The Department of Health and Human Services reported that Native American women are second only to African American women in terms of death rate due to homicide and drug abuse. Psychiatric disorders such as depression and obesity-related diseases like diabetes are also common among Native populations. Not surprisingly, poverty, limited access to preventive health care, and some cultural barriers are at the heart of many of these persistent health disparities.

In Reproductive Justice, sociologist Barbara Gurr provides the first book examining Native American women's reproductive healthcare. Drawing on interviews and focus group data, archival research, and discussions with healthcare professionals, Gurr paints an insightful portrait of the Indian Health Service (IHS)--the federal agency tasked with providing healthcare to Native Americans--shedding much-needed light on Native American efforts to obtain prenatal care, childbirth care, access to contraception and abortion services.

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

The reported population of American Indians and Alaska Natives has grown rapidly over the past 20 years. These changes raise questions for the Indian Health Service and other agencies responsible for serving the American Indian population. How big is the population? What are its health care and insurance needs? This volume presents an up-to-date summary of what is known about the demography of American Indian and Alaska Native populationâ€"their age and geographic distributions, household structure, employment, and disability and disease patterns. This information is critical for health care planners who must determine the eligible population for Indian health services and the costs of providing them. The volume will also be of interest to researchers and policymakers concerned about the future characteristics and needs of the American Indian population.

In 1924, the United States began a bold program in public health. The Indian Service of the United States hired its first nurses to work among Indians living on reservations. This corps of white women were dedicated to improving Indian health. In 1928, the first field nurses arrived in the Mission Indian Agency of Southern California. These nurses visited homes and schools, providing public health and sanitation information regarding disease causation and prevention. Over time, field nurses and Native people formed a positive working relationship that resulted in the decline of mortality from infectious diseases. Many Native Americans accepted and used Western medicine to fight pathogens, while also continuing Indigenous medicine ways. Nurses helped control tuberculosis, measles, influenza, pneumonia, and a host of gastrointestinal sicknesses. In partnership with the community, nurses quarantined people with contagious diseases, tested for infections, and tracked patients and contacts. Indians turned to nurses and learned about disease prevention. With strong hearts, Indians eagerly participated in the tuberculosis campaign of 1939–40 to x-ray tribal members living on twenty-nine reservations. Through their cooperative efforts, Indians and health-care providers decreased deaths, cases, and misery among the tribes of Southern California.

This book serves as a much-needed source of information on the social and health issues that impact the health of Native American women in the United States, accompanied by invaluable historical, cultural, and other contextual data about this sociocultural group. Health and Social Issues of Native American Women is the first book that specifically explores and discusses health and related social issues within the world of Native American women, providing strong historical and cultural perspectives as well as other contextual information that is often missing or misrepresented in other works about Native American women. Comprising contributions from mostly Native American women scholars, the work presents key background information on native women's health, health care delivery systems, and sociocultural history, and its chapters address the changing role of native women in Alaska and other parts of Indian country. Each author taps her specific area of expertise and knowledge to spotlight specific native women's health problems, such as nutrition, aging, domestic violence, diabetes, and substance abuse.