Clinical Topics & Methods Category

Social Determinants of Health Among American Indians and Alaska Natives and Tribal Communities

Comparison with Other Major Racial and Ethnic Groups in the United States, 1990-2022

1.5 CE Hour
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About the Course

This continuing education course is based on the peer-reviewed journal article by the same title published in 2024 in the International Journal of Maternal and Child Health and AIDS (Singh et al., 2024). This course examines the social determinants of health and disease outcomes among American Indians and Alaska Natives (AIANs), tribal communities, and other population groups in the United States. The current study (Singh et al., 2024) analyzed comprehensive national data from the 1990 to 2022 National Vital Statistics System, the 2015-2022 American Community Survey, and the 2018-2020 Behavioral Risk Factors Surveillance System. Participants will explore persistent health inequities and socioeconomic disparities affecting AIAN populations, including life expectancy, infant mortality, disability, poverty, and access to healthcare. The course highlights the impact of historical trauma, the COVID-19 pandemic, and the digital divide on health outcomes, and compares AIAN health indicators with those of other major racial and ethnic groups in the United States. Participants will be able to identify and discuss the unique challenges faced by AIAN communities and analyze evidence-based policy and practice strategies to promote health equity and improve well-being in tribal populations. This course is appropriate for psychologists, counselors, social workers, and marriage and family therapists at all levels of learning.

This course is based on the reading online article, Social Determinants of Health Among American Indians and Alaska Natives and Tribal Communities created by Gopal K. Singh, PhD, MS, MSc, DPS et al in 2024.

Publication Details

Publication Date: Singh, G. K., Lee, H., Kim, L. H., & Williams, S. D. (2024). International Journal of Maternal and C

Course Material Authors

Course Material Authors authored the material only, and were not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.

Gopal K. Singh, PhD, MS, MSc, DPS

Dr. Gopal K. Singh is an international epidemiologist specializing in global health, health policy, and health disparities. Dr. Singh is affiliated with the Center for Global Health and Health Policy at Global Health and Education Projects, Inc., in Riverdale, Maryland. Dr. Singh serves as a Director of the GHEP Board. He has over 20 years of research and practice experience in global health inequalities, socioeconomic determinants of health and mortality, child health disparities by ethnicity and socioeconomic deprivation, obesity and physical activity, immigrant health, and spatial and time trends in cancer incidence and mortality. He has published over 100 peer-reviewed articles and two books in the areas of health inequalities, immigrant health, obesity and physical activity, minority health, cancer epidemiology, and maternal and child health (MCH). For more information, please visit https://globalhealthprojects.org/gopal-k-singh-phd-2/.

Hyunjung Lee, PhD, MS, MPP, MBA

Dr. Hyunjung Lee is affiliated with the Department of Public Policy and Public Affairs, John McCormack Graduate School of Policy and Global Studies, University of Massachusetts Boston, Boston, MA. Dr. Lee is a principal scientist in the Cancer Disparity Research team within the Surveillance, Prevention, & Health Services Research (SPHeRe) department at the American Cancer Society (ACS). Her research focuses on social, biological, structural and behavioral determinants of cancer disparities among vulnerable populations. She particularly focuses on social and environmental conditions that can be changed through policy action. For more information, please visit https://www.cancer.org/research/acs-researchers/hyunjung-lee-bio.html.

Anna Hollis, PhD

Anna Hollis, Ph.D., NCSP, is a nationally certified School Psychologist, currently practicing in Detroit, Michigan. She is licensed as a psychologist and certified as a school psychologist to practice in 2 states (Michigan and South Carolina). She is a member of the National Association of School Psychologists (NASP); the Michigan Association of School Psychologists (MASP); and the Association for Contextual Behavioral Science (ACBS). Dr. Hollis obtained her Ph.D. in School Psychology from the University of South Carolina. Her professional interests include Acceptance and Commitment Therapy (ACT); Positive Psychology; Trauma-Informed Practice; and Urban School Psychology. 

Target Audience

This course is intended for Behavioral Health and Addictions professionals, including psychologists, social workers, counselors, marriage & family therapists, art therapists, school psychologists, psychoanalysts, music therapists, behavior analysts, and addiction counselors. It is appropriate for all levels of knowledge.

Learning Objectives

After taking this activity, you should be able to:

  1. 1 Describe and discuss social determinants of health affecting American Indian and Alaska Native (AIAN) populations, including socioeconomic status, education, healthcare access, and environmental conditions.
  2. 2 Identify major health disparities experienced by AIAN communities in comparison with other racial and ethnic groups in the United States.
  3. 3 List and discuss barriers to healthcare access and health-promoting resources within tribal communities, including geographic, technological, and policy-related challenges.
  4. 4 Identify and discuss strategies and policy considerations to support health equity and improve outcomes for American Indian and Alaska Native (AIAN) communities.

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CE Learning Systems adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CE activity – including faculty, planners, reviewers, or others ― are required to disclose all relevant financial relationships with ineligible entities (formerly known as commercial interests).

The following relevant financial relationships have been disclosed by this activity's planners, faculty, and the reviewer:

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The planners of this activity have reported that they have no relevant financial relationships.

Material Authors

Any relevant financial disclosures for course material authors can be found in the article.

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