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Battling a new epidemic: American Indian elders and diabetes

TitleBattling a new epidemic: American Indian elders and diabetes
Publication TypeBook Chapter
Year of Publication2009
AuthorsHenderson, LCarson
Book TitleThe cultural context of aging: Worldwide perspectives
Edition3rd
Pagination550-567
PublisherPraeger Publishers/Greenwood Publishing Group; US
CityWestport, CT
ISBN Number0-275-99302-7 (Paperback), 978-0-275-99302-3 (Paperback), 0-275-99288-8 (Hardcover), 978-0-275-99288-0 (Hardcover)
Accession NumberBook: 2009-11026-031
Keywords*Aging, *American Indians, *Diabetes Mellitus, *Health Care Seeking Behavior, *Sociocultural Factors, American Indian elders, diabetes, prevalence, sociocultural factors, cultural construction of disease, diabetes care-seeking, self-care, adherence, Epidemiology, Health & Mental Health Treatment & Prevention [3300], Human Male Female Adulthood (18 yrs & older) Aged (65 yrs & older), Physical & Somatoform & Psychogenic Disorders [3290], Treatment Compliance, us
Abstract(from the chapter) In spite of today's advanced medical treatments, prevention and health promotion strategies, prevalence rates for diabetes mellitus among American Indians are persistent, excessive and rising. In the presence of potent drugs and health education information, diabetes prevalence should be abating. Since it is not, other factors accelerating rates of diabetes must be operating. Preliminary research suggests that one possible source for persistent and increasing diabetes prevalence is that nonobvious sociocultural factors are present that impede the productive application of existing therapeutic efforts. Few project shave addressed conflicting cross-cultural models of diabetes causation, prevention and treatment as a source of persistent excess disease burden. This omission is notable because divergent culturally constructed concepts of disease are known to impede care-seeking, communication and adherence. Conditions such as diabetes are the grist for health communication barriers, defensive behaviors and treatment nonadherence, leading to patients and providers losing a sense of partnership in combating this complex disease. The research presented in this chapter examines the cultural construction of disease concepts in terms of their impact upon diabetes care-seeking, self-care and adherence. (PsycINFO Database Record (c) 2012 APA, all rights reserved).
Ethno Med: