Liver on the Line: The Story of Cirrhosis
Cherise Anne Valencia
San Felipe Pueblo
Cherise Anne Valencia
San Felipe Pueblo
Valencia, Cherise. Prom Night. 2024.
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San Felipe. San Felipe Pueblo. sfpueblo.com.
Valencia, Cherise. "Rio Grande". October 5, 2025.
The article explains that in the Okanagan culture, people, land, and language are all connected as one. Armstrong says her community believes we “share one skin,” meaning everyone must care for each other and the land. When people lose those connections, they lose part of who they are and life becomes unbalanced.
Valencia, Cherise. "Last Pep Rally". September 3, 2025.
The story is about a Native American boy who grows up proud and happy at home with his grandmother. When he starts school, he feels confused because the teachers tell him not to speak his native language or follow his cultural traditions. This makes him feel ashamed of his culture. He ends up feeling caught between two worlds, his home and the school.
Valencia, Cherise. "Rio Grande". October 5, 2025.
The article explains that place names affect how we understand and respect the land. Indigenous names come from stories, history, and a deep connection to nature, so they show why a place is important. When settlers renamed places, they often erased those original meanings and replaced them with names that show power or ownership instead. This changes how people view the land and can cause communities to lose part of their identity and culture.
Valencia, Cherise. "Sunset". November 1, 2025.
This article reviews research on chronic liver disease among Indigenous groups in Northern America. It explains that liver cirrhosis is much more common among Native people, with alcohol, viruses, and autoimmune conditions as the main causes. The authors say that more studies and medical support are needed to understand and reduce this health issue. They also point out that many communities face barriers to healthcare, which makes early diagnosis and treatment more difficult. Because of this, the disease often becomes more serious before it is treated, increasing the risk of complications.
Scott, John D., and Naomi Garland. “Chronic Liver Disease in Aboriginal North Americans.” World Journal of Gastroenterology, vol. 14, no. 29, Jan. 2008, p. 4607. https://doi.org/10.3748/wjg.14.4607.
Valencia, Cherise. "State Fair". 2012.
This study looked at how many people died from CLD between 1999 and 2009. The results showed that Native Americans and Alaska Natives died at much higher rates than white Americans. The problem was worse for women and young adults. The authors utilized more robust data systems to ensure the accuracy of their findings. This helped show a clearer picture of how serious the issue really is. The study also suggests that more targeted prevention and healthcare efforts are needed to reduce these death rates.
Valencia, Cherise. "Downtown Santa Fe" . December 2, 2025.
This radio podcast explains that Native Americans are more likely to suffer from liver disease but are less likely to receive liver transplants. It mentions how distance from transplant centers, poor funding, and medical bias make it harder for Native Patients to get help.
Juarez, Brianna. "Family Photo" Nov 15, 2025
Global Prevalence of Advanced Liver Fibrosis and Cirrhosis in the General Population: A Systematic Review and Meta-analysis
This article reviews numerous studies to understand the prevalence of liver cirrhosis worldwide. The researchers analyzed 46 studies from 21 different countries, which included approximately 8 million adults. They found that about 1.3% of adults have liver cirrhosis and about 3.3% have advanced liver fibrosis, which means serious liver scarring. The article explains that the number of cases is increasing over time. This increase is linked to obesity, diabetes, alcohol use, and viral hepatitis. Overall, the study shows that liver cirrhosis is a serious and growing global health problem that needs more prevention and early care.
“Global Prevalence of Advanced Liver Fibrosis and Cirrhosis in the General Population: A Systematic Review and Meta-analysis.” Clinical Gastroenterology and Hepatology, vol. 23, no. 7, Aug. 2024, pp. 1123–34. https://doi.org/10.1016/j.cgh.2024.08.020.
Valencia, Madison. "Keres girlies" Dec 10, 2025
This article talks about how liver cirrhosis and long-term liver disease affect people all over the world. The researchers examined data from 1990 to 2019 from 204 countries. They found that liver cirrhosis causes millions of sicknesses and about 1.47 million deaths every year. Even though the death rate compared to the population has gone down a little, the total number of fatalities has gone up. The main reasons for liver cirrhosis are hepatitis B, hepatitis C, drinking too much alcohol, and fatty liver disease from being overweight or eating unhealthily. The article shows that liver cirrhosis is still a serious health problem worldwide.
Wu, et al. “Global Burden of Liver Cirrhosis and Other Chronic Liver Diseases Caused by Specific Etiologies from 1990 to 2019.” BMC Public Health, 2024, Springer.
Valencia, Cherise. "English IV". January 27, 2026.
This article explains how Indigenous Australians had worse health outcomes because they were more likely to arrive at the hospital during emergencies instead of getting care earlier, and they also had a higher rate of alcohol-related cirrhosis compared to other patients. They were also younger when they were hospitalized, which suggests that cirrhosis may be affecting Australian Indigenous people earlier in life and causing serious health problems at a younger age than expected. Overall, the results show that cirrhosis outcomes are connected not only to medical factors like alcohol-related liver damage, but also to larger issues such as access to healthcare, early treatment, and how quickly someone can get help before their condition becomes an emergency.
Valery, Patricia C., et al. “Hospitalisation for Cirrhosis in Australia: Disparities in Presentation and Outcomes for Indigenous Australians.” International Journal for Equity in Health, vol. 19, no. 1, Feb. 2020, p. 27. https://doi.org/10.1186/s12939-020-1144-6.
Valencia, Cherise. "Watercolors". February 12, 2026.
This article explains how Indigenous people in Latin America face worse health outcomes in many areas, including infections, malnutrition, and chronic liver diseases, and that these differences are strongly connected to poverty, living far away from healthcare services, and discrimination, which all make it harder for people to get early treatment and regular medical care. It also shows that there are major research gaps, meaning that many Indigenous health issues are not studied enough, which can lead to less awareness, fewer resources, and fewer effective solutions being created for the communities that need them most.
Valencia, Cherise. "Photoshoot" . February 5, 2026
This study shows that liver cirrhosis can affect different ethnic groups in different ways, even when they live in the same country and have access to the same healthcare system. It explains that Arab Bedouin patients tend to develop cirrhosis at a younger age and often from different causes, especially fatty liver disease and hepatitis B, while Jewish patients are more likely to have cirrhosis connected to hepatitis C and, in many cases, alcohol-related liver damage as well.
Tailakh, Muhammad Abu, et al. “Liver Cirrhosis, Etiology and Clinical Characteristics Disparities Among Minority Population.” Journal of Immigrant and Minority Health, vol. 24, no. 5, Aug. 2021, pp. 1122–28. https://doi.org/10.1007/s10903-021-01263-y.
I am interested in this topic because I would like to spread more awareness about Liver Cirrhosis, also, what it is and how it happens, and how you can prevent it from happening to you or someone you know. For my Personal connection, liver cirrhosis runs on my father’s side of the family. After my grandfather was diagnosed with the disease, my grandmother had my dad and two uncles tested. Unfortunately, all three tested positive for a genetic risk of liver failure, especially if they consumed alcohol. Despite this knowledge, all three eventually passed away from liver cirrhosis. My grandfather, however, was able to receive a liver transplant, which extended his life.
Research Log 1 - Identity
Suina, Joe ¨And Then I went to School¨ New Mexico Journal of Reading,1985.
Toastie, B ¨How place names impact the ways we see landscape.¨ High Country News Know The West, May 1, 2022
Armstrong, Jeanette. ¨ Sharing One Skin.¨ The Okanagan Community. 1996.
Research Log 2 - History
Scott, John D., and Naomi Garland. “Chronic Liver Disease in Aboriginal North Americans.” World Journal of Gastroenterology, vol. 14, no. 29, Jan. 2008, p. 4607. https://doi.org/10.3748/wjg.14.4607.
(Suryaprasad et al., “Mortality Caused by Chronic Liver Disease Among American Indians and Alaska Natives in the United States, 1999–2009”)
Hughes, Art. “Monday, March 18, 2024 — the Disparity Between Native American Liver Disease and Transplants.” Native America Calling, 19 Mar. 2024, www.nativeamericacalling.com/monday-march-18-2024-the-disparity-between-native-american-liver-disease-and-transplants
Research Log 3 - Current State of the Issue
Wu, et al. “Global Burden of Liver Cirrhosis and Other Chronic Liver Diseases Caused by Specific Etiologies from 1990 to 2019.” BMC Public Health, 2024, Springer.
“Global Prevalence of Advanced Liver Fibrosis and Cirrhosis in the General Population: A Systematic Review and Meta-analysis.” Clinical Gastroenterology and Hepatology, vol. 23, no. 7, Aug. 2024, pp. 1123–34. https://doi.org/10.1016/j.cgh.2024.08.020.
Research Log 4 - Global Connections
Valery, Patricia C., et al. “Hospitalisation for Cirrhosis in Australia: Disparities in Presentation and Outcomes for Indigenous Australians.” International Journal for Equity in Health, vol. 19, no. 1, Feb. 2020, p. 27. https://doi.org/10.1186/s12939-020-1144-6.
Valery, Patricia C., et al. “Hospitalisation for Cirrhosis in Australia: Disparities in Presentation and Outcomes for Indigenous Australians.” International Journal for Equity in Health, vol. 19, no. 1, Feb. 2020, p. 27. https://doi.org/10.1186/s12939-020-1144-6.
Tailakh, Muhammad Abu, et al. “Liver Cirrhosis, Etiology and Clinical Characteristics Disparities Among Minority Population.” Journal of Immigrant and Minority Health, vol. 24, no. 5, Aug. 2021, pp. 1122–28. https://doi.org/10.1007/s10903-021-01263-y.
Research Log 5 - Attaching your Heart
Huaman, Elizabeth Sumida, and Bryan McKinley Jones Brayboy, editors. “Indigenous Innovations in Higher Education: Local Knowledge and Critical Research.” ADVANCES IN INNOVATION EDUCATION, by Sense Publishers et al., vol. 4, Sense Publishers, 2017, www.sensepublishers.com.
Conversation Log 1
Valencia, Nathaniel. Personal interview. September 12, 2025
Tenorio, Danielle. Personal interview. September 28, 2025
Conversation log 2
Pino, Tasha. Personal interview. October 17, 2025
Tenorio, Dwayne. Personal interview. November 3, 2025
Conversation Log 3
Ray, Jackie. Personal interview. February 1, 2026
Unzicker, Eric. Personal interview. February 5, 2026
Conversation Log 4
Last, First. Personal interview. Month Day, 2026
What's the Problem Article
Mexican, Jim Weber/the New. “Presbyterian Española Hospital hopes greatly expanding addiction medicine services is ‘game-changer.’” Santa Fe New Mexican, 9 Sept. 2025, www.santafenewmexican.com/news/local_news/presbyterian-espa-ola-hospital-hopes-greatly-expanding-addiction-medicine-services-is-game-changer/article_7bd284ad-c374-4e29-b0e5-f7effed6f39e.html.
History and Oppression: In-class Reading
Kelly, Lawrence C. Federal Indian Policy. Chelsea House, 1990.