{"doi":"10.1007/s40615-025-02387-9","title":"Change in Health Status Among American Indian/Alaska Native Adolescents Living Outside of Tribal Land in California Before and During the COVID-19 Pandemic","abstract":null,"journal":"Journal of Racial and Ethnic Health Disparities","year":2026,"id":661566,"datarank":0.10397207708399181,"base_score":0.6931471805599453,"endowment":0.6931471805599453,"self_citation_contribution":0.10397207708399181,"citation_network_contribution":0.0,"self_endowment_contribution":0.10397207708399181,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1727107,"name":"Elizabeth J. D.’Amico","orcid":null,"position":1,"is_corresponding":false},{"id":921445,"name":"David J. Klein","orcid":"0000-0003-0235-4665","position":2,"is_corresponding":false},{"id":241439,"name":"Anthony Rodriguez","orcid":"0000-0001-9485-0003","position":3,"is_corresponding":false},{"id":188042,"name":"Lu Dong","orcid":null,"position":4,"is_corresponding":false},{"id":1089766,"name":"Ryan Brown","orcid":"0000-0003-0851-0243","position":5,"is_corresponding":false},{"id":890636,"name":"Carrie L. Johnson","orcid":"0000-0001-7327-1248","position":6,"is_corresponding":false},{"id":1727110,"name":"Wendy M. Troxel","orcid":null,"position":7,"is_corresponding":false},{"id":890633,"name":"Daniel L. Dickerson","orcid":"0000-0001-7094-091X","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Change in Health Status Among American Indian/Alaska Native Adolescents Living Outside of Tribal Land in California Before and During the COVID-19 Pandemic","abstract":"<h4>Purpose</h4>This article describes change in health status by analyzing key health domains at two time points before and during the COVID-19 pandemic among a sample of American Indian/Alaska Native (AI/AN) adolescents living outside of tribal land (n = 114) throughout California.<h4>Methods</h4>Data were analyzed from a longitudinal study, Native American Youth Sleep Health and Wellness (NAYSHAW). To test changes in health from baseline (March 2018-March 2020) to follow-up (December 2020-June 2022), we ran a series of linear regression models for continuous measures and repeated measures logistic regression models for dichotomous measures for physical health, behavioral health, and cultural contexts of health and well-being.<h4>Results</h4>For physical health, body mass index percentile significantly decreased (p = 0.02), and both systolic and diastolic blood pressure significantly increased (p < 0.001 for both), although both measures remained within the normal range for adolescents. For behavioral health, depression and anxiety significantly increased (p = 0.005 and 0.008, respectively), although they remained within subclinical levels, and no significant changes were observed with alcohol and cannabis use. For cultural contexts of health and well-being, both cultural identity and sense of historical loss significantly increased (p < 0.001 and p = 0.03, respectively).<h4>Discussion</h4>We observed a mix of positive and negative health changes among AI/AN adolescents living outside of tribal land before and during COVID-19. Findings highlight that enhanced cultural identity during adolescence may have helped foster resilience during this difficult period.","is_dataset_classified":null,"base_score":0.0,"endowment":0.0,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"40106184","pmcid":"PMC12353831","openalex_id":null,"authors":[],"funders":[{"funder_name":"National Institute on Minority Health and Health Disparities","grant_id":"R01MDO1219","title":null},{"funder_name":"NIMHD NIH HHS","grant_id":"R01 MD012190","title":null}],"total_grants":2,"fwci":null,"citation_percentile":null,"influential_citations":0,"citation_trend":[],"oa_status":"green","license":"https://www.springernature.com/gp/researchers/text-and-data-mining","oa_locations":[{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12353831","host_type":"repository"},{"url":"https://link.springer.com/content/pdf/10.1007/s40615-025-02387-9.pdf","host_type":"publisher"},{"url":"https://link.springer.com/article/10.1007/s40615-025-02387-9","host_type":"publisher"}],"fields_of_study":[],"mesh_terms":["Humans","Longitudinal Studies","Health Status","Adolescent","California","Female","Male","Alaska Natives","COVID-19","SARS-CoV-2","American Indian or Alaska Native"],"keywords":["Urban","Health Status","American Indians","Alaska Natives"],"sdg_mappings":[],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[{"name":"doi"}],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-12T11:14:30.686298Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}