{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T05:33:27Z","timestamp":1788327207110,"version":"build-2803163510"},"reference-count":73,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,8,12]],"date-time":"2022-08-12T00:00:00Z","timestamp":1660262400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000057","name":"National Institute of General Medical Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000057","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The American Indian\/Alaska Native (AI\/AN) population in the U.S. is thriving in spite of settler colonialist efforts of erasure. AI\/AN people, however, continue to experience persistent health disparities including a disproportionate burden of substance use and sexually transmitted diseases\/infections (STDs\/STIs), as well as a disproportionate lack of public health STD screening services and STD prevention interventions grounded in AI\/AN social contexts, experiences, and epistemologies. The present study explored how stressors and protective factors based on the Indigenist Stress Coping framework predict STD screening outcomes among Native adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyzed baseline self-report data from 254 Native adults ages 18\u201355 years with recent binge substance use who were enrolled in an evaluation of \u201cEMPWR,\u201d a two-session STD risk reduction program in a rural, reservation-based community in the U.S. Southwest. Logistic regression models with robust variance were used to estimate odds ratios of lifetime STD testing for the theoretical stressors and cultural buffers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A little over half the sample were males (52.5%, <jats:italic>n<\/jats:italic> = 136), with a mean age of 33.6 years (SD = 8.8). The majority (76.7%, <jats:italic>n<\/jats:italic> = 195) reported having ever been screened for STD in their life. Discrimination score were significantly associated with lifetime STD testing: The higher discrimination was associated with lower odds of STD testing in the fully adjusted model (aOR = 0.40, 95%CI: 0.18, 0.92). The effects of AI\/AN-specific cultural buffer such as participation in traditional practices on STD testing outcomes was in the expected positive direction, even though the association was not statistically significant. Household size was significantly associated with STD screening: The higher the number of people lived together in the house, the higher the odds of STD testing in the fully adjusted model (aOR = 1.19, 95%CI: 1.04, 1.38).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our findings suggest that STD prevention programs should take into consideration AI\/AN-specific historical traumatic stressors such as lifetime discrimination encounters and how these interact to drive or discourage sexual health services at local clinics. In addition, larger household size may be a protective factor functioning as a form of social support, and the extended family's role should be taken into consideration. Future research should consider improvement in measurements of AI\/AN enculturation constructs.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2022.829539","type":"journal-article","created":{"date-parts":[[2022,8,12]],"date-time":"2022-08-12T05:10:20Z","timestamp":1660281020000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Predictors of STD Screening From the Indigenist Stress-Coping Model Among Native Adults With Binge Substance Use"],"prefix":"10.3389","volume":"10","author":[{"given":"Maya","family":"Magarati","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel Strom","family":"Chambers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gayane","family":"Yenokyan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Summer","family":"Rosenstock","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Walls","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Slimp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francene","family":"Larzelere","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelita","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Pinal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Tingey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,8,12]]},"reference":[{"key":"B1","unstructured":"JonesN\n            MarksR\n            RamirezR\n            Rios-VargasM\n          2020 Census Illuminates Racial Ethnic Composition of the Country. U.S. Census Bureau2021"},{"key":"B2","volume-title":"Sexually Transmitted Disease Surveillance 2019","year":"2021"},{"key":"B3","volume-title":"Sexually Transmitted Infections: Adopting a Sexual Health Paradigm.","year":"2021"},{"key":"B4","volume-title":"Sexually Transmitted Infections National Strategic Plan for the United States: 2021\u20132025","year":"2020"},{"key":"B5","doi-asserted-by":"publisher","first-page":"S261","DOI":"10.1016\/j.whi.2011.08.005","article-title":"Keeping our hearts from touching the ground: HIV\/AIDS in American Indian and Alaska Native women","volume":"21","author":"Walters","year":"2011","journal-title":"Womens Health Issues"},{"key":"B6","volume-title":"Results from the 2020 National Survey on Drug Use and Health: Detailed Tables","year":"2021"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/13557858.2020.1740177","article-title":"'Empowering our people' to address depression, violence, and sexual risk among Native Americans with recent binge alcohol use","volume":"28","author":"Tingey","year":"2020","journal-title":"Ethn Health."},{"key":"B8","doi-asserted-by":"publisher","first-page":"466","DOI":"10.1097\/OLQ.0000000000001341","article-title":"Collateral damage: a narrative review on epidemics of substance use disorders and their relationships to sexually transmitted infections in the United States","volume":"48","author":"Strathdee","year":"2021","journal-title":"Sex Transm Dis."},{"key":"B9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.5820\/aian.0902.2000.1","article-title":"Patterns and predictors of HIV risk among urban American Indians","volume":"9","author":"Walters","year":"2000","journal-title":"Am Indian Alsk Native Ment Health Res."},{"key":"B10","doi-asserted-by":"publisher","first-page":"390","DOI":"10.1097\/OLQ.0000000000000456","article-title":"Community-based assessment to inform a chlamydia screening program for women in a rural American Indian community","volume":"3","author":"Smartlowit-Briggs","year":"2016","journal-title":"Sex Transm Dis."},{"key":"B11","doi-asserted-by":"publisher","first-page":"947","DOI":"10.1097\/OLQ.0b013e318222f126","article-title":"Identifying opportunities for chlamydia screening among American Indian women","volume":"38","author":"Taylor","year":"2011","journal-title":"Sex Transm Dis."},{"key":"B12","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1177\/00333549101250S409","article-title":"Sexually transmitted diseases among American Indians in Arizona: an important public health disparity","volume":"125","author":"Winscott","year":"2010","journal-title":"Public Health Rep"},{"key":"B13","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1037\/0735-7028.35.1.10","article-title":"Mental health services for Native Americans in the 21st century United States","volume":"35","author":"Gone","year":"2004","journal-title":"Prof Psychol Res Pr."},{"key":"B14","doi-asserted-by":"publisher","first-page":"595","DOI":"10.1097\/01.mlr.0000215901.37144.94","article-title":"Barriers to care among American Indians in public health care programs","volume":"44","author":"Call","year":"2006","journal-title":"Med Care."},{"key":"B15","doi-asserted-by":"publisher","first-page":"819","DOI":"10.1037\/0022-006X.73.5.819","article-title":"Obstacles for rural American Indians seeking alcohol, drug, or mental health treatment","volume":"73","author":"Duran","year":"2005","journal-title":"J Consult Clin Psychol."},{"key":"B16","doi-asserted-by":"publisher","first-page":"1874","DOI":"10.2105\/AJPH.2021.306447","article-title":"Prevention of sexually transmitted diseases and pregnancy prevention among native American youths: a randomized controlled trial, 2016-2018","volume":"111","author":"Tingey","year":"2021","journal-title":"Am J Public Health."},{"key":"B17","doi-asserted-by":"publisher","first-page":"661","DOI":"10.1177\/0956462414552139","article-title":"Self-administered sample collection for screening of sexually transmitted infection among reservation-based American Indian youth","volume":"26","author":"Tingey","year":"2015","journal-title":"Int J STD AIDS."},{"key":"B18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.15585\/mmwr.rr7004a1","article-title":"Sexually transmitted infections treatment guidelines","volume":"70","author":"Workowski","year":"2021","journal-title":"MMWR Recomm Rep"},{"key":"B19","doi-asserted-by":"publisher","first-page":"225","DOI":"10.3389\/fpubh.2018.00225","article-title":"Healthy native youth: improving access to effective, culturally-relevant sexual health curricula","volume":"6","author":"Craig Rushing","year":"2018","journal-title":"Front Public Health"},{"key":"B20","doi-asserted-by":"publisher","first-page":"1087","DOI":"10.1080\/09540121.2015.1028879","article-title":"Respecting the circle of life: one year outcomes from a randomized controlled comparison of an HIV risk reduction intervention for American Indian adolescents","volume":"27","author":"Tingey","year":"2015","journal-title":"AIDS Care."},{"key":"B21","doi-asserted-by":"publisher","first-page":"318","DOI":"10.3389\/fpubh.2018.00318","article-title":"Exploring the role of sex and sexual experience in predicting American indian adolescent condom use intention using protection motivation theory","volume":"6","author":"Chambers","year":"2018","journal-title":"Front Public Health."},{"key":"B22","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1007\/s11121-018-0920-7","article-title":"Sexual health, STI and HIV risk, and risk perceptions among american indian and alaska native emerging adults","volume":"20","author":"Hafner","year":"2019","journal-title":"Prev Sci."},{"key":"B23","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1046\/j.1360-0443.2002.00083.x","article-title":"The role of functional social support in treatment retention and outcomes among outpatient adult substance abusers","volume":"97","author":"Dobkin","year":"2002","journal-title":"Addiction."},{"key":"B24","volume-title":"Indigenous Community: Rekindling the Teachings of the Seventh Fire","author":"Cajete","year":"2015"},{"key":"B25","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1097\/OLQ.0000000000001129","article-title":"Predictors of sexually transmitted infection positivity among substance-using Native American adults","volume":"47","author":"Chambers","year":"2020","journal-title":"Sex Transm Dis."},{"key":"B26","doi-asserted-by":"publisher","first-page":"1979","DOI":"10.1007\/s10508-018-1385-2","article-title":"Predictors of responsiveness among american indian adolescents to a community-based HIV-risk reduction intervention over 12 months","volume":"49","author":"Tingey","year":"2020","journal-title":"Arch Sex Behav."},{"key":"B27","doi-asserted-by":"publisher","first-page":"622","DOI":"10.1097\/OLQ.0000000000001418","article-title":"'Empowering our people: ' impact of a culturally adapted evidence-based intervention on STI risks among native Americans with binge substance use","volume":"48","author":"Tingey","year":"2021","journal-title":"Sex Transm Dis."},{"key":"B28","doi-asserted-by":"publisher","first-page":"366","DOI":"10.1186\/s12889-016-3040-y","article-title":"Testing the efficacy of a brief sexual risk reduction intervention among high-risk American Indian adults: study protocol for a randomized controlled trial","volume":"16","author":"Chambers","year":"2016","journal-title":"BMC Public Health."},{"key":"B29","doi-asserted-by":"publisher","first-page":"1","DOI":"10.4324\/9781003152279-1","article-title":"Mental, physical and social dimensions of health equity and wellness among US indigenous peoples: what is known and next steps","volume":"30","author":"McKinley","year":"2020","journal-title":"J Ethn Cult Divers Soc Work."},{"key":"B30","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1521\/aeap.16.3.187.35441","article-title":"HIV\/AIDS prevention in \u201cIndian country\u201d: current practice, indigenist etiology models, and postcolonial approaches to change","volume":"16","author":"Duran","year":"2004","journal-title":"AIDS Educ Prev."},{"key":"B31","doi-asserted-by":"publisher","first-page":"520","DOI":"10.2105\/AJPH.92.4.520","article-title":"Reconceptualizing native women's health: an \u201cindigenist\u201d stress-coping model","volume":"92","author":"Walters","year":"2002","journal-title":"Am J Public Health."},{"key":"B32","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1093\/sw\/sww065","article-title":"Historical oppression, resilience, and transcendence: can a holistic framework help explain violence experienced by indigenous people?","volume":"62","author":"Burnette","year":"2017","journal-title":"Soc Work."},{"key":"B33","doi-asserted-by":"publisher","first-page":"943","DOI":"10.1093\/bjsw\/bcz041","article-title":"The framework of historical oppression, resilience and transcendence to understand disparities in depression amongst indigenous peoples","volume":"49","author":"Burnette","year":"2019","journal-title":"Br J Soc Work."},{"key":"B34","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1037\/1099-9809.12.3.493","article-title":"The psychology of engagement with indigenous identities: a cultural perspective","volume":"12","author":"Adams","year":"2006","journal-title":"Cultur Divers Ethnic Minor Psychol."},{"key":"B35","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1002\/jcop.20090","article-title":"Family, community, and school influences on resilience among American Indian adolescents in the upper midwest","volume":"34","author":"LaFromboise","year":"2006","journal-title":"J Community Psychol."},{"key":"B36","doi-asserted-by":"publisher","first-page":"16","DOI":"10.5820\/aian.2304.2016.16","article-title":"Identifying sexual health protective factors among Northern Plains American Indian youth: an ecological approach utilizing multiple perspectives","volume":"23","author":"Griese","year":"2016","journal-title":"Am Indian Alsk Native Ment Health Res."},{"key":"B37","doi-asserted-by":"publisher","first-page":"767","DOI":"10.1097\/01.olq.0000260915.64098.cb","article-title":"Within the hidden epidemic: sexually transmitted diseases and HIV\/AIDS among American Indians and Alaska Natives","volume":"34","author":"Kaufman","year":"2007","journal-title":"Sex Transm Dis."},{"key":"B38","doi-asserted-by":"publisher","first-page":"1380","DOI":"10.3109\/10826084.2011.592432","article-title":"Culture and context: buffering the relationship between stressful life events and risky behaviors in American Indian youth","volume":"46","author":"Baldwin","year":"2011","journal-title":"Subst Use Misuse."},{"key":"B39","doi-asserted-by":"publisher","first-page":"778","DOI":"10.1177\/1524839920918551","article-title":"Formative research and cultural tailoring of a substance abuse prevention program for American Indian youth: findings from the intertribal talking circle intervention","volume":"22","author":"Baldwin","year":"2021","journal-title":"Health Promot Pract."},{"key":"B40","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1023\/B:AIBE.0000017524.40093.6b","article-title":"Triangle of risk: urban American Indian women's sexual trauma, injection drug use, and HIV sexual risk behaviors","volume":"8","author":"Simoni","year":"2004","journal-title":"AIDS Behav."},{"key":"B41","doi-asserted-by":"publisher","first-page":"416","DOI":"10.3109\/00952990.2012.694524","article-title":"Advantages of stress process approaches for measuring historical trauma","volume":"38","author":"Walls","year":"2012","journal-title":"Am J Drug Alcohol Abuse."},{"key":"B42","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1080\/15332640.2017.1310640","article-title":"Research with American Indian and Alaska Native populations: measurement matters","volume":"18","author":"Walls","year":"2019","journal-title":"J Ethn Subst Abuse."},{"key":"B43","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1080\/13691050310001645032","article-title":"Stress, trauma, and risky sexual behaviour among American Indians in young adulthood","volume":"6","author":"Kaufman","year":"2004","journal-title":"Cult Health Sex."},{"key":"B44","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1007\/978-1-4419-7482-2_10","article-title":"Dis-placement and Dis-ease: Land, Place, and Health Among American Indians and Alaska Natives","volume-title":"Communities, Neighborhoods, and Health: Expanding the Boundaries of Place","author":"Walters","year":"2011"},{"key":"B45","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1017\/S1742058X1100018X","article-title":"Don't just tell stories, they tell histories: embodiment of historical trauma among American Indians and Alaska Natives","volume":"8","author":"Walters","year":"2011","journal-title":"Du Bois Rev."},{"key":"B46","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1023\/B:AJCP.0000027000.77357.31","article-title":"Conceptualizing and measuring historical trauma among American Indian people","volume":"33","author":"Whitbeck","year":"2004","journal-title":"Am J Community Psychol."},{"key":"B47","doi-asserted-by":"publisher","first-page":"316","DOI":"10.1177\/0886260507312290","article-title":"Historical trauma in American Indian\/Native Alaska communities: a multilevel framework for exploring impacts on individuals, families, and communities","volume":"23","author":"Evans-Campbell","year":"2008","journal-title":"J Interpers Violence."},{"key":"B48","doi-asserted-by":"publisher","first-page":"114574","DOI":"10.1016\/j.socscimed.2021.114574","article-title":"Cultural trauma as a fundamental cause of health disparities","volume":"292","author":"Subica","year":"2022","journal-title":"Soc Sci Med."},{"key":"B49","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1111\/jcap.12222","article-title":"Native American adolescent narrative written stories of stress","volume":"32","author":"Lowe","year":"2019","journal-title":"J Child Adolesc Psychiatr Nurs."},{"key":"B50","doi-asserted-by":"publisher","first-page":"1313","DOI":"10.1007\/s11136-012-0278-4","article-title":"Erratum to: Interpersonal discrimination and health-related quality of life among black and white men and women in the United States","volume":"22","author":"Sellers","year":"2013","journal-title":"Qual Life Res."},{"key":"B51","doi-asserted-by":"publisher","first-page":"531","DOI":"10.1037\/a0016059","article-title":"Perceived discrimination and health: a meta-analytic review","volume":"135","author":"Pascoe","year":"2009","journal-title":"Psychol Bull."},{"key":"B52","doi-asserted-by":"publisher","first-page":"715","DOI":"10.1080\/00952990.2016.1181762","article-title":"Risk and protective factors for heavy binge alcohol use among American Indian adolescents utilizing emergency health services","volume":"42","author":"Tingey","year":"2016","journal-title":"Am J Drug Alcohol Abuse."},{"key":"B53","unstructured":"Tribal self-determination at the crossroads777\n            WashburnKK\n          Conn Law Rev.382006"},{"key":"B54","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1146\/annurev-publhealth-040218-043750","article-title":"Racism and health: evidence and needed research","volume":"40","author":"Williams","year":"2019","journal-title":"Annu Rev Public Health."},{"key":"B55","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1111\/jrh.12589","article-title":"Empowering our people: Predictors of retention in an STI risk reduction program among rural Native Americans with binge substance use","volume":"38","author":"Tingey","year":"2021","journal-title":"J Rural Health."},{"key":"B56","doi-asserted-by":"publisher","first-page":"A260","DOI":"10.1136\/sextrans-2019-sti.653","article-title":"Predictors of sexually transmitted infection screening among binge alcohol using native american adults","volume":"95","author":"Chambers","year":"2019","journal-title":"Sex Transm Infect."},{"key":"B57","doi-asserted-by":"publisher","first-page":"771","DOI":"10.1097\/OLQ.0000000000001078","article-title":"Investigating multiple-reported bacterial sexually transmitted infection hot spot counties in the United States: ordered spatial logistic regression","volume":"46","author":"Owusu-Edusei","year":"2019","journal-title":"Sex Transm Dis."},{"key":"B58","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1037\/cdp0000049","article-title":"The historical loss scale: longitudinal measurement equivalence and prospective links to anxiety among North American indigenous adolescents","volume":"22","author":"Armenta","year":"2016","journal-title":"Cultur Divers Ethnic Minor Psychol."},{"key":"B59","doi-asserted-by":"publisher","first-page":"1387","DOI":"10.2105\/AJPH.2015.302556","article-title":"Regularly drinking alcohol before sexual activity in a nationally representative sample: prevalence, sociodemographics, and associations with psychiatric and substance use disorders","volume":"105","author":"Eaton","year":"2015","journal-title":"Am J Public Health."},{"key":"B60","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1093\/hsw\/36.1.33","article-title":"Substance use and mental health problems as predictors of HIV sexual risk behaviors among adolescents in foster care","volume":"36","author":"Thompson RG","year":"2011","journal-title":"Health Soc Work."},{"key":"B61","volume-title":"Mental Health and Substance use Co-occurring Disorders","year":""},{"key":"B62","volume-title":"Indian Health Service: Health Care Services Are Not Always Available to Native Americans","year":"2005"},{"key":"B63","doi-asserted-by":"publisher","first-page":"984","DOI":"10.1007\/s10461-018-2372-2","article-title":"Experiences of the HIV cascade of care among indigenous peoples: a systematic review","volume":"23","author":"Jongbloed","year":"2019","journal-title":"AIDS Behav."},{"key":"B64","volume-title":"Which STD Tests Should I Get?","year":"2021"},{"key":"B65","doi-asserted-by":"publisher","first-page":"400","DOI":"10.2307\/3090234","article-title":"Perceived discrimination, traditional practices, and depressive symptoms among American Indians in the upper midwest","volume":"43","author":"Whitbeck","year":"2002","journal-title":"J Health Soc Behav."},{"key":"B66","doi-asserted-by":"publisher","first-page":"16","DOI":"10.5820\/aian.1603.2009.16","article-title":"Depressed affect and historical loss among North American Indigenous adolescents","volume":"16","author":"Whitbeck","year":"2009","journal-title":"Am Indian Alsk Native Ment Health Res."},{"key":"B67","doi-asserted-by":"publisher","first-page":"416","DOI":"10.3389\/fpsyg.2019.00416","article-title":"Traumatic experiences, perceived discrimination, and psychological distress among members of various socially marginalized groups","volume":"10","author":"Matheson","year":"2019","journal-title":"Front Psychol."},{"key":"B68","doi-asserted-by":"publisher","first-page":"1431","DOI":"10.1111\/1475-6773.13224","article-title":"Discrimination in the United States: Experiences of Native Americans","volume":"54","author":"Findling","year":"2019","journal-title":"Health Serv Res."},{"key":"B69","doi-asserted-by":"publisher","first-page":"732","DOI":"10.1177\/2167702616645795","article-title":"A cautionary tale: examining the interplay of culturally specific risk and resilience factors in indigenous communities","volume":"4","author":"Walls","year":"2016","journal-title":"Clin Psychol Sci."},{"key":"B70","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1007\/s11121-018-0952-z","article-title":"Growing from our roots: strategies for developing culturally grounded health promotion interventions in American Indian, Alaska Native, and native hawaiian communities","volume":"21","author":"Walters","year":"2020","journal-title":"Prev Sci."},{"key":"B71","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1097\/01.NPR.0000666188.79797.a7","article-title":"Health disparities in American Indians\/Alaska Natives: implications for nurse practitioners","volume":"45","author":"Carron","year":"2020","journal-title":"Nurse Pract."},{"key":"B72","doi-asserted-by":"publisher","first-page":"953","DOI":"10.1080\/03630242.2019.1584144","article-title":"Use of sexual health services among American Indian and Alaska native women","volume":"59","author":"Cahn","year":"2019","journal-title":"Women Health."},{"key":"B73","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1363\/psrh.12034","article-title":"American Indian and Alaska native men's use of sexual health services, 2006-2010","volume":"49","author":"Cahn","year":"2017","journal-title":"Perspect Sex Reprod Health."}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2022.829539\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,12]],"date-time":"2022-08-12T05:10:38Z","timestamp":1660281038000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2022.829539\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,12]]},"references-count":73,"alternative-id":["10.3389\/fpubh.2022.829539"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2022.829539","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,12]]},"article-number":"829539"}}