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J Health Care Poor Underserved. 2011 Aug;22(3):791-803. doi: 10.1353/hpu.2011.0093.

Predictors of wellness and American Indians.

Author information

  • 1School of Nursing, University of California, Los Angeles, Los Angeles, CA 90095-1702, USA. fhodge@sonnet.ucla.edu

Abstract

Wellness is an important American Indian (AI) concept, understood as being in balance with one's body, mind, and environment. Wellness predictors are reported in this paper within the context of health. A cross-sectional randomized household survey of 457 AI adults at 13 rural health care sites in California was conducted. Measures included wellness perceptions, barriers, health status/health conditions, spirituality, cultural connectivity, high-risk behaviors and abuse history. Statistical analysis obtained the best predictive model for wellness. Predictors of wellness were general health status perception, participation in AI cultural practices and suicide ideation. Significant differences in wellness status were observed depending on experience of adverse events in childhood and adulthood (neglect, physical abuse, and sexual abuse). Cultural connectivity (speaking tribal language, participating in AI practices, and feeling connected to community) was also associated with perceptions of wellness. Recommendations are for culturally-appropriate education and interventions emphasizing community and cultural connectivity for improving wellness status.

PMID:
21841279
[PubMed - indexed for MEDLINE]
PMCID:
PMC3287368
Free PMC Article
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