The purpose of this study was to examine factors that contribute to levels of independent activity functioning among a group of elder Navajos. Data were collected from a sample of Navajo elders from Tuba City, Arizona, and a health assessment survey was administered. Multiple regression analysis was used to examine the effects of social support and demographic factors on levels of independent activity functioning, such as bathing, toileting, dressing, eating, walking, and getting in and out of bed. The results indicated that assistive devices, marital status, the frequency of visits to Tuba City, and visits to the elders significantly affected independent activity functioning. Although other factors of social support were not significant, it appeared that visiting Tuba City and visits to the elders in their homes were important factors in maintaining higher levels of independent activity functioning among elder Navajos. Implications for practice, policy, and future research are discussed.
Alemán, S., T.R. Fitzpatrick, T.V. Tran, and E.W. Gonzalez.2000. Therapeutic Interventions With Ethnic Elders: Health and Social Issues. New York: Haworth.
2.
Alemán, S. and H. Nawrocki.2000. Elder Assessment Final Report. Tuba City: Arizona Community Foundation and Health Promotion/Disease Prevention Program, Tuba City Indian Medical Center.
3.
Bauer, T. and C.R. Barron.1995. "Nursing Interventions for Spiritual Care: Preferences of Community Based Elderly." Journal of Holistic Nursing13:268-79.
4.
Berggren-Thomas, P. and M. Griggs.1995. "Spirituality in Aging: Spiritual Need or Spiritual Journey." Journal of Gerontological Nursing21:5-10.
5.
Buchwald, D., S. Tomita, S. Hartman, R. Furman, M. Dudden, and S.M. Manson.2000. "Physical Abuse of Urban Native Americans ." Journal of General Internal Medicine15:562-64.
6.
Chapleski, E.E., P.A. Lichtenberg, J.W. Dwyer, L.M. Youngblade, and P.F. Tsai.1997. "Morbidity and Comorbidity Among Great Lakes American Indians: Predictors of Functional Ability." The Gerontologist37:588-97.
7.
Csordas, T.J.2000. "The Navajo Healing Project." Medical Anthropology Quarterly14:463-75.
8.
Fehring, R.J., J.F. Miller, and C. Shaw.1997. "Spirituality, Well-Being, Religiosity, Hope, and Depression and Other Mood States in Elderly People Coping With Cancer ." Oncology Nursing Forum24:663-71.
9.
Jervis, L.L., M.Y. Jackson, and S.M. Manson.2002. "Need for, Availability of, and Barriers to the Provision of Long-Term Care Services for Older American Indians" Journal of Cross-Cultural Gerontology17:295-331.
10.
Jervis, L.L. and S.M. Manson.2007. "Cognitive Impairment, Psychiatric Disorders, and Problematic Behaviors in a Tribal Nursing Home." Journal of Aging and Health19:260-74.
11.
John, R., D.S. Kerby, and C.H. Hennessy.2003. "Patterns and Impact of Comorbidity and Multimorbidity Among Community-Resident American Indian Elders." The Gerontologist43:649-60.
12.
Kunitz, S.J. and J.E. Levy.1991. "Social Organization, Morbidity, and Hospital Use" Pp. 28-53 in Navajo Aging, edited by S. J. Kunitz and J. E. Levy.Tucson: University of Arizona Press.
13.
Lusk, P. and P. Holst.2001. "Occupational Health Nursing With Navajo Workers." Journal of the American Association of Occupational Health Nurses49:27-34.
14.
McCabe, M.1995. "Long-Term Care and the Navajo Elder." Journal of Long-Term Home Health Care14:11-18.
15.
Meisenhelder, J.B., and E.N. Chandler.2000. "Faith, Prayer and Health Outcomes in Elderly Native Americans." Clinical Nursing Research9:191-203.
16.
Mercer, S.O.1996. "Navajo Elderly People in a Reservation Nursing Home: Admission Predictors and Cultural Care Practices." Social Work41:181-89.
17.
Peña, S., S. Alemán, and C. Beyal.2000. "Navajo Elders" Pp. 171-90 in Therapeutic Interventions With Ethnic Elders: Health and Social Issues, edited by S. Alemán, T. R. Fitzpatrick, T. V. Tran, and E. W. Gonzalez.New York: Haworth.
18.
Plawecki, H.M., T.R. Sanchez, and J.A. Plawecki.1994. "Cultural Aspects of Caring for Navajo Indian Clients." Journal of Holistic Nursing12:291-306.
19.
Saleebey, D.1997. The Strengths Perspective in Social Work Practice . 2nd ed. New York: Longman .
20.
Smith, J., R.D. Weedle, and P.S. Easton.2006. "Benefits of Rural Elders Remaining in Home Villages: Alaskan Inupiaq Elders > Age 50 Had Lower Nutritional Risk and Higher Physical Functioning Than Urban Contemporaries" Journal of the American Dietetic Association106:A18.
21.
Thompson, J.L., P. Allen, L. Cunningham-Sabo, D.A. Yazzie, M. Curtis, and S.M. Davis.2002. "Environmental, Policy, and Cultural Factors Related to Physical Activity in Sedentary American Indian Women." Women Health36:56-74.
22.
Thompson, J.L., V.K. Wolfe, N. Wilson, M.N. Pardilla, and G. Perez.2003. "Personal, Social and Environmental Correlates of Physical Activity in Native American Women" American Journal of Preventative Medicine25:53-60.
23.
U.S. Census Bureau.2002. "American Indian and Alaska Native Populations Selected by Tribe: 2000" Retrieved from http://www.census.gov/prod/2002pubs/c2kbrol-15.pdf.
24.
Waller, M.A.2001. "The Spiritual Dimension for Assessing Human Functioning " Pp. 9-11 in Human Behavior in the Social Environment: A Multidimensional Perspective , 2nd ed., edited by J. Ashcroft, C. LeCroy, and E. Lorties.Pacific Grove, CA: Brooks/Cole.
25.
Waller, M.A. and S. Patterson.2002. "Natural Helping and Resilience in a Diné (Navajo) Community." Families in Society: The Journal of Contemporary Human Services83:73-84.
26.
Young, C. and C. Koopsen , eds. 2005. Spirituality, Health, and Healing . Thorofare, NJ: Slack.
