Resilience and health in American Indians and Alaska Natives: A scoping review of the literature
Open accessAbstract
American Indians and Alaska Natives suffer from disproportionately high rates of chronic mental and physical health conditions. These health inequities are linked to colonization and its downstream consequences. Most of the American Indian and Alaska Native health inequities research uses a deficit framework, failing to acknowledge the resilience of American Indian and Alaska Native people despite challenging historical and current contexts. This scoping review is based on a conceptual model which acknowledges the context of colonization and its consequences (psychological and health risk factors). However, rather than focusing on health risk, we focus on protective factors across three identified domains (social, psychological, and cultural/spiritual), and summarize documented relationships between these resilience factors and health outcomes. Based on the scoping review of the literature, we note gaps in extant knowledge and recommend future directions. The findings summarized here can be used to inform and shape future interventions which aim to optimize health and well-being in American Indian and Alaska Native peoples.
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Resilience, social support, and community connectedness are important protective factors for health and well-being among Indigenous populations.
“Previous research among Indigenous populations also highlights resilience, social support, and community connectedness as important protective factors for health and well-being [49].”
From Relationships Between Physical Activity, Sleep, Psychological Well-Being, and Academic Performance Among Native American College Students (2026) · cites this paper as [49]
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Cited by
Sorted by citations
Sanyaolu, O., Reeves-Doyle, B., Olaniyan, A. C., Max, T., Asala, A., & Osime, E. (2026) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph23040491
- Authors
- John-Henderson, N. A., White, E. J., & Crowder, T. L.
- Affiliations
- Laureate Institute for Brain Research (US)
- Montana State University (US)
- Venue
- Development and Psychopathology
- Publisher
- Cambridge University Press (CUP)
- Published
- 2023-06-22
- Volume
- 35
- Issue
- 5
- Pages
- 2241-2252
- ISSN
- 0954-5794 (ISSN-L)
- 1469-2198
- PMC
- PMC10739606
- OpenAlex
- W4381597694
- Cited by
- 29
- References
- 13
- Citations by year
- 2026: 10 · 2025: 13 · 2024: 5 · 2023: 1
- FWCI
- 1.45
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Development and Psychopathology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of General Medical Sciences (U54GM115371, P20GM103474, P20GM104417)
- National Institute on Minority Health and Health Disparities (R01MD015894)
- Topics
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Keywords
- American Indians and Alaska Natives, resilience, health disparities, colonization, protective factors, social resilience, psychological resilience, chronic disease, mental health, well-being
- MeSH terms
- Alaska Natives, Alaska, Humans, Indians, North American, American Indian or Alaska Native, Resilience, Psychological
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