The document provides information on the Amish culture, including their origins in 16th century Switzerland, migration to the US in the 18th century, and lifestyle beliefs centered around their religious faith. It discusses Amish demographics, health risks such as genetic disorders and accidents, and their healthcare beliefs which incorporate alternative and complementary methods before seeking medical intervention. The document also outlines strategies for providing culturally competent care to the Amish community and challenges healthcare providers may face, such as language barriers and prejudice.
This document provides an overview of key terms and history related to African Americans. It discusses the forced migration and enslavement of West Africans in America from 1600-1862. Following emancipation, legalized segregation and discrimination persisted until civil rights reforms in the 1950s-60s. The document also notes current disparities African American children face, such as higher rates of single parenthood and lower educational outcomes. It describes the importance of the black church community and degrees of cultural identification among African Americans.
African American culture is rooted in African traditions but is a unique blend with some European American influences. Family and church are core values, with kinship bonds extending to grandparents, aunts, uncles and cousins. While Protestant Christianity is most common, some African Americans also practice Islam, Catholicism, or traditional African religions. Culturally competent care requires understanding the impact of historical discrimination and showing respect for health beliefs, which may include spiritual causes of illness and home remedies in addition to biomedical treatment. Diet plays an important role, as traditional soul foods can increase risk of obesity and related diseases if not prepared healthfully.
The document summarizes key information about marketing to Black women in healthcare. It notes that Black Americans represent 13.5% of the US population, with over half living in the south and 54% being women. While the digital divide is shrinking for Black Americans, they still face greater health challenges like higher rates of obesity and hypertension. Effective healthcare marketing to Black women recognizes their cultural uniqueness and segmentation, addresses barriers like food deserts, and engages them as leaders to improve community health.
This document discusses various types of taboos around the world, including definitions, origins, and examples. It covers religious taboos, taboo sex practices, cultural taboos involving rituals, and food taboos. Specific rituals discussed include self-flagellation, spirit possession, fire walking, and scarification. Religious prohibitions and cultural norms around sex, diet, and social behaviors are described for several regions. Taboos in Pakistan are also summarized, such as those relating to dowries, black magic, honor killings, and food restrictions according to Islamic law.
Culture is deeply involved in matters of personal hygiene, nutrition, immunization, seeking early medical care, family planning -in short, the whole way of life. Different cultures are there in different societies which may or may not have positive effects on health.
This cultural awareness presentation discusses the importance of cultural awareness for nurses. It notes that cultural awareness can help patients receive better care, improve job performance and satisfaction, and promote social justice. The presentation also provides statistics on racial/ethnic diversity among nurses and the general population. It defines cultural awareness as considering a patient's culture when providing care and treating all individuals with respect. Ways to be culturally aware include asking questions, listening, following through on patient needs, and knowing one's own culture.
This public health presentation educates the community regarding Latino health and the need for more collaborate healthcare services to meet the demand.
The document provides information on the Amish culture, including their origins in 16th century Switzerland, migration to the US in the 18th century, and lifestyle beliefs centered around their religious faith. It discusses Amish demographics, health risks such as genetic disorders and accidents, and their healthcare beliefs which incorporate alternative and complementary methods before seeking medical intervention. The document also outlines strategies for providing culturally competent care to the Amish community and challenges healthcare providers may face, such as language barriers and prejudice.
This document provides an overview of key terms and history related to African Americans. It discusses the forced migration and enslavement of West Africans in America from 1600-1862. Following emancipation, legalized segregation and discrimination persisted until civil rights reforms in the 1950s-60s. The document also notes current disparities African American children face, such as higher rates of single parenthood and lower educational outcomes. It describes the importance of the black church community and degrees of cultural identification among African Americans.
African American culture is rooted in African traditions but is a unique blend with some European American influences. Family and church are core values, with kinship bonds extending to grandparents, aunts, uncles and cousins. While Protestant Christianity is most common, some African Americans also practice Islam, Catholicism, or traditional African religions. Culturally competent care requires understanding the impact of historical discrimination and showing respect for health beliefs, which may include spiritual causes of illness and home remedies in addition to biomedical treatment. Diet plays an important role, as traditional soul foods can increase risk of obesity and related diseases if not prepared healthfully.
The document summarizes key information about marketing to Black women in healthcare. It notes that Black Americans represent 13.5% of the US population, with over half living in the south and 54% being women. While the digital divide is shrinking for Black Americans, they still face greater health challenges like higher rates of obesity and hypertension. Effective healthcare marketing to Black women recognizes their cultural uniqueness and segmentation, addresses barriers like food deserts, and engages them as leaders to improve community health.
This document discusses various types of taboos around the world, including definitions, origins, and examples. It covers religious taboos, taboo sex practices, cultural taboos involving rituals, and food taboos. Specific rituals discussed include self-flagellation, spirit possession, fire walking, and scarification. Religious prohibitions and cultural norms around sex, diet, and social behaviors are described for several regions. Taboos in Pakistan are also summarized, such as those relating to dowries, black magic, honor killings, and food restrictions according to Islamic law.
Culture is deeply involved in matters of personal hygiene, nutrition, immunization, seeking early medical care, family planning -in short, the whole way of life. Different cultures are there in different societies which may or may not have positive effects on health.
This cultural awareness presentation discusses the importance of cultural awareness for nurses. It notes that cultural awareness can help patients receive better care, improve job performance and satisfaction, and promote social justice. The presentation also provides statistics on racial/ethnic diversity among nurses and the general population. It defines cultural awareness as considering a patient's culture when providing care and treating all individuals with respect. Ways to be culturally aware include asking questions, listening, following through on patient needs, and knowing one's own culture.
This public health presentation educates the community regarding Latino health and the need for more collaborate healthcare services to meet the demand.
This presentation at the National Health Association's annual conference discussed natural hygiene and its role in leading America to better health. It aimed to take the audience to the past to explore how healthcare has changed over time, examine the present state of poor health in the US, and challenge the audience to help shape a healthier future. The key concepts discussed were the poor state of healthcare in America today, how lifestyle choices have contributed to widespread chronic diseases, and how adopting principles of natural hygiene like a plant-based diet and regular exercise can help address this problem.
The document discusses health beliefs and practices of the Roma (Gypsy) culture. It describes their social structure as being based on clans and families, with elders holding important roles. Roma attribute health and illness to ideas of purity and fortune. Traditional healers treat Roma illnesses, while mainstream doctors treat those brought by non-Romas. Rituals and herbal remedies are used. High rates of smoking, obesity and infectious diseases pose risks. Providing separate clean/unclean items and building trust are important for health promotion in this ethnocentric culture.
This document discusses health challenges faced by people of African ancestry globally and provides recommendations to improve health. It notes that people of African descent often experience discrimination resulting in inadequate healthcare access. It then provides 12 pointers on improving individual and community health, such as developing self-knowledge, engaging in community life, exercising discipline, and adapting to change. The recommendations target clinicians, community members, and parents to empower communities and address both individual lifestyle factors and systemic causes of health inequities.
Partnerships to address the diabetes epidemic in Aboriginal Communities in Al...Kelli Buckreus
This document summarizes an Aboriginal diabetes program in Alberta, Canada. It describes the high rates of diabetes among Aboriginal populations and the cultural and socioeconomic barriers to care. The program was developed in partnership with Elders and takes a holistic, culturally-relevant approach. It provides on-site and outreach services, education, and promotes healthy living. Research shows the program is helping improve health outcomes and further partnership is needed to fully address the diabetes epidemic in Aboriginal communities.
The document provides an overview of topics covered in a cultural competency training for employees at House of New Hope, including defining culture, diversity issues, racism, understanding one's own culture and how it impacts parenting adopted children. It discusses the impact of cultural issues on adoptive placements and identity formation. Key components of culture are outlined such as religion, family roles, values, food and traditions. The document emphasizes that race, ethnicity and gender are innate, while culture is learned. It discusses avoiding ethnocentrism and not stereotyping others. Recognizing cultural differences in children and supporting their self-esteem and bicultural identity is emphasized.
The document is a summary of a speech given by Dr. Stephan Esser at the 2009 Hallelujah Acres Annual Gathering. The speech discusses:
1) The poor state of healthcare in America, with high costs, a focus on treatment over prevention, and lifestyle diseases as leading causes of death.
2) How American diets and lifestyles have changed since the 1970s with increased consumption of sugars, salts, meats and decreased physical activity leading to epidemics of obesity and related diseases.
3) The solution presented by Hallelujah Acres of eating more plants and less animal products, oil, sugar and salt and increasing exercise as a way to improve health outcomes and reduce
Dr. Gerald Stokka - Stewardship: A Philosophy of Life, Culture and BusinessJohn Blue
Stewardship: A Philosophy of Life, Culture and Business - Dr. Gerald Stokka, North Dakota State University, from the 2014 Iowa Cattle Industry Convention, December 8 - 10, 2014, Des Moines IA, USA
More presentations at http://www.trufflemedia.com/agmedia/conference/2014-iowa-cattle-industry-convention
Black Women's Health Movement Launch PresentationThe Health Gap
The Black Women's Health Movement is designed to engage and empower African American women across the socioeconomic spectrum of our community to live healthier lives -- body and mind. To join visit: https://closingthehealthgap.org/what-we-do/bwhm/
Ontario Court of Justice Presentation Dr Stewart Jan 15.2014Suzanne Stewart
The document discusses the need for the Ontario justice system to learn about Indigenous cultures in order to reduce systemic biases against Aboriginal peoples in family court. It notes that Aboriginal conceptions of psychology, parenting and social behaviors differ significantly from Western worldviews. There is also overrepresentation of Aboriginal children and families in the child welfare system. The document advocates incorporating Indigenous conceptions of ethics, families and social structures into the court process to make it more culturally appropriate and reduce oppression of Aboriginal peoples. It provides examples of how understanding colonial history and Aboriginal worldviews could help reform practices to be more empowering for Indigenous communities.
Gene counselling a developing field has more effect on both the developing and developed countries. So this ppt provides the basic idea about genetic counselling
The document discusses the health crisis facing many countries due to rising rates of chronic disease. It notes that over 130 million Americans suffer from chronic illnesses, accounting for $2 trillion in annual healthcare costs. Most chronic diseases are linked to physical inactivity and poor diet. The solution proposed is a web-based lifestyle program called Bonfire that provides information on how to eat, move, and think in a way to change behaviors and ignite better health. The program is free and includes recipes, workouts, journaling and an online community for support.
Screening for diabetes in Indigenous communities in Alberta, Canada: reframin...Kelli Buckreus
This document discusses screening for diabetes in Indigenous communities in Alberta, Canada. It provides background information on the high prevalence of diabetes and risk factors in Indigenous populations. It also reviews different community-based screening programs that have been implemented in Indigenous communities in Canada and their findings. The document discusses debates around population-based screening and considerations for conducting research and screening in Indigenous communities. It profiles some initiatives in Alberta to conduct mobile diabetes screening and monitoring of complications in Indigenous communities.
Lifestyle Medicine: The Power of Personal Choices, North American Vegetarian...EsserHealth
Lifestyle Medicine focuses on applying behavioral and environmental principles to managing lifestyle-related health problems. Chronic diseases now account for 75% of healthcare costs in the US, many of which are strongly associated with diet and physical inactivity. While genetics play a role, the rise of these "lifestyle diseases" correlates with changes in American diets and exercise patterns over recent decades. Prospective randomized studies demonstrate that organized lifestyle interventions can significantly reduce disease incidence and healthcare costs compared to prescription medications. Lifestyle Medicine aims to educate and empower individuals to make personal choices that can transform health outcomes on both individual and societal levels.
Castañares Partnering Together for Community HealthMarissa Stone
This document discusses moving "upstream" to improve population health. It summarizes the key points made which are: 1) Early childhood experiences and the developmental origins of health and disease are important determinants of lifelong health outcomes. 2) Epigenetics research shows how nutrition, stress, and toxins during fetal development can affect gene expression and risk of chronic disease across generations. 3) Community health workers are a valuable way to support community health in a culturally competent manner by addressing social determinants of health.
Anna Marie Carter, known as "The Seed Lady of Watts", works to bring organic food and gardening to Watts, California through her Watts Garden Club. Watts faces many challenges including crime, drugs, and poor health outcomes. Carter teaches organic gardening and helps people grow their own food to improve community health. She works with youth, teaches classes on topics from gardening to cooking, and operates a community garden and farmers market. Her goal is to empower the community and improve access to healthy, organic foods.
This presentation discusses culturally competent care for diabetes. It begins with statistics showing the increasing diversity in the US and higher rates of diabetes in some racial/ethnic groups. The concept of cultural competence is defined as awareness of health beliefs, diseases, and treatment efficacy for different cultures. Providing culturally competent care can improve outcomes by enhancing communication and trust between providers and patients from diverse backgrounds. Strategies discussed include understanding how culture impacts behaviors and communicating in a respectful manner that considers different perspectives.
This document provides information about a book titled "Let's Be Healthy Together: Eating the Right Stuff" published by Health Nexus in 2010. The book was funded by the Ontario Trillium Foundation and aims to help prevent childhood obesity in Aboriginal communities. It covers topics like eating well according to Canada's Food Guide, traditional and healthy food preparation methods, accessing traditional foods, healthy eating during pregnancy, and free programs for families. The document lists advisory council members and key informants who contributed to the book's development.
This document provides information about collecting and sharing family health history. It includes a toolkit from the Utah Department of Health to help people talk to family members about health conditions that run in the family, write down what they learn, and share it with their doctor and relatives. The toolkit encourages making family health history a tradition discussed at family gatherings. It provides tips on collecting information, potential health risks based on family history, and ways to use the information, such as lifestyle changes, screening tests, and knowing when to see a genetic counselor.
• Undiagnosed diabetes, pre-diabetes and cardiovascular risk in Alberta Métis...Kelli Buckreus
The Mobile Diabetes Screening Initiative screened over 800 Métis clients in Alberta settlements to assess undiagnosed diabetes and cardiovascular risk. They found that 5% of adult clients had undiagnosed diabetes, 51% had pre-diabetes, and high rates of overweight/obesity and family history of diabetes. No children screened had diabetes but 21% had pre-diabetes. High rates of metabolic syndrome were also found among both adults and children screened. These results suggest Métis people in Alberta have similar high rates of diabetes and related conditions as other First Nations groups in Canada.
This presentation at the National Health Association's annual conference discussed natural hygiene and its role in leading America to better health. It aimed to take the audience to the past to explore how healthcare has changed over time, examine the present state of poor health in the US, and challenge the audience to help shape a healthier future. The key concepts discussed were the poor state of healthcare in America today, how lifestyle choices have contributed to widespread chronic diseases, and how adopting principles of natural hygiene like a plant-based diet and regular exercise can help address this problem.
The document discusses health beliefs and practices of the Roma (Gypsy) culture. It describes their social structure as being based on clans and families, with elders holding important roles. Roma attribute health and illness to ideas of purity and fortune. Traditional healers treat Roma illnesses, while mainstream doctors treat those brought by non-Romas. Rituals and herbal remedies are used. High rates of smoking, obesity and infectious diseases pose risks. Providing separate clean/unclean items and building trust are important for health promotion in this ethnocentric culture.
This document discusses health challenges faced by people of African ancestry globally and provides recommendations to improve health. It notes that people of African descent often experience discrimination resulting in inadequate healthcare access. It then provides 12 pointers on improving individual and community health, such as developing self-knowledge, engaging in community life, exercising discipline, and adapting to change. The recommendations target clinicians, community members, and parents to empower communities and address both individual lifestyle factors and systemic causes of health inequities.
Partnerships to address the diabetes epidemic in Aboriginal Communities in Al...Kelli Buckreus
This document summarizes an Aboriginal diabetes program in Alberta, Canada. It describes the high rates of diabetes among Aboriginal populations and the cultural and socioeconomic barriers to care. The program was developed in partnership with Elders and takes a holistic, culturally-relevant approach. It provides on-site and outreach services, education, and promotes healthy living. Research shows the program is helping improve health outcomes and further partnership is needed to fully address the diabetes epidemic in Aboriginal communities.
The document provides an overview of topics covered in a cultural competency training for employees at House of New Hope, including defining culture, diversity issues, racism, understanding one's own culture and how it impacts parenting adopted children. It discusses the impact of cultural issues on adoptive placements and identity formation. Key components of culture are outlined such as religion, family roles, values, food and traditions. The document emphasizes that race, ethnicity and gender are innate, while culture is learned. It discusses avoiding ethnocentrism and not stereotyping others. Recognizing cultural differences in children and supporting their self-esteem and bicultural identity is emphasized.
The document is a summary of a speech given by Dr. Stephan Esser at the 2009 Hallelujah Acres Annual Gathering. The speech discusses:
1) The poor state of healthcare in America, with high costs, a focus on treatment over prevention, and lifestyle diseases as leading causes of death.
2) How American diets and lifestyles have changed since the 1970s with increased consumption of sugars, salts, meats and decreased physical activity leading to epidemics of obesity and related diseases.
3) The solution presented by Hallelujah Acres of eating more plants and less animal products, oil, sugar and salt and increasing exercise as a way to improve health outcomes and reduce
Dr. Gerald Stokka - Stewardship: A Philosophy of Life, Culture and BusinessJohn Blue
Stewardship: A Philosophy of Life, Culture and Business - Dr. Gerald Stokka, North Dakota State University, from the 2014 Iowa Cattle Industry Convention, December 8 - 10, 2014, Des Moines IA, USA
More presentations at http://www.trufflemedia.com/agmedia/conference/2014-iowa-cattle-industry-convention
Black Women's Health Movement Launch PresentationThe Health Gap
The Black Women's Health Movement is designed to engage and empower African American women across the socioeconomic spectrum of our community to live healthier lives -- body and mind. To join visit: https://closingthehealthgap.org/what-we-do/bwhm/
Ontario Court of Justice Presentation Dr Stewart Jan 15.2014Suzanne Stewart
The document discusses the need for the Ontario justice system to learn about Indigenous cultures in order to reduce systemic biases against Aboriginal peoples in family court. It notes that Aboriginal conceptions of psychology, parenting and social behaviors differ significantly from Western worldviews. There is also overrepresentation of Aboriginal children and families in the child welfare system. The document advocates incorporating Indigenous conceptions of ethics, families and social structures into the court process to make it more culturally appropriate and reduce oppression of Aboriginal peoples. It provides examples of how understanding colonial history and Aboriginal worldviews could help reform practices to be more empowering for Indigenous communities.
Gene counselling a developing field has more effect on both the developing and developed countries. So this ppt provides the basic idea about genetic counselling
The document discusses the health crisis facing many countries due to rising rates of chronic disease. It notes that over 130 million Americans suffer from chronic illnesses, accounting for $2 trillion in annual healthcare costs. Most chronic diseases are linked to physical inactivity and poor diet. The solution proposed is a web-based lifestyle program called Bonfire that provides information on how to eat, move, and think in a way to change behaviors and ignite better health. The program is free and includes recipes, workouts, journaling and an online community for support.
Screening for diabetes in Indigenous communities in Alberta, Canada: reframin...Kelli Buckreus
This document discusses screening for diabetes in Indigenous communities in Alberta, Canada. It provides background information on the high prevalence of diabetes and risk factors in Indigenous populations. It also reviews different community-based screening programs that have been implemented in Indigenous communities in Canada and their findings. The document discusses debates around population-based screening and considerations for conducting research and screening in Indigenous communities. It profiles some initiatives in Alberta to conduct mobile diabetes screening and monitoring of complications in Indigenous communities.
Lifestyle Medicine: The Power of Personal Choices, North American Vegetarian...EsserHealth
Lifestyle Medicine focuses on applying behavioral and environmental principles to managing lifestyle-related health problems. Chronic diseases now account for 75% of healthcare costs in the US, many of which are strongly associated with diet and physical inactivity. While genetics play a role, the rise of these "lifestyle diseases" correlates with changes in American diets and exercise patterns over recent decades. Prospective randomized studies demonstrate that organized lifestyle interventions can significantly reduce disease incidence and healthcare costs compared to prescription medications. Lifestyle Medicine aims to educate and empower individuals to make personal choices that can transform health outcomes on both individual and societal levels.
Castañares Partnering Together for Community HealthMarissa Stone
This document discusses moving "upstream" to improve population health. It summarizes the key points made which are: 1) Early childhood experiences and the developmental origins of health and disease are important determinants of lifelong health outcomes. 2) Epigenetics research shows how nutrition, stress, and toxins during fetal development can affect gene expression and risk of chronic disease across generations. 3) Community health workers are a valuable way to support community health in a culturally competent manner by addressing social determinants of health.
Anna Marie Carter, known as "The Seed Lady of Watts", works to bring organic food and gardening to Watts, California through her Watts Garden Club. Watts faces many challenges including crime, drugs, and poor health outcomes. Carter teaches organic gardening and helps people grow their own food to improve community health. She works with youth, teaches classes on topics from gardening to cooking, and operates a community garden and farmers market. Her goal is to empower the community and improve access to healthy, organic foods.
This presentation discusses culturally competent care for diabetes. It begins with statistics showing the increasing diversity in the US and higher rates of diabetes in some racial/ethnic groups. The concept of cultural competence is defined as awareness of health beliefs, diseases, and treatment efficacy for different cultures. Providing culturally competent care can improve outcomes by enhancing communication and trust between providers and patients from diverse backgrounds. Strategies discussed include understanding how culture impacts behaviors and communicating in a respectful manner that considers different perspectives.
This document provides information about a book titled "Let's Be Healthy Together: Eating the Right Stuff" published by Health Nexus in 2010. The book was funded by the Ontario Trillium Foundation and aims to help prevent childhood obesity in Aboriginal communities. It covers topics like eating well according to Canada's Food Guide, traditional and healthy food preparation methods, accessing traditional foods, healthy eating during pregnancy, and free programs for families. The document lists advisory council members and key informants who contributed to the book's development.
This document provides information about collecting and sharing family health history. It includes a toolkit from the Utah Department of Health to help people talk to family members about health conditions that run in the family, write down what they learn, and share it with their doctor and relatives. The toolkit encourages making family health history a tradition discussed at family gatherings. It provides tips on collecting information, potential health risks based on family history, and ways to use the information, such as lifestyle changes, screening tests, and knowing when to see a genetic counselor.
Similar to Preventing Diabetes in Aboriginal Communities: To Screen or Not To Screen (20)
• Undiagnosed diabetes, pre-diabetes and cardiovascular risk in Alberta Métis...Kelli Buckreus
The Mobile Diabetes Screening Initiative screened over 800 Métis clients in Alberta settlements to assess undiagnosed diabetes and cardiovascular risk. They found that 5% of adult clients had undiagnosed diabetes, 51% had pre-diabetes, and high rates of overweight/obesity and family history of diabetes. No children screened had diabetes but 21% had pre-diabetes. High rates of metabolic syndrome were also found among both adults and children screened. These results suggest Métis people in Alberta have similar high rates of diabetes and related conditions as other First Nations groups in Canada.
Stillbirth epidemiology, diabetes, and other risk factors among all pregnanci...Kelli Buckreus
This study analyzed pregnancy data from 2000-2009 in Alberta to examine stillbirth rates and risk factors among First Nations and non-First Nations women. The key findings were:
1) Stillbirth rates were significantly higher among First Nations women compared to non-First Nations women, with age-adjusted antepartum and intrapartum stillbirth rates 2.86 and 1.80 times higher respectively.
2) Stillbirth rates remained stable over the study period for both groups.
3) Risk factors for stillbirth identified for both groups included advanced maternal age, history of abortion/stillbirth, pregestational diabetes, and preexisting hypertension. First Nations ethnicity was also an independent risk factor.
The document summarizes initiatives to address diabetes in Aboriginal communities in Canada. It discusses the continuation of funding for the Aboriginal Diabetes Initiative (ADI) with $110 million over two years. It outlines ADI's focus on initiatives for at-risk groups and community-led prevention programs. The Mobile Diabetes Screening Initiative (MDSI) works with Métis settlements on prevention and is planning a health promoter program and community visits.
This document is a newsletter from the BRAID-Kids project that introduces the project team members and announces upcoming community events related to health, nutrition, and diabetes prevention. It profiles the BRAID-Kids research assistant and coordinator, community research consultant, dietitian consultant, and doctor involved in the project. It also advertises a fitness testing event and walk/luncheon taking place in June and shares two healthy recipes from the project's dietitian.
The newsletter provides information about recent and upcoming events related to diabetes prevention and healthy living in the community. It summarizes a diabetes walk that 118 people participated in with prize winners. It also describes a BRAID-Kids forum to discuss supporting families' health and wellness. Upcoming events are listed such as a family fitness challenge, Four Fires ceremony, handgame tournaments, and a community garden contest. Tips for healthy breakfast options are provided to help with concentration and learning.
Driftpile Diabetes News (newsletter) - Vol 1 No 3Kelli Buckreus
The document is a newsletter from the BRAID diabetes research group and Driftpile First Nation about their diabetes prevention work. It provides the following information:
- BRAID-Kids diabetes prevention lessons will be taught in the Driftpile school starting in October to teach children about healthy lifestyles.
- Results from a youth questionnaire about physical activity and eating habits administered in May/July.
- Upcoming BRAID-Kids testing dates in October include running tests and blood sugar measurements.
- Information about a moose preserving event that involved processing and preparing moose meat traditionally.
- A story about the Hobbema Cadets program visiting poor neighborhoods in Jamaica and seeing cultural pride has helped
The document summarizes the BRAID-Kids project in Driftpile First Nation which aims to prevent obesity and diabetes among children. 16 children participated in the initial running tests to measure fitness levels and provide health assessments. The project will continue testing children in the fall of 2009 and spring of 2010. It also describes the Cree Pride program which addresses spiritual/emotional health using traditional Cree teachings and aims to prevent diabetes risk. A dietitian named Karie Quinn provides nutrition support to the program. Children can still sign up for BRAID-Kids by contacting the local health center.
The document summarizes a study that tested two approaches to preventing diabetes risk in children from Driftpile First Nation: a usual counseling approach and a new approach adding a "Cree Pride" program addressing spiritual and emotional aspects. Screening of 102 children found high rates of obesity and pre-diabetes. The new approach will be tested through the upcoming BRAID-Kids project to see if it can better prevent diabetes risk.
Driftpile Diabetes News (newsletter) - Vol 1 No 4Kelli Buckreus
The BRAID-Kids program has found that children in Driftpile First Nation are generally less healthy than Cree children in James Bay, Quebec based on initial testing. Children in Driftpile had higher rates of overweight, obesity, and central adiposity. They also had unhealthier fitness levels on average based on shuttle run times. Further testing over time found that the health of children in Driftpile did not improve on average. The results suggest kids in Driftpile are at greater risk for diabetes and related health issues compared to the Cree children in James Bay.
Presentation to the ACCFCR Showcase, May 22, 2013Kelli Buckreus
The document describes a study conducted in Driftpile First Nation called BRAID-Kids that aimed to prevent obesity and diabetes in children through improved fitness and nutrition. Baseline results found high rates of overweight, obesity and low fitness levels among participating children. After about 1 year, children who were re-tested showed significant improvements in aerobic fitness levels but no changes in other health measures. The improvements are likely due to a new physical education program and increased focus on fitness rather than BRAID-Kids interventions alone, which faced challenges in implementation.
Diabetes care and patient understanding of type 2 diabetes in remote, rural A...Kelli Buckreus
Most respondents saw their family doctor as their main diabetes care provider and saw them at least 3 times in the previous year. However, few clients received appropriate testing and screening. Only 26% had an A1c test and 25% had a retinal exam in the past year, below recommended guidelines. While 60% felt they understood diabetes well, few attended formal education. Despite opportunities to receive care, few clients are getting appropriate testing, screening and specialist referrals like podiatry. The mobile diabetes program aims to empower clients to request appropriate care and works to improve access.
Results of a survey to assess patient memory of diagnosis and compliance with...Kelli Buckreus
1) The document reports on a survey assessing patients' memory of their diabetes diagnosis from a mobile screening initiative (MDSi) and compliance with physician follow-up recommendations.
2) The survey found that 42% of patients correctly remembered their MDSi diagnosis, while 21% incorrectly but still seriously remembered a diagnosis like "impaired."
3) 76% of patients saw their family physician after screening, and the MDSi diagnosis was confirmed for 77% of these patients. The high follow-up and confirmation rates support the efficacy of MDSi's community-based screening methodology.
Screening Métis clients in Alberta for undiagnosed diabetes and cardiovascula...Kelli Buckreus
The document summarizes screening results from the Mobile Diabetes Screening Initiative (MDSi) that screened 624 Métis participants in Alberta, Canada between 2003-2005. Key findings include:
1) High rates of pre-diabetes (50% of adults, 13% of children), undiagnosed diabetes (4% of adults, 5% of children), overweight/obesity (32%/50% of adults, 10%/50% of children), and metabolic syndrome (50% of both adults and children) were found.
2) Risk factors for diabetes and cardiovascular disease were very high, consistent with screening in other First Nation communities.
3) Continued screening
Screening for diabetes and its complications as part of the Alberta Diabetes ...Kelli Buckreus
2004 (Jan) 3rd National Conference on Diabetes and Aboriginal Peoples, National Aboriginal Diabetes Association (NADA), poster presentation by BRAID Research
Prevalence of metabolic syndrome amongst Canadian Aboriginals attending a scr...Kelli Buckreus
The prevalence of metabolic syndrome among Canadian Aboriginals attending a screening program was found to be 31% in both men and women. Increased waist circumference contributed to the diagnosis in 96% of cases. A family history of diabetes was common, with 43% reporting a parent with diabetes, 27% a sibling, and 26% of women reporting a history of gestational diabetes. Screening of a larger, population-based Aboriginal sample is underway.
Health outcomes of Aboriginal individuals with early onset diabetesKelli Buckreus
The study examined the health outcomes of 116 Aboriginal individuals in Alberta diagnosed with diabetes in youth (≤20 years old). The majority (86.2%) were Aboriginal, with an average current age of 30.5 years and average diabetes duration of 14.5 years. High rates of comorbidities were found, including obesity (82%), abnormal waist circumference (64.1%), metabolic syndrome (43.1%), hypertension (48.4%), and poor blood glucose control (61.1% had A1c >7%). Many also showed signs of diabetes complications like microalbuminuria (33%) and being at high risk for foot issues (11.4%). The results suggest diabetes takes a significant toll on health early in
Health outcomes of Aboriginal individuals with early onset diabetes
Preventing Diabetes in Aboriginal Communities: To Screen or Not To Screen
1. Preventing Diabetes in
Aboriginal Communities:
To Screen or Not To Screen
Adrian Jacobs – Community Liaison
MDSi Field Team, BRAID Research Group
University of Alberta
3. To Screen or Not To Screen
Yes, as long as it is an act of empowerment
that resources the Aboriginal community to
make Health Agenda decisions.
James Lamouche Dr. Daniele Behn Smith Dr. Dawn Martin-Hill
4. The Screening Debate
2003 CDA guidelines recommend community-
based screening
2008 CDA guideline do not recommended
community-based screening
ADA discourages community-based screening
5. Why not?
Potential poor patient follow-up
Uncertain health impact
Fear of
Labeling
Stigmatization
Feelings of loss of control
Cultural barriers
6. Reasons to screen
Cost effectiveness of prevention
Current and projected costs of extant diabetes
Socio-cultural benefit
Empowerment
Capacity building
Collaboration
Cultural renewal
14. Colonialism
Another people’s agenda
Another people’s values
Another people’s norm
Creation of a norm makes all others deviant
This leads to marginalization
The end result is stigmatization – the ultimate
disempowerment
16. Blame-deflecting
I was not there.
We did not make these decisions.
That happened so long ago, you just need to get
over it.
17. Healthy immigrant effect
Immigrants to Canada are healthier than
Canadians when they arrive
After being here a number of years they are less
healthy than Canadians
European immigrants decline less
People of colour of non-European origin decline the
most
18. Who is making them sick?
Western culture?
European immigrants suffer less
Non-European immigrants suffer more
As an Aboriginal I can say, “Perhaps it is making
you sick like it made us sick.”
19. What is making them sick?
Western medicine’s “norm making?”
What happens if you use a northern European as
“the norm?”
What about a southern European?
What about an English Canadian or French
Canadian?
As an Aboriginal I can say, “It doesn’t matter,
they are all Western, we will never correspond.”
20. Aboriginal Diabetes Pre-Disposition
I lamented
My grandmother’s diabetes
My mother’s diabetes
My diabetes
My Aboriginal heritage
I hoped my children would not be cursed by my
Aboriginal genetics
21. “No (not bad genetics)! Good
genetics – bad diet and lifestyle!”
This turned everything completely around in me
My heritage is not the problem
My genetics is not the problem
I have a great heritage
I have great genetics
22. Decolonized Thinking
I am Ongwehohweh and I am not a deviation!
Our Aboriginal heritage is our asset.
We are how the Creator made US.
We don’t have to change to become “normal.”
We are the “norm” for US.
Give us the tools and we will find our way
through to health for US.
23. Decolonization
Prime Minister Harper apologized for the
“policy of assimilation” as expressed in the
Residential School system
What does “not assimilating” Aboriginal people
look like?
24. RCAP (Royal Commission
on Aboriginal Peoples)
A return to the treaty relationship
Nation to Nation
Respect
Dealing honestly with the past
Treaty violations
Residential Schools
Reconciliation
25. Ruppert Ross
“while western psychology’s discussions about things
like Complex PTSD might help non-aboriginal people
understand the impact of residential schools, they
remain western discussions, coming out of a western
world-view. A different world-view, however, would
result in a different vision of what a healthy person is,
a different description of ill-health, and different
prescriptions for returning to good-health.” Heartsong:
Exploring Emotional Suppression and Disconnection in
Aboriginal Canada, Nov. 2009
26. Empowerment
The locus of control for Aboriginal Health
needs to be in the Aboriginal community not
outside.
Health Policy
Health Budget
Health Programming
Health Accountability
29. To Screen or Not To Screen
MDSi produces a data resource for Aboriginal control
Community Based Research and Education
NAHO’s OCAP (Ownership Control Access
Possession)
Decolonizing Aboriginal Health requires it.
“YES, as long as it is an act of
empowerment, resourcing the
Aboriginal community to make
health agenda decisions.”
30. Adrian Jacobs – ajacobs@ualberta.ca
www.braiddm.ca
“Restoring Aboriginal culture through community-based type 2 diabetes screening”
by Richard Oster, Ellen Toth
International Journal of Circumpolar Health 2010
http://www.braiddm.ca/69_3_oster.pdf