Health Promotion Practice
January 2014 Vol. 15, No. 1 10–17
DOI: 10.1177/1524839913475801
© 2013 Society for Public Health Education
10
Because of imposed rapid social change, Alaska Native
youth are growing up in a context different from their
elders and suffering far worse health and behavioral out-
comes. This research seeks to understand (a) their every-
day struggles and life challenges, (b) the practices and
resources they rely on to get through challenges, and (c)
the meaning they make from these experiences. Data
were generated from interviews with 20 Alaska Native
youth between the ages of 11 and 18 years, balanced by
gender and age-group (early and late adolescence).
Purposive sampling identified participants with a broad
range of experiences. Following a semistructured guide,
youth participated in face-to-face, audio-recorded inter-
views, transcribed verbatim. A codebook was developed
using an iterative process and transcripts were coded
using ATLAS.ti. The most commonly identified stressors
were relationship loss, “not being there for me,” nonsup-
portive/hostile experiences, transitioning into adulthood,
and boredom. Resilience strategies included developing
and maintaining relationships with others, being respon-
sible, creating systems of reciprocity, practicing subsist-
ence living, and giving back to family and the community.
These opportunities allowed youth to gain a sense of
competence and mastery. When difficult experiences
align with opportunities for being responsible and com-
petent, youth are most likely to exhibit resilience.
Keywords: child/adolescent health; qualitative
research; health research; Alaska Native;
minority health; rural health
>INTRODUCTION
Alaska Natives face unique sociodemographic cir-
cumstances that place them at increased risk for adverse
health and behavioral outcomes. Compared with the
U.S. population as a whole, Alaska Natives are younger,
475801HPP XX X 10.1177/1524839913475801
Health Promotion Practice / Month XXXXWexler et al. / ALASKA NATIVE YOUTH NARRATIVES AS
A WAY TO UNDERSTAND RESILIENCE
2013
1
University of Massachusetts, Amherst, MA, USA
2
Northwest Arctic Borough, Kotzebue, AK, USA
Lived Challenges and Getting Through
Them: Alaska Native Youth Narratives as
a Way to Understand Resilience
Lisa Wexler, PhD, MSW
1
Kasey Jernigan, MPH
1
Janet Mazzotti, MSW
1
Elizabeth Baldwin, MPH
1
Megan Griffin, MPH
1
Linda Joule, MA
2
Joe Garoutte Jr.
2
CIPA Team
2
Authors’ Note: The work reported on here was supported by a
National Science Foundation (NSF) award (ARC-0755348). The
award supported research assistantships for Kasey Jernigan,
Elizabeth Baldwin, and Megan Griffin. Janet Mazziotti’s data
management and analyses were supported by the funding.
Community partners Linda Joule, Joe Garoutte, and the CIPA
Team (made up of Alaska Native community members) received
no financial support for the work. Last, Lisa Wexler received a
portion of summer salary for 3 years to complete the research
presented here. The NSF does not itself perform research. Rather,
it formulates basic research programs responsive to scientific and
societal needs and obtains public funding for them as part of the
President’s annual budget request to Congress. Then it issues
solicitations, evaluates proposals from universities and other
institutions located throughout the United States, and awards
funds to support the meritorious projects. Address correspondence
to Lisa Wexler, University of Massachusetts Amherst, Department
of Public Health, 313 Arnold House, Amherst, MA 01003, USA;
e-mail: lwexler@schoolph.umass.edu.
Child, Adolescent, and School Health Focus Issue