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Mike Mitka

JAMA. 2002;288:1834-1837.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

While people in any sector of society in the United States may encounter such problems as substance abuse and domestic violence, American Indian and Alaskan Native communities appear to be disproportionately affected (Health, United States, 2002, With Chartbook on Trends in the Health of Americans, National Center for Health Statistics, Hyattsville, Md, August 2002). For reasons that are both historical (loss of cultural identity, for example) and ongoing (such as prejudice and poverty), these problems have persisted, despite numerous attempts at intervention, among Indians on reservations and in cities.

Thomas Parker, MSW, a social services supervisor at Gerald L. Ignace Indian Health Center in Milwaukee, Wis, said one reason for the persistence of these behaviors is a lack of cultural awareness on the part of many physicians and other health care providers who might be expected to help. Their inability to relate to Native American . . . [Full Text of this Article]

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