Access to communicable disease preventive care for a vulnerable Native American population: Indiana's Pow Wow Opportunities for Non-reservation based services
Background: 102 Indiana NA adults completed a self-administered questionnaire (2014-2015). They are 60% female, mean age 47.7 years, who identify as NA, and represent 50+ tribal affiliations.
Perceived sexually transmitted infection (STI) Risk: Asked about perceived risk for unspecified STIs, only 5% felt “at risk”. However, 54% had been tested for HIV; 65% knew their HIV status, and over 60% were aware of “human papilloma virus (HPV)”. Those “ever tested for HIV” (<.03), or recognizing HPV (p=.01) were significantly younger than untested, or non-aware counterparts.
Vaccine and screening acceptance: The majority (72%) viewed offered vaccinations at NA-events as a “valuable health service”. Nearly 40% would accept vaccines, with those willing to accept being significantly younger than those who would decline [p=.04 to p=.001, depending on vaccine]. Over 70% would accept finger stick hepatitis screenings. A majority (64%) thought “NA community members” would participate in confidential, low-cost STI testing; 42% would personally participate in such services.
Conclusions: NA-sponsored events are an accepted venue for communicable disease prevention services in this vulnerable population. While older individuals perceive lower risk than younger participants, the majority felt the pow wow an appropriate place for education and services.
Learning Areas:Diversity and culture
Planning of health education strategies, interventions, and programs
Protection of the public in relation to communicable diseases including prevention or control
Provision of health care to the public
Public health or related nursing
Public health or related research
Describe two criteria for Native American acceptance of prevention services at Native community-sponsored events.
Keyword(s): Native Americans, STDs/STI
Qualified on the content I am responsible for because: I have been carrying out Native American health access research for past two years. I also have experience in sexually transmitted infections and care as a researcher and as a primary care nurse practitioner. I have been a public health nurse researcher for past 7 years and have completed research in communicable diseases.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.