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An overall approach to health care for indigenous peoples.

https://arctichealth.org/en/permalink/ahliterature146929
Source
Pediatr Clin North Am. 2009 Dec;56(6):1239-42
Publication Type
Article
Date
Dec-2009
Author
Malcolm King
Author Affiliation
University of Alberta Pulmonary Research Group, CIHR Institute of Aboriginal Peoples' Health, University of Alberta, 173 HMRC University of Alberta, Edmonton, AB T6G 2S2, Canada. malcolm.king@ualberta.ca
Source
Pediatr Clin North Am. 2009 Dec;56(6):1239-42
Date
Dec-2009
Language
English
Publication Type
Article
Keywords
Cultural Characteristics
Delivery of Health Care - organization & administration - standards - trends
Educational Status
Health Policy
Health Services, Indigenous - organization & administration - standards - trends
Health Status Disparities
Healthcare Disparities
Holistic Health
Humans
Politics
Population Groups
Poverty
Stress, Psychological - etiology
Vulnerable Populations
World Health
Abstract
Indigenous peoples across all the continents of the globe live with major gaps in health status and health outcomes associated with well-described social determinants of health, such as poverty and poor education. Indigenous peoples face additional health determinant issues associated with urbanization, isolation from traditional territories, and loss of cultural continuity. Indigenous children are particularly vulnerable as they grow up in isolation from their cultural and social roots and yet are also separated from the mainstream environment of their society. Programs to address these difficult health issues should be viewed as complex clinical interventions with health researchers, social scientists, and clinicians working together with Indigenous peoples to identify the most pressing needs and most appropriate and workable solutions that will result in effective policies and practices.
PubMed ID
19962019 View in PubMed
Less detail

Behavioral and mental health challenges for indigenous youth: research and clinical perspectives for primary care.

https://arctichealth.org/en/permalink/ahliterature146924
Source
Pediatr Clin North Am. 2009 Dec;56(6):1461-79
Publication Type
Article
Date
Dec-2009
Author
Michael Storck
Timothy Beal
Jan Garver Bacon
Polly Olsen
Author Affiliation
Division of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, P.O. Box 359300, Seattle, WA 98195, USA. storck@u.washington.edu
Source
Pediatr Clin North Am. 2009 Dec;56(6):1461-79
Date
Dec-2009
Language
English
Publication Type
Article
Keywords
Adolescent
Adolescent Behavior
Alcoholism - etiology - prevention & control
Child
Child Behavior
Child Behavior Disorders - prevention & control
Conduct Disorder - prevention & control
Cultural Characteristics
Health Services, Indigenous - organization & administration - standards - trends
History, 20th Century
Humans
Indians, North American - history - psychology
Mental health
Narration
Oceanic Ancestry Group - history - psychology
Population Groups - history - psychology
Primary Health Care - organization & administration - standards - trends
Research
Social Environment
Trust
United States
Abstract
After first discussing historical, community and epidemiologic perspectives pertaining to mental health problems of Indigenous youth and families, this article reviews available research data on behavioral and mental health interventions and the roles that Native and Indigenous research programs are serving. Given the legacy of transgenerational trauma experienced by Indigenous peoples, community-based research and treatment methods are essential for solving these problems. The primary care provider stands in a unique position within the community to offer a "coinvestigator spirit" to youth and families in the pursuit of improving behavioral health. Strategies are presented for using the research literature, and collaborating with communities and families to help solve behavioral and mental health problems.
PubMed ID
19962031 View in PubMed
Less detail

Chronic respiratory symptoms and diseases among indigenous children.

https://arctichealth.org/en/permalink/ahliterature146927
Source
Pediatr Clin North Am. 2009 Dec;56(6):1323-42
Publication Type
Article
Date
Dec-2009
Author
Gregory J Redding
Catherine A Byrnes
Author Affiliation
Department of Pediatrics, University of Washington School of Medicine, WA, USA. gredding@u.washington.edu
Source
Pediatr Clin North Am. 2009 Dec;56(6):1323-42
Date
Dec-2009
Language
English
Publication Type
Article
Keywords
Adolescent
Asthma - epidemiology - etiology
Bronchiectasis - epidemiology - etiology
Child
Child, Preschool
Chronic Disease
Cough - epidemiology - etiology
Evidence-Based Medicine
Female
Health Services, Indigenous - organization & administration - standards - trends
Humans
Infant
Population Groups - statistics & numerical data
Pregnancy
Prenatal Exposure Delayed Effects - epidemiology
Prevalence
Recurrence
Respiratory Sounds - etiology
Respiratory Tract Infections - complications - microbiology - virology
Smoking - adverse effects - epidemiology
Tobacco Smoke Pollution - adverse effects - statistics & numerical data
Abstract
Children from Indigenous populations experience more frequent, severe, and recurrent lower respiratory infections as infants and toddlers. The consequences of these infections are chronic lung disorders manifested by recurrent wheezing and chronic productive cough. These symptoms are aggravated more frequently by active and passive tobacco smoke exposure among Indigenous groups. Therapies for these symptoms, although not specific to children of Indigenous origins, are described as is the evidence for their use.
PubMed ID
19962024 View in PubMed
Less detail

Clinical management of type 2 diabetes in indigenous youth.

https://arctichealth.org/en/permalink/ahliterature146925
Source
Pediatr Clin North Am. 2009 Dec;56(6):1441-59
Publication Type
Article
Date
Dec-2009
Author
Elizabeth A C Sellers
Kelly Moore
Heather J Dean
Author Affiliation
Department of Pediatrics and Child Health, University of Manitoba, FE-307, 685 William Avenue, Winnipeg, Manitoba R3E 0Z2, Canada. esellers@exchange.hsc.mb.ca
Source
Pediatr Clin North Am. 2009 Dec;56(6):1441-59
Date
Dec-2009
Language
English
Publication Type
Article
Keywords
Adolescent
Blood Glucose - metabolism
Body Weight
Child
Comorbidity
Diabetes Complications - diagnosis - therapy
Diabetes Mellitus, Type 2 - complications - diagnosis - diet therapy - drug therapy - prevention & control - therapy
Health Services, Indigenous - organization & administration - standards - trends
Humans
Hypoglycemic agents - therapeutic use
Mass Screening
Patient Education as Topic
Population Groups
Primary Prevention
Risk Reduction Behavior
Abstract
Youth-onset type 2 diabetes is a serious public health problem for Indigenous people throughout the world. This article reviews the epidemiology, disease burden, treatment, and challenges in achieving successful clinical management of this disorder in Indigenous youth. Screening criteria and the complications and comorbidities of type 2 diabetes are also reviewed.
PubMed ID
19962030 View in PubMed
Less detail
Source
Pediatr Clin North Am. 2009 Dec;56(6):1303-21
Publication Type
Article
Date
Dec-2009
Author
Anne B Chang
Christina C Chang
K. O'Grady
P J Torzillo
Author Affiliation
Child Health Division, Menzies School of Health Research, Charles Darwin University Darwin, Rocklands Drive, Tiwi, NT 0811, Australia. annechang@ausdoctors.net
Source
Pediatr Clin North Am. 2009 Dec;56(6):1303-21
Date
Dec-2009
Language
English
Publication Type
Article
Keywords
Acute Disease
Analgesics, Non-Narcotic - therapeutic use
Anti-Bacterial Agents - therapeutic use
Antiviral agents - therapeutic use
Bronchiolitis - diagnosis - drug therapy - epidemiology - radiography - therapy
Bronchodilator Agents - therapeutic use
Child
Child, Preschool
Cost of Illness
Health Services, Indigenous - organization & administration - standards - trends
Health Status Disparities
Healthcare Disparities
Humans
Incidence
Infant
Oxygen - administration & dosage
Pneumonia - diagnosis - drug therapy - epidemiology - radiography - therapy
Population Groups - statistics & numerical data
Prevalence
Respiratory Tract Infections - diagnosis - therapy
Severity of Illness Index
Abstract
Acute lower respiratory infections (ALRI) are the major cause of morbidity and mortality in young children worldwide. ALRIs are important indicators of the health disparities that persist between Indigenous and non-Indigenous children in developed countries. Bronchiolitis and pneumonia account for the majority of the ALRI burden. The epidemiology, diagnosis, and management of these diseases in Indigenous children are discussed. In comparison with non-Indigenous children in developing countries they have higher rates of disease, more complications, and their management is influenced by several unique factors including the epidemiology of disease and, in some remote regions, constraints on hospital referral and access to highly trained staff. The prevention of repeat infections and the early detection and management of chronic lung disease is critical to the long-term respiratory and overall health of these children.
PubMed ID
19962023 View in PubMed
Less detail