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This article discusses caste discrimination in Indian universities, specifically focusing on the Indian Institutes of Technology (IITs) and the Indian Institutes of Management (IIMs). The podcasts explore the underrepresentation of marginalized castes in PhD admissions at these institutions and the institutionalized discrimination that marginalized students face. The article highlights how caste inequalities are perpetuated through concepts like meritocracy and cultural capital. It emphasizes the need to address caste inequalities in management education and suggests incorporating caste into management courses. The podcasts provide firsthand evidence of caste inequalities and can be used as a resource for initiating discussions on caste in the classroom. [Extracted from the article]

The purpose of this study is to investigate the essential experiences and skills required for successful and effective leadership at Tribal Colleges and Universities (TCUs) in the United States. Utilizing Weick's seven properties of sensemaking as a framework, this study examines how participants developed their sensemaking abilities regarding their presidencies at TCUs. To conduct this research, a phenomenological qualitative research method was utilized, analysing 11 interviews with TCU presidents. The themes identified in this study included developing a vision plan that the Tribal community supports; learning to communicate with diverse stakeholders; understanding Tribal and non‐Tribal politics for fundraising and accreditations; and eliciting mentors from Tribal leaders and other TCU presidents. These findings have vital implications for individuals interested in pursuing leadership positions at TCUs, as they highlight emic perspectives on the skills and experiences necessary for success in these roles. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the genetic diversity, admixture, genetic relationships, and sex‐biased demographic processes in Mexican Mestizo (admixed) populations based on 10 X‐chromosome STRs (X‐STRs). Methods: We analyzed the X‐STRs Decaplex system in 104 Mexican Native Americans to obtain the ancestral reference needed to complete the demographic analyses above mentioned. We included reported Iberian and Latin American (admixed) populations from Central and South America, as well as datasets from Mexican Mestizos based on Y‐linked STRs (Y‐STRs), autosomal STRs (A‐STRs), and mtDNA. Results: Higher X‐linked Native American ancestry was observed among Latin American populations regarding that reported from A‐STRs and Y‐STRs. The interpopulation differentiation based on ancestry among Mexican Mestizos diminished according to the inheritance pattern: Y‐STRs (highest), A‐STRs, X‐STRs, and mtDNA (lowest). This finding is related to the peculiar admixture process that occurred during and after the Spanish Conquest of Mexico (and most of Latin America), involving a large number of Spanish men (Y‐chromosomes) with a lesser proportion of X‐chromosomes than autosomes; besides to the limited number of Spanish women (XX) arrived in the Americas in subsequent and shorter periods. Population expansion was detected in Mexican Mestizos from all the country, except those from the southeast region characterized by elevated indigenous ancestry, marginalization, and poorness. Conclusions: Population growth was detected in most Mexican Mestizos, besides more homogeneous and larger Native American ancestry based on X‐linked inheritance than that based on autosomal STRs and Y‐STRs. [ABSTRACT FROM AUTHOR]

Diversity is an important issue in higher education communication and media programs. This study shows how librarians can use audit data to assess and strive for diversity in their library's print monographic collections. This article explores aspects of diversity within two fields of study, communication and media, and discusses the results of a diversity audit of communication and media monographs published between 2013 and 2022. The author analyzes thirteen diversity-related topics and their coverage within communication and media. A discussion of the current landscape as well as implications for researchers, librarians, and publishers are provided. [ABSTRACT FROM AUTHOR]

OBJECTIVES: American Indian and Alaska Native (AI/AN) infants historically experienced a disproportionate burden of invasive Haemophilus influenzae type b (Hib) disease, especially early in life. PedvaxHIB vaccine is preferentially recommended for AI/AN infants because it elicits protective antibody levels postdose 1. Vaxelis, a hexavalent vaccine that contains the same Hib conjugate as PedvaxHIB but at lower concentration, is recommended for US children, but postdose 1 Hib immunogenicity data are needed to inform whether a preferential recommendation should be made for AI/AN infants. METHODS: We conducted a phase IV randomized, open-label, noninferiority trial comparing postdose 1 immunogenicity of Vaxelis to PedvaxHIB in AI/AN infants. Participants were randomized to receive a primary series of PedvaxHIB or Vaxelis. Serum samples collected 30 days postdose 1 were tested for anti-Hib immunoglobulin G antibody by enzyme-linked immunosorbent assay. The anti-Hib immunoglobulin G geometric mean concentration (GMC) ratio (Vaxelis/PedvaxHIB) was estimated by constrained longitudinal data analysis. Noninferiority was defined a priori as the lower bound of the 95% confidence interval (CI) of the GMC ratio ≥0.67. RESULTS: A total of 327 of the 333 infants enrolled in the study were included in the per-protocol analysis. The postdose 1 anti-Hib GMC was 0.41 µg/mL (95% CI 0.33-0.52) in the Vaxelis group (n = 152) and 0.39 µg/mL (95% CI 0.31-0.50) in the PedvaxHIB group (n = 146). The constrained longitudinal data analysis GMC ratio was 1.03 (95% CI 0.76-1.39). CONCLUSIONS: Postdose 1 immunogenicity of Vaxelis was noninferior to PedvaxHIB. Our findings support the use of Vaxelis in AI/AN children, a population with elevated risk of Hib disease. [ABSTRACT FROM AUTHOR]

Recent research on intangible cultural heritage and the politics of contested sites of memory show that the emotional dimensions of historic places change over time and influence what visitors experience. These dimensions also influence interpretive strategies and historical narratives within sites that are public tourist destinations. In this regard, the Castillo de San Marcos in Saint Augustine, Florida posits significant challenges. As a national monument situated in a scenic, sea-side town, it is a symbol of Spanish Florida and part of the National Park Service (NPS). Conveyed as the place where 'America begins,' the lesser-known history is that, when operated under the United States military as Fort Marion (1825–1924), it was the site of three periods of Native American incarceration and the foundation of an educational system for forced assimilation. Within this context, this essay focuses on three questions: How does a governmental entity such as the NPS present complicated histories experienced at tourism sites? In what ways can the Castillo become a place that goes beyond Native American existence or disappearance to present complex narratives of survival and active resistance? And, to what extent can tourism sites become agents of change to confront settler colonialism through centering new voices? Through the concept of survivance and centering Indigenous perspectives and voices, national parks can broaden interpretations and create more complex narratives of history. [ABSTRACT FROM AUTHOR]

Introduction Alaska Native and American Indian (ANAI) peoples in Alaska currently experience a disproportionate burden of morbidity and mortality from tobacco cigarette use. Financial incentives for smoking cessation are evidence-based, but a family-level incentive structure has not been evaluated. We used a community-based participatory research and qualitative approach to culturally adapt a smoking cessation intervention with ANAI families. Aims and Methods We conducted individual, semistructured telephone interviews with 12 ANAI adults who smoke, 12 adult family members, and 13 Alaska Tribal Health System stakeholders statewide between November 2022 and March 2023. Through content analysis, we explored intervention receptivity, incentive preferences, culturally aligned recruitment and intervention messaging, and future implementation needs. Results Participants were receptive to the intervention. Involving a family member was viewed as novel and aligned with ANAI cultural values of commitment to community and familial interdependence. Major themes included choosing a family member who is supportive and understanding, keeping materials positive and encouraging, and offering cash and noncash incentives for family members to choose (eg, fuel, groceries, activities). Participants indicated that messaging should emphasize family collaboration and that cessation resources and support tips should be provided. Stakeholders also reinforced that program materials should encourage the use of other existing evidence-based cessation therapies (eg, nicotine replacement, counseling). Conclusions Adaptations, grounded in ANAI cultural strengths, were made to the intervention and recruitment materials based on participant feedback. Next steps include a beta-test for feasibility and a randomized controlled trial for efficacy. Implications This is the first study to design and adapt a financial incentives intervention promoting smoking cessation among ANAI peoples and the first to involve the family system. Feedback from this formative work was used to develop a meaningful family-level incentive structure with ANAI people who smoke and family members and ensure intervention messaging is supportive and culturally aligned. The results provide qualitative knowledge that can inform future family-based interventions with ANAI communities, including our planned randomized controlled trial of the intervention. [ABSTRACT FROM AUTHOR]

Sudden infant death syndrome (SIDS) is the most common cause of death for infants between 1 month and 1 year of age in the United States. The objective was to examine recent trends in SIDS in the United States, over time and by sex and race. A population-based cross-sectional study was conducted on 80 710 348 live births using data from the Center for Disease Control and Prevention's (CDC) "Birth Data" and "Mortality Multiple Cause" files from 2000 to 2019. Logistic regression examined the effects of sex and race on the risk of SIDS and examined temporal changes in risk across sex and race over the study period. Incidence of SIDS decreased from 6.3 to 3.4/10 000 births from 2000 to 2019, with an overall incidence of 4.9/10 000 births (95% confidence interval [CI] = 4.4-5.3). Male infants were at the greatest risk of SIDS as were black and American Indian infants. Although SIDS incidence decreased by sex and race over time, the decline was smaller among Hispanic and American Indian infants. [ABSTRACT FROM AUTHOR]

We explore how students' course concerns at the outset of their introductory statistics course predict their later perceived course challenges and future interest in statistics via a function of achievement motivation. Data were collected from undergraduate students (N = 524; 70% female; 37.8% students from racially marginalized groups) during the COVID-19 pandemic, using both open-ended (concerns and challenges) and closed-ended (achievement motivation and future interest) questions. Overall, incoming course concerns positively predicted perceived costs during the course and challenges at the end of the course and negatively predicted success expectancy and utility value during the course and future interest in statistics at the end of the course. Patterns varied by individual concerns/challenges, gender, and race/ethnicity. Cost played an important mediating role for female students and students from racially marginalized groups (e.g., Black, Latinx, or Native American/Indigenous students) between course concerns and future interest in statistics. Our findings (a) add to the increasing body of research reporting differences in how female and male students as well as students from racially marginalized backgrounds and racial majority students experience STEM courses and help explain different levels of interest in pursuing STEM careers, and (b) suggest that increasing future interest in statistics might require different interventions. [ABSTRACT FROM AUTHOR]

Children from diverse ethnic groups are at significantly increased risk for dental caries. In particular, American Indian (AI) children have the highest incidence of detal caries of any ethnic group. The COVID-19 pandemic dramatically restricted health care access, including preventive oral health care. Given this context, it is unclear whether or not preventive oral health care for AI children has resumed since lockdown. To address this question, we surveyed adult AI caregivers (N = 152) of children aged 0–5 years, assessing recent (12-month) and pre-COVID (for caregivers of children aged 3–5 years) preventive oral and medical health services. We also examined medical health care access and utilization among caregivers. Among children aged 3–5 years old, both pre-pandemic and past year medical care utilization were generally high (80 and 90%, respectively) as was any oral health care utilization (64 & 78%, respectively). Oral health check-ups were more common over the last year (62%) compared to pre-COVID (44%). Recent health care utilization among children 1–5 years old in this sample were generally comparable to national estimates, except for higher reported preventive medical care (99% vs. 87.6%, respectively) and higher preventive oral care (96% vs. 59.6%, respectively). More caregivers reported delaying or foregoing needed health care due to COVID (28–38%) versus due to cost (8–17%). In this survey of AI caregivers, recent child preventive health care utilization was high, and changes in utilization following the lockdown phases of the pandemic were comparable for oral and medical health care. [ABSTRACT FROM AUTHOR]

William Frederick ("Fred") Cardin served as a director of instrumental music in the Reading, Pennsylvania, School District from 1930 until his retirement in June 1960. An accomplished performer and composer, Cardin studied at the Curtis School of Music and the Conservatoire Américaine in Paris, France. He is remembered as an outstanding educator and conductor both in the public schools and with community organizations. Cardin was also known as Pejawah, his Native American name. To gain further insight regarding Cardin's musical legacy and how it reflects his heritage, interviews were conducted with former students and colleagues. Additional artifacts were collected pertaining to his education, influences, and accomplishments. Cardin pursued a focused mission through compositions and performances to promote Native American music and culture while also demonstrating aptitude in music composition, performance, and conducting. Cardin is one individual who pursued a successful career in music and music education while navigating the issues of racial discrimination. [ABSTRACT FROM AUTHOR]

Native Americans (Indigenous Americans) have high rates of serious illness in the United States. Informal caregivers are heavily relied on in caring for patients in low-resource settings. The needs of caregivers residing on reservations are sorely underreported. Therefore, our objective was to examine relationships between facilitators (communal mastery, cultural identity, and spirituality) and barriers (depression, anxiety, stress, and burden) with supportive care needs among adult informal caregivers in 1 reservation- based community. A cross-sectional survey was distributed in July and August 2022 as part of a larger multimethod, community-based participatory research study. We used descriptive statistics and linear regression models to examine relationships against the primary outcome, the Supportive Care Needs Assessment Tool for Indigenous People. Overall, 127 participants were included; mostwere female (n = 92, 72.4%), were between 30 and 49 years (n = 57, 44.9%), and had 6 months or less of caregiving experience (n = 41, 32.5%). Higher depression, anxiety, stress, and burden were significantly associated with higher Supportive Care Needs Assessment Tool for Indigenous People scores. Overall, mental health is a significant barrier that may indicate greater supportive care needs among informal caregivers, although further work is needed to differentiate symptoms and their impact on caregiving froma cultural perspective. [ABSTRACT FROM AUTHOR]

This article explores the writings and life of Helen Hunt Jackson, a 19th-century American writer, and her advocacy for Native American rights. It discusses her travels through Kansas, Colorado, and California, as well as her encounters with indigenous peoples. The article highlights Jackson's most famous work, the novel "Ramona," which aimed to bring attention to the mistreatment of Native Americans. It also examines the controversy and attempts to discredit Jackson's advocacy for Native rights. The article suggests that Jackson's vision of the West, which valued nature and defended indigenous peoples, may have contributed to her exclusion from the canon of western American literature. [Extracted from the article]

We sought to evaluate the acceptability and feasibility of a culturally tailored food box intervention for improving blood pressure (BP), food security and Body Mass Index (BMI) among Chickasaw Nation adults with uncontrolled hypertension. As part of the Chickasaw Healthy Eating Environments Research Study (CHEERS), we administered a group randomized pilot study in four tribal communities (two intervention, two control). Participants in the intervention communities received six heart-healthy food boxes, culturally tailored to traditional Chickasaw diet and current food context. Outcomes were measured over 6 months. We enrolled 262 participants, and 204 with complete data on key variables were included in the analysis. The food boxes were very popular, and we achieved high retention for follow-up data collection. Intervention community participants had 2.6 mmHg lower mean systolic BP and improved diet quality and BMI compared with control participants, although, as expected for a pilot study, the differences were not statistically significant. The culturally tailored diet intervention and randomized trial study design were acceptable and feasible for Chickasaw Nation adults with uncontrolled hypertension. Our findings support the value of tribal-food bank partnerships as a potential approach for reducing food insecurity and hypertension-related disparities in Native American communities. [ABSTRACT FROM AUTHOR]

Elk (Cervus canadensis) have been considered non-native to the Sierra Nevada mountain range of California and Nevada. However, elk have steadily increased their range southward from the Cascade Range into the northern Sierra Nevada over the last century. Recent reports also reveal Rocky Mountain elk moving northwards into the southern Sierra Nevada. Dispersals of lone bull elk from 2019–2022 have occurred to the central Sierra Nevada south of Lake Tahoe. These recent range expansions of elk herds and long-distance dispersals of individual elk raised questions about the possible historical presence of elk throughout this mountain range. Herein we conducted a broad investigation into historical newspaper accounts and other early explorer and naturalist observer records, museum specimens, Late Holocene zooarchaeological records, and indirect evidence including toponomastic references and Native American ethnographic and ethnolinguistic information. Taken in total, a variety of data sources suggest elk inhabited portions of the Sierra Nevada and the adjacent northwest Great Basin from the Late Holocene through historical times. Positive records were not numerous, suggesting that historically elk were not abundant, and nearly extirpated during the California Fur Rush of the early nineteenth century. [ABSTRACT FROM AUTHOR]

More globally diverse perspectives are needed in genomic studies and precision medicine practices on non-Europeans. Here, we illustrate this by discussing the distribution of clinically actionable genetic variants involved in drug response in Andean highlanders and Amazonians, considering their environment, history, genetic structure, and historical biases in the perception of biological diversity of Native Americans. [ABSTRACT FROM AUTHOR]

The emergence of New Warrior culture in the post-Vietnam era has largely been unexplored by sociology of culture. While recent research on the NRA has explored significant aspects of gun culture such as advertising, narratives, as well as ratings of gun empowerment etc., less work has investigated how the NRA facilitated changes not only in gun culture but in the "systems of social relations" between gun owners and the government but also in "systems of meaning" in how gun owners understand their guns. This paper argues that the NRA's use of Native American warrior narratives, combined with other New Warrior narratives, maps onto Swidler's unsettled time. Merging classic warrior narratives based in service to the nation alongside extensive use of Native American warriors, the NRA leveraged warrior narratives as a way of facilitating the transformation of warrior identity from one who defends the nation to one that is prepared to fight their government. In this way, the NRA was able to communicate antigovernment narratives without openly embracing the conspiratorial antigovernment ideals espoused by some factions of the militia movement by changing warrior cultural narratives from defending the nation to fighting against its government. [ABSTRACT FROM AUTHOR]

Objective: This investigation examines burden of comorbidity measured by the Charlson Comorbidity Index (CCI) and Elixhauser Comorbidity Index (ECI) among inpatients based on age, sex, and race. Methods: Cross-sectional analysis of 2012-2018 US NIS datasets. Participants were inpatients 55y+. ICD-9/10 codes for admitting diagnoses were used to calculate disease burden using the CCI and ECI. Unweighted mean CCI and ECI scores were compared across demographic variables. Results: An increase in mean CCI and ECI scores across age, sex, and races (p<.001) was identified. Compared to the youngest age group (55-59y), all age groups had higher mean CCI and ECI adjusting for time (p<.001). Increases were greatest in older age groups until age 80-84 for CCI and 85-89 for ECI. The female group had lower CCI adjusting for time (p<.001) compared to males. There was no difference between sex groups in mean ECI (p=.409). Compared with the White group, all other race groups had higher mean CCI adjusting for time (p<.001). Black inpatients had the highest CCI followed by Native American inpatients. Findings were similar for ECI, but with no difference between Hispanic and White groups (p=.434). Conclusions: Growing multimorbidity burden among adult inpatients across age, sex, and race supports the continued need for programs for preventing and reducing multimorbidity, especially among communities that experience health inequity including older, Black, and Native American patients. [ABSTRACT FROM AUTHOR]

This essay is a chapter excerpted from my forthcoming book, Who Gets to be Indian: Ethnic Fraud and Other Difficult Conversations about Native American Identity The chapter shows the ways that Indianness, framed as Indian or Native American "identity", is inseparable from state subjectivity based on the history of political relations between tribes and the United States. It argues that tribes' political status and relationship to the state are central to how Native American identity is shaped, rejecting the understanding of Native identity as race-based. The term "Indigenous" is discussed as not being equivalent to "Native American" and is not a racial formation in international fora. Social changes during the twentieth century brought new ways to diffuse and co-opt Nativeness through disaggregating it from political status and reinforcing racialization with the rise in urban pan-Indianism and neo-tribalism. Distinguishing Nativeness as political status from racialization is critical given ongoing attacks on tribal sovereignty in Supreme Court challenges based on alleged violations to the equal protection principle. Native American "identity" is inextricable from tribal nationhood and state formation, and thus cannot simply be dismissed as a colonial construct. [ABSTRACT FROM AUTHOR]

Simple Summary: Natural plant products have been used medicinally for thousands of years by Native Americans in the United States to treat a wide array of ailments. However, there remains a need to investigate the therapeutic potential or effectiveness of these traditional approaches as little remains known. In this study, we evaluated the therapeutic potential of aqueous extracts prepared from four plants traditionally used in Indiana, USA, to inhibit cancer cell proliferation and infection with human respiratory syncytial virus (hRSV), a major respiratory pathogen of infants and the elderly. Traditional approaches employing natural plant products to treat a wide array of ailments have been documented and described for thousands of years. However, there remains limited scientific study of the therapeutic potential or effectiveness of ethnobotanical applications. Increases in the incidence of cancer and emerging infectious diseases demonstrate a growing need for advances in the development of therapeutic options. In this study, we evaluate the therapeutic potential of aqueous extracts prepared from four plants, purple aster (Symphyotrichum novae-angliae (L.) Nemsom), common sage (Salvia lyrata (L.)), northern spicebush (Lindera benzoin (L.) Blume), and lamb's ear (Stachys byzantina (K.) Koch)) traditionally used in Native American medicine in Indiana, USA. Using a combination of cytotoxicity assays, immunofluorescence microscopy, and antiviral assays, we found that sage and spicebush extracts exhibit cytotoxic and antiproliferative effects on HeLa cell proliferation and that sage, spicebush, and aster extracts were capable of significantly inhibiting human respiratory syncytial virus (hRSV), a major respiratory pathogen of infants and the elderly. Chemical analysis of the four extracts identified four major compounds which were subsequently evaluated to identify the responsible constituents in the extracts. While none of the identified compounds were shown to induce significant impacts on HeLa cell proliferation, two of the compounds, (1S)-(-)-Borneol and 5-(hydroxymethyl)-furfural, identified in sage and spicebush, respectively, were shown to have antiviral activities. Our data suggest that several of the extracts tested exhibited either anti-proliferative or antiviral activity supporting future further analysis. [ABSTRACT FROM AUTHOR]

This autoethnography explored an ethical dilemma for an Indigenous investigator involved in a study of adult Indigenous boarding school survivors. As research team members coded post-traumatic stress disorder for an interview, the author was at an ethical crossroads that involved betrayal, stigma, oppression, and within-group diversity. The author deemed that the interview was an expression of culturally sanctioned behavior versus mental illness. The author had been taught not to discuss the cultural experience portrayed in the interview with outsiders based on stigma and oppression within American society. Intersectionality provides the framework to understand this ethical dilemma and provides tools that can assist future Indigenous researchers involved in the study of their own people. [ABSTRACT FROM AUTHOR]

American Indian/Alaska Native (AI/AN) women serve in the U.S. military, use Veterans Health Administration (VA) health care, and reside in rural areas at the highest rates compared with other women veterans. However, little is known about their unique health care needs, access, and health care use. We assessed the existing literature on the health and health care use of U.S. AI/AN women veterans. Online databases were searched to identify studies. Study characteristics extracted included health care topic, study design, overall sample size and number of AI/AN women veterans, and funding source. We screened 1,508 publications for inclusion; 28 publications were ultimately retained. Health care access and use were the most common health care research topics (39%), followed by mental health (36%) and physical health (25%). Few studies considered the impact of rurality. Most studies found significant differences between AI/AN women veterans and other women veterans or AI/AN men veterans. Publication dates ranged from 1998 to 2023, with 71% published after 2010. The majority of studies (75%) were secondary analyses of extant health care data. More than three-quarters of studies (82%) were funded federally (e.g., VA). Many studies were based on VA administrative data, resulting in a gap in knowledge regarding AI/AN women veterans who are not eligible for, or choose not to use, VA health care. Research to inform the health and health care of AI/AN women veterans is limited, especially in terms of known AI/AN and women veterans' prevalent health concerns (e.g., diabetes, hypertension), women's health and reproduction, and how AI/AN women veterans access, use, and confront barriers to health care. Moreover, there is scarce research specific to cultural, tribal, and regional factors that likely affect access and use of particular health care systems or that can affect perspectives on illness that impact long-term treatment adherence and patient outcomes. [ABSTRACT FROM AUTHOR]

The article reviews three plays “Off the Rails” by Randy Reinholz, “Manahatta” by Mary Kathryn Nagle, and “The Pueblo Revolt” by Dillon Christopher Chitto. The article gives an overview of the plot of each and notes similarities amongst the three.

Postage stamps are sites of nationalist imagery, produced continuously by the US government since 1847. Over time, a limited group of people deemed worthy of representing the nation on stamps—white male politicians and military heroes—was diversified to include different kinds of persons: women, Native Americans, African Americans, and people in the arts, sciences, athletics, and entertainment. This paper focuses on a singular exception to this iconographic diversification: workers, people who labor. Stamps that seem to be about labor (those devoted to such topics as labor leaders, collective bargaining, and employment for the disabled) are, we claim, about something other than "labor as such." Drawing on Marx's Grundrisse , we argue that in capitalist societies, waged labor and pauperism are indissolubly linked because laborers have no control over the reliability of their employment. Laborers are "humanity ground zero," people deemed (in capitalist common sense) to have accomplished nothing beyond working for a wage and who therefore cannot be represented in postal iconography as builders of the nation. [ABSTRACT FROM AUTHOR]

This document explores the need for change and transition in the field of anthropology, particularly in relation to the historical issues of paternalism and entitlement towards Indigenous cultures. The author advocates for a shift towards restorative anthropology, where the discipline acknowledges past harms and works to serve the needs of communities. The article specifically focuses on the role of archaeology in locating unmarked graves of children who died at Indian Residential Schools in Canada. It discusses the use of technologies like remote sensing and geophysics in this search, while emphasizing the importance of community-driven work and respecting Indigenous knowledge. The author calls for anthropologists to support these efforts and prioritize truth-telling, redress, and restorative justice. [Extracted from the article]

Background and Objectives: There has been a prevailing but erroneous belief in the medical community that there is a biological vulnerability in the American Indian/Alaskan Native (AI/AN) community to substance use disorders (SUDs), with alcohol use disorder (AUD) being the most prevalent. This scoping review aimed to examine what possible psychosocial issues could lead to the development of the perpetuation of SUDs in the AI/AN population. Methods: The protocol for this scoping review followed Arksey and O'Malley's methodological framework. There were 405 articles included for full‐text review. Further inclusion criteria were applied which included: Directly looking at participants who had a SUD, including either in the discussion or conclusion a statement linking their data to psychosocial issues as a possible explanation for their data, and having measured the psychosocial issue with a research device. The final review included 15 studies. Results: Four psychosocial themes were uncovered using an inductive process, where recurring words related to identity, prejudice, isolation, discrimination, and self‐concept in the literature. These themes were trauma/historical loss, mood, and discrimination/self‐esteem. All of these themes are interrelated, and all influence the development or sustainment of a SUD. Discussion and Conclusions: Complex psychosocial factors in the AI/AN community are associated with SUDs. This trauma and historical loss should be addressed with culturally tailored treatments. Scientific Significance: There are not many manuscripts that specifically look at the interplay of mood, trauma, self‐worth, and discrimination with SUD in the AI/AN community. This scoping review aims to highlight these issues as well as discuss how culture should play a part in treatment. Answer questions and earn CME credit [ABSTRACT FROM AUTHOR]

Currently, little research exists on disabilities among Native American communities and no research exists on how Native Americans perceive disabilities, services currently available, and unmet needs. Understanding these key areas is essential to providing efficacious and culturally relevant care. To address this gap in the literature, we used Indigenous research methodology through sharing circles throughout the state of Utah to listen and amplify the voices of the Native communities. Participants shared how they conceptualize "disability," what they thought of current services, and how they thought the needs of Native persons with disabilities should be addressed. Four major themes emerged in the data: a culturally-based conceptualization of "disability," barriers to services, belonging, and needed actions. These themes highlight the cultural strengths among Native communities surrounding disabilities and bring attention to systematic change needed to better address the needs of Native Americans with disabilities. POINTS OF INTEREST: Native Americans are diagnosed with disabilities more than the general American population. Cultural understandings, including the definition of "disability," may influence diagnosis rates. This study aimed to get a more complete picture of how Native Americans understand disabilities and what services would be helpful for those with disabilities in their communities. Native American participants shared their experiences and thoughts about disabilities in sharing circles to discuss important topics in a cultural way. Four major themes were identified following these sharing circles, including a culturally-based definition of "disability," barriers to services, belonging, and needed actions. These themes highlight the cultural strengths among Native communities surrounding disabilities and bring attention to what changes could be made to better serve the needs of Native Americans with disabilities. [ABSTRACT FROM AUTHOR]

The physio-chemical framework that generates carbonatites and, ultimately, the associated rare earth element deposits remains contentious. This primarily reflects the diverse tectonic settings in which carbonatites occur: large igneous provinces, continental rifts and major extensional terranes, syn- to post-collisional settings, or ocean islands. There is, however, a broad consensus that carbonatites (or their parental melts) originate in the mantle. These exotic melts have small volumes that make them ideal probes of conditions in their underlying source regions. We combine the carbonatite locations with global maps of lithospheric thickness, derived from seismic tomography, and show that post-Neoproterozoic carbonatites occur preferentially above the margins of thick cratonic lithosphere (e.g., adjacent to the South Atlantic and Indian Oceans or in North America, Greenland, and Asia) and where once thick lithosphere has undergone stretching (e.g., eastern Asia). Our thermal modeling reveals that lateral and vertical heat conduction on rifted craton margins, or rapid stretching of cratonic lithosphere, can mobilize carbonated peridotite at the temperatures (950–1250 °C) and pressures (2–3 GPa) required to form primary carbonatites or their parental alkali silicate melts. Importantly, our models show that heat conduction from upwelling mantle plumes or ambient mantle on rifted cratonic margins may sufficiently modify the temperature of the lithospheric mantle to cause melting of carbonated peridotite, settling the long-standing debate on the role of rifting and heating in the generation of carbonatites. [ABSTRACT FROM AUTHOR]

Purpose: Native Americans and Latinos have higher COVID‐19 infection and mortality rates and may have limited access to diagnostic testing. Home‐based testing may improve access to care in rural and underserved populations. This study tests the effect of community health worker (CHW) support on accessibility, feasibility, and completion of COVID‐19 home testing among Native American and Latino adults living on the Flathead Reservation in Montana and in Yakima Valley, Washington. Methods: A two‐arm, multisite, pragmatic randomized controlled trial was conducted using block randomization stratified by site and participant age. Active arm participants received CHW assistance with online COVID‐19 test kit registration and virtual swabbing support. The passive arm participants received standard‐of‐care support from the kit vendor. Logistic regression modeled the association between study arm and test completion (primary outcome) and between study arm and test completion with return of valid test results (secondary outcome). Responses to posttest surveys and interviews were summarized using deductive thematic analysis. Findings: Overall, 63% of participants (n = 268) completed COVID‐19 tests, and 50% completed tests yielding a valid result. Active arm participants had higher odds of test completion (odds ratio: 1.66, 95% confidence interval [1.01, 2.75]). Differences were most pronounced among adults ≥60 years. Participants cited ease of use and not having to leave home as positive aspects, and transportation and mailing issues as negative aspects of home‐based testing. Conclusions: CHW support led to higher COVID‐19 test completion rates, particularly among older adults. Significant testing barriers included language, educational level, rurality, and test kit issues. [ABSTRACT FROM AUTHOR]

The article, titled "From Occupation to Occupy: Antisemitism and the Contemporary American Left," by Sina Arnold, examines the attitudes of left-wing activists towards antisemitism and Israel between 2001 and 2011. The author draws on interviews with activists from groups such as Occupy Wall Street, Jewish Voice for Peace, and Students for Justice in Palestine. The article highlights the historical roots of antisemitism on the left, including the influence of Christian theological stereotypes. It also discusses the similarities between the antisemitism of the contemporary American far-left and the far-right, as well as the far-left's alliance with Islamists. The article concludes by questioning the denial of antisemitism by the far-left and its focus on demonizing Israel while ignoring other human rights violations. [Extracted from the article]

Native Community Development Financial Institutions (Native CDFIs) have become an increasingly important source of credit and financial services in the areas on or near American Indian reservations in the United States. Guided by a conceptual framework developed on the basis of the related finance literature and drawing on loan‐level data from eleven Native CDFI loan funds, we offer the first systematic quantitative analysis of lending in the Native CDFI industry. As hypothesized, Native CDFIs on average give out small loans but support borrowers in varied circumstances with diverse loan products. Important predictors of delinquency include both conventional, hard information‐based, measures of client risk, and alternative, soft information‐based, community‐informed and character‐based measures. Overall, these findings lend strong support to holistic approaches for assessing client creditworthiness for Native CDFI operations. More generally, our analysis contributes new insights into the operations of an industry that plays an instrumental role in removing barriers to socioeconomic development in Native communities. [ABSTRACT FROM AUTHOR]

This essay assesses how historians have studied the relationship between Native Americans and the Atlantic world in the early modern period. It traces the development of what the author calls a "continental divide" between scholars of Indigenous and Atlantic histories, as distinct subfields emerged from different questions, methods, archival practices, and ethical commitments. Recent scholarship has begun to bridge this divide, however, suggesting promising new directions. [ABSTRACT FROM AUTHOR]

Seed rematriation is a rising movement within greater efforts to improve seed and food sovereignty for Native American communities in the United States. As a feminized reframing of repatriation, rematriation seeks to heal Indigenous relationships with food, seeds, and landscapes. Since first contact, Native agricultural practices have been systematically targeted by colonization, resulting in the diminished biodiversity of cultural gardening systems. Of this vast wealth, many varieties exist today solely under the stewardship of non-Native institutions. Seed rematriation is therefore the process and movement by which Native nations reclaim their cultural seed heritages. Once seeds are returned to the hands and soils of their home communities, Indigenous Nations can reestablish healthy, diverse, and sustainable seed and foodways for generations to come. This article explores the history of the term rematriation within Indigenous sovereignty scholarship as well as its evolving interpretations and applications. Considering how the seed rematriation movement has been shaped by several seed keepers in the Midwest reveals the cultural understandings and significances that underpin this work across many aspects of Indigenous lifeways. The resulting discussion from ethnographic material demonstrates why seed reclamation and seed sovereignty movements in the Midwest uphold Native nationhood through both resurgence and refusal. The Indigenous processes of recognizing and reclaiming seeds work beyond recovering agricultural knowledge to also mend severed kin relationships, rejuvenate cultural knowledge, and reestablish authority over Indigenous food systems. [ABSTRACT FROM AUTHOR]

Research demonstrates that appropriation of aspects of American Indian cultures, pseudo-culture, and ethno-national identities is harmful to American Indians. Yet, when American Indians strive to eliminate this appropriation, they are often met with resistance from White Americans who are attached to the appropriation. Using a survey of 517 White Americans, we explored whether settler colonial collective memory was associated with this attachment. More specifically, we examined the associations between five ideologies that are part of this memory—glorification of U.S. colonialism, nationalism, militarism, masculine toughness, and White identity pride—and support for American Indian mascots and other types of appropriation. We found that these five ideologies are associated with each other, as well as with support for American Indian mascots and the other types of appropriation. In addition, we found that glorification of U.S. colonialism mediated between belief in each of the other four ideologies and support for appropriation. We situate our findings in the context of settler colonial collective memory and discuss how our findings can inform change. [ABSTRACT FROM AUTHOR]

American Indians are disproportionately affected by nutrition-related chronic conditions. It is critical to understand Native American food environments that contribute to disparities in nutrition-related conditions. Data from the USDA Food Environment Atlas were used to examine the associations between food environment characteristics, diabetes, obesity, and food insecurity. Counties with the highest percentage of Native American residents had fewer grocery stores and more food insecurity and obesity than counties with fewer Native Americans residents. Future studies may consider evaluating policies or interventions that impact the food environment to assess the effects on obesity and food security outcomes among Native Americans. [ABSTRACT FROM AUTHOR]

Native Americans (NA) have higher obesity rates compared to other populations. Employed adults spend a significant amount of time at work. OPREVENT2, an obesity prevention trial in 6 NA communities, included a worksite component that incorporated nutrition and physical activity educational media, competitions, tastes tests, and coffee station makeovers. Process evaluation results indicate a well-implemented worksite component based on team standards. Statistically significant improvements of coffee stations healthy offerings (p =.006), but none in health policies and resources, were observed. Partnering with businesses to create healthier working environments was successful and future trials should investigate the effects on an individual level. [ABSTRACT FROM AUTHOR]

Guided by critical race theorizing (CRT) and arts-based methodologies (i.e., metaphor and pictorial narrative mapping [PNM]), the present study analyzed the healthcare (counter)narratives of 150 United States (U.S.) women of color (i.e., Black/African American, Hispanic/Latina, Native American/Alaska Native, and Multiracial) who have autoimmune disease. Sensitized by the metaphor of a library book, participants were asked to story their healthcare journey through identification of a title, chapters, genre, and book cover description (i.e., [Illness] Storybook Survey). Using critical thematic analysis, we first identified dominant and counter-narratives present in participant storybooks, categorized by literary supra-themes of characters (i.e., dominant narrative of me versus my body, counter-narratives of me versus the system and illness as lineal), plot (i.e., dominant narrative of a hero’s journey, counter-narrative of chaos), and tone (i.e., dominant narrative of inspiration, counter-narratives of tangible self-help and humor). Next, guided by PNM, a data visualization technique, each author illustrated one counter-narrative within each literary supra-theme. Our analysis interrogates how participants’ stories both reify and resist ideological and structural power at the intersections of their racial, gender, and illness identities. Collectively, this study offers unique contributions to critical, intersectional, and arts-based approaches to communication research, and forwards new methods for studying health narratives historically located in the margins. [ABSTRACT FROM AUTHOR]

In the transition from early to later editions of Cormac McCarthy’s Blood Meridian, sometimes the designation of the protagonist subtly changes from “the kid” to “the lad.” This shift uncovers significant instances of the protagonist’s internal development, characterised by degeneration, gravitation towards established structures, realisation of compassion, and ongoing self-reflection, leading to his precocious maturity. Such maturity makes him a formidable adversary to the judge. The years 1861 and 1878, mentioned within the narrative, underscore the protagonist’s growth as a mirror to the United States’ transformation from frontier expansion to forced assimilation and finally, to economic imperialism. The judge’s ultimate absorption of the protagonist epitomises the nation’s rejuvenation and the refinement of its mechanisms for systemic oppression and deceit in a modern era. The endurance of the judge’s evil deeds underscores an ongoing cycle of rejuvenation, yet the enduring resistance of autonomous individuals, as epitomised by the protagonist, persists. [ABSTRACT FROM AUTHOR]

Background: Few studies have examined the menopausal transition in American Indian and Alaska Native (AI/AN) women; these reports indicate they are the most likely group to report bothersome vasomotor symptoms (VMS). Evidence demonstrates VMS may be a biomarker for chronic diseases. Thus, evidence-based interventions to improve VMS and other symptoms and health-screening rates for urban midlife AI/AN women are needed. Objective: The objectives of this community-based project were to form a Community Advisory Board (CAB) with whom to: 1) conduct CAB meetings (similar to a focus group) with midlife AI/AN women to understand their lived health care experiences and needs during the menopausal transition; and 2) obtain guidance in creating a tailored intervention. Methods: Eligible participants indicated they were registered members of American Indian Tribes, self-identified as a woman, aged 35 or older, and were recruited through the Urban Indian Center of Salt Lake and community outreach. Three CAB meetings were conducted via Zoom. A qualitative-descriptive approach was used for analysis, with the aim of staying close to the data to understand AI/AN women's experiences and needs. Transcripts were iteratively coded using content/thematic analysis. Results: Four themes emerged: 1) lack of and desire for information about the menopause transition; 2) barriers to accessing care; 3) matriarchal priorities impacting personal health outcomes; and 4) preferences for Indigenous and integrative medicine as first-line interventions, followed by conventional medicine. Conclusions: Among this sample of urban AI/AN women, there was a great need for and interest in information about menopause, both for themselves and for their daughters and family. Integrative and Indigenous approaches were preferred. Proposed next steps include developing and pilot-testing a nurse-delivered health-education intervention with Indigenous, integrative, and conventional medical content. [ABSTRACT FROM AUTHOR]

Historical trauma has played a significant role in the difficulties of fathers to fulfill their coparenting roles in Native American communities. This pattern is also true for men in Afro-Caribbean communities. Fatherhood programs developed by the Native American Fatherhood and Family Association (NAFFA) have shown effectiveness in supporting fathers, enhancing their confidence and coparenting skills, and overcoming trauma in Native communities. This paper seeks to identify the opportunities and best practices for cross-cultural adaptation of the Fatherhood is Sacred program to Afro-Caribbean families and contexts. [ABSTRACT FROM AUTHOR]

Introduction: Malignant brain tumors are malignancies which are known for their low survival rates. Despite advancements in treatments in the last decade, the disparities in malignant brain cancer mortality among the US population remain unclear. Methods: We analyzed death certificate data from the US CDC WONDER from 1999 to 2020 to determine the longitudinal trends of malignant brain tumor mortality. Malignant brain tumor (ICD-10 C71.0–71.9) was listed as the underlying cause of death. Age-adjusted mortality rates (AAMRs) per 100,000 individuals were calculated by standardizing the AAMR to the year 2000 US population. Results: From 1999 to 2020, there were 306,375 deaths due to malignant brain tumors. The AAMR decreased from 5.57 (95% CI, 5.47–5.67) per 100,000 individuals in 1999 to 5.40 (95% CI, 5.31–5.48) per 100,000 individuals in 2020, with an annual percent decrease of −0.05 (95% CI, −0.22, 0.12). Whites had the highest AAMR (6.05 [95% CI, 6.02–6.07] per 100,000 individuals), followed by Hispanics (3.70 [95% CI, 3.64–3.76]) per 100,000 individuals, blacks (3.09 [95% CI, 3.04–3.14] per 100,000 individuals), American Indians (2.82 [95% CI, 2.64–3.00] per 100,000 individuals), and Asians (2.44 [95% CI, 2.38–2.50] per 100,000 individuals). The highest AAMRs were reported in the Midwest region (5.58 [95% CI, 5.54–5.62] per 100,000 individuals) and the rural regions (5.66 [95% CI, 5.61–5.71] per 100,000 individuals). Conclusions: Our study highlights the mortality disparity among different races, geographic regions, and urbanization levels. The findings underscore the importance of addressing the disparities in malignant brain tumors that existed among males, white individuals, and rural populations. [ABSTRACT FROM AUTHOR]

Scholars have documented harm associated with positive stereotypes about groups that experience inequality. We surveyed five samples from the United States to explore antecedents to dominant group endorsement of positive stereotypes about women, gay men, Asian Americans, Black Americans, and Native Americans. We found more liberal participants, and those with more close contact with members of these groups, were more internally motivated to respond without prejudice, which was then associated with greater endorsement of positive stereotypes about women, gay men, Black Americans, and Native Americans. In contrast, more conservative participants were more likely to believe in system legitimacy, which was then associated with greater endorsement of positive stereotypes about women and Asian Americans. We theorize that positive stereotypes are used by dominant group members in divergent ways, sometimes to legitimate inequality and other times with concern about inequality. The latter likely involves naivety regarding the harmful nature of positive stereotypes. [ABSTRACT FROM AUTHOR]

The article explores the significance of Indigenous research and co-stewardship of wildlife, particularly in the United States and Canada. It acknowledges the vast amount of land managed by Indigenous groups, which holds valuable natural resources. The article emphasizes the value of Indigenous Knowledge (IK) in wildlife management and conservation, when combined with Western science. It introduces a special issue on Indigenous research and co-stewardship facilitated by The Wildlife Society and the Journal of Wildlife Management, highlighting the integration of IK and Western Science. The text also discusses challenges in publishing IK, including issues of Indigenous data sovereignty and the need for privacy. It emphasizes the importance of building trust and respecting Indigenous culture and perspectives when establishing relationships with Indigenous groups. The authors raise questions about the publication process for IK, including citation methods and authorship considerations, and stress the need for flexibility and collaboration to incorporate IK into scientific journals. [Extracted from the article]

BACKGROUND AND OBJECTIVES: Geographic accessibility predicts pediatric preventive care utilization, including vaccine uptake. However, spatial inequities in the pediatric coronavirus disease 2019 (COVID-19) vaccination rollout remain underexplored. We assessed the spatial accessibility of vaccination sites and analyzed predictors of vaccine uptake. METHODS: In this cross-sectional study of pediatric COVID-19 vaccinations fromthe US Vaccine Tracking Systemas of July 29, 2022,we described spatial accessibility by geocoding vaccination sites,measuring travel times fromeach Census tract population center to the nearest site, and weighting tracts by their population demographics to obtain nationally representative estimates.We used quasi-Poisson regressions to calculate incidence rate ratios, comparing vaccine uptake between counties with highest and lowest quartile Social Vulnerability Index scores: socioeconomic status (SES), household composition and disability (HCD),minority status and language (MSL), and housing type and transportation. RESULTS: We analyzed 15 233 956 doses administered across 27 526 sites. Rural, uninsured, white, and Native American populations experienced longer travel times to the nearest site than urban, insured, Hispanic, Black, and Asian American populations. Overall Social Vulnerability Index, SES, and HCD were associated with decreased vaccine uptake among children aged 6 months to 4 years (overall: incidence rate ratio 0.70 [95% confidence interval 0.60-0.81]; SES: 0.66 [0.58-0.75]; HCD: 0.38 [0.33-0.44]) and 5 years to 11 years (overall: 0.85 [0.77-0.95]; SES: 0.71 [0.65-0.78]; HCD: 0.67 [0.61-0.74]), whereas social vulnerability byMSLwas associatedwith increased uptake (6 months-4 years: 5.16 [3.59-7.42]; 5 years-11 years: 1.73 [1.44-2.08]). CONCLUSIONS: Pediatric COVID-19 vaccine uptake and accessibility differed by race, rurality, and social vulnerability. National supply data, spatial accessibility measurement, and place-based vulnerability indices can be applied throughout public health resource allocation, surveillance, and research. [ABSTRACT FROM AUTHOR]

Background: Limitations in the quality of race‐and‐ethnicity information in Medicare's data systems constrain efforts to assess disparities in care among older Americans. Using demographic information from standardized patient assessments may be an efficient way to enhance the accuracy and completeness of race‐and‐ethnicity information in Medicare's data systems, but it is critical to first establish the accuracy of these data as they may be prone to inaccurate observer‐reported or third‐party‐based information. This study evaluates the accuracy of patient‐level race‐and‐ethnicity information included in the Outcome and Assessment Information Set (OASIS) submitted by home health agencies. Methods: We compared 2017–2022 OASIS‐D race‐and‐ethnicity data to gold‐standard self‐reported information from the Medicare Consumer Assessment of Healthcare Providers and Systems® survey in a matched sample of 304,804 people with Medicare coverage. We also compared OASIS data to indirect estimates of race‐and‐ethnicity generated using the Medicare Bayesian Improved Surname and Geocoding (MBISG) 2.1.1 method and to existing Centers for Medicare & Medicaid Services (CMS) administrative records. Results: Compared with existing CMS administrative data, OASIS data are far more accurate for Hispanic, Asian American and Native Hawaiian or other Pacific Islander, and White race‐and‐ethnicity; slightly less accurate for American Indian or Alaska Native race‐and‐ethnicity; and similarly accurate for Black race‐and‐ethnicity. However, MBISG 2.1.1 accuracy exceeds that of both OASIS and CMS administrative data for every racial‐and‐ethnic category. Patterns of inconsistent reporting of racial‐and‐ethnic information among people for whom there were multiple observations in the OASIS and Consumer Assessment of Healthcare Providers and Systems (CAHPS) datasets suggest that some of the inaccuracies in OASIS data may result from observation‐based reporting that lessens correspondence with self‐reported data. Conclusions: When health record data on race‐and‐ethnicity includes observer‐reported information, it can be less accurate than both true self‐report and a high‐performing imputation approach. Efforts are needed to encourage collection of true self‐reported data and explicit record‐level data on the source of race‐and‐ethnicity information. [ABSTRACT FROM AUTHOR]

Medicaid-funded obstetric care coordination programs supplement prenatal care with tailored services to improve birth outcomes. It is uncertain whether these programs reach populations with elevated risks of adverse birth outcomes—namely non-white, highly rural, and highly urban populations. This study evaluates racial and geographic variation in the receipt of Wisconsin Medicaid's Prenatal Care Coordination (PNCC) program during 2010–2019. We sample 250,596 Medicaid-paid deliveries from a cohort of linked Wisconsin birth records and Medicaid claims. We measure PNCC receipt during pregnancy dichotomously (none; any) and categorically (none; assessment/care plan only; service receipt), and we stratify the sample on three maternal characteristics: race/ethnicity, urbanicity of residence county; and region of residence county. We examine annual trends in PNCC uptake and conduct logistic regressions to identify factors associated with assessment or service receipt. Statewide PNCC outreach decreased from 25% in 2010 to 14% in 2019, largely due to the decline in beneficiaries who only receive assessments/care plans. PNCC service receipt was greatest and persistent in Black and Hispanic populations and in urban areas. In contrast, PNCC service receipt was relatively low and shrinking in American Indian/Alaska Native, Asian/Pacific Islander, and white populations and in more rural areas. Additionally, being foreign-born was associated with an increased likelihood of getting a PNCC assessment in Asian/Pacific Islander and Hispanic populations, but we observed the opposite association in Black and white populations. Estimates signal a gap in PNCC receipt among some at-risk populations in Wisconsin, and findings may inform policy to enhance PNCC outreach. [ABSTRACT FROM AUTHOR]

Little is known about the impacts of living in diaspora from the Hawaiian Islands on Native Hawaiian health. To address this, the authors conducted an exploratory analysis using cross-sectional data from the 2021 Native American COVID-19 Alliance Needs Assessment. A total of 1418 participants identified as Native Hawaiian (alone or in any combination), of which 1222 reported residency in the continental US and 196 in Hawai'i. Residency status in the continental US vs Hawai'i was evaluated as a predictor of survey outcomes using likelihood ratio tests on linear and logistic regression models for linear and binary outcomes, respectively. Results showed that NH residency in the continental US was significantly associated with increased odds of reporting fair or poor self-rated health; increased odds for screening positive for anxiety, depression, and suicidality; and increased odds of health insurance loss (P's < .05). Residency in the continent was also associated with lower odds of reporting a diagnosed chronic health condition (P< .05). Residency in the continental US had no observed effect on the odds that participants engaged cultural activities or cultural coping strategies. These results support the role of place of residency as an important Native Hawaiian health predictor during and beyond the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]