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The Generational Impact Of Racism On Health: Voices From American Indian Communities
Teshia G Arambula Solomon1, Rachel Rose Bobelu Starks2, Agnes Attakai3
1Teshia G. Arambula Solomon (solomont@arizona.edu), University of Arizona, Tucson, Arizona.
Structural racism has historically harmed American Indians and Alaska Natives, leading to intergenerational trauma and health disparities. Addressing systemic racism through policy changes, like supporting traditional healers, is crucial for improving Indigenous health outcomes.
Area of Science:
- Public Health
- Sociology
- Indigenous Studies
Background:
- Systemic racism against American Indians and Alaska Natives (AI/AN) is deeply embedded in historical and current policies.
- Generations of AI/AN have endured genocidal and assimilationist policies, leading to profound psychological and cultural damage.
- These historical traumas contribute to AI/AN being marginalized within the healthcare system and experiencing significant health disparities.
Purpose of the Study:
- To describe historical trauma and its direct links to the health of American Indians and Alaska Natives.
- To illustrate systemic biases in institutionalized structures using real-life experiences.
- To propose the American Indian and Alaska Native Cultural Wisdom Declaration as a framework for policy change.
Main Methods:
- Qualitative analysis of collected stories from AI/AN individuals experiencing the effects of racist policies.
- Development of two case studies, including a Navajo Nation member's COVID-19 pandemic experience.
- Examination of the American Indian and Alaska Native Cultural Wisdom Declaration's potential impact.
Main Results:
- Historical trauma, stemming from racist policies, significantly impacts the psychological well-being and health of AI/AN.
- Case studies reveal explicit biases within institutional structures affecting AI/AN health.
- The Cultural Wisdom Declaration offers a pathway to dismantle systemic racism in Indigenous health.
Conclusions:
- Eliminating systemic racism requires policy reform that acknowledges and rectifies historical injustices.
- Policy changes should include lifting funding constraints for AI/AN initiatives and integrating traditional healing practices.
- Implementing the principles of the American Indian and Alaska Native Cultural Wisdom Declaration can advance health equity for AI/AN communities.
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