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 (B)</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 (B)</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 (C)</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 (A)</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 (C)</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' (B)</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' (D)</p> Signup and view all the answers

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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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