ultural Competence: What Is Needed in orking With Native Americans With IV/AIDS?
نویسنده
چکیده
S W M A merican Indian and Alaskan Native (AI/AN) peole have a unique culture that is misunderstood by any health care professionals. There are nearly 2.5 illion AI/ANs living in the United States in 300 ifferent tribal or language groups and governed by 69 different tribal governments (U.S. Census Bueau, 2002). The myriad of ethnicities within the opulation labeled AI/AN or Native American makes t difficult to identify the scope of the HIV/AIDS roblem under today’s system of classification. hroughout the evolution of the health care system, I/AN populations have experienced, as have other inorities, less than adequate attention with regard to pecific and culturally appropriate treatment and preention programs (Dickey, Tafoya, & Wirth, 2003). erhaps nowhere is this more evident than in the area f HIV/AIDS prevention and treatment. In 2000, then-U.S. Surgeon General David Satcher ssued a call for action on the HIV/AIDS crisis in I/AN communities. He stated an urgent need mong Native communities as well as federal and tate organizations and community health care proiders to work together in an effort to fight the IV/AIDS epidemic and to bring awareness to comunity members (Satcher, 2000). According to the enters for Disease Control and Prevention (CDC, 002), as of December 2002, there were 2,875 AIDS ases among AI/ANs. However, although the actual umber of reported HIV/AIDS cases among Native mericans is relatively low, in this small population, he number is alarming. The number of AIDS cases I
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