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Diné traditional medicine use and wellbeing among navajo adults during the COVID-19 pandemic: A cross-sectional study.

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Titel: Diné traditional medicine use and wellbeing among navajo adults during the COVID-19 pandemic: A cross-sectional study.
Autoren: Begay RL; Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, The University of Arizona, Tucson, Arizona, United States of America., Brown HE; Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, The University of Arizona, Tucson, Arizona, United States of America., Sanderson PR; Department of Health Sciences, College of Health and Human Services, Northern Arizona University, Flagstaff, Arizona, United States of America., Harris RB; Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, The University of Arizona, Tucson, Arizona, United States of America.
Quelle: PloS one [PLoS One] 2025 Dec 05; Vol. 20 (12), pp. e0337427. Date of Electronic Publication: 2025 Dec 05 (Print Publication: 2025).
Publikationsart: Journal Article
Sprache: English
Info zur Zeitschrift: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
Imprint Name(s): Original Publication: San Francisco, CA : Public Library of Science
MeSH-Schlagworte: COVID-19*/epidemiology , COVID-19*/virology , COVID-19*/psychology , Medicine, Traditional*/statistics & numerical data , Medicine, Traditional*/methods , American Indian or Alaska Native*/psychology, Humans ; Cross-Sectional Studies ; Male ; Female ; Adult ; Middle Aged ; SARS-CoV-2/isolation & purification ; Surveys and Questionnaires ; Pandemics ; Young Adult ; Aged
Abstract: Objective: To assess perceptions of the impact of the COVID-19 pandemic on access, utilization, and perceived quality of Diné traditional medicine and healing (DTM) and psychosocial wellbeing among members of the Navajo Nation.
Methods: From May to October 2021, a convenience sample of 153 self-identified Navajo participants were recruited to complete a cross-sectional survey. We developed the survey to gather sociodemographic participant information and explored the perceived impact of the COVID-19 pandemic on Navajo Nation members' access, utilization, and quality of health care (including DTM practices), employment and finances, and psychosocial wellbeing. Data were analyses using descriptive statistics and Wilcoxon matched-pairs signed-rank test with comparisons made by DTM use.
Results: We found that nearly half (n = 74, 48.7%) of the study sample reported use of Diné traditional medicine (DTM) or healing during the COVID-19 pandemic. There were no significant differences (P > 0.05) in history of a prior positive COVID-19 test between DTM users and non-users. DTM users indicated that the COVID-19 pandemic had minimal impact on the barriers or issues such as transportation, elder-/childcare or appointment availability they faced in receiving DTM care or healing (P > 0.05 on all pre- vs mid-pandemic scores) and scored higher on the COVID-19 Risk Factor Score than non-users (P = 0.01).
Conclusion: Despite significant challenges imposed by the COVID-19 pandemic, Diné people were still able to access DTM. Diné traditional medicine and healing is a critical component of overall health and well-being for the Diné people.
(Copyright: © 2025 Begay et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Entry Date(s): Date Created: 20251205 Date Completed: 20251205 Latest Revision: 20251207
Update Code: 20251207
PubMed Central ID: PMC12680193
DOI: 10.1371/journal.pone.0337427
PMID: 41348764
Datenbank: MEDLINE
Beschreibung
Abstract:Objective: To assess perceptions of the impact of the COVID-19 pandemic on access, utilization, and perceived quality of Diné traditional medicine and healing (DTM) and psychosocial wellbeing among members of the Navajo Nation.<br />Methods: From May to October 2021, a convenience sample of 153 self-identified Navajo participants were recruited to complete a cross-sectional survey. We developed the survey to gather sociodemographic participant information and explored the perceived impact of the COVID-19 pandemic on Navajo Nation members' access, utilization, and quality of health care (including DTM practices), employment and finances, and psychosocial wellbeing. Data were analyses using descriptive statistics and Wilcoxon matched-pairs signed-rank test with comparisons made by DTM use.<br />Results: We found that nearly half (n = 74, 48.7%) of the study sample reported use of Diné traditional medicine (DTM) or healing during the COVID-19 pandemic. There were no significant differences (P &gt; 0.05) in history of a prior positive COVID-19 test between DTM users and non-users. DTM users indicated that the COVID-19 pandemic had minimal impact on the barriers or issues such as transportation, elder-/childcare or appointment availability they faced in receiving DTM care or healing (P &gt; 0.05 on all pre- vs mid-pandemic scores) and scored higher on the COVID-19 Risk Factor Score than non-users (P = 0.01).<br />Conclusion: Despite significant challenges imposed by the COVID-19 pandemic, Diné people were still able to access DTM. Diné traditional medicine and healing is a critical component of overall health and well-being for the Diné people.<br /> (Copyright: © 2025 Begay et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
ISSN:1932-6203
DOI:10.1371/journal.pone.0337427