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American Indian Health Disparities - Coggle Diagram

- - - - Health care workers need to overcome their implicit and explicit biases in order to treat each patient with the high and most appropriate level of care. The researchers in this study believe that the best approach to address this issue is by "a combination of interventions... direct observation of ED encounters to assess subtle differential treatment, and training providers and staff about implicit bias in health care." While these all sound like great steps to be taking in order for providers to recognize implicit and explicit biases, I wondering if it is possible to completely erase one's implicit bias.
- - - - By the end of the 19th century, most tribes were affected by an array of diseases that the Europeans brought to North America from Europe. The indigenous people had no way to prevent the spread and infection of disease that their bodies has never encountered. The scope of suffering that the AI faced-- and still face today-- at the hands of European colonizers is absolutely devastating.
        
        The AI population has made a recovery since then, and according to a US census from 2010, Their populations have increased to over 5 million.
- - - - White people wanted Indian Americans to assimilate to their culture. So, they created these schools that would take AI children away from their parents when they were as young as the age of four. At these boarding schools, children would be abused, malnorished, sick from the living conditions, and have their culture and family taken away.
        
        These children would be kept at the schools for up to 12 years, and many never returned home, and many others died from the terrible conditions. The children that survived the boarding schools were left with large amounts of trauma from physical, emotional, and sexual abuse.
        
        These experiences lead to many of these people to become detached from their culture, unfit to parent, and using negative coping skills to cope with their trauma, such as alcohol abuse. "Increasingly, the damage from boarding school abuse, loneliness and lack of love, and lack of parenting is seen as a key factor in the illnesses that plague tribes today.The damage can pass from one generation to the next and manifest in high rates of poverty, sub-stance abuse, domestic violence, depression, and suicide."
  - - - The fact that these foods cause poor health outcomes for AI's is not surprising, especially when you think about all of the natural resources that they had to feed themselves for centuries before their lands were colonized.