American Indian elders are more likely to be uninsured and to suffer from greater morbidities, poorer health outcomes and quality of life, and lower life expectancies compared to all other aging populations in the U.S. Since 2014, the Patient Protection and Affordable Care Act, plus state Medicaid expansion, has made it possible for American Indian elders who are not yet eligible for Medicare to benefit from healthcare coverage. Even so, the elders must still navigate a complicated and rapidly changing healthcare environment.
Funded by the National Institute on Minority Health and Health Disparities grant number R01MD010292, this community-driven study features a mixed-method, participatory design to examine help-seeking behavior and healthcare experiences of American Indian elders in New Mexico, in order to develop and evaluate a tailored intervention to enhance knowledge of, access to, and use of insurance and available services to reduce healthcare disparities. This study includes qualitative and quantitative interviews combined with concept mapping and focus groups with American Indian elders and other key stakeholders.
Additional PIRE Investigators
- Mary Bowanie
- Shannon Fluder
- Emily A. Haozous, Ph.D., R.N., FAAN
- Kim Zamarin, M.P.H.
Jaramillo, E. T., Willging, C., Haozous, E., Verney, S. P., Lujan, E. (2019). 'Speak your mind and heart in the Indian way': Wellness and agency among American Indian elders. In Page-Reeves, J (Eds.), Wellbeing as a Multidimensional Concept: Understanding Connections between Culture, Community, and Health. 193-212. Lanham, MD: Lexington Books of Rowman & Littlefield.
Sommerfeld, D. H., Jaramillo, E. T., Lujan, E., Haozous, E., Willging, C. E. (2019). Health Care Access and Utilization for American Indian Elders: A Concept-Mapping Study. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences DOI: 10.1093/geronb/gbz112 https://www.ncbi.nlm.nih.gov/pubmed/31587056
Willging, C. E., Sommerfeld, D. H., Jaramillo, E. T., Lujan, E., Bly, R. S., Debenport, E. K., Verney, S. P., Lujan, R. (2018). Improving Native American elder access to and use of health care through effective health system navigation. BMC Health Services Research, 18 (1) 464. DOI: 10.1186/s12913-018-3182-y PMCID: PMC6006994 https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-018-3182-y