1. Renae Begay, Shannon Archuleta, Joshuaa D. Allison-Burbank, Vanessa Begaye, Lacey Howe, Lisa Jim, Kyann Dedman-Cisco, Taylor Billey, Angelina Keryte, and Emily E. Haroz are with the Center for Indigenous Health, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.