Diabetes As a Disease of Civilization: The Impact of Culture Change on Indigenous Peoples

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Table of Contents

Introduction 1
I Diabetes prevalence in North America 49
1 Diabetes among Canadian Indians and Inuit: An epidemiological overview 21
2 Diabetes and Indians: A clinician's perspective 41
II Tribal and regional studies 67
3 The history of diabetes in the Desert People 69
4 Many Farms revisited: Evidence of increasing weight and non-insulin dependent diabetes in a Navajo community 129
5 Diabetes among the Kiowa: An ethnohistorical perspective 147
6 Diabetes among the Alaska Natives - The emergence of a chronic disease with changing life-styles 169
7 Diabetes and pregnancy among Alaska Natives: Prevalence and sociocultural aspects 195
8 Factors that influence the onset of diabetes in Dogrib Indians of the Canadian Northwest Territories 229
III Cultural issues and health beliefs 269
9 Traditional beliefs and attitudes about diabetes among Navajos and Utes 271
10 Explanations of diabetes: Anishinaabe and Dakota deliberate upon a new illness 293
11 Perceptions of diabetes by Indian adolescents 329
12 Presenting complaints in a Navajo Indian diabetic population 357
IV Culture and diet 379
13 Diet, culture, and diabetes 381
14 Food habit and cultural changes among the Pima Indians 407
15 Dietary change among the Navajo: Implications for diabetes 435
V Medical perspectives 451
16 Cultural barriers to delivering health care: The non-Indian provider perspective 453
17 The Gila River Diabetes Prevention Model 471
18 Community approaches to diabetes prevention 495
Contributors 505
Index of subjects 509
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