from a low of 2.3 infant deaths per 1,000 live births for Chinese infants to a high of 8.5 for American Indian/Alaska Natives and 11.2 for black infants. Infant mortality from major causes of death showed a downward trend during the past 5 decades although there was a recent upturn in mortality from prematurity/low birthweight and unintentional injury. In 2016, black infants had 2.5-2.8 times higher risk of mortality from perinatal conditions, sudden infant death syndrome, influenza/pneumonia, and unintentional injuries, and 1.3 times higher risk of mortality from birth defects compared to white infants. Educational disparities in infant mortality widened between 1986 and 2016; mothers with less than a high school education in 2016 experienced 2.4, 1.9, and 3.7 times higher risk of infant, neonatal, and post-neonatal mortality than those with a college degree. Geographic disparities were marked and widened across regions, with states in the Southeast region having higher IMRs.
Conclusions and Global Health Implications. Social inequalities in infant mortality have persisted and remained marked, with the disadvantaged ethnic and socioeconomic groups and geographic areas experiencing substantially increased risks of mortality despite the declining trend in mortality over time. Widening social inequalities in infant mortality are a major factor contributing to the worsening international standing of the United States.
Key words: Infant Mortality • Cause of Death • Race/Ethnicity • Socioeconomic Status • Geographic • Inequality • Trend • United States
Copyright © 2019 Singh and Yu. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Whetung, Cliff. "FINDING THE MINDS OF OUR ELDERS: TESTING THE MINORITY STRESS AND COGNITION MODEL WITH INDIGENOUS OLDER ADULTS." Innovation in Aging 6, Supplement_1 (November 1, 2022): 429–30. http://dx.doi.org/10.1093/geroni/igac059.1687.
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Abstract This study used data from the Health and Retirement Study (HRS) data to investigate how an understudied group of Indigenous Older Adults (IOAs) in the United States fared over a 14-year period (2006-2020) in the domain of global cognitive function. The number of IOAs, defined here as Native American and Alaska Natives, will more than double in the next 30 years. Concurrently, the number of IOAs living with cognitive impairments will also increase. Guided by the Minority Stress and Cognition Model, we tested the hypothesis that discriminatory stress increases the risk of cognitive impairment in later life. Using a robust set of psychosocial (e.g. educational quality, perceived everyday discrimination experiences), behavioral (e.g. substance use, exercise), and physiological (e.g. diabetes, hypertension, obesity) risk factors, we modeled the cognition trajectories 186 IOAs using mixed growth curves. We found that one third of these IOAs reported experiencing everyday discrimination at least once per month, the highest of any ethnic group. They also reported high rates of other risk factors for cognitive impairment like low education, SES, and physical activity, and high rates of depression and chronic health conditions. Our analysis found that everyday discrimination was negatively associated with total cognition among IOAs but that this relationship was mediated by allostatic loads. On average, the total cognition scores of IOAs declined significantly faster than those of Whites. This study has important implications for the integration of stress as a mechanism for cognitive decline and the health equity of Indigenous older adults.
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Ulanova, Marina, Raymond SW Tsang, Eli B. Nix, Ben Tan, Brenda Huska, Len Kelly, Michelle Shuel, and Julina Allarie. "Carriage of Haemophilus influenzae serotype A in children: Canadian Immunization Research Network (CIRN) study." Journal of the Association of Medical Microbiology and Infectious Disease Canada 9, no. 1 (March 29, 2024): 20–31. http://dx.doi.org/10.3138/jammi-2023-0020.
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Background: Haemophilus influenzae serotype a (Hia) has recently emerged as an important cause of invasive disease, mainly affecting young Indigenous children. Carriage of H. influenzae is a pre-requisite for invasive disease and reservoir for transmission. To better understand the epidemiology of invasive Hia disease, we initiated a multicentre study of H. influenzae nasopharyngeal carriage among Canadian children. Methods: With prior parental consent, we collected nasotracheal tubes used during general anaesthesia in healthy children following routine dental surgery in a regional hospital of northwestern Ontario and a dental clinic in central Saskatchewan. In northwestern Ontario, all children were Indigenous (median age 48.0 months, 45.8% female); in Saskatchewan, children were from various ethnic groups (62% Indigenous, median age 56.3 months, 43.4% female). Detection of H. influenzae and serotyping were performed using molecular-genetic methods. Results: A total of 438 nasopharyngeal specimens, 286 in northwestern Ontario and 152 in Saskatchewan were analyzed. Hia was identified in 26 (9.1%) and 8 (5.3%) specimens, respectively. In Saskatchewan, seven out of eight children with Hia carriage were Indigenous. Conclusions: The carriage rates of Hia in healthy children in northwestern Ontario and Saskatchewan are comparable to H. influenzae serotype b (Hib) carriage among Alaska Indigenous children in the pre-Hib-vaccine era. To prevent invasive Hia disease, paediatric conjugate Hia vaccines under development have the potential to reduce carriage of Hia, and thus decrease the risk of transmission and disease among susceptible populations. Addressing the social determinants of health may further eliminate conditions favouring Hia transmission in Indigenous communities.
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Miyawaki, Christina, and Erin Bouldin. "ASIAN AMERICAN FAMILY CAREGIVING EXPERIENCES COMPARED TO CAREGIVERS OF OTHER RACIAL/ETHNIC GROUPS." Innovation in Aging 6, Supplement_1 (November 1, 2022): 635. http://dx.doi.org/10.1093/geroni/igac059.2355.
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Abstract Asian Americans (AAs) are the fastest-growing immigrant group in the U.S. While otherwise highly heterogeneous, AAs value filial piety and eldercare. This study compared the prevalence, health, and caregiving experiences of AA caregivers (18+ years) to AA non-caregivers and caregivers in other racial/ethnic groups. Data from the 2015-2019 Behavioral Risk Factor Surveillance System were used (N=252,602). Caregivers were classified as those who provided care/assistance to a parent/parent-in-law/grandparent with a long-term illness/disability. Chi-square tests were used to compare weighted estimates. Among 4,564 AAs, 4.1% (n=321) were caregivers. They were single (55.6%), college-educated (84.2%), working (64.7%), young (< 45 years)(68.2%), male (60.0%), and in excellent/very good/good health (86.3%). Compared to non-caregivers, caregivers were more often unmarried with more chronic health conditions. They assisted a parent/parent-in-law (73.4%) with personal care (52.7%) and household tasks (77.9%). Although overall caregiving experiences were similar across racial/ethnic groups, the prevalence of caregivers was higher among other racial/ethnic groups than AAs (8.3%, Hispanic to 14.8%, American Indian/Alaska Native, p< 0.001), which was a surprise due to their caregiving culture. Because caregiving is expected, they may not identify themselves as caregivers. The data were collected in English and Spanish but 44% of AAs had limited English proficiency. Those limitations may have affected the sample size. Despite the limitations, this study was unique because of the comparison among different racial/ethnic groups of caregivers across the nation. However, to examine a full picture of AA caregivers, we need to administer surveys for each AA ethnic group in various languages.
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Pechatnov, Val V., and V. O. Pechatnov. "Orthodox Religion and Church in Everyday Life of Russian Diplomats in the United States of the Late 19th – Early 20th Century." Bulletin of Irkutsk State University. Series Political Science and Religion Studies 42 (2022): 81–97. http://dx.doi.org/10.26516/2073-3380.2022.42.81.
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The article, based on documents from Russian and American archives, explores the role of Orthodoxy in the value system of Russian diplomats, their participation in church life and relationships with the clergy. The article reveals the role of Orthodoxy and the Church in the daily life of diplomats of the Russian Empire who worked in the United States in 1867–1917, when the interaction of Russian diplomacy and the Aleutian-Alaska (North American) Diocese of the Russian Orthodox Church reached its heyday. It is shown that the entire daily life of diplomats in America was built according to the church calendar with its series of religious holidays, fasts and other church events. It is concluded that, despite the divergence of corporate cultures of these institutions of spiritual and secular power of the Russian Empire, as well as the great differences in the lifestyle of diplomats and clergy, they were united by a common religious and state identity and a common mission – the promotion of Russian influence in the United States. In the conditions of being in an alien environment, Orthodoxy for diplomats became the most important part of Russian self-identification. At the same time, much depended on the individual characteristics of the representatives of the diplomatic corps: social origin, the degree of their religiosity and other features of the worldview. Concrete examples reveal the main types of participation of diplomats in the life of the diocese – from formal to zealously pious. The level of interpersonal communication between representatives of the clergy and the Russian diplomatic colony in the United States is also considered.
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Oluwoye, Oladunni, Megan Puzia, Ari Lissau, Ofer Amram, and Douglas L. Weeks. "Multidimensional Approach to Exploring Neighborhood Determinants and Symptom Severity Among Individuals With Psychosis." JAMA Network Open 7, no. 5 (May 15, 2024): e2410269. http://dx.doi.org/10.1001/jamanetworkopen.2024.10269.
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ImportanceThe impact of cumulative exposure to neighborhood factors on psychosis, depression, and anxiety symptom severity prior to specialized services for psychosis is unknown.ObjectiveTo identify latent neighborhood profiles based on unique combinations of social, economic, and environmental factors, and validate profiles by examining differences in symptom severity among individuals with first episode psychosis (FEP).Design, Setting, and ParticipantsThis cohort study used neighborhood demographic data and health outcome data for US individuals with FEP receiving services between January 2017 and August 2022. Eligible participants were between ages 14 and 40 years and enrolled in a state-level coordinated specialty care network. A 2-step approach was used to characterize neighborhood profiles using census-tract data and link profiles to mental health outcomes. Data were analyzed March 2023 through October 2023.ExposuresEconomic and social determinants of health; housing conditions; land use; urbanization; walkability; access to transportation, outdoor space, groceries, and health care; health outcomes; and environmental exposure.Main Outcomes and MeasuresOutcomes were Community Assessment of Psychic Experiences 15-item, Patient Health Questionnaire 9-item, and Generalized Anxiety Disorder 7-item scale.ResultsThe total sample included 225 individuals aged 14 to 36 years (mean [SD] age, 20.7 [4.0] years; 152 men [69.1%]; 9 American Indian or Alaska Native [4.2%], 13 Asian or Pacific Islander [6.0%], 19 Black [8.9%], 118 White [55.1%]; 55 Hispanic ethnicity [26.2%]). Of the 3 distinct profiles identified, nearly half of participants (112 residents [49.8%]) lived in urban high-risk neighborhoods, 56 (24.9%) in urban low-risk neighborhoods, and 57 (25.3%) in rural neighborhoods. After controlling for individual characteristics, compared with individuals residing in rural neighborhoods, individuals residing in urban high-risk (mean estimate [SE], 0.17 [0.07]; P = .01) and urban low-risk neighborhoods (mean estimate [SE], 0.25 [0.12]; P = .04) presented with more severe psychotic symptoms. Individuals in urban high-risk neighborhoods reported more severe depression (mean estimate [SE], 1.97 [0.79]; P = .01) and anxiety (mean estimate [SE], 1.12 [0.53]; P = .04) than those in rural neighborhoods.Conclusions and RelevanceThis study found that in a cohort of individuals with FEP, baseline psychosis, depression, and anxiety symptom severity differed by distinct multidimensional neighborhood profiles that were associated with where individuals reside. Exploring the cumulative effect of neighborhood factors improves our understanding of social, economic, and environmental impacts on symptoms and psychosis risk which could potentially impact treatment outcomes.
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Bairlein, Franz, Volker Dierschke, Julia Delingat, Cas Eikenaar, Ivan Maggini, Marc Bulte, and Heiko Schmaljohann. "Revealing the control of migratory fueling: An integrated approach combining laboratory and field studies in northern wheatears Oenanthe oenanthe." Current Zoology 59, no. 3 (June 1, 2013): 381–92. http://dx.doi.org/10.1093/czoolo/59.3.381.
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Abstract Migratory birds rely on fueling prior to migratory flights. Fueling in migrants is controlled by intrinsic as well as extrinsic factors. From captive studies we have started understanding the internal mechanisms controlling bird migration. Field studies have demonstrated the effects of external factors, such as food availability, weather, competitors, parasites or diseases, on the stopover behavior of migrants. However, an integrated approach is still missing to study coherently how the innate migration program interacts with the varying environmental cues and to estimate the contribution of the innate migration program and the environment to realized migration. The northern wheatear Oenanthe oenanthe offers a unique opportunity for integrated studies. It breeds across almost the whole Holarctic with just a “gap” between eastern Canada and Alaska. All breeding populations overwinter in sub-Saharan Africa which makes the northern wheatear one of the most long-distant migratory songbirds with extraordinary long non-stop flights across oceans. It is a nocturnal migrant which travels without parental or social aid/guidance. Thus, young birds rely entirely on endogenous mechanisms of timing, route selection and fueling on their first outbound migration. By establishing indoor housing under controlled conditions the endogenous control mechanisms of northern wheatear migration could be revealed. At the same time, environmental factors controlling fueling could be investigated in the field. On migration wheatears occur in a variety of habitats with sparse vegetation where their stopover behavior could be quantitatively studied in the light of “optimal migration” theory by the use of remote balances, radio-tagging and even experimentally manipulated food availability. The present paper summarizes our approach to understand the control of migration in northern wheatears by combining field and laboratory studies at various spatial and temporal scales, and linking various sub-disciplines.
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Jorgensen, Joseph, Richard Mccleary, and Steven Mcnabb. "Social Indicators in Native Village Alaska1." Human Organization 44, no. 1 (March 1, 1985): 2–17. http://dx.doi.org/10.17730/humo.44.1.61r44v7782262307.
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Social indicators-constructs to assess, and to measure changes to socio-economic conditions of life for contemporary societies-are analyzed for eight Aleutian and northwestern Alaskan villages whose native residents derive their sustenance from hunting, gathering, and fishing. Because of federal, state, and oil corporation actions, these villages and others like them are changing rapidly and dramatically. The analysis proposes a structure for the changes that are occurring, and measurable factors that will "indicate" future changes. Two competing models to explain social change are evaluated-"Western Industrial" and "Underdevelopment"-although both are modified to account for the Alaskan arctic and subarctic and the importance of subsistence economies in those areas. The method employed, commonly referred to as "triangulation," comprises several methodologies, several research designs, and several data sets: autoregressive time series analysis of archival data, multivariate analysis of protocol (interview) data, and contextual and anecdotal analysis of ethnographic observations. Each method has strengths and weaknesses with the strengths of one helping to compensate for the weaknesses of another. Conclusions drawn from the analyses of these several data sets allow us to posit a set of indicators while offering several concluding hypotheses throughout our exposition. Among our conclusions is that if naturally-occurring species on which village life depends are so disrupted by man-made or man-influenced events that they cannot sustain native subsistence and commercial pursuits, the underdevelopment model, shaped to accommodate the uniqueness of the arctic, will be fulfilled. The concluding hypotheses can be tested for validity in restudies, a monitoring system is implied, and a forecasting methodology to assess impacts is suggested. Thus, the study represents a new methodology for social impact assessments (SIA).
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Salazar, Elizabeth G., Diana Montoya-Williams, Molly Passarella, Carolyn McGann, Kathryn Paul, Daria Murosko, Michelle-Marie Peña, et al. "County-Level Maternal Vulnerability and Preterm Birth in the US." JAMA Network Open 6, no. 5 (May 25, 2023): e2315306. http://dx.doi.org/10.1001/jamanetworkopen.2023.15306.
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ImportanceAppreciation for the effects of neighborhood conditions and community factors on perinatal health is increasing. However, community-level indices specific to maternal health and associations with preterm birth (PTB) have not been assessed.ObjectiveTo examine the association of the Maternal Vulnerability Index (MVI), a novel county-level index designed to quantify maternal vulnerability to adverse health outcomes, with PTB.Design, Setting, and ParticipantsThis retrospective cohort study used US Vital Statistics data from January 1 to December 31, 2018. Participants included 3 659 099 singleton births at 22 plus 0/7 to 44 plus 6/7 weeks of gestation born in the US. Analyses were conducted from December 1, 2021, through March 31, 2023.ExposureThe MVI, a composite measure of 43 area-level indicators, categorized into 6 themes reflecting physical, social, and health care landscapes. Overall MVI and theme were stratified by quintile (very low to very high) by maternal county of residence.Main Outcomes and MeasuresThe primary outcome was PTB (gestational age &lt;37 weeks). Secondary outcomes were PTB categories: extreme (gestational age ≤28 weeks), very (gestational age 29-31 weeks), moderate (gestational age 32-33 weeks), and late (gestational age 34-36 weeks). Multivariable logistic regression quantified associations of MVI, overall and by theme, with PTB, overall and by PTB category.ResultsAmong 3 659 099 births, 298 847 (8.2%) were preterm (male, 51.1%; female, 48.9%). Maternal race and ethnicity included 0.8% American Indian or Alaska Native, 6.8% Asian or Pacific Islander, 23.6% Hispanic, 14.5% non-Hispanic Black, 52.1% non-Hispanic White, and 2.2% with more than 1 race. Compared with full-term births, MVI was higher for PTBs across all themes. Very high MVI was associated with increased PTB in unadjusted (odds ratio [OR], 1.50 [95% CI, 1.45-1.56]) and adjusted (OR, 1.07 [95% CI, 1.01-1.13]) analyses. In adjusted analyses of PTB categories, MVI had the largest association with extreme PTB (adjusted OR, 1.18 [95% CI, 1.07-1.29]). Higher MVI in the themes of physical health, mental health and substance abuse, and general health care remained associated with PTB overall in adjusted models. While the physical health and socioeconomic determinant themes were associated with extreme PTB, physical health, mental health and substance abuse, and general health care themes were associated with late PTB.Conclusions and RelevanceThe findings of this cohort study suggest that MVI was associated with PTB even after adjustment for individual-level confounders. The MVI is a useful measure for county-level PTB risk that may have policy implications for counties working to lower preterm rates and improve perinatal outcomes.
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Singh, Gopal K., Mehrete Girmay, Michelle Allender, and Ramey T. Christine. "Digital Divide: Marked Disparities in Computer and Broadband Internet Use and Associated Health Inequalities in the United States." International Journal of Translational Medical Research and Public Health 4, no. 1 (June 10, 2020): 64–79. http://dx.doi.org/10.21106/ijtmrph.148.
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Background: Despite the considerable increase in computer and internet use over the past two decades, few studies have examined socioeconomic, demographic, and health characteristics associated with computer and internet use in the United States. Community-level differences in computer and internet use and associated disparities in health and mor tality indicators have not been analyzed. This study examines these associations at the individual and community level using national census, health, and mortality data.
Methods: We analyzed data from the 2017 American Community Survey (ACS) Micro-data Sample, the 2013-2017 ACS Summary File, 2013-2017 National Vital Statistics System, and 2019 County Health Rankings and Roadmaps. Health and socioeconomic characteristics associated with broadband internet and computer use among adults aged ≥18 were modeled by logistic regression (N=2,385,595).
Results: In 2017, 89.7% of Asian/Pacific Islanders (APIs) had broadband internet service, compared with 66.0% of American Indians/Alaska Natives (AIANs), 77.2% of Blacks/African-Americans, 78.8% of Hispanics, and 83.5% of non-Hispanic Whites. APIs (97.4%) were more likely than other racial/ethnic groups to own or use a computer (including smartphones), while AIANs (80.3%) were less likely. Socioeconomic gradients in internet and computer use were marked. Those below the poverty level and with less than a high school education reported 18 and 15 percentage points lower rates of internet and computer use respectively. Compared to metropolitan areas, nonmetropolitan areas had lower internet access (80.3% vs. 69.7%) and computer use (88.4% vs. 80.5%). Rural areas and small urban towns had the lowest level of internet and computer use. Risks of disabilities and lack of health insurance were greater among persons with lower broadband internet and computer access. Communities with low internet and computer use had seven years shorter life expectancy than communities with high use and were at increased risks of mortality from various chronic conditions, poor health, mental distress, hospitalization, smoking, obesity, and physical inactivity.
Conclusions and Implications for Translation: Significant socioeconomic and racial/ethnic disparities in internet and computer use and associated health inequalities exist in the US. Closing the social divide in internet and computer use can positively impact individual empowerment, educational attainment, economic growth, community development, access to health care and health-related information, and health promotions efforts.
Key words: • Digital divide • broadband internet • computer use • disability • health insurance • causespecific mortality • morbidity • health behaviors
Copyright © 2020 Singh et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial (CC BY-NC 4.0) License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial.
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Yang, Yukun, Ahyoung Cho, Quynh Nguyen, and Elaine O. Nsoesie. "Association of Neighborhood Racial and Ethnic Composition and Historical Redlining With Built Environment Indicators Derived From Street View Images in the US." JAMA Network Open 6, no. 1 (January 18, 2023): e2251201. http://dx.doi.org/10.1001/jamanetworkopen.2022.51201.
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ImportanceRacist policies (such as redlining) create inequities in the built environment, producing racially and ethnically segregated communities, poor housing conditions, unwalkable neighborhoods, and general disadvantage. Studies on built environment disparities are usually limited to measures and data that are available from existing sources or can be manually collected.ObjectiveTo use built environment indicators generated from online street-level images to investigate the association among neighborhood racial and ethnic composition, the built environment, and health outcomes across urban areas in the US.Design, Setting, and ParticipantsThis cross-sectional study was conducted using built environment indicators derived from 164 million Google Street View images collected from November 1 to 30, 2019. Race, ethnicity, and socioeconomic data were obtained from the 2019 American Community Survey (ACS) 5-year estimates; health outcomes were obtained from the Centers for Disease Control and Prevention 2020 Population Level Analysis and Community Estimates (PLACES) data set. Multilevel modeling and mediation analysis were applied. A total of 59 231 urban census tracts in the US were included. The online images and the ACS data included all census tracts. The PLACES data comprised survey respondents 18 years or older. Data were analyzed from May 23 to November 16, 2022.Main Outcomes and MeasuresModel-estimated association between image-derived built environment indicators and census tract (neighborhood) racial and ethnic composition, and the association of the built environment with neighborhood racial composition and health.ResultsThe racial and ethnic composition in the 59 231 urban census tracts was 1 160 595 (0.4%) American Indian and Alaska Native, 53 321 345 (19.5%) Hispanic, 462 259 (0.2%) Native Hawaiian and other Pacific Islander, 17 166 370 (6.3%) non-Hispanic Asian, 35 985 480 (13.2%) non-Hispanic Black, and 158 043 260 (57.7%) non-Hispanic White residents. Compared with other neighborhoods, predominantly White neighborhoods had fewer dilapidated buildings and more green space indicators, usually associated with good health, and fewer crosswalks (eg, neighborhoods with predominantly minoritized racial or ethnic groups other than Black residents had 6% more dilapidated buildings than neighborhoods with predominantly White residents). Moreover, the built environment indicators partially mediated the association between neighborhood racial and ethnic composition and health outcomes, including diabetes, asthma, and sleeping problems. The most significant mediator was non–single family homes (a measure associated with homeownership), which mediated the association between neighborhoods with predominantly minority racial or ethnic groups other than Black residents and sleeping problems by 12.8% and the association between unclassified neighborhoods and asthma by 24.2%.Conclusions and RelevanceThe findings in this cross-sectional study suggest that large geographically representative data sets, if used appropriately, may provide novel insights on racial and ethnic health inequities. Quantifying the impact of structural racism on social determinants of health is one step toward developing policies and interventions to create equitable built environment resources.
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Patterson-Silver Wolf, David A., Carol VanZile-Tamsen, Jessica Black, Shanondora M. Billiot, and Molly Tovar. "A Comparison of Self-reported Physical Health and Health Conditions of American Indian/Alaskan Natives to Other College Students." Journal of Community Health 38, no. 6 (June 26, 2013): 1090–97. http://dx.doi.org/10.1007/s10900-013-9718-5.
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Silverberg, Emily L., Trevor W. Sterling, Tyler H. Williams, Grettel Castro, Pura Rodriguez de la Vega, and Noël C. Barengo. "The Association between Social Determinants of Health and Self-Reported Diabetic Retinopathy: An Exploratory Analysis." International Journal of Environmental Research and Public Health 18, no. 2 (January 18, 2021): 792. http://dx.doi.org/10.3390/ijerph18020792.
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One-third of Americans with diabetes will develop diabetic retinopathy (DR), the leading cause of blindness in working-age Americans. Social determinants of health (SDOHs) are conditions in a person’s environment that may impact health. The objective of this study was to determine whether there is an association between SDOHs and DR in patients with type II diabetes. This cross-section study used data from the 2018 Behavioral Risk Factor Surveillance System (BRFSS). This study included people with self-reported diabetes in the US in 2018 (n = 60,703). Exposure variables included homeownership, marital status, income, health care coverage, completed level of education, and urban vs. rural environment. The outcome variable was DR. Logistic regression analysis were applied to calculate odds ratios (ORs) and 95% confidence intervals (CIs). Alaskan Native/Native American (OR 2.11; 95% CI: 1.14–3.90), out of work (OR 2.82; 95% CI: 1.62–4.92), unable to work (OR 2.14; 95% CI: 1.57–2.91), did not graduate high school (OR 1.91; 95% CI: 1.30–2.79), only graduated high school (OR 1.43; 95% CI 1.08–1.97), or only attended college or technical school without graduating (OR 1.42; 95% CI: 1.09–1.86) were SDOHs associated with DR in patients with diabetes. Health care providers should identify these possible SDOHs affecting their diabetic patients.
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Yoon, Esther, Scott Hur, Lauren Opsasnick, Wei Huang, Stephanie Batio, Laura M. Curtis, Julia Yoshinso Benavente, et al. "Disparities in Patient Portal Use Among Adults With Chronic Conditions." JAMA Network Open 7, no. 2 (February 29, 2024): e240680. http://dx.doi.org/10.1001/jamanetworkopen.2024.0680.
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ImportanceDisparities in patient access and use of health care portals have been documented. Limited research has evaluated disparities in portal use during and after the COVID-19 pandemic.ObjectiveTo assess prevalence of health care portal use before, during, and after the most restrictive phase of the pandemic (2019-2022) among the COVID-19 &amp; Chronic Conditions (C3) cohort and to investigate any disparities in use by sociodemographic factors.Design, Setting, and ParticipantsThis cohort study uses data from the C3 study, an ongoing, longitudinal, telephone-based survey of participants with multiple chronic conditions. Participants were middle aged and older-adult primary care patients who had an active portal account, recruited from a single academic medical center in Chicago, Illinois, between 2019 and 2022. Data were analyzed between March and June 2022.Main Outcomes and MeasuresOutcomes of portal use (ie, number of days of portal login by year) were recorded for all study participants by the electronic data warehouse. All parent studies had uniform sociodemographic data and measures of social support, self-efficacy, health literacy, and health activation.ResultsOf 536 participants (mean [SD] age, 66.7 [12.0] years; 336 [62.7%] female), 44 (8.2%) were Hispanic or Latinx, 142 (26.5%) were non-Hispanic Black, 322 (60.1%) were non-Hispanic White, and 20 individuals (3.7%) identified as other race, including Asian, Native American or Alaskan Native, and self-reported other race. In multivariable analyses, portal login activity was higher during the 3 years of the COVID-19 pandemic compared with the 2019 baseline. Higher portal login activity was associated with adequate health literacy (incidence rate ratio [IRR], 1.51; 95% CI, 1.18-1.94) and multimorbidity (IRR, 1.38; 95% CI, 1.17-1.64). Lower portal activity was associated with older age (≥70 years: IRR, 0.69; 95% CI, 0.55-0.85) and female sex (IRR, 0.77; 95% CI, 0.66-0.91). Compared with non-Hispanic White patients, lower portal activity was observed among Hispanic or Latinx patients (IRR, 0.66; 95% CI, 0.49-0.89), non-Hispanic Black patients (IRR, 0.68; 95% CI, 0.56-0.83), and patients who identified as other race (IRR, 0.42; 95% CI, 0.28-0.64).Conclusions and RelevanceThis cohort study using data from the C3 study identified changes in portal use over time and highlighted populations that had lower access to health information. The COVID-19 pandemic was associated with an increase in portal use. Sociodemographic disparities by sex and age were reduced, although disparities by health literacy widened. A brief validated health literacy measure may serve as a useful digital literacy screening tool to identify patients who need further support.
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Dobbs, Debra, and Larry Polivka. "PRESIDENTIAL SYMPOSIUM: RACIAL AND ETHNIC HEALTH DISPARITIES ACROSS THE LONG-TERM SERVICES AND SUPPORTS CONTINUUM: NEED FOR POLICY AND ACTION." Innovation in Aging 6, Supplement_1 (November 1, 2022): 303. http://dx.doi.org/10.1093/geroni/igac059.1197.
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Abstract The pandemic further exacerbated racial and ethnic health disparities with BIPOC (Black, Indigenous and People of Color) communities experiencing significantly higher infection rates and higher hospitalization rates compared to White populations. Underlying medical conditions that disproportionately affect BIPOC populations (e.g., cardiovascular disease, diabetes, COPD) and social determinants of health (income, community and environmental factors, access to health care and job security) can account in large part for increased rates of morbidity and mortality. Within the long term services and supports (LTSS) continuum, health disparities exist in both who receives and provides care. The four papers in this Social Research Policy and Practice Presidential Symposium will highlight factors that result in health disparities across the LTSS continuum and propose possible policy and practice solutions to address the disparities. The first paper presented will be an overview of existing nursing home workforce issues that continue to impact disparities in the quality of resident care. The second paper presented examines nursing home resident quality of life disparities from a measurement perspective. The third paper will highlight issues on elder abuse and mistreatment of rural elders, American Indian and Alaskan Natives. The fourth paper will present recommendations from key stakeholders of the RAISE Family Caregiving Advisory Council on how to meet the needs of underrepresented groups (AAPI, BIPOC, Indigenous peoples) of family caregivers. Policy and practice solutions to reduce disparities will be discussed.
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Hepburn, Kenneth, Molly Perkins, Drenna Waldrop, Leila Aflatoony, Mi-Kyung Song, and Carolyn Clevenger. "Emory Roybal Center for Dementia Caregiving Mastery: Diverse Responses to Letter of Intent Call." Innovation in Aging 4, Supplement_1 (December 1, 2020): 254. http://dx.doi.org/10.1093/geroni/igaa057.816.
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Abstract This new NIA-supported Roybal Center seeks to support Stage 1 pilot clinical trials of programs aimed at promoting caregiving competence and confidence in the great heterogeneity of dementia caregiving contexts. During our first cycle, we received 26 letters of intent (LOI) for full applications. Responses reaffirmed the Center’s premise that dementia caregiving is remarkably varied in nature. While most proposed programs focused on generic caregiving, a number addressed caregiving issues facing specific ethnic/racial groups (African American; Korean American; Native Alaskan/American Indian; Latino), and several focused on specific dementing conditions (MCI, Lewy Body Dementia,TBI-based dementia). Most described programs centered on knowledge development and daily management skill issues (e.g., management of behaviors); others specified development of physical care skills. Decision-making and communication constituted the second most common topic. Over 40% proposed adaptation of existing programs; more than 25% proposed apps or technology interventions. Investigators represented a wide range of disciplines: 45% each from Health sciences (nursing, medicine, and social work) and Social/Behavioral sciences (principally psychology) and the rest from engineering and communications. LOIs varied most in their readiness to complete a clinical trial within a year. About 40% were in very preliminary stages; 25% were clearly poised for a Stage 1 trial; 15% did not sufficiently address the Center’s aims. Key criteria for invitations to submit full applications (n=4) included: specificity of context; clinical trial readiness; reasonableness of proposed adaptation. These criteria should guide future LOIs addressing the diversity of important new research and intervention perspectives on the multifaceted work of caregiving.
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Stockman, Jamila K., Brittany A. Wood, and Katherine M. Anderson. "Racial and Ethnic Differences in COVID-19 Outcomes, Stressors, Fear, and Prevention Behaviors Among US Women: Web-Based Cross-sectional Study." Journal of Medical Internet Research 23, no. 7 (July 12, 2021): e26296. http://dx.doi.org/10.2196/26296.
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Background In the United States, racial and ethnic minorities are disproportionately affected by COVID-19, with persistent social and structural factors contributing to these disparities. At the intersection of race/ethnicity and gender, women of color may be disadvantaged in terms of COVID-19 outcomes due to their role as essential workers, their higher prevalence of pre-existing conditions, their increased stress and anxiety from the loss of wages and caregiving, and domestic violence. Objective The purpose of this study is to examine racial and ethnic differences in the prevalence of COVID-19 outcomes, stressors, fear, and prevention behaviors among adult women residing in the United States. Methods Between May and June 2020, women were recruited into the Capturing Women’s Experiences in Outbreak and Pandemic Environments (COPE) Study, a web-based cross-sectional study, using advertisements on Facebook; 491 eligible women completed a self-administered internet-based cross-sectional survey. Descriptive statistics were used to examine racial and ethnic differences (White; Asian; Native Hawaiian or other Pacific Islander; Black; Hispanic, Latina, or Spanish Origin; American Indian or Alaskan Native; multiracial or some other race, ethnicity, or origin) on COVID-19 outcomes, stressors, fear, and prevention behaviors. Results Among our sample of women, 16% (73/470) reported COVID-19 symptoms, 22% (18/82) were concerned about possible exposure from the people they knew who tested positive for COVID-19, and 51.4% (227/442) knew where to get tested; yet, only 5.8% (27/469) had been tested. Racial/ethnic differences were observed, with racial/ethnic minority women being less likely to know where to get tested. Significant differences in race/ethnicity were observed for select stressors (food insecurity, not enough money, homeschooling children, unable to have a doctor or telemedicine appointment) and prevention behaviors (handwashing with soap, self-isolation if sick, public glove use, not leaving home for any activities). Although no racial/ethnic differences emerged from the Fear of COVID-19 Scale, significant racial/ethnic differences were observed for some of the individual scale items (eg, being afraid of getting COVID-19, sleep loss, and heart racing due to worrying about COVID-19). Conclusions The low prevalence of COVID-19 testing and knowledge of where to get tested indicate a critical need to expand testing for women in the United States, particularly among racial/ethnic minority women. Although the overall prevalence of engagement in prevention behaviors was high, targeted education and promotion of prevention activities are warranted in communities of color, particularly with consideration for stressors and adverse mental health.
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Vasquez, Kimberly, Dozene Guishard, William Dionne, Alexandra Jurenko, Caroline Jiang, Cameron Coffran, Andrea Ronning, et al. "2324 A community-academic partnership to understand the correlates of successful aging in place (year 2)." Journal of Clinical and Translational Science 2, S1 (June 2018): 63–64. http://dx.doi.org/10.1017/cts.2018.236.
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OBJECTIVES/SPECIFIC AIMS: Objective: The Rockefeller University Center for Clinical and Translational Science (RU-CCTS), Clinical Directors Network (CDN), and Carter Burden Network (CBN), a multisite senior services organization serving East Harlem, NY, formed a community-academic partnership to examine the use of a simple validated surrogate measure of overall health status and frailty in this population. Many CBN seniors are racial/ethnic minorities, low-income, and suffer from multiple chronic conditions, depression and food insecurity. Multiple biological, musculoskeletal, psychosocial and nutritional factors contribute to frailty, which has been defined variously in senior health outcomes research. The CTSA-funded Pilot Project aims to: (1) Engage CBN seniors and stakeholders in priority-setting, joint protocol development, research conduct, analysis, and dissemination; (2) Characterize the health status of the CBN seniors using validated measures; (3) Establish database infrastructure for current and future research; (4) Understand how health and senior activities information can be used to create programs to improve senior health. METHODS/STUDY POPULATION: Methods: (1) CEnR-Navigation, a collaborative program/process that consists of semistructured meetings and activities facilitated by expert Navigators, was used for partnership development and to engage Carter Burden seniors to refine priorities and research questions, provide feedback on study design and conduct, and analyze and disseminate results. (2) Standard physical measurements and validated survey instruments were used to collect health information; target enrollment is 240 seniors across 2 sites (1 hosted within a subsidized housing facility and Social Model Adult Day Program). (3) A REDCap-based platform was designed for data capture and import. Individual attendance at senior activities for the prior year was extracted from existing records. The primary outcome is frailty, as measured by validated walk/balance tests (Short Physical Performance Battery). Secondary outcomes include measures of engagement, and association of use of services/activities with the primary outcome. RESULTS/ANTICIPATED RESULTS: (1) In total, 29 residents and 14 other stakeholders engaged in partnership-building, study design and implementation. (2) From May to November 2017, 98 participants were enrolled from site 1 (a residential site). Enrollment at site 2 (a senior center), begun in November, is projected for February completion. Characteristics of site 1 participants: median age=63.6 years; Hispanic, 44.90% (44); White, 13.89% (10), Black, 62.50% (45); Asian, 4.17% (3); American Indian or Alaskan Native, 2.78% (2), and Other, 16.67% (12). Educational attainment: 51.04% (49) had not completed high school; 19.79% (19) were high school graduates; 18.75% (18) completed some college, and 10.42% (10) were college graduates. For the 85 participants reporting annual income: 64.71% (55) reported <$10,000; 28.24% (24) reported $10,000–$15,000; 7.06% (6) were among the ranges from $15,000 to $50,000. The average body mass index (BMI) was 30, which is obese. For 83.67% (82) of site 1 participants, the BMI was in the range of overweight or obese. Half of participants (49) reported health literacy barriers in the Single Item Health Literacy Survey. Demographics and Frailty assessments (walk and balance tests) for participants enrolled at both sites will be reported. (3) Activity participation data for July 2016–November 2017 were recovered for 507 sessions at site 1 and are being analyzed. DISCUSSION/SIGNIFICANCE OF IMPACT: Here we report progress in developing a sustainable community-academic partnership, infrastructure and research capacity with the CBN senior services organization, and characterizing this at-risk population, of whom 71% have a high school education or less, 93% live in extreme poverty, and 84% are overweight or obese. A simple validated frailty measure in seniors will enable the acceleration of community-based translational research addressing senior health, and examine changes in this measure in relationship to the utilization of senior services.
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Semmens, Kathryn, Rachel Hogan Carr, Burrell Montz, Keri Maxfield, Dana M. Tobin, Joshua Kastman, James A. Nelson, Kirstin Harnos, Margaret Beetstra, and Patrick Painter. "Winter Storm Severity Index in Alaska: Understanding the Usefulness for Impact-based Winter Weather Severity Forecast Information." Weather and Forecasting, June 6, 2024. http://dx.doi.org/10.1175/waf-d-24-0002.1.
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Abstract There is growing interest in impact-based decision support services to address complex decision-making, especially for winter storm forecasting. Understanding users’ needs for winter storm forecast information is necessary to make such impact-based winter forecasts relevant and useful to the diverse regions affected. A mixed-method social science research study investigated extending the Winter Storm Severity Index (WSSI) (operational for the contiguous United States (CONUS)) to Alaska, with consideration of the distinct needs of Alaskan stakeholders and the Alaskan climate. Data availability differences suggest the need for an Alaska specific WSSI, calling for user feedback to inform the direction of product modifications. Focus groups and surveys in six regions of Alaska provided information on how the WSSI components, definitions and categorization of impacts could align with stakeholder expectations and led to recommendations for the Weather Prediction Center to consider in developing the WSSI Alaska product. Overall, wind (strength and direction) and precipitation are key components to include. Air travel is a critical concern requiring wind and visibility information, while road travel is less emphasized (contrasting with CONUS needs). Special Weather Statements and Winter Storm Warnings are highly valued, and storm trajectory and transition (between precipitation types) information are important contexts for decision-makers. Alaska is accustomed to and prepared for winter impacts but being able to understand how components (wind, snow, ice) contribute to overall impact enhances the ability to respond and mitigate damage effectively. The WSSI adapted for Alaska can help address regional forecast needs, particularly valuable as the climate changes and typical winter conditions become more variable.
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"Social Protest in Russian America." Sibirica 20, no. 3 (December 1, 2021): 75–99. http://dx.doi.org/10.3167/sib.2021.200304.
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This article analyzes social protest in the Russian colonies in Alaska and Northern California. The main reasons for protests were the actions of the colonial administration or abuse by its representatives, along with dissatisfaction with the financial situation, rules, conditions, and remuneration for labor, as well as shortages of commodities and food for a considerable part of the population of the Russian colonies. Protest activity in Russian America was relatively insignificant, and its primary forms were complaints, minor economic sabotage, and desertion. Most protest acts took place during the 1790s–1800s, when the colonial system was formed, and exploitation of dependent natives and Russian promyshlenniki (hired hunters of fur-bearing animals) reached its peak. The representatives of the Russian-American Company who managed Alaska from 1799 on tried to block protest activity and not allow open displays of dissatisfaction, since the result could hinder trade, business, and finally, profits and its image in the eyes of the tsar’s authorities.
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Mbise, Amana, Celeste Hodge-Growden, Thea Bemben, and Rei Shimizu. "Black Alaskans Health Needs Assessment during COVID-19 Pandemic: Implications for Social Work." Health & Social Work, March 15, 2024. http://dx.doi.org/10.1093/hsw/hlae007.
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Abstract At the peak of the COVID-19 pandemic it became clear that Black people were experiencing more severe symptoms and had higher rates of mortality from COVID-19 than White people. However, data on racial differences in death and hospitalization rates in Alaska were less clear. To address this, the Alaska Black Caucus initiated the first Black Alaskans health needs assessment to understand the health status, needs, and resources of the Black community of Alaska. This article reports on the design, implementation, and descriptive results from the survey portion of the first community health needs assessment of Black Alaskans. The findings indicate that a majority of Black Alaskans report being moderately healthy, having access to health insurance, owning their homes, and having a favorable view of their neighborhood. However, too many are unable to work due to poor physical or mental health challenges and are diagnosed with one or more chronic health diseases. In addition, Black Alaskans experience high rates of substance abuse, have untreated mental health conditions, consume tobacco products at a high rate, and are not screening for some cancers. The article will conclude by presenting additional strategies for improving healthcare access and responsiveness for Black Alaskans.