Titre :
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Drug use, HIV/AIDS, and health outcomes among racial and ethnic populations. Substance use among american Indians and Alaska Natives : Incorporating culture in an "indigenist" stress-coping paradigm. (2002)
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Auteurs :
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Karina-L WALTERS ;
Teresa EVANS-CAMPBELL ;
Henry-L FRANCIS, éd. ;
Dionne-J JONES, éd. ;
Arnold-R MILLS, éd. ;
SIMONI (Jane-M) : USA. Department of Psychology at the University of Washington. ;
Center on Aids and Other Medical Consequences of Drug Abuse. National Institute on Drug Abuse. National Institutes of Health. USA ;
School of Social Work at the University of Washington. USA
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Type de document :
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Article
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Dans :
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Public health reports (vol. 117, 2002)
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Pagination :
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S104-S117
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Langues:
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Anglais
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Mots-clés :
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Toxicomanie
;
Etats Unis
;
Amérique
;
Stress
;
Facteur sociodémographique
;
Toxicomane
;
Homme
;
Tabagisme
;
Alcoolisme
;
Amérique du Nord
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Résumé :
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[BDSP. Notice produite par INIST-CNRS uR0x9bQ7. Diffusion soumise à autorisation]. Objectives : This article proposes a new stress-coping model for American Indians and Alaska Natives (Als) that reflects a paradigmatic shift in the conceptualization of Native health. It reviews sociodemographic information on Als, rates of substance abuse and related health outcomes, and the research supporting the model's pathways. Observations : Although health outcomes among Als are improving, large disparities with other racial and ethnic groups in the United States remain. Many health-related problems are directly linked to high rates of substance use and abuse. Conclusion : Eurocentric paradigms focus on individual pathology. An "indigenist" perspective of health incorporates the devastating impact of historical trauma and ongoing oppression of Als. The model emphasizes cultural strengths, such as the family and community, spirituality and traditional healing practices, and group identity attitudes.
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