- A community-based mixed methods approach to developing behavioural health interventions among indigenous adolescent populations
- Award date
- 18 March 2016
- Number of pages
- Document type
- PhD thesis
- Faculty of Social and Behavioural Sciences (FMG)
- Amsterdam Institute for Social Science Research (AISSR)
Native American and indigenous populations experience the greatest behavioural health disparities in the world. A constellation of factors impacting Native American Tribes contributes to high rates and co-morbidity of mental health disorders, substance use and sexually transmitted infection (STI), and considerable barriers to prevention and treatment. In Native communities, adolescents are the subgroup most affected by these behavioural health disparities. Suicide is sometimes an outcome of complex mental health problems and Native adolescents have the highest suicide rate in the U.S. Native Americans are diagnosed with STIs at four times the rate of Whites, have twice the rate of teen pregnancies, and are the only U.S. racial group in which HIV rates are increasing. Furthermore, substance use is a significant risk factor for suicide and HIV/STI transmission, and Native adolescents have the highest substance use and related morbidity and mortality in the U.S. This thesis presents a series of formative, pilot and efficacy studies that have demonstrated significant reductions in behavioural health risk for suicide, substance use, STIs, and HIV/AIDS among Native adolescents. A model of community-based research is presented in three distinct stages: 1) characterization of behavioural health disparities as described by community members, 2) exploration of community-specific risk, protective, and contextual factors, and 3) development, adaptation, and evaluation of interventions that reflect this unique profile. Rooted in a participatory process developed with a Native American Tribe, this research approach has relevance for other indigenous populations facing similar challenges and may serve as a platform for uptake and dissemination.
- Title on cover en spine: A community-based mixed methods approach to developing behavioral health interventions with indigenous
Research conducted at: Universiteit van Amsterdam
If you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library, or send a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible.