Community well being and infectious diseases among Alaska Native communities in the Chugach Region.
OBJECTIVE
This study sought to examine how Native people of the Chugach Region of Alaska perceive their own communities' health and well being, particularly in regard to infectious diseases.


METHODS
Prospective focus group interview survey.


METHODS
During September to December 1999, 12 focus groups were conducted in seven communities in the Chugach Region of Alaska with 97 participants. Using a set of eight questions, information gathered provided insights into the participants' health-related perceptions and provided previously nonexistent baseline data pertaining toTB and hepatitis.


RESULTS
Participants showed a good working knowledge of common infectious diseases. There were misconceptions and a potential for increased knowledge in highly prevalent diseases, but more recently delineated infections in rural Alaska, e.g., respiratory syncvtial virus (RSV), Helicobacter pylori, and less prevalent diseases, e.g., Acquired Immunodeficiency Syndrome (AIDS). The participants expressed a desire for further infectious disease information and dialogue.


CONCLUSIONS
This process can be used to develop a risk assessment tool for medical and clinical providers' use in an effort to increase testing for such infectious diseases as HIV, TB, Hepatitis C, and sexually transmitted diseases (STDs). In this case the authors also produced a STD prevention video for rural Alaska Natives, entitled, Summer Sun Winter Moon.
Speier
T L
TL
Chugochmiut and University of Alaska Anchorage, Department of Psychology, 99508, USA. antls1@uaa.alaska.edu
D000293:Adolescent; D000328:Adult; D000368:Aged; D000413:Alaska / Q000453:epidemiology; D001294:Attitude to Health; D003141:Communicable Diseases / Q000208:ethnology*; D005260:Female; D017144:Focus Groups; D006305:Health Status Indicators; D006801:Humans; D007198:Indians, North American / Q000706:statistics & numerical data*; D007407:Interviews as Topic; D008297:Male; D011446:Prospective Studies