Dapice Ann N
J Transcult Nurs. 2006 Jul;17(3):251-60. doi: 10.1177/1043659606288383.
Accidents, violence, and certain chronic diseases kill American Indians greatly out of proportion to other racial groups. Complex interactions between previously adaptive survival mechanisms, historical and cultural factors, and U.S. policy must be understood to respond effectively to these health issues. The traditional medicine wheel provides a conceptual framework that is culturally grounded and also supported by solid scientific research. Research related to complex neuroendocrine and behavioral responses to the stressors of life provides a basis for effective treatment programs for American Indians.
意外事故、暴力以及某些慢性疾病导致美国印第安人的死亡率与其他种族群体相比极不相称。必须理解先前适应性生存机制、历史文化因素和美国政策之间的复杂相互作用，才能有效应对这些健康问题。传统的药轮提供了一个基于文化且有坚实科学研究支持的概念框架。与对生活压力源的复杂神经内分泌和行为反应相关的研究为美国印第安人的有效治疗方案提供了基础。
