ArticlePloS one2022
Diné Navajo Resilience to the COVID-19 pandemic.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- The impact of COVID-19 on longevity trends and disparities among Native Americans and Whites in the Four Corners States.PloS one · 2026Article
- Mathematical models to characterize the early phase of the COVID-19 pandemic in New Mexico, USA.Mathematical biosciences and engineering : MBE · 2025Article
- Article
- Using document analysis methods and implementation science frameworks to conduct a process evaluation of the community asthma program on the Navajo Nation.Translational behavioral medicine · 2025Article
- Diné traditional medicine use and wellbeing among navajo adults during the COVID-19 pandemic: A cross-sectional study.PloS one · 2025Article
- Multi-level determinants of vaccination of the American Indian and Alaska Native population: a comprehensive overview.Frontiers in public health · 2025Review
- Recognising the heterogeneity of Indigenous Peoples during the COVID-19 pandemic: a scoping review across Canada, Australia, New Zealand and the USA.BMJ public health · 2024Article
- The Effectiveness of Face Mask Mandates on COVID-19 Transmission in Utah.Public health reports (Washington, D.C. : 1974) · 2024Article
- Article
- Elevating Voice and Visibility: Health Research for American Indian and Alaska Native, Asian American, and Native Hawaiian and Pacific Islander Populations in the United States.American journal of public health · 2024Article
- Diné (Navajo) Traditional Knowledge Holders' Perspective of COVID-19.International journal of environmental research and public health · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo date, there are no studies of COVID-19 cases and deaths in the Navajo Nation, US. The primary objective of this manuscript is to understand whether counties with a higher proportion of Navajo (Diné) population also had higher cases and deaths of COVID-19 and whether these dropped with vaccination.
methodWe undertook a cross-sectional analysis of county level data from March 16, 2020-May 11, 2021. Data were obtained from public repositories and the US Census for the Navajo Nation, including northeastern Arizona, southeastern Utah, and northwestern New Mexico. The primary outcome measure is the number of individuals with confirmed cases or deaths of COVID-19. A secondary outcome was COVID-19 vaccinations.
resultsThe 11 counties in Navajo Nation have a wide variation in the percent Navajo population, the resources available (ICU beds and occupancy), and COVID-19 outcomes. Overall, there was a substantial increase in the number of cases from March 16 -July 16, 2020 (the height of the pandemic) with a doubling time of 10.12 days on Navajo Nation. The percent Navajo population was a strong predictor of COVID-19 cases and deaths per million population. COVID-19 vaccinations were inversely associated with COVID-19 cases and deaths in these counties.
conclusionsThe COVID-19 pandemic on the Navajo Nation is a story of resilience. Navajo Nation was one of the hardest hit areas of the United States, with peak cases and deaths due to COVID-19. With an aggressive vaccination effort, these cases and deaths were strikingly curtailed, showing the resilience of the Navajo (Diné) people.
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