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RESEARCH ON CULTURE

RESEARCH ON CULTURE A large amount of research has been conducted among members of the Ameri- can Indian and Alaska Native population. The following study is one example: Strickland, C. J., & Cooper, M. (2011) . Getting into trouble: perspectives on stress and suicide prevention among Pacific Northwest Indian youth. Journal of Transcultural Nursing, 22(3),

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Indian Health Service.

Indian Health Service. HEALTH and ILLNESS in the American Indian and Alaska Native Population ■ 231 The budget for FY 2011 was estimated to be $829 million (U.S. Department of Health and Human Services, Indian Health Service Fact Sheets). The IHS headquarters is located in Rockville, Maryland. Some headquarters’ functions are conducted in IHS offices

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HEALTH and ILLNESS in the American Indian and Alaska Native Population ■ 229

HEALTH and ILLNESS in the American Indian and Alaska Native Population ■ 229 recognized tribes grew out of the special government-to-government relation- ship between the federal government and Indian tribes. This relationship was established in 1787. It is based on Article I, Section 8, of the Constitution and has been given form and substance by

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Urban Problems

Urban Problems More than 50% of American Indians live in urban areas; for example, in Seattle, Washington, there are over 15,000 American Indians. Although this popula- tion is not particularly dense, its rates of diphtheria, tuberculosis, otitis me- dia with subsequent hearing defects, alcohol abuse, inadequate immunization, iron-deficiency anemia, childhood developmental lags, mental health problems

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