0
ARTICLE |

Alcohol-Related Deaths of American Indians

Robert P. Gibb, MD
JAMA. 1992;268(23):3317. doi:10.1001/jama.1992.03490230047023.
Text Size: A A A
Published online

To the Editor.  —The article on pedestrian and hypothermic deaths among Native Americans in New Mexico1 parallels the experience of the Whatcom County Medical Examiner's Office in Northwest Washington. In our community the incidence of sexual assault of Native American women2 and homicide of and by Native American women is similarly disproportionate. Alcohol is similarly a major feature in these assaults.At issue is the statement that was made in the accompanying Editorial that "the surrounding communities and individuals must recognize tribal sovereignty" and the conclusion that "[t]he strategy for solving alcohol-related problems must be comprehensive and must acknowledge tribal sovereignty."3As long as the American Indian community insists on being considered a third world nation, demanding special social and economic welfare-type handouts, a significant segment of its population will perceive themselves as second-rate citizens and seek escape in self-destructive social and health behavioral practices. Poor self-esteem,

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();