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Reclaiming Indigenous Health in the US: Moving beyond the Social Determinants of Health

Author

Listed:
  • Stephanie Russo Carroll

    (Native Nations Institute, Udall Center for Studies in Public Policy, University of Arizona, Tucson, AZ 85719, USA
    Mel & Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA)

  • Michele Suina

    (Good Health Wellness in Indian Country Program, Albuquerque Area Southwest Tribal Epidemiology Center, Albuquerque, NM 87110, USA)

  • Mary Beth Jäger

    (Native Nations Institute, Udall Center for Studies in Public Policy, University of Arizona, Tucson, AZ 85719, USA)

  • Jessica Black

    (Department of Alaska Native Studies and Rural Development and Tribal Governance, University of Alaska, Fairbanks, AK 99775, USA)

  • Stephen Cornell

    (Native Nations Institute, Udall Center for Studies in Public Policy, University of Arizona, Tucson, AZ 85719, USA
    Department of Sociology, University of Arizona, Tucson, AZ 85719, USA
    Udall Center for Studies in Public Policy, University of Arizona, Tucson, AZ 85719, USA)

  • Angela A. Gonzales

    (School of Social Transformation, Arizona State University, Tempe, AZ 85281, USA)

  • Miriam Jorgensen

    (Native Nations Institute, Udall Center for Studies in Public Policy, University of Arizona, Tucson, AZ 85719, USA
    Udall Center for Studies in Public Policy, University of Arizona, Tucson, AZ 85719, USA)

  • Nancy Lynn Palmanteer-Holder

    (BALCSTAR Consulting PLLC, Omak, WA 98841, USA
    University of Washington, Seattle, WA 98195, USA)

  • Jennifer S. De La Rosa

    (Family and Community Medicine, College of Medicine Tucson, University of Arizona, Tucson, AZ 85711, USA
    Comprehensive Pain & Addiction Center, University of Arizona, Tucson, AZ 85724, USA
    Sonoran Center for Excellence in Disabilities, College of Medicine Tucson, University of Arizona, Tucson, AZ 85719, USA)

  • Nicolette I. Teufel-Shone

    (Center for Health Equity Research, Northern Arizona University, Flagstaff, AZ 86011, USA
    Department of Health Sciences, Northern Arizona University, Flagstaff, AZ 86011, USA)

Abstract

The lack of literature on Indigenous conceptions of health and the social determinants of health (SDH) for US Indigenous communities limits available information for Indigenous nations as they set policy and allocate resources to improve the health of their citizens. In 2015, eight scholars from tribal communities and mainstream educational institutions convened to examine: the limitations of applying the World Health Organization’s (WHO) SDH framework in Indigenous communities; Indigenizing the WHO SDH framework; and Indigenous conceptions of a healthy community . Participants critiqued the assumptions within the WHO SDH framework that did not cohere with Indigenous knowledges and epistemologies and created a schematic for conceptualizing health and categorizing its determinants. As Indigenous nations pursue a policy role in health and seek to improve the health and wellness of their nations’ citizens, definitions of Indigenous health and well-being should be community-driven and Indigenous-nation based. Policies and practices for Indigenous nations and Indigenous communities should reflect and arise from sovereignty and a comprehensive understanding of the nations and communities’ conceptions of health and its determinants beyond the SDH.

Suggested Citation

  • Stephanie Russo Carroll & Michele Suina & Mary Beth Jäger & Jessica Black & Stephen Cornell & Angela A. Gonzales & Miriam Jorgensen & Nancy Lynn Palmanteer-Holder & Jennifer S. De La Rosa & Nicolette , 2022. "Reclaiming Indigenous Health in the US: Moving beyond the Social Determinants of Health," IJERPH, MDPI, vol. 19(12), pages 1-12, June.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:12:p:7495-:d:842306
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    References listed on IDEAS

    as
    1. Mandy Li-Ming Yap & Krushil Watene, 2019. "The Sustainable Development Goals (SDGs) and Indigenous Peoples: Another Missed Opportunity?," Journal of Human Development and Capabilities, Taylor & Francis Journals, vol. 20(4), pages 451-467, October.
    2. Per Axelsson & Tahu Kukutai & Rebecca Kippen, 2016. "The field of Indigenous health and the role of colonisation and history," Journal of Population Research, Springer, vol. 33(1), pages 1-7, March.
    3. Jernigan, V.B.B. & Peercy, M. & Branam, D. & Saunkeah, B. & Wharton, D. & Winkleby, M. & Lowe, J. & Salvatore, A.L. & Dickerson, D. & Belcourt, A. & D'Amico, E. & Patten, C.A. & Parker, M. & Duran, B., 2015. "Beyond health equity: Achieving wellness within American Indian and Alaska native communities," American Journal of Public Health, American Public Health Association, vol. 105, pages 376-379.
    4. Freemantle, J. & Ring, I. & Arambula Solomon, T.G. & Gachupin, F.C. & Smylie, J. & Cutler, T.L. & Waldon, J.A., 2015. "Indigenous mortality (revealed): The invisible illuminated," American Journal of Public Health, American Public Health Association, vol. 105(4), pages 644-652.
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    1. Agudelo-Hernández, Felipe & Belén Giraldo Alvarez, Ana, 2024. "Creation of an instrument for pediatric mental health in indigenous people: A participatory design," Children and Youth Services Review, Elsevier, vol. 158(C).

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