Reclaiming Indigenous Health in the US: Moving beyond the Social Determinants of Health

Carroll, Stephanie Russo; Suina, Michele; Jäger, Mary Beth; Black, Jessica; Cornell, Stephen; Gonzales, Angela A.; Jorgensen, Miriam; Palmanteer-Holder, Nancy Lynn; De La Rosa, Jennifer S.; Teufel-Shone, Nicolette I.

doi:10.3390/ijerph19127495

Open AccessArticle

Reclaiming Indigenous Health in the US: Moving beyond the Social Determinants of Health

by

Stephanie Russo Carroll

^1,2

,

Michele Suina

³,

Mary Beth Jäger

^1,*,

Jessica Black

⁴,

Stephen Cornell

^1,5,6,

Angela A. Gonzales

⁷,

Miriam Jorgensen

^1,6,

Nancy Lynn Palmanteer-Holder

^8,9,

Jennifer S. De La Rosa

^10,11,12

and

Nicolette I. Teufel-Shone

^13,14

¹

Native Nations Institute, Udall Center for Studies in Public Policy, University of Arizona, Tucson, AZ 85719, USA

²

Mel & Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA

³

Good Health Wellness in Indian Country Program, Albuquerque Area Southwest Tribal Epidemiology Center, Albuquerque, NM 87110, USA

⁴

Department of Alaska Native Studies and Rural Development and Tribal Governance, University of Alaska, Fairbanks, AK 99775, USA

⁵

Department of Sociology, University of Arizona, Tucson, AZ 85719, USA

⁶

Udall Center for Studies in Public Policy, University of Arizona, Tucson, AZ 85719, USA

⁷

School of Social Transformation, Arizona State University, Tempe, AZ 85281, USA

⁸

BALCSTAR Consulting PLLC, Omak, WA 98841, USA

⁹

University of Washington, Seattle, WA 98195, USA

¹⁰

Family and Community Medicine, College of Medicine Tucson, University of Arizona, Tucson, AZ 85711, USA

¹¹

Comprehensive Pain & Addiction Center, University of Arizona, Tucson, AZ 85724, USA

¹²

Sonoran Center for Excellence in Disabilities, College of Medicine Tucson, University of Arizona, Tucson, AZ 85719, USA

¹³

Center for Health Equity Research, Northern Arizona University, Flagstaff, AZ 86011, USA

¹⁴

Department of Health Sciences, Northern Arizona University, Flagstaff, AZ 86011, USA

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^*

Author to whom correspondence should be addressed.

Int. J. Environ. Res. Public Health 2022, 19(12), 7495; https://doi.org/10.3390/ijerph19127495

Submission received: 18 March 2022 / Revised: 15 June 2022 / Accepted: 16 June 2022 / Published: 18 June 2022

(This article belongs to the Special Issue Reducing Health Inequities: Social Epidemiology Insights for Public Health and Social Policy)

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Abstract

The lack of literature on Indigenous conceptions of health and the social determinants of health (SDH) for US Indigenous communities limits available information for Indigenous nations as they set policy and allocate resources to improve the health of their citizens. In 2015, eight scholars from tribal communities and mainstream educational institutions convened to examine: the limitations of applying the World Health Organization’s (WHO) SDH framework in Indigenous communities; Indigenizing the WHO SDH framework; and Indigenous conceptions of a healthy community. Participants critiqued the assumptions within the WHO SDH framework that did not cohere with Indigenous knowledges and epistemologies and created a schematic for conceptualizing health and categorizing its determinants. As Indigenous nations pursue a policy role in health and seek to improve the health and wellness of their nations’ citizens, definitions of Indigenous health and well-being should be community-driven and Indigenous-nation based. Policies and practices for Indigenous nations and Indigenous communities should reflect and arise from sovereignty and a comprehensive understanding of the nations and communities’ conceptions of health and its determinants beyond the SDH.

Keywords: social determinants of health; Indigenous knowledge; WHO; healthy community; health; Indigenous

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MDPI and ACS Style

Carroll, S.R.; Suina, M.; Jäger, M.B.; Black, J.; Cornell, S.; Gonzales, A.A.; Jorgensen, M.; Palmanteer-Holder, N.L.; De La Rosa, J.S.; Teufel-Shone, N.I. Reclaiming Indigenous Health in the US: Moving beyond the Social Determinants of Health. Int. J. Environ. Res. Public Health 2022, 19, 7495. https://doi.org/10.3390/ijerph19127495

AMA Style

Carroll SR, Suina M, Jäger MB, Black J, Cornell S, Gonzales AA, Jorgensen M, Palmanteer-Holder NL, De La Rosa JS, Teufel-Shone NI. Reclaiming Indigenous Health in the US: Moving beyond the Social Determinants of Health. International Journal of Environmental Research and Public Health. 2022; 19(12):7495. https://doi.org/10.3390/ijerph19127495

Chicago/Turabian Style

Carroll, Stephanie Russo, Michele Suina, Mary Beth Jäger, Jessica Black, Stephen Cornell, Angela A. Gonzales, Miriam Jorgensen, Nancy Lynn Palmanteer-Holder, Jennifer S. De La Rosa, and Nicolette I. Teufel-Shone. 2022. "Reclaiming Indigenous Health in the US: Moving beyond the Social Determinants of Health" International Journal of Environmental Research and Public Health 19, no. 12: 7495. https://doi.org/10.3390/ijerph19127495

APA Style

Carroll, S. R., Suina, M., Jäger, M. B., Black, J., Cornell, S., Gonzales, A. A., Jorgensen, M., Palmanteer-Holder, N. L., De La Rosa, J. S., & Teufel-Shone, N. I. (2022). Reclaiming Indigenous Health in the US: Moving beyond the Social Determinants of Health. International Journal of Environmental Research and Public Health, 19(12), 7495. https://doi.org/10.3390/ijerph19127495

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Reclaiming Indigenous Health in the US: Moving beyond the Social Determinants of Health

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