title: Connecting to nativeness: the influence of women's American Indian identity on their health-care decisions.
abstract: American Indian women experience health inequities within the physical, mental, and spiritual realms. Although the purpose of this study was to examine mammography decision-making processes among Native women in the northeastern United States, the role of Native identity in health-care decision-making in general was identified as significant and is therefore being reported independently. The findings of a grounded theory study with 20 American Indian women formed the basis for an examination of the complexities surrounding identity and health-care decision-making. The theme of Connecting to Nativeness reflects the individual and communal influences of Native identity on women's health and health-care decisions. Implications for researchers and clinicians, including the relationship between historical events and current constructions of identity, the fluid nature of identity, and the impact of racism on health-care decisions, are addressed.
authors.affiliation: Department of Nursing, College of Nursing and Health Sciences, University of Vermont, Burlington 05405-0068, USA. Mary.Canales@uvm.edu
authors.forename: Mary K
authors.initials: MK
authors.lastname: Canales
mesh_terms: D003657:Decision Making; D005260:Female; D006801:Humans; D007198:Indians, North American / Q000208:ethnology*; D008327:Mammography; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D012933:Social Identification; D014481:United States