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Compounding the damaging history of research in tribal communities, politics between state and tribal governments have long been the source of debate and power struggles over social, cultural, political, and economic matters impacting tribes abilities to fully exercise their own sovereignty and self-determination (Blumm, 2017

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The socioecological model provides a framework for categorizing these factors into levels of influence organized into an ascending order of intra-individual, interpersonal, community/organizational, and societal/policy levels (Central Illustration) (56)