Results revealed that over 65 percent of the 112 AIAN participants had experienced some form of interpersonal violence. The violence included childhood physical abuse (28 percent), rape (48 percent), and a history of domestic violence (40 percent). A full 48 percent of the sample reported multiple victimization experiences and most women in the sample reported high levels of emotional trauma associated with violent victimization. The interpersonal violence experienced by these women was associated with depression, dysphoria, help-seeking behaviors, and an increase in sexual risk behaviors. The findings suggest that the high levels of violence experienced by urban AIAN women significantly contribute to a host of physical and mental health problems. There is a pressing need for violence intervention programming targeted at this group of women. Health care providers should also focus on the treatment and prevention of related physical and mental health problems. Participants were 112 women who were recruited in 2 stages: (1) a stratified random sampling of local AIAN women who were on a membership list for a local AIAN community center; and (2) snowball sampling. Participants completed face-to-face structured interviews regarding demographic information; family history; health and health services; stress and mental health; cultural factors; traumatic event exposure; alcohol and drug use; sexual risk taking behavior; and military service. Data analysis involved the use of chi-square calculations and multivariate logistic regression models, all of which were performed using SPSS version 11. Future research should attempt to identify advanced statistical models that would shed light on mediation pathways to various physical and mental health outcomes for AIAN women. Tables, references