Kelly L Gonzales1, Michelle M Jacob2, Amanda Mercier3, Heather Heater4, Lindsay Nall Goes Behind5, Jillene Joseph6, Suzie Kuerschner7. 1. School of Public Health, College of Urban & Public Affairs, Oregon Health Sciences University-Portland State University, Portland State University, Portland, OR, USA. 2. Department of Education Studies, College of Education, University of Oregon, Eugene, OR, USA. 3. Future Generations Collaborative, Native Wellness Institute, Gresham, OR, USA. 4. Multnomah County Health Department, Future Generations Collaborative, Portland, OR, USA. 5. Native American Youth and Family Services, Future Generations Collaborative, Portland, OR, USA. 6. Native Wellness Institute, Gresham, OR, USA. 7. S.P.I.R.I.T.S, Rhododendron, OR, USA.
Abstract
Objective: To build on Evans-Campbell's [2008. "Historical Trauma in American Indian/Native Alaska Communities: A Multilevel Framework for Exploring Impacts on Individuals, Families, and Communities." Journal of Interpersonal Violence 23 (3): 316-338. doi:10.1177/0886260507312290.] multilevel framework of historical trauma and health by focusing on the cycle of fetal alcohol spectrum disorders (FASD) in the socio-cultural, historical, and interpersonal context of trauma shared by American Indian and Alaska Native (AI/AN) peoples. Methods: We analyzed qualitative data from focus groups with seventy four urban AI/ANs who were 15 years of age and older. Community-based participatory research methods were used for data collection and analysis. Our study explored knowledge and attitudes about FASD, perspectives on FASD risk factors, and culturally relevant approaches to FASD prevention and healthcare. Results: According to our study's participants, efforts to address FASD among urban AI/ANs should align with and emerge from community values, promote healing, consider the broader context that influences behaviors, and reflect the community's understanding that FASD risk behaviors are inextricably linked with historical and contemporary trauma. Conclusion: Effective, multiple-level FASD prevention approaches for AI/ANs may include prioritizing Indigenous culture, supporting intergenerational cohesion, focusing on non-stigmatic healing of traumas, and authentically engaging community knowledge. This work draws on community and cultural strengths in an effort to reduce the occurrence of substance-exposed pregnancies, and encourages transformational changes in systems that serve AI/AN peoples to promote a healthy and thriving community and future generations.
Objective: To build on Evans-Campbell's [2008. "Historical Trauma in American Indian/Native Alaska Communities: A Multilevel Framework for Exploring Impacts on Individuals, Families, and Communities." Journal of Interpersonal Violence 23 (3): 316-338. doi:10.1177/0886260507312290.] multilevel framework of historical trauma and health by focusing on the cycle of fetal alcohol spectrum disorders (FASD) in the socio-cultural, historical, and interpersonal context of trauma shared by American Indian and Alaska Native (AI/AN) peoples. Methods: We analyzed qualitative data from focus groups with seventy four urban AI/ANs who were 15 years of age and older. Community-based participatory research methods were used for data collection and analysis. Our study explored knowledge and attitudes about FASD, perspectives on FASD risk factors, and culturally relevant approaches to FASD prevention and healthcare. Results: According to our study's participants, efforts to address FASD among urban AI/ANs should align with and emerge from community values, promote healing, consider the broader context that influences behaviors, and reflect the community's understanding that FASD risk behaviors are inextricably linked with historical and contemporary trauma. Conclusion: Effective, multiple-level FASD prevention approaches for AI/ANs may include prioritizing Indigenous culture, supporting intergenerational cohesion, focusing on non-stigmatic healing of traumas, and authentically engaging community knowledge. This work draws on community and cultural strengths in an effort to reduce the occurrence of substance-exposed pregnancies, and encourages transformational changes in systems that serve AI/AN peoples to promote a healthy and thriving community and future generations.
Authors: Nichea S Spillane; Tessa Nalven; Silvi C Goldstein; Melissa R Schick; Katelyn T Kirk-Provencher; Aayma Jamil; Nicole H Weiss Journal: Alcohol Clin Exp Res Date: 2022-04-07 Impact factor: 3.928
Authors: Lindsay Wolfson; Nancy Poole; Melody Morton Ninomiya; Deborah Rutman; Sherry Letendre; Toni Winterhoff; Catherine Finney; Elizabeth Carlson; Michelle Prouty; Audrey McFarlane; Lia Ruttan; Lisa Murphy; Carmen Stewart; Lisa Lawley; Tammy Rowan Journal: Int J Environ Res Public Health Date: 2019-05-07 Impact factor: 3.390
Authors: Kelly L Gonzales; Luohua Jiang; Ginny Garcia-Alexander; Michelle M Jacob; Jenny Chang; David R Williams; Ann Bullock; Spero M Manson Journal: J Aging Health Date: 2021 Aug-Sep