Jordan P. Lewis's research while affiliated with University of Minnesota Duluth and other places

Publications (18)

Article
Full-text available
Predominantly Western-based biomedical models of successful aging have been used to research, understand, and explain successful aging among diverse populations. With an increasingly heterogeneous older adult population nationwide, scholars have been exploring Indigenous understandings of successful aging. To add to the accumulation of knowledge of...
Article
Background This paper explores Indigenous understandings of the progression of dementia through the early/mild, middle/moderate, and late/severe stages of dementia through the experience of on‐reservation dementia care providers. There is scant but growing literature on Indigenous understandings of dementia but to our knowledge none have examined h...
Article
Background There is a cultural value among Alaska Natives to care for their Elders and this commitment applies to all Elders, regardless of health status or cognitive health. Caregiver duties can lead to stress, isolation, and depression that negatively impact their overall health and wellbeing. Despite the challenges, these caregivers emphasized t...
Article
Background Family caregivers are at increased risk for experiencing multiple negative health outcomes, yet unpaid caregivers provide the majority of care for people living with Alzheimer’s disease and related dementias (ADRD). 1‐3 Among Native Hawaiians (NHs), family or ʻohana caregiving is an important and common responsibility. 4,5 As NHs face su...
Article
Background The Memory Keepers Medical Discovery Team (MK‐MDT) was established in 2016 to address brain health equity for Indigenous and rural populations. Indigenous populations are under‐represented in Alzheimer’s disease and related dementias (ADRD) research studies and clinical trials, yet there is a dire need to address ADRD disparities in this...
Article
Background Age is the most significant predictor of Alzheimer’s disease and related dementias (ADRD). Biological age, in contrast to chronological age, is modifiable – shaped by environmental and social factors which contribute to the functional declines observed in aging. Accelerated biological aging has been observed in historically underrepresen...
Article
Background Research with Indigenous populations in North America has consistently demonstrated divergent views on caregiving for people living with dementia (PLWD) compared to Western biomedical approaches. Few studies to date have applied strengths‐based approaches and, as a result, an Indigenous caregiving framework appropriate for on‐reserve/res...
Article
Background Research investigating underrepresented groups’ willingness to engage in research has largely relied on qualitative research and/or specialized samples (e.g., patients’ first‐degree relatives). Moreover, extant quantitative studies include disproportionately small numbers of these participants. This investigation is from an ongoing proje...
Article
Background The proportion of the Native population aged 65+ is projected to increase between 2015 and 2045, from 7‐12%, and informal caregivers and health care providers are ill‐prepared to meet the demand of Alzheimer’s Disease and related disorders (ADRD). There is an increasing urgency to better understand Alaska Native views of ADRD. Method Gu...
Article
Background Native Americans are disproportionately impacted by ADRD, and family caregiving is uniquely significant within Indigenous communities. Caregiving services can improve outcomes but are underutilized, and increasing use of caregiver services is key to addressing the dementia care crisis. Indigenous populations are underrepresented in the A...
Article
Full-text available
Native American communities are disproportionately impacted by Alzheimer’s disease and related dementias and are more likely to identify as family caregivers compared to other racial groups. Caregiver resources such as educational, supportive, and respite services have been shown to decrease burden and improve health outcomes. However, government a...
Article
Full-text available
Successful aging in rural Alaska communities has been established as a characteristic best described by reaching “Eldership,” conveying reverence and respect from the community and implying leadership responsibilities. Most Alaska Native (AN) Elders believe that aging successfully or aging well happens within their home communities. However, limite...
Article
Full-text available
INTRODUCTION: Individuals living in rural communities are at heightened risk for Alzheimer’s disease and related dementias (ADRD), which parallels other persistent place-based health disparities. Identifying multiple potentially modifiable risk factors specific to rural areas that contribute to ADRD is an essential first step in understanding the c...
Article
Introduction: Individuals living in rural communities are at heightened risk for Alzheimer's disease and related dementias (ADRD), which parallels other persistent place-based health disparities. Identifying multiple potentially modifiable risk factors specific to rural areas that contribute to ADRD is an essential first step in understanding the...
Article
Objectives: This paper outlines the unique culturally driven cyclical migration of Alaska Native (AN) Elders, distinct from previously described migration patterns in that Elders spend extended time in more than one community. We describe this Indigenous cyclical migration of AN Elders and its influence on their identity and later life health and...
Article
Full-text available
Background In recent years public health research has shifted to more strengths or asset-based approaches to health research but there is little understanding of what this concept means to Indigenous researchers. Therefore our purpose was to define an Indigenous strengths-based approach to health and well-being research. Methods Using Group Concep...

Citations

... The human brain is a highly intricate organ in the human body: with a complex network of connected neurons, each with thousands of synapses, understanding the many different links and pathways that make the brain function in the ways it does is a demanding task . Two of the major challenges in research into neurodegenerative diseases and dementia manifestations is that distinct brain areas are affected differently, as corroborated by non-invasive multimodal imaging techniques (Aberathne et al., 2023; Cogswell and Fan, 2023;Shimizu et al., 2018), and that multifactorial interactions of genetic, environmental, social and behavioral risk factors modulate phenotypic expression in a nuanced manner (Barati et al., 2022;Dunn et al., 2019;Hamrah et al., 2023;Ribeiro et al., 2023;Wiese et al., 2023). Research driven by human pangenomic methods may open the possibility of looking at the genetic interactions between different brain areas in extreme detail, to better understand how diseases progress and how potential therapies could be developed. ...
... Challenges prompting outmigration from rural to urban Alaskan communities involve barriers to health care, the breakdown of social networks and subsistence lifestyles, the cost of living, and limited employment opportunities (Driscoll et al., 2010;Foutz et al., 2016;Lewis, 2013;Lewis et al., 2023). The extent of these barriers is exemplified in the price of a gallon of milk, $18, and a gallon of gas, up to $16, with the employment rate ranging between 7 -28% (Bureau of Labor Statistics, 2023). ...
... 14 Ensuring respect for and elevation of Indigenous Peoples' brilliance and strengthsbased approaches 14 in advancing culturally grounded solutions for all areas of health will therefore be crucial for addressing the Indigenous determinants of health across all practice areas, levels of healthcare service delivery, research, and health policy. [13][14][15] Additionally, Indigenous Peoples are recognised through varied national and international mechanisms as self-determined peoples, 16 and therefore specific and delineated actions to address the key priority areas shown in the panel should be mobilised on the ground from within Indigenous Peoples' communities and be specific to unique and diverse geopolitical and cultural contexts. ...