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Connecting to Nativeness: The Influence of Women's American Indian Identity on Their Health-Care Decisions Importance de l'autochtonicité: Influence de l'identité des Amérindiennes sur leurs décisions en matière de santé

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Abstract:

American Indian women experience health inequities within the physical, mental, and spiritual realms. Although the purpose of this study was to examine mammography decision-making processes among Native women in the northeastern United States, the role of Native identity in health-care decision-making in general was identified as significant and is therefore being reported independently. The findings of a grounded theory study with 20 American Indian women formed the basis for an examination of the complexities surrounding identity and health-care decision-making. The theme of Connecting to Nativeness reflects the individual and communal influences of Native identity on women's health and health-care decisions. Implications for researchers and clinicians, including the relationship between historical events and current constructions of identity, the fluid nature of identity, and the impact of racism on health-care decisions, are addressed.

French
Les Amérindiennes font face à des injustices sur le plan de la santé physique, mentale, et de la spiritualité. Bien que cette étude ait pour but d'examiner le processus de prise de décision chez les Amérindiennes du Nord-Est des États-Unis en ce qui concerne la mammographie, le rôle joué par l'identité autochtone dans les décisions prises en matière de santé en général a été jugé suffisamment significatif pour faire l'objet d'un rapport distinct. Les résultats d'une étude théorique à base empirique effectuée auprès de 20 Amérindiennes a servi de base à une analyse des complexités entourant la question de l'identité et de la prise de décision en matière de santé. Le thème de l'importance de l'autochtonicité reflète l'influence au plan individuel et collectif de l'identité autochtone sur les décisions prises par les femmes en matière de santé. Le document traite de ses répercussions pour les chercheurs et les cliniciens, notamment les liens entre les événements historiques et la construction de l'identité actuelle, la nature fluide de l'identité et l'impact du racisme sur les décisions relatives à la santé.

Keywords: AMERICAN INDIAN; DECISION-MAKING; GROUNDED THEORY; IDENTITY; NATIVE; RACISM; WOMEN

Document Type: Research Article

Publication date: December 1, 2004

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