Poverty and Health Disparities for American Indian and Alaska Native Children: Current Knowledge and Future Prospects
Open accessAbstract
This report explores the current state of knowledge regarding inequalities and their effect on American Indian and Alaska Native children, underscoring gaps in our current knowledge and the opportunities for early intervention to begin to address persistent challenges in young American Indian and Alaska Native children's development. This overview documents demographic, social, health, and health care disparities as they affect American Indian and Alaska Native children, the persistent cultural strengths that must form the basis for any conscientious intervention effort, and the exciting possibilities for early childhood interventions.
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Community structure consists of the concentration of disadvantage in many Indigenous communities, including high levels of poverty and low levels of education and employment.
“Community structure in this respect consists of the concentration of disadvantage in many Indigenous communities, including high levels of poverty and low levels of education and employment (Armstrong et al., 2009; Sarche & Spicer, 2008).”
From Adult Outcomes of Justice Involved Indigenous Youth (2023) · cites this paper as Sarche & Spicer, 2008
Indigenous communities often experience high rates of mental health issues and substance use/abuse, both of which increase the likelihood of coming into contact with the criminal justice system.
“Indigenous communities often experience high rates of mental health issues, along with substance use/abuse (Sarche & Spicer, 2008), both of which increase the likelihood of coming in to contact with the CJS system.”
From Adult Outcomes of Justice Involved Indigenous Youth (2023) · cites this paper as Sarche & Spicer, 2008
Alaska Native and American Indian peoples have higher rates of adverse experiences than the general population.
“Alaska Native and American Indian (ANAI) peoples have higher rates of adverse experiences than the general population”
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References 90 · Cited by 339
- Authors
- Sarche, M., & Spicer, P.
- Affiliations
- University of Colorado Denver (US)
- ORCID
- Sarche, Michelle
- Venue
- Annals of the New York Academy of Sciences
- Publisher
- Wiley
- Published
- 2008-06
- Volume
- 1136
- Issue
- 1
- Pages
- 126-136
- ISSN
- 0077-8923 (ISSN-L)
- 1749-6632
- PMC
- PMC2567901
- OpenAlex
- W1983924579
- Cited by
- 339
- References
- 90
- Citations by year
- 2026: 11 · 2025: 18 · 2024: 19 · 2023: 23 · 2022: 33 · 2021: 50 · 2020: 36 · 2019: 30 · 2018: 27 · 2017: 20 · 2016: 22 · 2015: 12 · 2014: 11 · 2013: 10 · 2012: 9
- FWCI
- 2.77
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Annals of the New York Academy of Sciences (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (K01MH063260)
- National Institute on Minority Health and Health Disparities
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD042760)
- Topics
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
- Health Sciences › Health Professions › General Health Professions › Indigenous Health and Education
- Keywords
- American Indian and Alaska Native children, health disparities, poverty, early childhood development, early childhood intervention, cultural strengths, health care disparities, social determinants of health, child health
- MeSH terms
- Adolescent, Alaska, Child, Demography, Female, Humans, Indians, North American, Male, Mental Health, Poverty, Violence, Wounds and Injuries, Knowledge, Population Groups, Health Status Disparities, Healthcare Disparities
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