Review
Public, Environmental & Occupational Health
Jennifer L. Heck, Emily J. Jones, Diane Bohn, Shondra McCage, Judy Goforth Parker, Mahate Parker, Stephanie L. Pierce, Jacquelyn Campbell
Summary: Despite a global decline in maternal mortality rates, the United States has seen a rise in maternal mortality rates with significant disparities between white and minority women. While attention has been focused on disparities for black women, American Indian/Alaska Native women have largely been overlooked. There is a lack of research on the root causes of high maternal mortality rates among AI/AN women compared to other racial/ethnic groups.
JOURNAL OF WOMENS HEALTH
(2021)
Article
Oncology
Brooke R. Warren, Jennifer R. Grandis, Daniel E. Johnson, Alessandro Villa
Summary: This study in California found that American Indian/Alaska Native (AI/AN) and White patients had the highest burden of late-stage head and neck cancer (HNC) and HPV-positive lip, oral cavity, and pharynx cancer compared to other ethnicities. AI/ANs had a decreased 5-year survival rate compared to White patients. Future research should focus on understanding the inequalities in HNC outcomes, addressing increased tobacco usage, and implementing interventions tailored to the cultural and community needs of AI/AN populations.
Article
Medicine, General & Internal
Leslie A. Musshafen, Lamees El-Sadek, Seth T. Lirette, Richard L. Summers, Caroline Compretta, Thomas E. Dobbs
Summary: This study aims to examine the association between racial mortality differences among adults hospitalized with COVID-19 and differential comorbidity experiences.
Article
Pediatrics
Jessica E. Atwell, Rachel M. Hartman, Dennie Parker, Kim Taylor, Laura B. Brown, Marqia Sandoval, Nina Ritchie, Christine Desnoyers, Amy Swango Wilson, Melissa Hammes, James Tiesinga, Natasha Halasa, Gayle Langley, Mila M. Prill, Dana Bruden, Ryan Close, Jill Moses, Ruth A. Karron, Mathuram Santosham, Rosalyn J. Singleton, Laura L. Hammitt
Summary: RSV is the leading cause of acute lower respiratory tract infections in children under 5 globally, resulting in bronchiolitis and pneumonia. American Indian and Alaska Native children have historically had among the highest RSV-associated hospitalization rates in the world. Contemporary estimates of RSV-acute respiratory infections are needed for informing prevention strategies.
Article
Oncology
Marc A. Emerson, Ninah S. Achacoso, Halei C. Benefield, Melissa A. Troester, Laurel A. Habel
Summary: The study found that American Indian/Alaska Native (AIAN) women enrolled in the KPNC health system have lower rates of initiation and adherence to adjuvant endocrine therapy (AET) compared to other races/ethnicities.
Article
Oncology
Jennifer Erdrich, Felina Cordova-Marks, Angela R. Monetathchi, Manxia Wu, Arica White, Stephanie Melkonian
Summary: This study found that NH-AI/AN women have a higher percentage of mastectomy for early-stage breast cancer compared to NHW women, with no significant differences in late-stage disease. Regional disparities were observed, with some regions having higher rates of mastectomy among NH-AI/AN women.
ANNALS OF SURGICAL ONCOLOGY
(2022)
Article
Gastroenterology & Hepatology
Leisha D. Nolen, Sara Bressler, Stephen M. Vindigni, Keri Miller, Sarah Nash
Summary: Alaska Native people have a higher burden of gastric cancer compared to other US populations, with a significantly higher age-adjusted rate. There is a significant difference in age distribution and cancer characteristics between AN and US white patients, indicating a disproportionate burden of gastric cancer in the AN population that requires further investigation.
CLINICAL AND TRANSLATIONAL GASTROENTEROLOGY
(2021)
Article
Medicine, General & Internal
Lauren A. Eberly, Kaitlyn Shultz, Maricruz Merino, Maria Ynes Brueckner, Ernest Benally, Ada Tennison, Sabor Biggs, Lakotah Hardie, Ye Tian, Ashwin S. Nathan, Sameed Ahmed M. Khatana, Judy A. Shea, Eldrin Lewis, Gene Bukhman, Sonya Shin, Peter W. Groeneveld
Summary: This study examines the burden of cardiovascular disease and cardiometabolic risk factors among American Indian and Alaska Native patients with Medicare insurance. The results highlight the need to prioritize cardiovascular health in this population.
Article
Infectious Diseases
Michael G. Bruce, Sara S. Bressler, Andria Apostolou, Rosalyn J. Singleton
Summary: The study revealed a 26% increase in LRTI rates among adult AI/AN residing in AK compared to a 38% decrease in rates among AI/AN residing in non-AK, likely due to factors such as tobacco use and crowding. Strategies to reduce LRTI in AI/AN adults are necessary.
INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES
(2021)
Article
Geriatrics & Gerontology
R. Turner Goins, Blythe Winchester, Luohua Jiang, Laura Grau, Maggie Reid, Maria M. Corrada, Spero M. Manson, Joan O'Connell
Summary: The study found that diabetes and cardiovascular disease were associated with increased odds of all-cause dementia among older AI/AN individuals, while hypertension was not. Cerebrovascular disease had the strongest association with all-cause dementia.
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
(2022)
Review
Public, Environmental & Occupational Health
Ailish Burns, Teresa DeAtley, Susan E. Short
Summary: Indigenous people in the United States experience disadvantages in multiple health domains, including maternal health. Existing studies show that American Indian and Alaska Native (AI/AN) people have higher levels of maternal mortality and morbidity compared to non-Hispanic White people. Individual factors such as poverty, cultural beliefs, and limited access to healthcare contribute to this disparity. However, these studies often overlook the historical and structural contexts, such as colonization and economic marginalization, that affect AI/AN tribal nations. More research conducted by and for Indigenous communities is needed to address the erasure of AI/AN people's maternal health experiences and to promote their overall well-being.
SOCIAL SCIENCE & MEDICINE
(2023)
Article
Multidisciplinary Sciences
Carol E. Kaufman, Laura Grau, Rene Begay, Margaret Reid, Cynthia W. Goss, Bret Hicken, Jay H. Shore, Joan O'Connell
Summary: This study examined the health status, service utilization patterns, and cost of care of American Indian and Alaska Native (AIAN) veterans who receive care from the Indian Health Service (IHS). The findings suggest that AIAN veterans are not less healthy than AIAN non-veterans and do not require more intensive or costly care under IHS. The results indicate the viability and importance of expanding IHS-VA partnerships in community care.
Editorial Material
Medicine, General & Internal
Thomas D. Sequist
Summary: This viewpoint reviews the evidence of poor health outcomes experienced by American Indian/Alaska Native persons due to structural disadvantage, and proposes an aggressive agenda to improve their health and well-being by addressing social determinants of health, improving access to and quality of care, and improving data availability and transparency.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2021)
Article
Pediatrics
Shaquita Bell, Jason F. Deen, Molly Fuentes, Kelly Moore
Summary: American Indian and Alaska Native populations face significant health disparities, especially starting from childhood. Health care providers specializing in pediatrics have the unique opportunity to address disease rates among AI/AN youth and improve their overall health status through advocacy and policy making.
Article
Public, Environmental & Occupational Health
Zachary Giano, Ricky L. Camplain, Carolyn Camplain, George Pro, Shane Haberstroh, Julie A. Baldwin, Denna L. Wheeler, Randolph D. Hubach
Summary: This study represents the largest empirical investigation of adverse childhood experiences among American Indian and Alaska Native populations to date. American Indians and Alaska Natives had higher average adverse childhood experience scores compared to individuals identifying as White, Black, and Hispanic. Female participants, younger individuals, those with lower incomes, and sexual minorities reported higher average adverse childhood experience scores.
AMERICAN JOURNAL OF PREVENTIVE MEDICINE
(2021)
Article
Medicine, General & Internal
Shelton J. Bartley, Manxia Wu, Vicki Benard, Christine Ambrosone, Lisa C. Richardson
Summary: This study found significant regional differences in TNBC incidence among NHB women in the US, with lower rates in the Northeast, higher rates in the Midwest, and similar rates in the West. These regional disparities may be explained by genetic admixture among people with different geographic ancestral origins. It highlights the importance of extending research and prevention efforts to women at high risk of this disease to reduce cancer disparities.
JOURNAL OF THE NATIONAL MEDICAL ASSOCIATION
(2021)
Article
Public, Environmental & Occupational Health
Lia C. Scott, Shelton Bartley, Nicole F. Dowling, Lisa C. Richardson
Summary: This study explores various measures to quantify equity in cancer mortality outcomes across different types of cancer, identifying counties with equitable and optimal outcomes for Black and White death rates, though the number of such counties varies significantly. It highlights the importance of equity in cancer mortality outcomes and presents different methods for measurement.
AMERICAN JOURNAL OF EPIDEMIOLOGY
(2021)
Article
Gastroenterology & Hepatology
Moo Y. Cho, David A. Siegel, Joshua Demb, Lisa C. Richardson, Samir Gupta
Summary: The study analyzed trends in colorectal cancer (CRC) among individuals aged 40-59 in the US. It found that the incidence of early onset rectal cancer is increasing under age 50 and continues to rise after age 50. The results suggest the need for earlier screening initiation and promotion of on-time screening.
DIGESTIVE DISEASES AND SCIENCES
(2022)
Article
Oncology
Vicki B. Benard, J. Elizabeth Jackson, April Greek, Virginia Senkomago, Warner K. Huh, Cheryll C. Thomas, Lisa C. Richardson
Summary: This study examined screening and diagnostic practices of women in the United States five years prior to an invasive cervical cancer diagnosis. The results showed that 60% of women had not been screened, and among those with abnormal screening results, 67% had adequate follow-up care. Predictors of being screened included younger age, higher income, and having insurance, while predictors of adequate follow-up care included higher income. Women with stage 1 cervical cancer were more likely to have been screened and were younger in age.
Article
Public, Environmental & Occupational Health
A. DeGroff, J. Miller, K. Sharma, J. Sun, W. Helsel, W. Kammerer, T. Rockwell, A. Sheu, S. Melillo, J. Uhd, K. Kenney, F. Wong, M. Saraiya, L. C. Richardson
Summary: Women from racial and ethnic minority groups in the United States face a disproportionate burden of cervical and breast cancers, with the COVID-19 pandemic exacerbating these disparities by reducing screening services. The NBCCEDP, which provides cancer screening services to low-income and uninsured women, saw a significant decline in breast and cervical cancer screening tests in April 2020 compared to previous years. While screening volumes began to recover in the following months, they still remained below the 5-year averages, particularly in rural areas.
PREVENTIVE MEDICINE
(2021)
Article
Public, Environmental & Occupational Health
Mona Saraiya, Jean Colbert, Geeta L. Bhat, Rose Almonte, David W. Winters, Sharon Sebastian, Michael O'Hanlon, Ginny Meadows, Michael R. Nosal, Thomas B. Richards, Maria Michaels, Julie S. Townsend, Jacqueline W. Miller, Rebecca B. Perkins, George F. Sawaya, Nicolas Wentzensen, Mary C. White, Lisa C. Richardson
Summary: This article discusses CDC's leading initiative to develop computer-interpretable guidelines for cervical cancer screening and management, aiming to improve patient outcomes and reduce disparities among medically underserved populations.
JOURNAL OF WOMENS HEALTH
(2022)
Editorial Material
Public, Environmental & Occupational Health
Zhen-qiang Ma, Lisa C. Richardson
PREVENTING CHRONIC DISEASE
(2022)
Editorial Material
Public, Environmental & Occupational Health
Lisa C. Richardson, Jessica B. King, Cheryll C. Thomas, Thomas B. Richards, Nicole F. Dowling, Sallyann Coleman King
PREVENTING CHRONIC DISEASE
(2022)
Article
Hematology
Gary E. Raskob, Aaron M. Wendelboe, Janis Campbell, Lance Ford, Kai Ding, Dale W. Bratzler, Micah McCumber, Alys Adamski, Karon Abe, Michele G. Beckman, Nimia L. Reyes, Lisa C. Richardson
Summary: This study evaluated the incidence and burden of cancer-associated venous thromboembolism (VTE) in Oklahoma County, and found significant differences in incidence rates among different racial and ethnic groups.
JOURNAL OF THROMBOSIS AND HAEMOSTASIS
(2022)
Article
Public, Environmental & Occupational Health
Karen Hicklin, Meghan C. O'Leary, Siddhartha Nambiar, Maria E. Mayorga, Stephanie B. Wheeler, Melinda M. Davis, Lisa C. Richardson, Florence K. L. Tangka, Kristen Hassmiller Lich
Summary: This study simulated the potential of multicomponent interventions to achieve national colorectal cancer screening targets in North Carolina, and found that some interventions were able to reach the screening targets. Decision-makers should also consider factors such as cost, reach, and the ability to reduce disparities when selecting interventions.
PREVENTIVE MEDICINE
(2022)
Article
Public, Environmental & Occupational Health
Yamisha Bermudez, Lia C. Scott, Michele Beckman, Amy DeGroff, Kristy Kenney, Juzhong Sun, Tanner Rockwell, William Helsel, William Kammerer, Amy Sheu, Jacqueline Miller, Lisa C. Richardson
Summary: This study examined the spatial association between COVID-19 test percent positivity and proportional change in NBCCEDP screening volume. The results showed that the relationship between COVID-19 test percent positivity and cancer screening volume varied over time and geography. Despite high COVID-19 test percent positivity, some states maintained pre-pandemic screening volumes.
PREVENTING CHRONIC DISEASE
(2022)
Article
Hematology
Amanda B. Payne, Alys Adamski, Karon Abe, Nimia L. Reyes, Lisa C. Richardson, William Craig Hooper, Laura A. Schieve
Summary: This study investigated the epidemiology of cerebral venous sinus thrombosis (CVST) in the United States. The results showed that the incidence of CVST increased with age and peaked at younger ages in females than males. Individuals with CVST had higher prevalences of various comorbidities compared to the general inpatient population, and women aged 18 to 49 years with CVST had a higher prevalence of pregnancy.
RESEARCH AND PRACTICE IN THROMBOSIS AND HAEMOSTASIS
(2022)
Article
Public, Environmental & Occupational Health
Taylor D. Ellington, Jacqueline W. Miller, S. Jane Henley, Reda J. Wilson, Manxia Wu, Lisa C. Richardson
Summary: Breast cancer accounts for 30% of all cancers diagnosed in women. From 1999 to 2018, the incidence of breast cancer among women aged 20 years and older showed a decreasing trend, with the highest decrease seen from 1999 to 2004 and a slight increase from 2004 to 2018. The incidence increased among non-Hispanic Pacific Islander women and women aged 20-39 years, while it decreased among non-Hispanic White women and women aged 50-64 and 75 years and older. In terms of public health practice, biennial mammography screening is currently recommended for women aged 50-74 years, and women aged 20-49 years may benefit from discussing potential breast cancer risk and ways to reduce risk with their healthcare providers.
MMWR-MORBIDITY AND MORTALITY WEEKLY REPORT
(2022)
Article
Public, Environmental & Occupational Health
Lia C. Scott, Quanhe Yang, Nicole F. Dowling, Lisa C. Richardson
MMWR-MORBIDITY AND MORTALITY WEEKLY REPORT
(2021)
Article
Public, Environmental & Occupational Health
Susan A. Sabatino, Trevor D. Thompson, Mary C. White, Jean A. Shapiro, Janet de Moor, V. Paul Doria-Rose, Tainya Clarke, Lisa C. Richardson
MMWR-MORBIDITY AND MORTALITY WEEKLY REPORT
(2021)
