Native American Diabetes Epidemic
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Questions and Answers

What is the primary reason for the high rate of type 2 diabetes among the Tohono O'odham tribe?

  • Limited access to fresh produce
  • Historical water diversion
  • Colonization and social circumstances (correct)
  • Genetic predisposition
  • Why did the historically self-sufficient Tohono O'odham tribe see a change in their health status over time?

  • Emphasis on physical activity
  • Increased genetic mutations
  • Introduction of unhealthy commodity foods (correct)
  • Adoption of modern medical practices
  • What factor plays a significant role in impacting blood sugar control among populations facing high rates of diabetes?

  • Cultural traditions
  • Climate change
  • Physical exercise
  • Stress hormones (correct)
  • What is highlighted as a common risk factor for diabetes among various populations worldwide?

    <p>Historical dispossession and social circumstances</p> Signup and view all the answers

    Why do both the Tohono O'odham and Pima tribes face challenges related to type 2 diabetes despite their historical differences?

    <p>Impact of colonization and changing lifestyles</p> Signup and view all the answers

    How have historical societal changes affected the health outcomes of Native American tribes like the Tohono O'odham?

    <p>Shift towards unhealthy eating habits</p> Signup and view all the answers

    Which factor contributes significantly to the diabetes epidemic among Native American communities?

    <p>Limited resources and access to fresh produce</p> Signup and view all the answers

    What has hindered research aimed at understanding the cause of diabetes among the Pima tribe?

    <p>Complex genetic factors</p> Signup and view all the answers

    'Hopefulness' is mentioned as playing a role in managing diabetes. What other factor significantly impacts health outcomes according to the text?

    <p>'Limited access to resources'</p> Signup and view all the answers

    'Master water engineers' from the Pima tribe transformed the desert into farmland historically. Why does this tribe face a high rate of type 2 diabetes according to the text?

    <p>'Complex genetic influences'</p> Signup and view all the answers

    Study Notes

    • Terell du Johnson, a member of the Tona aam American Indian tribe, is an artist and activist from a reservation south of Phoenix, Arizona.
    • The Tona aam tribe has the highest rate of type 2 diabetes globally, with half of the adults affected.
    • The tribe historically lived self-sufficiently on local crops and game, which kept them healthy, but their way of life has changed.
    • The Puma tribe on the Hila River Reservation also faces a high rate of type 2 diabetes, despite their ancestors being master water engineers who transformed the desert into farmland.
    • Research on diabetes among the Puma has not led to a cure or understanding of its cause, with genetics being a complex factor.
    • Various populations worldwide, such as Pacific Islanders and African-Americans, have high rates of type 2 diabetes linked to historical dispossession and social circumstances.
    • Poverty is a significant risk factor for diabetes, with stress hormones impacting blood sugar control.
    • The impact of colonization, water diversion, and poverty on Native American health, specifically diabetes rates, is highlighted.
    • The availability of unhealthy commodity foods, lack of access to fresh produce, and limited resources contribute to the diabetes epidemic among Native American communities.
    • Hopefulness plays a role in managing diabetes, but social determinants like poverty, lack of healthy food options, and limited access to resources significantly impact health outcomes.
    • Efforts to regain water rights, rebuild communities, and focus on prevention rather than just treatment are crucial steps towards addressing the diabetes epidemic in Native American populations.

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    Description

    Explore the impact of colonization, historical dispossession, and social determinants on the high rates of type 2 diabetes among Native American tribes. Learn about the challenges faced by communities like the Tona aam and Puma tribes, and the importance of prevention efforts and regaining control over resources.

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