Cultural Capital and the Tribal Diabetes Prevention Programs

2014 ◽  
Vol 38 (1) ◽  
pp. 145-156 ◽  
Author(s):  
Nicolette Teufel-Shone
Keyword(s):  
Cultural Capital ◽  
American Indians ◽  
Activity Patterns ◽  
Prevention Programs ◽  
Related Services ◽  
Alaskan Natives ◽  
Indian Health ◽  
Treatment And Prevention ◽  
The Us ◽  
The Impact

Since 1998, the US Congress has funded the Special Diabetes Programs for American Indians and Alaskan Natives (SDPI). These funds are administered by the Indian Health Service (IHS) and have been awarded to more than 330 IHS, tribal, and urban Indian health programs in thirty-five states to build or enhance diabetes mellitus (DM) treatment and prevention programs. Over the past thirteen years, these community-directed programs have emerged as models of intervention creativity, innovation, and persistence, with program staff drawing on their cultural capital to design culturally acceptable and locally relevant strategies. These programs have achieved measurable change in Native peoples' knowledge of the diabetes risk factors, access to much needed DM related services, and in some cases, helped reduce rates of DM-related morbidity and mortality. Yet, perhaps their greatest influence has been in understanding and shaping the context of behavioral change and in promoting normative shifts in food choices, activity patterns, DM screening, and DM self-management. Systematic qualitative data collection has not played a prominent role in the evaluation of the SDPI programs, and subsequently the role of cultural capital and the subtle normative shifts over the course of the SDPI programs have not been documented. This article offers a review of the qualitative accomplishments of the SDPI programs and some methodological suggestions for capturing the impact of cultural capital.

PROGRESS REPORT

PEDIATRICS ◽  
1971 ◽  
Vol 48 (4) ◽  
pp. 657-662
Author(s):  
Harris D. Riley ◽  
William D. Alsever ◽  
Philip L. Calcagno ◽  
George Cunningham ◽  
Sidney R. Kemberling ◽  
...  
Keyword(s):  
American Indians ◽  
School Health ◽  
Health Program ◽  
Field Trips ◽  
Progress Report ◽  
Professional Relationship ◽  
Alaskan Native ◽  
Alaskan Natives ◽  
Indian Health ◽  
Pediatric Services

The purpose of this statement is to provide a progress report concerning the activities and accomplishments of the Committee on Indian Health. The Committee was established in late 1964 with the following objectives defined by the Executive Board: 1. To encourage experienced pediatricians to consider careers within the Indian Health Service. 2. To conduct or sponsor studies of special pediatric problems in Indian and Alaskan natives. 3. To provide leadership in the review and development of methods and procedures to improve the provision of pediatric services to the Indian and Alaskan native population. 4. To stimulate continuing individual and organizational interest in the Indian Health Program by pediatricians, particularly those in practice in areas with a large Indian population. 5. To establish a continuing liaison and professional relationship between the Academy and pediatricians assigned to the Indian Health Program. COMMITTEE ACTIVITIES Meetings Since its inception, the Committee has held formal meetings in Phoenix, Anchorage, Billings, Chicago, Washington, Albuquerque, Tucson, and Oklahoma City. Members of the Committee are physicians who are informed and interested in Indian health and who reside near Indian or Alaskan native populations. The Committee has seen the problems of American Indians and Alaskan natives firsthand during field trips to reservations and other locations with concentrations of Indian populations. Shortly after its establishment, the Committee saw the need to maintain continuing liaison with other committees and agencies. Therefore, a consultant from the National Institute of Child Health and Human Development was named to the Committee, and a liaison representative from the Committee on School Health of the Academy was added as a consultant.

Estimating the impact of the US President's Emergency Plan for AIDS Relief on HIV treatment and prevention programmes in Africa

2015 ◽  
Vol 91 (8) ◽  
pp. 615-620 ◽  
Author(s):  
Laura M Heaton ◽  
Paul D Bouey ◽  
Joe Fu ◽  
John Stover ◽  
Timothy B Fowler ◽  
...  
Keyword(s):  
Hiv Treatment ◽  
Emergency Plan ◽  
Treatment And Prevention ◽  
The Us ◽  
Prevention Programmes ◽  
The Impact

Is race a prognosticator for survival in metastatic non-small cell lung cancer?

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. 6610-6610
Author(s):  
D. Berz ◽  
A. Birnbaum
Keyword(s):  
Lung Cancer ◽  
African Americans ◽  
American Indians ◽  
Stage Iv ◽  
Proportional Hazard ◽  
Small Cell Lung ◽  
Alaskan Natives ◽  
Risk Of Death ◽  
Metastatic Nsclc ◽  
The Us

6610 Background: Available cancer statistics for non-small cell lung cancer (NSCLC) in the US relate mainly to Caucasians and African Americans. NSCLC also represents a major health concern in other US American sub-populations. This study describes ethnic patterns of survival in metastatic NSCLC in eight different racial/ethnic groups. Methods: We analyzed the SEER (surveillance, epidemiology, and end results) program database for cancer specific survival rates in stage IV NSCLC patients who were diagnosed between 1991 and 2004 in the SEER catchment geographic areas. The primary exposure of interest was race. The eight different race groups were non-Hispanic whites, Hispanics, African Americans, American Indians/Alaskan natives, Filipinos, Japanese, Chinese, Hawaiians, and other. The later group consisted mainly of a mix of different Asian subpopulations. We performed uni- and multivariate non-parametrical and parametrical survival analysis and developed a final cox-proportional hazard model controlling for marital status, age at diagnosis, year of diagnosis, gender and histologic type and grade. We tested the proportional hazard assumptions with graphical and modeling methods Results: We identified 39,784 eligible patients. When compared to non-Hispanic whites the risk of death from lung cancer was highest amongst American Indians/Alaskan Natives hazard ratio 1.33(95% CI 1.09–1.62, p = 0.004). For patients with Chinese HR 0.84 (95% CI 0.77–0.91) and Filipino HR 0.80 (95% CI 0.73–0.88) ethnicity the risk of death from lung cancer was significantly lower when compared with non-Hispanic whites. Hispanics HR 1.00 (95% CI 0.94–1.07) and Blacks HR 1.00 (95% CI 0.97–1.04) had about equal hazards of death from stage IV NSCLC as whites. In patients of Japanese and Hawaiian origin a trend towards a lower hazard with HR 0.99(95% CI 0.90–1.08) and HR 0.97(95% CI 0.85–1.09) respectively was identified without reaching statistical significance. Conclusions: Significant racial disparities in the outcome in metastatic NSCLC can be observed in the US. The indigenous populations of the Western hemisphere have the worst outcome and the previously proposed worse outcome of African Americans with NSCLC when compared to non-Hispanic whites could not be confirmed in our study. No significant financial relationships to disclose.

scholarly journals COVID-19 among American Indians and Alaska Natives in the United States: An early look

2021 ◽  
pp. 1-12
Author(s):  
Michele Connolly ◽  
Bette Jacobs ◽  
Francis C. Notzon
Keyword(s):  
United States ◽  
American Indians ◽  
The United States ◽  
Alaska Natives ◽  
Health Conditions ◽  
Tribal Sovereignty ◽  
Community Strength ◽  
The Us ◽  
The World ◽  
The Impact

To date the US has experienced the greatest number of cases and deaths due to COVID-19 in the world, but the impact has been even greater for American Indians and Alaska Natives (AIAN). Despite numerous disadvantages related to poor socioeconomic status and preexisting health conditions, Tribal sovereignty, community strength and resiliency have been important factors in limiting the burden of disease on Indigenous Americans. AIAN Tribes have repeatedly chosen to protect lives over Tribal income, choosing to close businesses that are the economic lifeblood of the reservations.

scholarly journals Racial Disparities and Sex Differences in Early- and Late-Onset Colorectal Cancer Incidence, 2001–2018

2021 ◽  
Vol 11 ◽  
Author(s):  
Jessica L. Petrick ◽  
Lauren E. Barber ◽  
Shaneda Warren Andersen ◽  
Andrea A. Florio ◽  
Julie R. Palmer ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Neuroendocrine Tumor ◽  
Neuroendocrine Tumors ◽  
American Indians ◽  
Early Onset ◽  
Late Onset ◽  
Incidence Rates ◽  
Cancer Statistics ◽  
Alaskan Natives ◽  
The Us

BackgroundColorectal cancer (CRC) incidence rates have increased in younger individuals worldwide. We examined the most recent early- and late-onset CRC rates for the US.MethodsAge-standardized incidence rates (ASIR, per 100,000) of CRC were calculated using the US Cancer Statistics Database’s high-quality population-based cancer registry data from the entire US population. Results were cross-classified by age (20-49 [early-onset] and 50-74 years [late-onset]), race/ethnicity (non-Hispanic White, non-Hispanic Black, Hispanic, American Indian/Alaskan Native, Asian/Pacific Islander), sex, anatomic location (proximal, distal, rectal), and histology (adenocarcinoma, neuroendocrine).ResultsDuring 2001 through 2018, early-onset CRC rates significantly increased among American Indians/Alaskan Natives, Hispanics, and Whites. Compared to Whites, early-onset CRC rates are now 21% higher in American Indians/Alaskan Natives and 6% higher in Blacks. Rates of early-onset colorectal neuroendocrine tumors have increased in Whites, Blacks, and Hispanics; early-onset colorectal neuroendocrine tumor rates are 2-times higher in Blacks compared to Whites. Late-onset colorectal adenocarcinoma rates are decreasing, while late-onset colorectal neuroendocrine tumor rates are increasing, in all racial/ethnic groups. Late-onset CRC rates remain 29% higher in Blacks and 15% higher in American Indians/Alaskan Natives compared to Whites. Overall, CRC incidence was higher in men than women, but incidence of early-onset distal colon cancer was higher in women.ConclusionsThe early-onset CRC disparity between Blacks and Whites has decreased, due to increasing rates in Whites—rates in Blacks have remained stable. However, rates of colorectal neuroendocrine tumors are increasing in Blacks. Blacks and American Indians/Alaskan Natives have the highest rates of both early- and late-onset CRC.ImpactOngoing prevention efforts must ensure access to and uptake of CRC screening for Blacks and American Indians/Alaskan Natives.

scholarly journals Diabetes and Associated Cardiovascular Complications in American Indians/Alaskan Natives: A Review of Risks and Prevention Strategies

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Anil Poudel ◽  
Joseph Yi Zhou ◽  
Darren Story ◽  
Lixin Li
Keyword(s):  
Cause Of Death ◽  
American Indians ◽  
Prevention Programs ◽  
The United States ◽  
Cardiovascular Complications ◽  
Lifestyle Changes ◽  
Behavioral Risk ◽  
Cultural Economic ◽  
Alaskan Natives ◽  
A Genome

Diabetes mellitus (DM) is the seventh leading cause of death in the United States and the leading cause of death in the U.S. American Indian/Alaskan Natives (AI/ANs), who comprise only 2% of the total population. The AI/AN population has a high prevalence of DM in adults aged 20 years or older and is developing DM at a younger age than the general U.S. population. DM is a major risk factor for cardiovascular disease (CVD), and mortality from CVD is higher in AI/ANs than the general population, as is the prevalence of stroke and 1-year poststroke mortality for both genders when compared to non-Hispanic whites. A genome-wide scan found a number of chromosome linkages in the AI/AN population that suggest that genetic factors may contribute to their high risk of DM and CVD. Importantly, studies also suggest that in addition to race/ethnicity, cultural norms and historic conditions play important roles in the prevalence of DM and CVD in this population. Therefore, multiple factors should be taken into consideration when establishing prevention programs to decrease the prevalence of obesity, diabetes, and CVD incidence among adults and children in the AI/AN population. Prevention programs should focus on behavioral risk factors and lifestyle changes like encouraging smoking cessation, healthy diet, and increased physical activity while taking into consideration cultural, economic, and geographic factors.

The Impact of Universal Suicide-Prevention Programs on the Help-Seeking Attitudes and Behaviors of Youths

Crisis ◽  
2013 ◽  
Vol 34 (2) ◽  
pp. 82-97 ◽  
Author(s):  
Bonnie Klimes-Dougan ◽  
David A. Klingbeil ◽  
Sarah J. Meller
Keyword(s):  
Suicide Prevention ◽  
Help Seeking ◽  
Prevention Programs ◽  
Universal Prevention ◽  
Help Seeking Attitudes ◽  
Attitudes And Behaviors ◽  
Seeking Behavior ◽  
And Behaviors ◽  
Suicide Prevention Programs ◽  
The Impact

Background: While the ultimate goal of adolescent suicide-prevention efforts is to decrease the incidence of death by suicide, a critical intermediary goal is directing youths toward effective sources of assistance. Aim: To comprehensively review the universal prevention literature and examine the effects of universal prevention programs on student’s attitudes and behaviors related to help-seeking. Method: We systematically reviewed studies that assessed help-seeking outcomes including prevention efforts utilizing (1) psychoeducational curricula, (2) gatekeeper training, and (3) public service messaging directed at youths. Of the studies reviewed, 17 studies evaluated the help-seeking outcomes. These studies were identified through a range of sources (e.g., searching online databases, examining references of published articles on suicide prevention). Results: The results of this review suggest that suicide-prevention programming has a limited impact on help-seeking behavior. Although there was some evidence that suicide-prevention programs had a positive impact on students’ help-seeking attitudes and behaviors, there was also evidence of no effects or iatrogenic effects. Sex and risk status were moderators of program effects on students help-seeking. Conclusions: Caution is warranted when considering which suicidal prevention interventions best optimize the intended goals. The impact on adolescents’ help-seeking behavior is a key concern for educators and mental-health professionals.

Sign in / Sign up

Export Citation Format

Share Document