TY - JOUR
T1 - American Indian/Alaska Native Child Health and Poverty
AU - Empey, Allison
AU - Garcia, Andrea
AU - Bell, Shaquita
N1 - Funding Information:
We acknowledge and thank the original caretakers of the land that OHSU occupies and is built upon: the Multnomah, Kathlamet, Clackamas, Tumwater, Watlala bands of the Chinook, the Tualatin, Kalapuya, Molalla, Wasco, and the many Indigenous nations of the Willamette Valley and the Columbia River Plateau. We acknowledge and thank the original caretakers of the land that the Los Angeles County Department of Mental Health occupies and is built upon: the Tongva, Tataviam, and Chumash people. We acknowledge that the University of Washington's Department of Pediatrics is on Coast Salish land, which is diverse, strong, and enduring communities that uphold a sacred legacy of protecting future generations. Financial disclosure: This article is published as part of a supplement sponsored by the Robert Wood Johnson Foundation.
Funding Information:
Financial disclosure: This article is published as part of a supplement sponsored by the Robert Wood Johnson Foundation.
Publisher Copyright:
© 2021 Academic Pediatric Association
PY - 2021/11/1
Y1 - 2021/11/1
N2 - One in three American Indian/Alaska Native (AI/AN) children live in poverty. This rate is higher in some reservation communities. The alarming rates of physical, mental, and social health inequities (eg, poverty) experienced by AI/AN children are symptoms of genocide, a legacy of inhumane Federal Indian policy, and ongoing structural violence. The chronically underfunded Indian Health Service (IHS) is just one example where AI/AN children are not universally guaranteed equitable health care or opportunity to thrive. Poverty is highly predictive of educational achievement, employment opportunities, violence, and ultimately health outcomes. COVID-19 has not only exacerbated physical and mental health inequities experienced by AI/AN communities, but has also intensified the economic consequences of inequity. Thus, it is vital to advocate for programs and policies that are evidence based, incorporate cultural ways of knowing, and dismantle structurally racist policies.
AB - One in three American Indian/Alaska Native (AI/AN) children live in poverty. This rate is higher in some reservation communities. The alarming rates of physical, mental, and social health inequities (eg, poverty) experienced by AI/AN children are symptoms of genocide, a legacy of inhumane Federal Indian policy, and ongoing structural violence. The chronically underfunded Indian Health Service (IHS) is just one example where AI/AN children are not universally guaranteed equitable health care or opportunity to thrive. Poverty is highly predictive of educational achievement, employment opportunities, violence, and ultimately health outcomes. COVID-19 has not only exacerbated physical and mental health inequities experienced by AI/AN communities, but has also intensified the economic consequences of inequity. Thus, it is vital to advocate for programs and policies that are evidence based, incorporate cultural ways of knowing, and dismantle structurally racist policies.
KW - American Indian/Alaska Native
KW - child health
KW - poverty
UR - http://www.scopus.com/inward/record.url?scp=85117764153&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85117764153&partnerID=8YFLogxK
U2 - 10.1016/j.acap.2021.07.026
DO - 10.1016/j.acap.2021.07.026
M3 - Article
C2 - 34740420
AN - SCOPUS:85117764153
SN - 1876-2859
VL - 21
SP - S134-S139
JO - Academic Pediatrics
JF - Academic Pediatrics
IS - 8
ER -