Health disparities in fetal alcohol spectrum disorders (FASD) are of high importance to American Indian/Alaska Native (AI/AN) communities. We conducted focus groups and interviews with 21 AI/AN women and key informants in Southern California to modify a brief, Web-based program for screening and prevention of prenatal alcohol use. This process…

Media technologies, including the Internet, cell phones, and video games, offer new avenues to reach Native youth on sensitive health topics. Project Red Talon, a sexually transmitted disease (STD)/HIV prevention project that serves the 43 federally recognized tribes in Oregon, Washington, and Idaho, used community-based participatory research…

HIV/AIDS has steadily increased in Native American and Alaska Native populations, and despite efforts at control many challenges remain. This article examines historical, biological, social, and behavioral cofactors related to the spread of HIV/AIDS within the context of Native American culture. Special attention is given to vulnerable subgroups…

American Indian and Alaska Native (AI/AN) youth are disproportionally burdened by many common adolescent health issues, including drug and alcohol use, injury and violence, sexually transmitted infections, and teen pregnancy. Media technologies, including the Internet, cell phones, and video games, offer new avenues for reaching adolescents on a…

Despite a dark history marked by the eugenics movement, increasing numbers of people with disabilities are choosing to become parents. Recent research reveals that more than 4 million parents--6 percent of American mothers and fathers--are disabled. This number will unquestionably increase as more people with disabilities exercise a broader range…

The book aims to change the conversation about sexuality education for adolescents, making it consistent with a democratic cultural politics that is attuned to changes in youth and popular culture. Traditional sex education is nearly obsolete; sexuality curriculum is now primarily learned through popular culture and youth culture, which teach…

How can indigenous evaluators implement culturally competent models in First Nations communities while ensuring that government grant evaluation requirements are met? Through describing the challenges in one tribal community in the United States, this article will discuss how American Indian/Alaska Native substance abuse prevention programs are…

This article reviews the prevalence of suicide and suicidal ideation among American Indian adolescents. Unique risk and protective factors, and historical trauma and associated symptoms, are explored in the context of American Indian adolescent suicide. The need for culturally-sensitive interventions are necessary, and an example of a…

American Indian stories are a form of medicine and can provide a model of how to deal effectively with life's challenges. Several stories are discussed that offer metaphors for living with an incurable condition such as AIDS and that provide a culturally sensitive means of discussing sexuality, high risk behaviors, and prevention. (Contains 25…

This article describes how the Fairbanks Native Association's (FNA) Early Head Start (EHS) program in Alaska participated in the EHS Pathways to Prevention initiative. At the FNA EHS program, staff members had watched their families struggle to receive appropriate and respectful mental health services. Developing more culturally relevant services…

Medical anthropology provides a broader contextual framework for understanding complex causal factors associated with diabetes among American Indians and how to minimize these factors in education/treatment programs. Discusses historical, epidemiological, and genetic considerations in American Indian diabetes; cultural factors related to foods,…

Substance abuse continues to be one of the most damaging and chronic health problems faced by Indian people. American Indian and Alaska Native (AI/AN) substance abuse prevention and treatment programs must be framed within the broader context of the widening health disparities between AI/AN communities and the general population. Successful…

American Indians experience many problems related to alcohol misuse. However, there are prevention approaches that work to reduce risk of alcohol misuse among American Indians. With regard to the way prevention workers carry out their work in American Indian communities, programs must emerge from the community, prevention workers must demonstrate…

The effects of alcohol and other drug abuse are recognized as a serious problem in U.S. communities. Policy efforts and increased law enforcement have only a minimal impact if prevention strategies are not consistent with the community's level of readiness, are not culturally relevant, and are not community-specific. A model has been developed for…

School-based drug abuse prevention programs have been a standard approach in American Indian communities for three decades, but the evidence for their effectiveness is meager. However, it is unreasonable to expect that schools alone could have a major impact on a behavior that has multiple and interactive social causes. It would be folly to…