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April 2002, Vol 92, No. 4 | American Journal of Public Health 520-524
© 2002 American Public Health Association

FUTURE HEALTH NEEDS OF WOMEN OF COLOR

Reconceptualizing Native Women's Health: An "Indigenist" Stress-Coping Model

Karina L. Walters, PhD, MSW and Jane M. Simoni, PhD

Karina L. Walters is with the School of Social Work, University of Washington, Seattle. Jane M. Simoni is with the Department of Psychology, University of Washington.

Correspondence: Requests for reprints should be sent to Karina L. Walters, PhD, MSW, School of Social Work, University of Washington, 4101 15th Ave NE, Seattle, WA 98105-6299 (e-mail: kw5{at}u.washington.edu).

This commentary presents an "indigenist" model of Native women's health, a stress-coping paradigm that situates Native women's health within the larger context of their status as a colonized people. The model is grounded in empirical evidence that traumas such as the "soul wound" of historical and contemporary discrimination among Native women influence health and mental health outcomes. The preliminary model also incorporates cultural resilience, including as moderators identity, enculturation, spiritual coping, and traditional healing practices.

Current epidemiological data on Native women's general health and mental health are reconsidered within the framework of this model.




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