Introduction
As a practitioner, understanding the social determinants of health (SDOH) is crucial in addressing health disparities, particularly among American Indian and Alaska Native (AI/AN) populations. The research article "Social Determinants of Cancer Risk Among American Indian and Alaska Native Populations: An Evidence Review and Map" provides valuable insights into these determinants and offers guidance for practitioners seeking to enhance their skills and knowledge.
Understanding the Research
The study reviewed 297 articles, focusing on cancer occurrence and screening among AI/AN populations. The research highlights significant gaps in understanding SDOH as drivers of cancer disparities. Most studies were observational, with a strong focus on gender, race, and place, but often lacked consideration of historical trauma and cultural factors.
Key Findings for Practitioners
- Race and Ethnicity: AI/AN populations are often aggregated, masking unique tribal characteristics. Practitioners should recognize the diversity within AI/AN communities and consider cultural and tribal affiliations in their approach.
- Place and Accessibility: Geographic barriers significantly impact access to healthcare. Practitioners should advocate for improved healthcare infrastructure and services in remote areas.
- Socioeconomic Status (SES): SES factors, such as income and insurance status, are crucial in understanding health disparities. Practitioners should consider these factors when designing interventions and policies.
- Historical and Current Trauma: The impact of historical trauma is underrepresented in research. Practitioners should integrate an understanding of historical and current traumas into their care models to address mental and physical health disparities effectively.
Encouraging Further Research
The research suggests a need for more comprehensive studies that include historical and cultural factors in SDOH frameworks. Practitioners are encouraged to engage in research that explores these dimensions and to advocate for methodologies that respect and incorporate AI/AN cultural contexts.
Practical Steps for Practitioners
- Engage with AI/AN communities to understand their unique health needs and challenges.
- Advocate for policies that address geographic and socioeconomic barriers to healthcare access.
- Incorporate cultural competence training into professional development to better serve AI/AN populations.
- Collaborate with researchers to develop frameworks that include historical and cultural factors in health assessments.
By implementing these strategies, practitioners can contribute to reducing cancer disparities and improving health outcomes for AI/AN populations.
To read the original research paper, please follow this link: Social Determinants of Cancer Risk Among American Indian and Alaska Native Populations: An Evidence Review and Map.
