AI/AN Research

Advancing HIV/AIDS Prevention Among American Indians Through Capacity Building and the Community Readiness Model PDF - 85KB
This article looks at community readiness based on existing community capacity and has experiences a high level of success in building capacity for effective prevention and interventions. This will guide the community through the process of understanding the importance of the measure of readiness.

The Changing Face of HIV/AIDS Among Native Populations PDF - 5000KB
This article presents some of the biological, social, economic and behavioral cofactors related to HIV/AIDS in the Native Communities and the potential considerations for prevention needs.

Determinants of Survival for Native American Adults with HIV Infection PDF - 144KB
This study aims to evaluate the impact of HAART and review determinants of survival in a cohort of AI/AN persons receiving treatment for HIV in a real life clinical setting.

Environmental, Social, and Personal Correlates of Having Ever Had Sexual Intercourse Among American Indian Youths PDF - 142KB

HIV Perceptions and Testing History of American Indians in one Northwest Tribal Community (2005) PUB - 228KB
The HIV Testing Survey (HITS) was developed by the CDC to facilitate local HIV surveillance activities. The survey was designed to elicit information from high-risk adults regarding: 1) their willingness to obtain HIV testing; 2) perceived obstacles to HIV testing; and 3) knowledge of HIV testing and reporting laws and policies. In 2001, the Northwest Portland Area Indian Health Board (NPAIHB) and Oregon Health & Science University (OHSU) collaborated on a survey project to collect this data. Urban and tribal community members helped modify the original survey.

HIV/AIDS Prevention Early Intervention and Health Promotion PDF - 967KB
This is a self-study module that contains information about the prevention, diagnosis, early intervention, and health promotion as related to HIV disease in Native American clients.

HIV/AIDS Protective Factors Among Urban American Indian Youth PDF - 126KB
This article reviews how specific factors (family and individual) influence 3 co-factors of HIV risk: multiple sex partners, substance use and condom non-use.

HIV - Related Risk Behaviors, Perceptions of Risk, HIV Testing and Exposure to Prevention Messages and Methods Among Urban American Indians and Alaska Natives (2006) PDF - 177KB

Native Americans and HIV/AIDS: Key Issues and Recommendations for Health Departments
The National Alliance of State and Territorial AIDS Directors (NASTAD) report is intended to serve as a resource for health departments seeking to work with Native American communities to address existing health disparities, particularly those related to HIV/AIDS. PDF - 612KB

Racial Misidentification of American Indians/Alaska Natives in the HIV/AIDS Reporting Systems of Five States and One Urban Health Jurisdiction, U.S., 1984–2002 PDF - 153KB
This study aims to evaluate and review racial misidentification of American Indians/Alaska Natives (AI/AN) reported to the human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) Reporting Systems (HARS) of five US states and one county. Of particular interest, this study looks at misidentification in California, which has a large AI/AN population and has not been a part of the 33-state CDC HIV/AIDS surveillance report through 2005. It will be interesting to monitor HIV incidence as all 50 states are captured in the state reporting system over the next couple years.

STD / HIV Prevention Integration – NASTAD Report (2002) PDF - 400KB
The Work Group alsorecommends policies that promote implementation of effective HIV/AIDS and STD prevention and care services. One goal of the Work Group is to promote and encourage the implementation of prevention strategies for persons testing positive for HIV or another STD.

Surveillance Systems Monitoring HIV/AIDS and HIV Risk Behaviors Among American Indians and Alaska Natives PDF - 1,200 KB
Data from national surveillance systems were examined to describe the spread of HIV/AIDS and the prevalence of HIV-related risk behaviors among AI/AN people.

Within the Hidden Epidemic: Sexually Transmitted Diseases and HIV/AIDS Among American Indians and Alaska Natives PDF - 193 KB
Kaufman CE, Shelby L, Mosure DJ, Marrazzo J, Wong D, de Ravello L, Rushing SC, Warren-Mears V, Neel L, Jumping Eagle S, Tulloch S, Romero F, Patrick S, Cheek JE; for the Task force on STD Prevention and Control Among American Indians and Alaska Natives.

OBJECTIVES: To review the epidemiology, research, and prevention programs for sexually transmitted diseases in American Indians and Alaska Natives (AI/ANs). STUDY DESIGN: We reviewed the current national and regional trends in sexually transmitted diseases (STDs) for AI/ANs from 1998-2004, peer-reviewed studies from January 1996, through May 2006, and reports, unpublished documents, and electronic resources addressing AI/AN STD prevention and control. RESULTS: STD prevalence among AI/ANs remains high. For example, the case rate of C. trachomatis in the North Central Plains AI/AN populations is 6 times the overall US rate. Trends for C. trachomatis also show sustained increases. Little research exists on STDs for this population, and most is focused on HIV/AIDS. Fear of compromised confidentiality, cultural taboos, and complex financial and service relationships inhibit effective surveillance, prevention, and management. CONCLUSIONS: Recommendations for STD control in this population include improved local surveillance and incorporation of existing frameworks of health and healing into prevention and intervention efforts. Research defining the parameters of cultural context and social epidemiology of STDs is necessary.

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