Native American Health Care

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1 NAL Call. No.: RA408.I49A25 1991 Access to health care findings from the Survey of American Indians and Alaska Natives. Beauregard, Karen; Cunningham, Peter J.; Cornelius, Llewellyn Joseph, Center for General Health Services Intramural Research (U.S.) Rockville, MD : U.S. Dept. of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research,; 1991. 15 p. ; 28 cm. (AHCPR pub ; no. 91-0028; Research findings (Rockville, Md.) ; 9.). Title from cover. July 1991. Includes bibliographical references (p. 14-15).

2 NAL Call. No.: RA771.A1J68 AIDS knowledge and attitudes among adolescents in the rural southwest. Miller, W.A.; Qualtere-Burcher, P.; Lauber, C.; Rockow, J.P.; Bauman, K.A. Kansas City, Mo. : National Rural Health Association; 1990 Jul. The Journal of rural health v. 6 (3): p. 246-254; 1990 Jul. Includes references.

Descriptors: Arizona; Adolescents; Knowledge; Attitudes; Acquired immune deficiency syndrome; Blacks; American indians; Hispanics; Age differences; Disease prevention; Mortality; Human immunodeficiency virus

Abstract: A survey of adolescents living in rural southwestern towns demonstrated their knowledge of the basic transmission routes of Acquired Immune Deficiency Syndrome (AIDS). Nevertheless, misconceptions and attitudes, which may interfere with adopting safe behaviors, persist. Significant differences in knowledge did exist between the ethnic groups surveyed. Further, American Indian and black adolescents were more likely to express attitudinal biases against people who have AIDS. We conclude that current media efforts have been successful in communicating basic information regarding transmission, but there may exist a need for ethnically specific programs that focus on the misconceptions and attitudes surrounding AIDS.

3 NAL Call. No.: E75.A5 American Indian bibliography series.
S.l. : s.n., 1976-1987; 1976.
174 v. : ill. ; 30 cm.

Descriptors: Indians of North America; Nutrition; Indians of North America; Health and hygiene; Eskimos; Alaska; Nutrition; Eskimos; Alaska; Health and hygiene; Aleuts; Nutrition; Aleuts; Health and hygiene

Abstract: A collection of pamphlets, leaflets, slides and posters on the nutrition and health of American Indians and Alaska natives, issued by various agencies.

4 NAL Call. No.: 448.9 AM37 American Indian-Alaska native youth health. Blum, R.W.; Harmon, B.; Harris, L.; Bergeisen, L.; Resnick, M.D. Chicago, Ill. : The Association; 1992 Mar25. JAMA : Journal of the American Medical Association v. 267 (12): p. 1637-1644; 1992 Mar25. Includes references.

Descriptors: Health; Adolescents; American indians; Risk; Human behavior; Schools; Attitudes; Performance; Trauma; Abuse; Mental health; Sexual behavior; Substance abuse; Geographical distribution; Ethnic groups; Epidemiological surveys

5 NAL Call. No.: RJ499.A1J57 An analysis of mental health research with American Indian youth. McShane, D.
London : Academic Press; 1988 Jun.
Journal of adolescence v. 11 (2): p. 87-116; 1988 Jun. Includes references.

Descriptors: U.S.A.; Ethnic groups; Adolescents; Mental health; Infants; Children; Mental disorders; Foster children; Adopted children

6 NAL Call. No.: 449.9 AM3J Birthweight-specific infant mortality for native Americans compared with whites, six states, 1980. Vanlandingham, M.J.; Buehler, J.W.; Hogue, C.J.R.; Strauss, L.T. Washington, D.C. : American Public Health Association; 1988 May. American journal of public health v. 78 (5): p. 499-503. ill., charts; 1988 May. Includes 22 references.

Descriptors: Alaska; Arizona; Montana; New Mexico; North Dakota; South Dakota; American indians; Infant mortality; Birth weight; Epidemiology; National surveys

Abstract: Extract: We used data from the National Infant Mortality Surveillance (NIMS) project to compare birthweights and birthweight-specific mortality risks among Native American and White infants. Because race categories in NIMS were limited to White, Black, and all, we studied six states in which greater than 85 per cent of newborns who were neither White nor Black were Native American. In these states, the infant mortality risk (IMR) among Native Americans was 15.3 deaths per 1,000 live births compared with 8.7 deaths among Whites, relative risk (RR) = 1.8 (95% CI = 1.5-2.0). The percentage of Native American infants with less than 2,500 g birthweights was 5.8 per cent versus 5.0 per cent for White infants. Birthweight-specific neonatal mortality risks were similar for the two race groups, but birthweight-specific postneonatal mortality risks (PNMRs) were more than three times as high among Native Americans compared with Whites for infants of greater than or equal to 2,500 g birthweight. PNMRs were elevated for most causes of death and for all categories for maternal age, educational attainment, trimester prenatal care began, and number of previous live births. Leading causes of postneonatal death among Native Americans of greater than or equal to 2,500 g birthweight were sudden infant death syndrome and infections.(author)

7 NAL Call. No.: 389.8 J824 Community-based exercise and weight control: diabetes risk reduction and glycemic control in Zuni Indians. Heath, G.W.; Wilson, R.H.; Smith, J.; Leonard, B.E. Baltimore, Md. : American Society for Clinical Nutrition; 1991 Jun. American journal of clinical nutrition v. (53) (6,suppl.): p. 1642S-1646S. charts; 1991 Jun. Includes references.

Descriptors: New Mexico; Weight control; Exercise; Diabetes mellitus; Weight losses; Body weight; Blood sugar; Community programs; Patient compliance; American indians; Adults; Women; Men

Abstract: Cardiovascular disease is a significant health problem for the Zuni Indians of southwest New Mexico, in part because of high rates of non-insulin-dependent diabetes mellitus (NIDDM). The Zuni Diabetes Project was initiated in July 1983 to reduce rates of obesity and provide primary and secondary prevention of NIDDM. Two studies of the project's activities have been carried out to date. After 2 y of followup, diabetic participants in an exercise program compared with diabetic nonparticipants experienced weight loss, a drop in fasting blood glucose values, and reductions in the use of hypoglycemic medications. In a weight-loss competition, 45% (122/271) of the enrollees finished and lost greater than or equal to 2.3 kg. The results of these two studies demonstrate that 1) participation in a community-based exercise program can produce significant weight loss and improvement in glycemic control in Zuni Indians with NIDDM and 2) weight-loss competitions appear to be an important public health model for health-behavior change in communities similar to that of Zuni, NM.

8 NAL Call. No.: 151.65 P96 Comparison of native American births in upstate New York with other race births, 1980-86.
Buck, G.M.; Mahoney, M.C.; Michalek, A.M.; Powell, E.J.; Shelton, J.A. Rockville, Md. : U.S. Department of Health & Human Services, Public Health Service; 1992 Sep. Public health reports v. 107 (5): p. 569-575; 1992 Sep. Includes references.

Descriptors: New York; Birth; American indians; Blacks; Ethnic groups; Ethnicity; Birth weight; Pregnancy; Medical treatment; Education; Age; Mothers; Women; Infants; Epidemiological surveys

Abstract: The purpose of this study was to describe the neonatal characteristics of Native American (Indian) infants and the antenatal characteristics of their mothers as compared with white, black, and other race infants. The study population comprised 979,444 live births to upstate New York (exclusive of New York City) resident mothers between 1980 and 1986. Data were abstracted from vital records (birth certificates) and analyzed using a variety of descriptive statistics. Mothers of Native American and black infants had similar antenatal profiles (that is, younger, higher parity, lower educational attainment, and delayed initiation of prenatal care), which differed from mothers of white or other race infants. Despite having at-risk mothers, Native American infants were similar to white and other race infants with respect to the percentage of births that were considered low birth weight or premature. Black infants were twice as likely as the other three groups of infants to be low birth weight or premature. These findings suggest that other factors appear to be important in determining neonatal outcome and that typical at-risk antenatal profile of mothers may not be consistent across all racial groups.

9 NAL Call. No.: 151.65 P96 A comprehensive local program for the prevention of fetal alcohol syndrome. Masis, K.B.; May, P.A. Rockville, Md. : U.S. Department of Health & Human Services, Public Health Service; 1991 Sep.
Public health reports v. 106 (5): p. 484-489; 1991 Sep. Includes references.

Descriptors: Arizona; Fetal alcohol syndrome; Disease prevention; Program development; Program evaluation; American indians; Alcoholic beverages; Community health services; Family counseling; Pregnancy

Abstract: A hospital based, comprehensive approach to the prevention of Fetal Alcohol Syndrome and Fetal Alcohol Effects that combines clinical assessment, community outreach, and epidemiologic knowledge to attack alcohol-related birth defects is described. The program includes training of clinicians and members of the community, baseline screening of suspected children, and alcohol consumption screening of pregnant women in prenatal clinics. The major, although not exclusive, focus of the program is on tertiary prevention undertaken with women defined as "high risk" for producing alcohol affected children. Of the 48 women referred to the program at the Tuba City, AZ, Indian Medical Center between January 1988 and July 1989, 39 (81 percent) became participants. Complete followup was possible on 31; 17 of them reported alcohol abstinence in July 1989, 18 months into the program. Of the 29 referred women who were pregnant at the time, 21 agreed to participate, of these, 19 (85.7 percent) were abstinent by the third trimester of pregnancy, 5 voluntarily accepted offers of contraceptive measures after the birth of their child.

10 NAL Call. No.: GR880.P6 Coumarin-containing plants and serum albumin polymorphisms: biomedical implications for Native Americans of the Southwest. Raichelson, R.M.
Bedford Hills, N.Y. : Redgrave; 1986.
Plants in indigenous medicine & diet : biobehavioral approaches / edited by Nina L. Etkin. p. 229-251; 1986. Includes references.

Descriptors: U.S.A.; Food consumption; Coumarins; Polymorphism; Albumins; American indians; Health hazards

11 NAL Call. No.: 500 AM33 Cross-cultural medicine: the Navajo Indians as case exemplar. Deuschle, K.W.
Cambridge, Mass. : American Academy of Arts and Sciences; 1986. Daedalus v. 115 (2): p. 175-184; 1986. Includes references.

Descriptors: U.S.A.; American indians; Health services; Cultural integration; Cultural values; Public health

12 NAL Call. No.: RC660.A1D522 Cultural challenges in nutrition education among American Indians. Jackson, M.Y.; Broussard, B.A. Chicago, Ill. : American Association of Diabetes Educators; 1987. Diabetes educator v. 13 (1): p. 47-50; 1987. Includes 33 references.

Descriptors: U.S.A.; American indians; Nutrition education; Cultural influences; Diabetes; Health beliefs; Food beliefs

Abstract: An overview is presented of the cultural factors influencing nutrition behavior and its relevance for nutrition education and diabetes management among American Indians. Traditional and biomedical health belief systems, diabetes and traditional medicine, functions of food in American Indian culture, and Indian beliefs about body image and obesity are discussed. Techniques are suggested to improve nutrition education among American Indians.(mjs)

13 NAL Call. No.: RC660.A1D522 Designing and evaluating diabetes education material for American Indians. Hosey, G.M.; Freeman, W.L.; Stracqualursi, F.; Gohdes, D. Chicago, Ill. : American Association of Diabetes Educators; 1990 Sep. Diabetes educator v. 16 (5): p. 407-414. ill., charts; 1990 Sep. Includes 43 references.

Descriptors: Washington; Oregon; Idaho; Diabetes mellitus; Educational programs; Program development; Program evaluation; Teaching materials; Reading; Nutrition education; Knowledge level; Achievement tests; Resource materials; American indians

Abstract: This paper describes the methods used to develop and evaluate diabetes education material for American Indians and Alaska Natives living in Washington, Oregon, and Idaho. Reading skills of individuals and readability of a sample of existing diabetic education material were measured. Using the Wide Range Achievement Test to measure reading skills, the authors found that 66% of the sample read at a 5th "grade" or higher level. Readability of a sample of available diabetic education material was found to be, on average, at the 1Oth "grade" level. Diabetes education booklets targeted to a 5th to 7th "grade" level were developed and assessed for acceptability and comprehension. Final evaluation, using the cloze procedure, showed that 62% of the target audience understood the messages in the booklets. A comprehensive assessment process was found to be useful in developing effective diabetes education material for Indian communities.

14 NAL Call. No.: RC660.A1D53 Determinants of diabetes mellitus in the Pima Indians. Knowler, W.C.; Saad, M.F.; Pettitt, D.J.; Nelson, R.G.; Bennett, P.H. Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 216-227; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona. Literature review. Includes references.

Descriptors: Arizona; Diabetes mellitus; Literature reviews; Pathogenesis; American indians

Abstract: Objective. To review the research findings on the determinants of diabetes mellitus in Pima Indians.

15 NAL Call. No.: RJ1.C3 Developmental outcome of minority infants: a process-oriented look into our beginnings.
Garcia Coll, C.T.
Chicago, Ill. : University of Chicago Press; 1990 Apr. Child development v. 61 (2): p. 270-289; 1990 Apr. Literature review. Includes references.

Descriptors: U.S.A.; Child development; Minorities; American indians; Asians; Blacks; Hispanics; Parents; Preschool children; Infants; Influences; Cultural sociology; Beliefs; Child care; Health; Health care; Family structure; Socioeconomic status; Parent child relationships; Literature reviews

16 NAL Call. No.: 449.9 AM3J Diabetes among the three affiliated tribes: Correlation with degree of Indian inheritance.
Brosseau, James D.; Eelkema, Robert C.; Crawford, Andrea C.; Abe, Thomas A. Washington, D.C., American Public Health Association; Dec 1979. American journal of public health v. 69 (12): p. 1277-1278. charts; Dec 1979. 4 ref.

Descriptors: North Dakota; Diabetes mellitus; Age factors; Racial composition; Racial differences; American Indians; Hereditary factors; Sociocultural patterns; Epidemiology

Abstract: Higher than usual incidence of diabetes is reported among many American Indian tribes. To define the extent of the problem in a retrospective analysis, the health records of members of the Mandan, Arickara and Hidatsa Indians of North Dakota (the Three Affiliated Tribes) were reviewed, 3,719 usable Indian charts. Full inheritance Indians (45% of the total) age 35 or older have a diabetes prevalence rate of 22.3%. Persons with between half and full inheritance (29% of the total) have a rate of 14.9%. Those with less than half Indian inheritance (26% of the total) have a rate of 4.1%, or the same as whites living on the reservation. Below the age of 35, diabetes is uncommon among all racial subgroups.

17 NAL Call. No.: RC660.A1D53 Diabetes and its complications among selected tribes in North Dakota, South Dakota, and Nebraska.
Stahn, R.M.; Gohdes, D.; Valway, S.E.
Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 244-247; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona. Includes references.

Descriptors: North Dakota; South Dakota; Nebraska; Diabetes; Complications; American indians

Abstract: Objective. To determine the prevalence and incidence rates of diabetes and two specific complications for selected American-Indian tribes in North Dakota, South Dakota, and Nebraska.

18 NAL Call. No.: RC660.A1D53 Diabetes and obesity in the offspring of Pima Indian women with diabetes during pregnancy.
Pettitt, D.J.; Nelson, R.G.; Saad, M.F.; Bennett, P.H.; Knowler, W.C. Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 310-314; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona. Includes references.

Abstract: Objective. To review the long-term effects of the diabetic pregnancy on the offspring among the Pima Indians of Arizona.

19 NAL Call. No.: RC628.O22 Diabetes and obesity in the Pima Indians: a cross-generational vicious cycle. Pettitt, D.J.; Knowler, W.C. New York, N.Y. : Human Sciences Press; 1988. Journal of obesity and weight regulation v. 7 (2): p. 61-75. charts; 1988. Includes references.

Descriptors: Arizona; Diabetes mellitus; Obesity; Genetic markers; Familial incidence; Generations; Lifestyle; Risk; Environmental factors; Tribal society; American indians

Abstract: The ancestors of the Pima Indians have subsisted in the southern Arizona desert by irrigation farming, hunting and gathering for at least 2000 years. During the past 40 to 50 years, they have experienced marked changes in lifestyle and a progressive increase in the incidence of obesity and of type 2 diabetes mellitus. The reasons for these changes, which are probably numerous, are unclear. As a group, the Pima Indians appear to have a strong genetic predisposition to diabetes, probably as a result of genetic selection. In addition, some families are more at risk than others, either as a result of a greater genetic load or from greater environmental stress. The products of pregnancies which were complicated by diabetes are at a particularly high risk of becoming obese and developing diabetes. Successive generations, because of genetic predisposition, environmental stress, and a greater number of diabetic pregnancies are at increasing risk.

20 NAL Call. No.: RC660.A1D53 Diabetes and plasma lipoproteins in Native Americans: Studies of the Pima Indians.
Howard, B.V.
Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 284-291; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona. Includes references.

Abstract: To determine the effects of diabetes on plasma lipoproteins in Pima Indians, to identify metabolic determinants of these differences, and to examine the effects of various modes of diabetes therapy.

21 NAL Call. No.: E75.A5 [no.A-50] [Diabetes handout series].. Diabetes series Hembekides, Ruth
Oklahoma City : OK : Oklahoma City Area, Indian Health Service, 1984-; 1984-9999.
v. : ill. ; 28 cm. (American Indian bibliography series ; [A-50]).

Descriptors: Popular works; American indians; Diabetes; Symptoms; Diabetes treatment; Dietary guidelines

Abstract: The causes, symptoms, complications, and management of diabetes are overviewed in this series of handouts developed by the Oklahoma City Area Indian Health Service. A Check-list identifies common diabetic symptoms, including overweight, family history of disease, constant hunger, fatigue, thirst, and slow wound healing. Diabetic complications include atherosclerosis, impaired blood circulation, kidney failure, nerve damage, visual changes, and increased risk of infection. The following aspects of diabetes management are described: food selection and preparation for weight control, selecting and ordering meals away from home, and controlling diabetes while on travel. Symptoms and emergency treatment measures for insulin reaction (hypoglycemia) and d iabetic acidosis (hyperglycemia) are reviewed. Several recipes are provided for low-calorie salad dressings. Benefits of diet counseling and counseling services available through the local Indian Health Service are identified.

22 NAL Call. No.: RC660.A1D53 Diabetes in a northern Minnesota Chippewa Tribe: Prevalence and incidence of diabetes and incidence of major complications, 1986-1988. Rith-Najarian, S.J.; Valway, S.E.; Gohdes, D.M.
Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 266-270; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona. Includes references.

Abstract: Objective. To determine the prevalence and incidence of diabetes, and the incidence of major diabetic complications, in a Chippewa Indian population.

23 NAL Call. No.: RC660.A1D53 Diabetes in American Indians: a growing problem. Gohdes, D.M.
Alexandria, Va. : American Diabetes Association; 1986 Nov. Diabetes care v. 9 (6): p. 609-613. ill., charts; 1986 Nov. Includes 14 references.

Descriptors: U.S.A.; American indians; Diabetes; Mortality; Trends; National surveys

Abstract: Data obtained from the US Indian Health Service were examined and compared to other data sources to describe the extent and growth of diabetes morbidity and mortality among US Indians. The results indicate that, in 1982, the incidence of diabetes mortality for US Indians and native Alaskans was over 2-fold that of all other US races (19.9/100,000 vs. 9.6/100,000). Geographic distribution plots and data summaries are included and discussed.(wz)

24 NAL Call. No.: RC660.A1D53 Diabetes in American Indians: an overview. Gohdes, D.; Kaufman, S.; Valway, S.
Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 239-243; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona. Includes references.

Abstract: To review the growth of diabetes as a major health problem for American Indians and Alaska Natives.

25 NAL Call. No.: RC660.A1D53 Diabetes in American Indians and Alaska Natives. Gohdes, D.; Bennett, P.H.
Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 214-215; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona.

Abstract: Diabetes in American Indians and Alaska Natives was the focus of a conference that resulted in a unique interchange among tribal leaders, health-care providers, and medical scientists with particular interests in diabetes mellitus and its complications. The conference, which was held in Mesa, Arizona, 14-17 November 1989, was sponsored by the Indian Health Service and the National Institute of Diabetes and Digestive and Kidney Diseases, in collaboration with the Intertribal Council of Arizona.

26 NAL Call. No.: RC660.A1D53 Diabetes in American Indians: Reflections and future directions. Kuller, L.H.
Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 380-386; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona. Includes references.

Abstract: The two goals of the next generation of diabetes research should be to reduce the incidence of diabetes mellitus and to decrease the risk of complications from the disease. The prevention of diabetes will require a better understanding of the interaction of genetic and hostenvironmental factors, especially energy balance, diet and exercise, and specific nutrients. The prevention of weight gain should probably be of highest priority. The prevention of complications needs to focus on hyperinsulinemia, hyperglycemia, blood pressure, smoking, and lipoproteins. Clinical trials are needed to evaluate objectively the benefits of specific interventions. Such trials should be closely linked to community health programs to maximize the health status of the population.

27 NAL Call. No.: RC660.A1D53 Diabetes in Mississippi Choctaw Indians. Johnson, L.G.; Strauss, K.
Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 250-252; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona. Includes references.

Abstract: Objective. To establish a registry of patients with diabetes and determine the point prevalence of diabetes in the Mississippi Choctaw Indians at the end of September 1989.

28 NAL Call. No.: RC660.A1D53 Diabetes in St. Regis Mohawk Indians.
Martinez, C.B.; Strauss, K.
Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 260-262; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona. Includes references.

Abstract: Objective. To establish a registry of diabetes patients and to determine the point prevalence of diabetes in the St. Regis Mohawk New York community at the end of August 1989.

29 NAL Call. No.: RC660.A1D53 Diabetes mellitus in Alaskan Yup'ik Eskimos and Athabascan Indians after 25 yr.
Murphy, N.J.; Schraer, C.D.; Bulkow, L.R.; Boyko, E.J.; Lanier, A.P. Alexandria, Va. : American Diabetes Association; 1992 Oct. Diabetes care v. 15 (10): p. 1390-1395; 1992 Oct. Includes references.

Abstract: Objective. To estimate the prevalence of diabetes mellitus and overweight in two populations of Alaska Natives and to compare the results with previous data.

30 NAL Call. No.: RC660.A1D53 Diabetes mellitus in Tohono O'odham pregnancies. Livingston, R.C.; Bachman-Carter, K.; Frank, C.; Mason, W.B. Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 318-321; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona. Includes references.

Abstract: Objective. To determine the prevalence of diabetes in Tohono O'odham pregnancies, and to assess the efficacy of early prenatal diabetes screening in populations with high rates of diabetes.

31 NAL Call. No.: RC660.A1D53 Diabetes mortality among New Mexico's American Indian, Hispanic, and non-Hispanic white populations, 1958-1987. Carter, J.S.; Wiggins, C.L.; Becker, T.M.; Key, C.R.; Samet, J.M. Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 306-309; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona. Includes references.

Descriptors: New Mexico; Diabetes; Mortality; Ethnic groups; American indians; Hispanics

Abstract: Objective. To determine the diabetes-related mortality rates among New Mexico's American Indians, Hispanics, and non-Hispanic whites over a 30-yr period.

32 NAL Call. No.: RC660.A1D53 Diabetes prevalence, incidence, and complications among Alaska Natives, 1987. Schraer, C.D.; Bulkow, L.R.; Murphy, N.J.; Lanier, A.P.
Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 257-259; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona. Includes references.

Abstract: Objective. To provide descriptive epidemiological data on diabetes mellitus among Alaska Natives, including incidence, updated prevalence, and incidence rates of ESRD, LEA, MI, and stroke in the diabetic population.

33 NAL Call. No.: RC660.A1D53 The diabetes project at Fort Totten, North Dakota, 1984-1988. Newman, W.P.; Hollevoet, J.J.; Frohlich, K.L. Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 361-363; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona. Includes references.

Abstract: Objective. To characterize demographic, therapeutic, and complication features of patients in the Fort Totten Diabetes Project and to assess the longitudinal impact of intervention strategies.

34 NAL Call. No.: RC660.C53 1992 Diabetes status of the disease among American Indians, Blacks, and Hispanics : [statement of] Eleanor Chelimsky, Assistant Comptroller General, Program Evaluation and Methodology Division, before the Select Committee on Aging, House of Representatives.
Chelimsky, Eleanor
United States, General Accounting Office, United States, Congress, House, Select Committee on Aging Washington, D.C. : The Office ; Gaithersburg, MD (P.O. Box 6015, Gaithersburg 20877) : The Office [distributor,; 1992; GA 1.5/2:T-PEMD-92-7. 16 p. : ill. ; 28 cm. (Testimony ; GAO/TPEMD -92-7). Cover title. April 6, 1992. Includes bibliographical references.

35 NAL Call. No.: RC660.A1D53 Diabetes-associated mortality in Native Americans. Newman, J.M.; DeStefano, F.; Valway, S.E.; German, R.R.; Muneta, B. Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 297-299; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona. Includes references.

Abstract: Objective. To describe diabetes-associated mortality among Native Americans.

36 NAL Call. No.: RC660.A1D53 Diabetic complications among American Indians of Washington, Oregon, and Idaho: Prevalence of retinopathy, end-stage renal disease, and amputations. Freeman, W.L.; Mosey, G.M. Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 357-360; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona. Includes references.

Descriptors: Washington; Oregon; Idaho; Diabetes; Complications; Incidence; American indians

Abstract: Objective. To estimate the prevalence of severe diabetic complications.

37 NAL Call. No.: 389.8 SCH6 Diet and nutrition related diseases of ethnic minorities. Groziak, S.M.; Diemand, L.M.
Alexandria, Va. : American School Food Service Association; 1989 Jun. School foodservice journal v. 43 (6): p. 82, 84; 1989 Jun.

Descriptors: Ethnicity; Eating habits; Risks; Nutritional assessment; Blacks; Hispanics; Asians; American indians

Abstract: This article discusses several ethnic minorities, their eating habits and how their food choices affect their health and nutritional status.

38 NAL Call. No.: 389.8 D14 Diet and nutrition-related concerns of blacks and other ethnic minorities. McBean, L.D.
Rosemont, Ill. : National Dairy Council; 1988 Nov. Dairy Council digest v. 59 (6): p. 31-36; 1988 Nov. Literature review. Includes 85 references.

Descriptors: U.S.A.; Food intake; Cultural influences; Health; Dietary factors; Nutrition; Nutrient intake; Obesity; Hypertension; Diabetes; Osteoporosis; Risks; Blacks; Hispanics; American indians; Asians

Abstract: Ethnic minorities in the U.S., specifically black, Hispanic, Asian/Pacific, and Native Americans, have higher rates of morbidity and mortality than the white (non-Hispanic) population. Both genetic and environmental factors contribute to these disparities. Among environmental factors, dietary patterns are important determinants of health. Diets of ethnic minority groups are influenced by a number of factors including the nature of the traditional diet, and the degree to which this diet has been adapted to or replaced by diets typical of the U.S. Although certain food themes and preferences such as "soul" and southern foods are emphasized in the diets of black Americans, their diets resemble those of the white population. In contrast, traditional diets of Hispanic, Asian/Pacific, and Native Americans not only differ from each other but also from those of the white population. In particular, carbohydrate-containing foods (e.g., rice, tortillas), rather than meat, are the major source of energy in the traditional diets of these ethnic minority populations. In general, complex carbohydrates and sodium are high in these diets, whereas total fat, saturated fat, calcium, iron and some vitamins are relatively low. Inadequate calcium intake of many ethnic minority populations is associated with limited use of dairy foods, either as a result of lactose intolerance or culturally-determined food avoidances. Some nutritional risks associated with ethnic minority group dietary patterns are the result of adaptation to U.S. dietary patterns. Nutrition-related diseases of high prevalence in ethnic minorities include obesity and diabetes in black, Hispanic, and Native Americans, and hypertension in black and Asian/Pacific Americans. Salt sensitivity and a low dietary intake of potassium and calcium have been identified as possible risk factors for hypertension in black Americans. Compared with whites, some minority groups, despite their overall lower calcium intakes, are

39 NAL Call. No.: 151.65 P96 Differences between Oklahoma Indian infant mortality and other races. Kennedy, R.D.; Deapen, R.E.
Washington, D.C. : Public Health Service; 1991 Jan. Public health reports v. 106 (1): p. 97-99; 1991 Jan. Includes references.

Descriptors: Oklahoma; Infant mortality; American indians; Races; Classification

Abstract: Indian infant mortality rates (IMR) in the State of Oklahoma follow a downward linear trend from 13 per 1,000 live births in the 1975-76 period to 5.8 in 1987-88. Data from 7,631 death certificates matched to birth certificates, however, reveal much higher indian IMR across the time interval than is currently documented. Matching (linking) of infant deaths to birth certificates from 1975 to 1988 indicates that infants born Indian had a 28 percent chance of being misclassified as another race (usually white) on the death certificate. Infants born white or black had less than a 1 percent chance of being misclassified. Misclassification of lndian deaths strongly alters the overall IMR for the Oklahoma Indian Population from the currently reported 5.8 per 1,000 (1987-88) to an estimated actual rate of 10.4 per 1,000 for the same period.

40 NAL Call. No.: RA651.B53 Diseases of North American Indians.
Sievers, M.L.; Fisher, J.R.
Orlando, Fla. : Academic Press; 1981.
Biocultural aspects of disease / edited by Henry Rothschild ; coordinating editor Charles F. Chapman. p. 191-252; 1981. Literature review. Includes 288 references.

Descriptors: U.S.A.; American indians; Diseases; Genetic correlation; Risks; Environmental factors; Reviews

Abstract: A comprehensive technical review summarizes and discusses the specific diseases and disease patterns of North American Indians. Following a review and discussion of the origin and current status of American Indian populations and their health patterns, attention is given to discussions of the prevalence and predisposition of such populations to each of 18 diseases. The influence of the drastic cultural disruptions experienced by these populations on disease propensity is discussed. Their relatively high tendency towards diabetes, cholesterol gallstones, and obesity, and their relatively low incidence of duodenal ulcer and coronary heart disease is noted.(wz)

41 NAL Call. No.: HV5285.A43 Drinking patterns of urban and rural American Indians. Weibel-Orlando, J.C.
Rockville, Md. : U.S. Department of Health, Education, and Welfare; 1986-1987. Alcohol health and research world - National Institute on Alcohol Abuse and Alcoholism v. 11 (2): p. 8-12, 54. ill; 1986-1987. Includes references.

Descriptors: U.S.A.; American indians; Alcoholism; Drinking behavior; Urban population; Rural population

42 NAL Call. No.: RC658.A1D5 Duration of obesity increases the incidence of NIDDM. Everhart, J.E.; Pettitt, D.J.; Bennett, P.H.; Knowler, W.C. Alexandria, Va. : American Diabetes Association; 1992 Feb. Diabetes v. 41 (2): p. 235-240. charts; 1992 Feb. Includes references.

Descriptors: Arizona; Obesity; Duration; Diabetes mellitus; Incidence; Body weight; American indians; Blood sugar; Blood serum; Insulin; Women; Men; Longitudinal studies

Abstract: The effect of duration of obesity on incidence of non-insulin-dependent diabetes mellitus (NIDDM) was determined among Pima Indians. Duration of obesity was defined as the time since body mass index (BMI) was first known to be at least 30 kg/m2. Among 1057 participants eligible for study, there were 224 incident cases of NIDDM in 5975 person-yr of follow-up. The association of duration of obesity with incidence of diabetes adjusted for age, sex, and current BMI was highly significant (P < 0.0001). This adjusted incidence of diabetes in cases/1000 person-yr of obesity was 24.8 for people with less < 5 yr of obesity, 35.2 for people with 5-10 yr of obesity, and 59.8 for people with at least 10 yr of obesity. There was no apparent excess risk of diabetes for people who had a BMI of at least 30 kg/m2 and then lost weight. They had a slightly nonsignificantly higher rate than people who had not attained a BMI of at least 30 kg/m2 and a lower rate than people whose BMI remained 30-35 kg/m2. The relationship of duration of obesity with serum insulin concentrations among nondiabetic people was determined controlling for sex and age, BMI, and plasma glucose concentrations at the time of a glucose tolerance test. Duration of obesity was inversely associated with fasting serum insulin concentration through most of the range of fasting plasma glucose concentrations (P < 0.001) and tended to be inversely associated with 2-h postload serum insulin concentration through the entire range of postload plasma glucose concentrations (P = 0.058).

43 NAL Call. No.: 448.9 AM37 Effects of exposure to salty drinking water in an Arizona community. Welty, T.K.; Freni-Titulaer, L.; Zack, M.M.; Weber, P.; Sippel, J.; Huete, N.; Justice, J.; Dever, D.; Murphy, M.A.
Chicago : American Medical Association; 1986 Feb07. JAMA : Journal of the American Medical Association v. 255 (5): p. 622-630. ill., charts; 1986 Feb07. Includes 10 references.

Descriptors: Arizona; Drinking water; Sodium; American indians; Blood pressure; Hypertension; Nutrient intake

Abstract: A survey of 342 Arizona Papago Indians and 375 nonIndians consuming drinking water containing a high Na level (440 mg/L) revealed no association between NA intake and blood pressures. Mean blood pressures in white subjects actually were lower at most age levels than in US white populations, and the hypertension incidence was not significantly higher than the national US incidence. Data on health risk factors, Ca intakes, and urinary Na and K levels also were obtained.(wz)

44 NAL Call. No.: QH541.3.U5 v.8 Eskimos of northwestern Alaska.
Jamison, Paul L.,; ed
Stroudsburg, Pa. Dowden, Hutchinson, & Ross (New York) distributed world wide by Academic Press; 1978. xx, 319 p. : ill. ; 25 cm.. (U.S./IBP synthesis series ; 8). Bibliography: p. 293-313.

Descriptors: Eskimos; Alaska; Anthropometry; Eskimos; Alaska; Population; Eskimos; Alaska; Health and hygiene

45 NAL Call. No.: RC662.F3 Family food choices a guide to weight and diabetes control. United States, Indian Health Service
Washington, D.C.? : Indian Health Service :; 1986. [15] p. : ill. ; 28 cm. Cover title. "Indian Health Service Diabetes Program in cooperation with the Michigan Diabetes Research and Training Center, National Institutes of Health grant no. NIH 5 P60 AM20572, National Institute of Arthritis, Diabetes, and Digestive and Kidney Diseases"--P. [15].

Descriptors: Diabetes; Diet therapy; Reducing diets; Popular works; Diabetes; Weight control; American indians; Diets; Alcoholic beverages; Sugar

Abstract: Designed to assist American Indians in controlling diabetes, this folder explains causes of diabetes specific to this group, and gives tips on how to control the disease through the amounts and kinds of foods eaten. Weight loss, fats, fiber, sugar and alcohol the factors to control, are addressed in separate sections, each including ways to help plan meals. Specific food lists are included.

46 NAL Call. No.: HV5285.A43 Fetal alcohol effects among North American Indians. May, P.A.
Rockville, Md. : U.S. Department of Health and Human Services; 1991. Alcohol health and research world - National Institute on Alcohol Abuse and Alcoholism v. 15 (3): p. 239-248; 1991. Includes references.

Descriptors: U.S.A.; Canada; Fetal alcohol syndrome; American indians; Ethnic groups; Maternal-fetal exchange; Cultural differentiation; Alcoholic beverages; Consumption; Women; Trends; Epidemiology

47 NAL Call. No.: E75.A5 [no.A-107] Focus your efforts on things that matter. Morgan, Helen
Oklahoma City, OK : Oklahoma City Area, Indian Health Service,; 1986. [1] p. : ill. ; 28 cm. (American Indian bibliography series ; [A-107]). Caption title. December 1986.

Descriptors: Oklahoma; Popular works; Health education; American indians; Guidelines

Abstract: Smoking, alcohol consumption, fad diets, exercise, smoke detectors, seat belts, blood pressure checks, and obesity are topics briefly dealt with on an avoidance or use level in this flier. Designed for the American Indian, it promotes good health through becoming a cautious and intelligent consumer.

48 NAL Call. No.: RC660.A1D53 A follow-up study of diabetic Oklahoma Indians: Mortality and causes of death. Lee, E.T.; Russell, D.; Jorge, N.; Kenny, S.; Yu, M.L.
Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 300-305; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona. Includes references.

Abstract: Objective. To determine the mortality rates and causes of death for diabetic Oklahoma Indian adults by sex and age.

49 NAL Call. No.: aHV696.F6F68 Food distribution program on Indian reservations review of food package and nutrition education components : task force report.
Molofsky, Anne J.
United States, Food and Nutrition Service Washington, D.C.? : U.S. Dept. of Agriculture, Food and Nutrition Service,; 1986.
75 leaves in various foliations : ill. ; 28 cm. Cover title. July 1986. Bibliography: leaf 41.

Descriptors: U.S.A.; Food relief; United States; Indians of North America; Reservations; Nutrition; Study and teaching; Reference works; Supplemental feeding programs; Nutritional value; Nutrition education; American indians; Food costs; Federal programs; Health promotion; Program evaluation

Abstract: A 4-month technical project addressed two important components of providing adequate nutrition to US Indian reservations: 1) the foods provided were reviewed for nutrient content, cost, and food preferences of participants, and compared the foods for satisfying the RDA's of major nutrients; and 2) an assessment was made of current nutrition education practices, available nutrition education materials, and new methods for delivering nutrition education. Following these assessments, recommendations were developed for improving the nutrient content of the foods provided and for improving the delivery of nutrition education. Background information on legislation, regulations, and organizational structure of the US Indian reservations program, the current health status of American Indians, and on the evaluation of food preferences is included. Descriptive components of the program are provided in 8 appendices. Food costs, nutritional data, and food inventories are included in the text and the appendices.

50 NAL Call. No.: E75.A5 [no.A-68] Foot care for diabetics.
United States, Indian Health Service
Kotzebue, AK : Indian Health Service,; 1986. [2] p. : ill. ; 22 cm. (American Indian bibliography series ; [A-68]). Cover title.

Descriptors: Popular works; Consumer education; Diabetes; Feet; Circulatory disorders; Patient care; American indians

Abstract: Basic foot care guidelines for diabetics are outlined in this illustrated brochure from the Indian Health Service in Kotzebue, Alaska. Recommedations include 1) cleaning feet and changing socks daily, 2) keeping feet warm and dry at all times, 3) wearing shoes that fit properly, and 4) checking feet often for irritations or sores that could develop into more serious infections.

51 NAL Call. No.: HV701.C51 Head Start combats Baby Bottle Tooth Decay. Phillips, M.G.; Stubbs, P.E.
Washington, D.C. : Office of Human Development Services, Department of Health and Human Services; 1987 Sep. Children today v. 16 (5): p. 25-28. ill; 1987 Sep. Includes references.

Descriptors: U.S.A.; Infants; Dental caries; American indians; Health services; Educational programs

52 NAL Call. No.: RA408.I49H43 1991 Health care coverage findings from the Survey of American Indians and Alaska Natives.
Cunningham, Peter J.; Schur, Claudia L. Center for General Health Services Intramural Research (U.S.) Rockville, MD : U.S. Dept. of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research,; 1991. 13 p. ; 28 cm. (AHCPR pub ; no. 91-0027; Research findings (Rockville, Md.) ; 8.). Title from cover. July 1991. Includes bibliographical references (p. 13).

Descriptors: Indians of North America; Insurance, Health; Medical care surveys; Insurance, Health

53 NAL Call. No.: 389.8 J824 Health implications of obesity in American Indians and Alaska Natives. Welty, T.K.
Baltimore, Md. : American Society for Clinical Nutrition; 1991 Jun. American journal of clinical nutrition v. (53) (6,suppl.): p. 1616S-1620S; 1991 Jun. Includes references.

Descriptors: Obesity; American indians; Diabetes; Cardiovascular diseases; Hypertension; Hypercholesterolemia; Kidney diseases; Pregnancy; Gall bladder diseases; Infections; Mortality; Literature reviews

Abstract: American Indians and Alaska Natives (AI/ANs) are experiencing an epidemic of diabetes, increasing rates of coronary artery disease and hypertension, and poor survival rates for breast cancer that are likely partially attributable to the increasing prevalence of obesity over the past generation. Obesity may also contribute to the high rates of gallstones and to adverse outcomes of pregnancy in AI/ANs. Although overall mortality was not associated with obesity in Pima Indians (except in the most obese men), the relationship of obesity to longevity in other AI/AN groups is not known. Further study of the specific health effects of obesity in various groups of AI/ANs are needed. In the meantime, community-based programs to prevent obesity and its sequelae should be implemented in all AI/AN communities.

54 NAL Call. No.: RA448.5.I5C48 The health of Native Americans in Alaska an exploratory study. Chen, Martin K.; Berg, Lawrence E.; London, Virginia Hyattsville, Md. : National Center for Health Services Research ; Springfield, Va. : available from NTIS,; 1977. i, 20 leaves : map ; 28 cm. August 1977. NCHSR 78-125. PB-280 223. Bibliography: leaf 11.

Descriptors: Indians of North America; Health and hygiene; Indians of North America; Alaska; Indians of North America; Alcohol use; Heart; Diseases; Pneumonia

55 NAL Call. No.: E75.A5 [no.A-111] Healthy teeth for happy smiles.
California, WIC Supplemental Food Section Sacramento, CA? : WIC Supplemental Food Section, California Dept. of Health Services,; 1984.
[3] p. : ill. ; 23 cm. (American Indian bibliography series ; [A-111]).

Descriptors: Popular works; Consumer education; Dental health; Infants; Eating habits; American indians

Abstract: Guidelines for protecting infants' teeth and preventing future dental problems are outlined in this brochure from the California Department of Health Services. Recommendations are provided on proper feeding from both the bottle and cup. Tooth brushing and flossing guidelines are provided for infants from birth to 6 years of age. Eating habits that help promote healthy teeth and gums are identified.

56 NAL Call. No.: E75.A5 [no.A-113] High blood pressure and commodity foods. Kincheloe, Michigan : Nutrition Program, IHS Indian Health Center,; 1985. 1 folded sheet ; 28 x 22 cm. (American Indian bibliography series ; [A-113]).

Descriptors: Popular works; American indians; Hypertension; Dietary guidelines; Commodities; Food preparation

Abstract: Guidelines for using commodity foods while following a diet to control blood pressure are outlined in this brochure from the Indian Health Service in Kincheloe, Michigan. Specific food selection and preparation suggestions are outlined for each of the following recommendations: decrease sodium intake, eat less fat and cholesterol, and achieve normal weight. The importance of exercising regularly and taking medications as prescribed to control blood pressure are also discussed. Health risks associated with high blood pressure are identified.

57 NAL Call. No.: RJ216.H62 Honey not for babies : a word of caution to parents.. Honey, not for babies Hembekides, Ruth
Oklahoma City : Nutrition Branch, Indian Health Services,; 1984. 1 sheet : ill. ; 28 cm. June 1984.

Descriptors: Baby foods; Honey; Infants; Diseases; Botulism; Popular works; Consumer education; American indians; Infant feeding; Honey; Risks; Botulism

Abstract: Parents are cautioned against feeding honey to infants less than 12 months of age in this factsheet from the Oklahoma City Indian Health Services. Honey has been shown to cause botulism in some infants because their immune systems are not yet fully able to fight the disease. Symptoms and treatment of infant botulism are described.

58 NAL Call. No.: KF27.5.H8 1987d Hunger and nutrition problems among American Indians a case study of North Dakota : hearing before the Select Committee on Hunger, House of Representatives, One hundredth Congress, first session, hearing held in New Town, ND, July 10, 1987. United States. Congress. House. Select Committee on Hunger Washington, [D.C.] : U.S. G.P.O. : For sale by the Supt. of Docs., Congressional Sales Office, U.S. G.P.O.,; 1987; Y 4.H 89-100-11. iv, 138 p. : ill., forms, maps ; 24 cm. Distributed to some depository libraries in microfiche. Shipping list no.: 87-680-P. Serial no. 100-11. Includes bibliographies.

Descriptors: Hunger; Indians of North America; North Dakota; Health and hygiene; Indians of North America; North Dakota; Nutrition

59 NAL Call. No.: RA425.C6 Implementing COPC: achieving change in a small organization. Freeman, W.L.
Rockville, Md.? : U.S. Dept. of Health and Human Services; 1987. Community-oriented primary care : from principle to practice / edited by Paul A. Nutting. p. 410-416; 1987. (HRSA publication ; no. HRS-A-PE 86-1). Includes references.

Descriptors: Washington; American indians; Health care; Community health services; Community development

60 NAL Call. No.: 151.65 P96 Improving the health of Indian teenagers--a demonstration program in rural New Mexico.
Davis, S.M.; Hunt, K.; Kitzes, J.M.
Washington, D.C. : Public Health Service; 1989 May. Public health reports v. 104 (3): p. 271-278; 1989 May. Includes references.

Descriptors: New Mexico; Adolescents; Health; American indians; Rural youth; Public services; Demonstrations; Program development

Abstract: The health status of Indian teenagers in the United States is below that of the general population. The usual barriers to the use of health care services that young people, including young Indians, encounter are compounded in rural areas by distance, isolation, and lack of appropriate services. To overcome these barriers in rural New Mexico, a public health demonstration project (a) established a single location where adolescents can receive multiple, integrated health care services free of charge; (b) set up the initial program of services at a rural school; (c) established links with existing agencies; and (d) incorporated community action toward creating change. The project began as a joint effort of three communities, the University of New Mexico (UNM), and the Albuquerque Area Indian Health Service (IHS) of the Public Health Service; a secondary level public school soon became a participant. The project is being replicated in two other communities that have formed separate partnerships with UNM and the area IHS; also the New Mexico Health and Environment Department has joined the effort in one community. Preliminary data suggest that the services are being used by a majority of the target population, with the proportions of boys and girls about equal.

61 NAL Call. No.: RC660.A1D53 Increasing prevalence of diabetes among the three affiliated tribes. Brosseau, J.D.
Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 248-249; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona. Includes references.

Abstract: The findings from a 1988 audit of medical records of the Three Affiliated Tribes (the Mandan, Arickara, and Hidatsa) at the Fort Berthold, ND, Indian Reservation were compared with the findings from a 1975 audit. The total population served by the IHS clinic there has remained about the same. However, the number of people diagnosed as having diabetes has increased by >40%. This increase in known cases is caused largely by an increase in the number of women aged > 40 yr who have diabetes. The actual prevalence of diabetes among people aged > 40 yr has increased very little, presumably because the clinic population has aged somewhat over this period of time.

62 NAL Call. No.: HQ1064.U5H23 Indian and Alaskan natives.
Westport, Conn. : Greenwood Press; 1984. Handbook on the aged in the United States / edited by Erdman B. Palmore. p. 269-276; 1984.

Descriptors: U.S.A.; American indians; Elderly; Life style; Rural areas; Health services

63 NAL Call. No.: HN90.C6N4 Indian health care.
Kozoll, R.
Washington, D.C. : U.S. G.P.O. : for sale by the Supt of Docs, Congressional Sales Off; 1986.
New dimensions in rural policy : building upon our heritage : studies prepared for the use of the Subcommittee on Agriculture and Transportation of the Joint Economic Committee, Congress of the United States. p. 477-480; 1986. (S. prt. ; 99-153).

Descriptors: U.S.A.; Rural environment; Health care; American indians; Mortality; Cultural influences

64 NAL Call. No.: KF26.I4 1992a Indian Health Care Act Amendments of 1992 hearing before the Select Committee on Indian Affairs, United States Senate, One Hundred Second Congress, second session, on S. 2481 ... April 1, 1992, Washington, DC.
United States. Congress. Senate. Select Committee on Indian Affairs Washington : U.S. G.P.O. : For sale by the U.S. G.P.O., Supt. of Docs., Congressional Sales Office,; 1992; Y 4.In 2/11:S.hrg.102-764. iv, 357 p. ; 24 cm. (S. hrg. ; 102-764). Distributed to some depository libraries in microfiche. Shipping list no.: 92-0616-P. Includes bibliographical references (p. 241-242).

65 NAL Call. No.: KF26.5.I4 1992 Indian Health Care Improvement Act of 1992 report (to accompany S. 2481). United States. Congress. Senate. Select Committee on Indian Affairs Washington : D.C.? : U.S. G.P.O.,; 1992; Y 1.1/5:102-392. 204 p. ; 24 cm. (Report / 102d Congress, 2d session, Senate ; 102-392). Caption title. Distributed to some depository libraries in microfiche. Shipping list no.: 92-0593-P. August 27, 1992.

66 NAL Call. No.: 151.65 P96 The Indian Health Service approach to alcoholism among American Indians and Alaska natives.
Rhoades, E.R.; Mason, R.D.; Eddy, P.; Smith, E.M.; Burns, T.R. Washington, D.C. : Public Health Service; 1988 Nov. Public health reports v. 103 (6): p. 621-627; 1988 Nov. Includes references.

Descriptors: U.S.A.; American indians; Alcoholism; Health programs; Disease prevention; Mortality; Public agencies; Federal programs; Educational programs; Fetal alcohol syndrome

67 NAL Call. No.: 151.65 P96 The Indian health service record of achievement. Rhoades, E.R.; D'Angelo, A.J.; Hurlburt, W.B. Washington, D.C. : Public Health Service; 1987 Jul. Public health reports v. 102 (4): p. 356-360. ill., charts; 1987 Jul. Includes 3 references.

Descriptors: American indians; Eskimos; Community health services; Program evaluation

Abstract: Extract: The Indian Health Service (IHS) was transferred from the Department of Interior to the Public Health Service in the Department of Health, Education, and Welfare in 1955. At that time, the general health of Indian people substantially lagged behind the rest of the U.S. population. This gap was reflected in mortality rates which were several-fold higher for Indians, or reflected in time; there were decades between the dates when the U.S. population achieved certain lower death rates compared with the dates when similar reductions were achieved by Indians. As a result of preventive health programs, improvements in sanitation, and the development of a number of medical advances, substantial progress has been achieved in improving the health of American Indians and Alaska Natives. Life expectancy of Indians has increased 20 years between 1940 and 1980. From 1955 through 1982, the death rate for Indian infants dropped by 82 percent. Also, the age-adjusted death rate for tuberculosis decreased from 57.9 per 100,000 population in 1955 to 3.3 in 1983. These and other improvements are summarized in this paper.(author)

68 NAL Call. No.: HB1323.I4B3 Infant mortality in South Dakota.
Baer, Linda; DeWitt, Dana
Brookings, S.D. : South Dakota State University, Ford Foundation Grant, [1990?]; 1990.
23 leaves : ill. ; 28 cm. (Native American project). Caption title. Includes bibliographical references.

69 NAL Call. No.: RC660.A1D53 Insulin therapy and weight change in Native-American NIDDM patients. Hickey, M.E.; Hall, T.R.
Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 364-368; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona. Includes references.

Abstract: Objective. To determine whether NIDDM patients exposed to insulin therapy in a clinical setting gain weight.

70 NAL Call. No.: RC628.A1O2 A low-cost competitive approach to weight reduction in a native American community.
Wilson, R.; Smith, J.; Marfin, A.M.; Helgerson, S. Basingstoke, Hampshire : The Macmillan Press Ltd; 1989 Dec. International journal of obesity v. 13 (6): p. 731-738. charts; 1989 Dec. Includes 17 references.

Descriptors: New Mexico; Weight losses; Nutrition education; Health programs; Diabetes; Program evaluation; Teams; Men; Women; American indians

Abstract: Eat Right is a state-wide nutrition education and weight control program implemented by the Healthnet New Mexico health promotion organization. This study evaluates a weight loss program using weight loss competition between teams. The Zuni and Ramah Navajo communities registered 251 individuals in the program.

71 NAL Call. No.: RG629.F45S9 1988 A manual on adolescents and adults with fetal alcohol syndrome, with special reference to American Indians., 2nd ed..
Streissguth, Ann Pytkowicz; LaDue, Robin A.; Randels, Sandra P. University of Washington, Dept. of Psychiatry and Behavioral Sciences, University of Washington, Chil d Development and Mental Retardation Center, University of Washington, Alcoholism and Drug Abuse Institute, United States, Indian Health Service
Rockville, Md.? : U.S. Dept. of Health and Human Services, Public Health Service, Indian Health Service,; 1988; HE 20.9408:Ad 7.
x, 55 p. : ill. ; 28 cm. Supported by Indian Health Service contract. October 1, 1988. Includes bibliographical references (p. 53-55).

Abstract: This book is designed to make available the latest information about fetal alcohol syndrome, especially related to adolescents and children. It may serve as a basic reference tool for those interested in learning more about the consequence of alcohol ingestion.

72 NAL Call. No.: E78.N4M44 1982 Medicinal uses of plants by Indian tribes of Nevada. Train, Percy; Henrichs, James R.; Archer, W. Andrew; (William Andrew),; 1894-Lawrence, Mass. Quarterman Publications (1982?); 1982.
139 p. : ill. ; 24 cm.. (Bioactive plants v. 1; Contributions toward a flora of Nevada ; no. 45.). Reprint. Originally published: Rev. ed. / with summary of pharmacological research by W. Andrew Archer. Beltsville, Md. : U.S. Dept. of Agriculture, Plant Industry Station, 1957. (Contributions toward a flora of Nevada ; no. 45). Includes index. Bibliography: p. 128-131.

Descriptors: Indians of North America; Nevada; Medicine; Ethnobotany; Nevada; Botany, Medical; Nevada; Materia medica, Vegetable; Nevada

73 NAL Call. No.: KF27.5.A3 1988c Mental health and the elderly issues in service delivery to the Hispanic and Black community : hearing before the Select Committee on Aging, House of Representatives, One Hundredth Congress, second session.. Issues in service delivery to the American Indian and Hispanic communities United States. Congress. House. Select Committee on Aging Washington [D.C.] : U.S. G.P.O. : For sale by the Supt. of Docs., Congressional Sales Office, U.S. G.P.O., 1988-1989; 1988-1989. 3 v. ; 24 cm. Distributed to some depository libraries in microfiche. Pt. 2 has subtitle: Issues in service delivery to the American Indian and Hispanic communities. Pt. 3 has subtitle: Issues in service delivery to Asian Americans, Hispanics, and Blacks. "May 13, 1988, Long Island City, NY"--Pt. 1. "May 27, 1988, Denver, CO"--Pt. 2. "July 8, 1988, Los Angeles, CA"--pt. 3. "Comm. pub. no. 100-674"--Pt. 1. "Comm. pub. no. 100-673"--Pt. 2. "Comm. pub. no. 100-694"--pt. 3. Item 1009-B-2, 1009-C-2 (microfiche). Includes bibliographical references.

Descriptors: Hispanic American aged; Mental health services; United States; Afro-American aged; Mental health services; United States; Indians of North America; Aged; Mental health; Minority aged; Mental health services; United States; Federal aid to community mental health services; United States

74 NAL Call. No.: KF27.I5 1992 Mental health needs in Indian country hearings before the Committee on Interior and Insular Affairs, House of Representatives, One Hundred First Congress, second session, oversight and S. 1270 to provide an Indian mental health demonstration grant program : hearings held March 29, 1990, Washington, DC; May 12, 1990, Seattle, WA; June 22, 1990, Sioux Falls, SD. United States. Congress. House. Committee on Interior and Insular Affairs Washington : U.S. G.P.O. : For sale by the U.S. G.P.O., Supt. of Docs., Congressional Sales Office, 1991 [i.e.; 1992; Y 4.In 8/14:101-59. v, 764 p. : ill. ; 24 cm. Distributed to some depository libraries in microfiche. Shipping list no.: 92-205-P. Serial no. 101-59. Includes bibliographical references.

Descriptors: Indians of North America; Federal aid to community mental health services

75 NAL Call. No.: RA790.A1J68 Mental health values differences between Native American and Caucasian American college students.
Tyler, J.D.; Suan, L.V.
Fresno, Calif. : California School of Professional Psychology; 1990. Journal of rural community psychology v. 11 (2): p. 17-29; 1990. Includes references.

Descriptors: North Dakota; American indians; College students; Mental health; Values; Questionnaires; Demography; Ethnic groups

Abstract: Differences between Native and Caucasian American college students in the way mental health is conceptualized was investigated using the Mental Health Values Questionnaire, an eight-scale, factor analytically derived measure of dimensions used in conceptualizing the nature of good emotional adjustment. Sixty-six Native American and 93 Caucasian American undergraduate students served as subjects. The most striking ethnic group difference had to do with the tendency of Caucasian American subjects to more strongly associate unconventional experiences of reality (e.g., having visions) with poor mental health in contrast to Native students who tended to perceive a neutral to positive relationship between such experiences and healthy emotional functioning.

76 NAL Call. No.: 470 C16D n-3 Docosapentaenoic acid in blubber of dam and pup grey seals (Halichoerus grypus): implications in the Inuit diet and for human health. Ackman, R.G.; Eaton, C.A. Ottawa, Canada : National Research Council of Canada; 1988 Nov. Canadian journal of zoology v. 66 (11): p. 2428-2431; 1988 Nov. Includes references.

Descriptors: Alaska; Nova Scotia; Nutrition; Health; Eskimos; Diets; Seals; Docosenoic acid; Fat products

77 NAL Call. No.: KF27.5.C7 1986 Native American children, youth, and families hearing before the Select Committee on Children, Youth, and Families, House of Representatives, Ninety-ninth Congress, second session. United States. Congress. House. Select Committee on Children, Youth, and Families
Washington, [D.C.] : U.S. G.P.O. : For sale by the Supt. of Docs., Congressional Sales Office, U.S. G.P.O., 1986-; 1986-9999. v. : ill., 1 form, maps ; 24 cm. "Hearing held in Seattle, WA, January 7, 1986"--Pt. 1. "Hearing held in Sacaton, AZ, on January 9, 1986"--Pt. 2. "Hearing held in Albuquerque, NM, January 10, 1986"--Pt. 3. Distributed to some depository libraries in microfiche. Shipping list no.: 86-886-P (pt. 1). Shipping list no.: 86-853-P (pt. 2). Shipping list no.: 86-830-P (pt. 3). Includes bibliographies.

Descriptors: Indians of North America; Social conditions; Indians of North America; Drug use; Indians of North America; Alcohol use; Federal aid to alcoholism programs; United States; Federal aid to drug abuse treatment programs; United States; Federal aid to community development; United States

78 NAL Call. No.: S612.A753 Native Baja California plants: potential treatment for diabetes. Winkelman, M.
Tucson, Ariz. : Office of Arid Lands Studies, University of Arizona; 1991. Arid lands newsletter v. 31: p. 14-17; 1991. Includes references.

Descriptors: California; Wild plants; Diabetes; Medicinal plants; Ethnobotany; American indians; Computer software

79 NAL Call. No.: RC660.A1D5 A new kind of pioneer.
Mazur, M.
Alexandria, Va. : American Diabetes Association; 1991 Nov. Diabetes forecast v. 44 (11): p. 36-40; 1991 Nov.

Descriptors: Alaska; Diabetes; Diet; Metabolism; Case reports; Lifestyle; History; Ethnicity; Eating patterns; Inuit; American indians

Abstract: Dan Kahklen, an Alaska native Thlinget Indian, is living with diabetes. Dan and his wife, Sue, are helping other Alaska natives understand the connection between diet and diabetes.

80 NAL Call. No.: RM218.5.I5 1988 Nutrition and health concerns of American Indians and Alaska natives. Jackson, M.Y.
London : Libbey Eurotext; 1988.
Proceedings of the Xth International Congress of Dietetics / held under the auspices of the I.C.D.A. (the International Committee of Dietetic Associations) ; edited by M.F. Moyal. v. 2 p. 65-68; 1988. Includes references.

Descriptors: U.S.A.; Alaska; Nutritional surveys; Public health; Ethnic groups; Feeding behavior

81 NAL Call. No.: LB3401.A57 Nutrition aspects of a cardiovascular curriculum in the Southwest. Koehler, K.M.; Harris, M.B.
Reston, Va. : American Alliance for Health, Physical Education and Dance; 1988 Oct.
Health Education v. 19 (5): p. 24-28. charts; 1988 Oct. Includes 23 references.

Descriptors: New Mexico; Nutrition education; Cardiovascular diseases; Elementary education; Curriculum guides; Food preferences; Food intake; Cultural influences; Food habits; Behavior change; Hispanics; American indians

Abstract: This article discusses the pilot-testing of a cardiovascular health curriculum designed for fifth grade students in the Southwest. The curriculum was developed after a survey was administered to the children to determine eating behaviors and favorite foods. The curriculum was designed to include cultural foods in a heart-healthy diet.

82 NAL Call. No.: RC660.A1D522 Nutrition counseling: Meeting the needs of ethnic clients with diabetes. Bertorelli, A.M.
Chicago, Ill. : American Association of Diabetes Educators; 1990 Jul. Diabetes educator v. 16 (4): p. 285-286, 289; 1990 Jul. Includes 13 references.

Descriptors: U.S.A.; Diabetes; Diet counseling; Ethnicity; Eating patterns; Obesity; Disease prevalence; Nutrition education; Asians; American indians; Hispanics; Blacks

Abstract: Diabetes educators must be aware of and sensitive to ethnic and cultural diversity in the United States. This article discussed the need of nutrition counseling to be adjusted to take into account traditional foods and meal habits.

83 NAL Call. No.: 389.8 AM34 Nutrition in American Indian health: past, present, and future. Jackson, M.Y.
Chicago, Ill. : The Association; 1986 Nov. Journal of the American Dietetic Association v. 86 (11): p. 1561-1565. charts; 1986 Nov. Includes 41 references.

Descriptors: Alaska; Nutritional state; American indians; Trends; Health; History

Abstract: Extract: The nutritional and health status of American Indians and Alaska Natives has improved throughout the years. However, their health status still lags behind that of the general American population. There is incomplete information on their nutritional status and present dietary patterns, nutritive values of native foods, and nutrition education knowledge of the population.(author)

84 NAL Call. No.: TX361.W55N88 F&N B-3703--B-3705 Nutrition technician program.
Special Supplemental Food Program for Women, Infants, and Children (U.S.),United Tribes Educational Technical Center (Bismarck, N.D.) Bismarck, N.D. United Tribes Educational Technical Center; 1981. 3 v. : ill. ; 28 cm. U.S. Dept. of Agriculture, Food and Nutrition Service, Special Supplemental Food Program for Women, Infants, and Children, grant no. 59-3198-9-80.

Descriptors: Instructional materials; Vocational education; Lesson plans; Learning activities; Nutrition; American Indians; WIC program; Independent study; Nutrition education; Pregnancy and nutrition; Health care

Abstract: A set of lesson plans developed by the N.D. State Dept. of Health is presented. The lesson plans were developed to be used in the United Tribes Educational Technical Center (UTETC) to train native Americans to work as paraprofessionals in the WIC program. The lessons can also be used for self study. The first modules consist of 2 sections. The first section contains 9 lessons related to basic nutrition (i.e., food composition, major nutrients, digestion and nutrient needs). The second section contains 6 lessons that discuss nutritional assessment (clinical, anthropometry, laboratory, dietary, obesity, and diabetes). The second module discusses the WIC program (2 lessons), nutrition counseling skills, (3 lessons), and nutrition education techniques (1 lesson). The third module consists of 2 major areas that discuss nutrition and pregnancy and community resources for health care programs. Each lesson has color-coded sections (e.g., blue for objectives, yellow for the self-study section, green for the answer section). A final report on the project also is available. (kbc)

85 NAL Call. No.: RJ216.P362 F&N E-4300--E-4302 Papago breastfeeding education model project : final report, July 31, 1981 : report of project breastfeeding education model.
Papago Nutrition Improvement Program (Sells, Ariz.) Sells, Ariz. Papago Nutrition Improvement Program; 1981. 3 v. : ill. ; 28 cm. "July 31, 1981. Agreement no. 59-3198-9-83, funded under P.L. 95-627, Section 3, USDA/FNS. Bibliography: pt.3., p. 118-119.

Descriptors: Reference materials; Breast feeding; American Indians; Health education; Nutrition education; Behavior modification; Pregnant women; Mother-child relations

Abstract: A breastfeeding education project was designed to increase the incidence and duration of breastfeeding among women at the Papago Indian reservation in Arizona. The activities of this project, the development of new educational materials, and the overall results are presented in 3 volumes. Attitudes influencing infant feeding practices were assessed, and supporting services for pregnant women and new mothers were developed and used. All activities of the project were coordinated by staff of 7 related health agencies on the reservation site. This education project produced an increased number of women beginning breastfeeding. The educational materials are applicable for breastfeeding education for other Indian tribes. (wz)

86 NAL Call. No.: RJ216.P36 F&N B-3671 Papago breastfeeding education model project : report of project, breastfeeding education model. Papago Nutrition Improvement Program (Sells, Ariz.) Sells, Ariz. Papago Nutrition Improvement Program 1981?; 1981. 1 v. (various pagings) : ill. ; 1981?) cm. Cover title. Agreement no. 59-3198-9-83, funded under P.L. 95-627, Section 3, USDA/FNS.

Descriptors: Reference materials; Breast feeding; American Indians; Behavior modification; Nutrition education; Health education; Pregnant women; Infant feeding; Diarrhea; Motherchild relations

Abstract: A comprehensive report describes a breastfeeding education project, conducted at the Papago Indian reservation in Arizona, to increase breastfeeding among the Papago women. The project coordinated the services of 6 health agencies in a team approach. The project sought to: increase breastfeeding practices by 20%; support breastfeeding mothers; reduce infant diarrhea; establish a data collection system; and develop a breastfeeding education model which would be widely applicable. Initial breastfeeding increased from 23.4% to 43.8%, while initial bottle-feeding dropped from 76.5% to 56.1%. There was no apparent change, however, in the duration of breastfeeding. The rate of hospitalization for diarrhea in the first 6 months of life among initially bottle-fed infants was about 4 times that breast-fed infants. Numerous illustrations (used as breastfeeding education tools) and basic ancillary information are appended. (wz)

87 NAL Call. No.: RK331.P3 Parents helping parents stop baby bottle tooth decay.. Stop baby bottle tooth decay Baby bottle tooth decay Holcomb, Barbara; Bruerd, Bonnie; Kinney, Mary Beth; Backinger, Cathy Washington, D.C. : Indian Health Service, [1986?]; 1986.
[18] leaves : ill. ; 28 cm. Cover title. Produced cooperatively by the Head Start, VSPHS, Indian Health Service and the Centers for Disease Control. Photography: Barbara Holcomb. Script: Bonnie Bruerd, Mary Beth Kinney, Cathy Backinger.

Descriptors: Dental caries in children; Prevention; Bottle feeding; Teaching materials; Flipcharts; Parent education; American indians; Tooth diseases; Infants; Bootle feeding

Abstract: Geared primarily toward American Indian/Alaska Native populations, this flip book of color photographs is aimed at helping parents avoid tooth decay in infants. What baby bottle tooth decay is, prevalence among American Indians and Alaska Natives and prevention suggestions are topics covered in an easily understood lesson format.

88 NAL Call. No.: RC660.A1D53 Pathogenesis of NIDDM in Pima Indians.
Bogardus, C.; Lillioja, S.; Bennett, P.H. Alexandria, Va. : American Diabetes Association; 1991 Jul. Diabetes care v. 14 (7): p. 685-690; 1991 Jul. Includes references.

Descriptors: Arizona; Diabetes mellitus; Incidence; Glucose tolerance; Longitudinal studies; Insulin; Blood plasma; Metabolic studies; Liver; Pathogenesis; Pancreas; American indians

Abstract: The Pima Indians of Arizona have the highest reported prevalence and incidence of non-insulin-dependent diabetes mellitus (NIDDM) of any population in the world. A cross-sectional and longitudinal study was begun in 1982 to determine the metabolic characteristic(s) that is (are) predictive of the development of NIDDM and to document the sequence of metabolic events that occur with the transition from normal to impaired glucose tolerance and then to diabetes. Preliminary analyses suggest that insulin resistance is a primary abnormality predisposing Pima Indians to develop impaired glucose tolerance, and that the development of diabetes occurs with subsequent pancreatic failure.

89 NAL Call. No.: RA448.4.R4 The pattern of organized health care: non-response to differing health beliefs and behavior.
Grossman, L.
Chapel Hill? : Dept. of Maternal and Child Health, School of Social Work?; 1985.
Removing cultural and ethnic barriers to health care : based on proceedings of a national conference / edited by Elizabeth L. Watkins and Audreye E. Johnson. p. 29-48; 1985. Paper presented at a national Conference on "Removing Cultural and Ethnic Barriers to Health Care," held June 4-8, 1979, Charlotte, North Carolina. Includes references.

Descriptors: U.S.A.; Health care; Health beliefs; Hispanics; Blacks; Asians; American indians; Cultural influences

90 NAL Call. No.: RA408.I49P47 1991 Personal health practices findings from the Survey of American Indians and Alaska Natives.
Lefkowitz, Doris Cadigan; Underwood, Carol Center for General Health Services Intramural Research (U.S.) Rockville, MD : U.S. Dept. of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research,; 1991. 14 p. ; 28 cm. (AHCPR pub ; no. 91-0034; Research findings (Rockville, Md.) ; 10.). Title from cover. "July 1991". Includes bibliographical references (p.13-14).

91 NAL Call. No.: E98.F7P5 Plains Indian diet handbook.. Diet handbook Swanson Center for Nutrition, United States, Indian Health Service, National Diabetes Information Clearinghouse (U.S.) Washington, D.C.? : Dept. of Health and Human Services :; 1980; HE 20.9408-D 55.
20 p. : col. ill. ; 27 x 21 cm. Swanson Center for Nutrition, Inc., in cooperation with Indian Health Service Diabetes Control Program and Experience Education supported by a subcontract with National Diabetes Information Clearinghouse, National Institute of Arthritis, Diabetes, and Digestive and Kidney Diseases, Department of Health and Human Services contract no. NO1AM-82221. Cover title: Diet handbook.

Descriptors: Nebraska; Indians of North America; Food; Diabetes; Nutritional aspects; Diabetes; Diet therapy; Diet; Handbooks, manuals, etc; Popular works; Patient education; Diabetes; American indians; Dietary guidelines; Diabetic diets

Abstract: Developed for use by the Plains Indians with diabetes, this booklet emphasizes diet as a means for controlling the disease. Introduced by a color-coded dietary guide, the basic food groups are presented to include recommended foods and serving sizes. Combination foods, foods with fat, foods to avoid, foods to freely use and those allowed in reasonable amounts are presented in the same manner. Cautions and reminders accompany each sections; pictures illustrating serving sizes and other concepts addressed are included with each section.

92 NAL Call. No.: RG580.D5P7 Pregnancy and diabetes.
Gila River Indian Community (Arizona : Association) Sacaton, Ariz. : Gila River Indian Community, Human Resources Dept./Health Branch, WIC Program, [198-?]; 1980-1988. [6] : ill. ; 22 cm. Cover title.

Descriptors: Arizona; Popular works; Patient education; Diabetes; Pregnant women; American indians; Health care

Abstract: Designed for the pregnant American Indian woman with diabetes, this booklet presents specific steps to follow in order to keep the disease under control. Symptoms of both hypoglycemia and hyperglycemia are listed, as well as signs indicating the need for immediate medical attention. The necessity for weight control is emphasized. Drawings illustrate the concepts presented.

93 NAL Call. No.: E75.A5 [no.A-14] Prenatal care.
Native American Maternal and Child Health Project Bismarck : ND : Native American Maternal & Child Health Project, North Dakota State Dept. of Health, Division of Maternal & Child Health,; 1980. [2] p. : ill. ; 22 cm. (American Indian bibliography series ; [A-14]). Cover title.

Descriptors: North Dakota; Popular works; Prenatal education; Health care; American indians; Nutrition information

Abstract: Designed to inform the pregnant American Indian woman about the importance of prenatal health, this pamphlet stresses doctor's visits, proper nutrition, and avoidance of cigarettes and alcohol.

94 NAL Call. No.: RA408.I49P73 1991 Prevalence of chronic diseases a summary of data from the survey of American Indians and Alaska Natives. Johnson, Ayah E.; Taylor, Amy K.
Center for General Health Services Intramural Research (U.S.) Rockville, MD : U.S. Dept. of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research,; 1991. 10 p. ; 28 cm. (AHCPR pub ; no. 91-0031; Data summary (Rockville, Md.) ; 3.). Title from cover. July 1991. Includes bibliographical references (p. 10).

95 NAL Call. No.: RC660.A1D53 Prevalence of diabetes and its complications in the Eastern Band of Cherokee Indians.
Farrell, M.A.; Quiggins, P.A.; Eller, J.D.; Owle, P.A.; Miner, K.M.; Walkingstick, E.S.
Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 253-256; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona. Includes references.

Descriptors: North Carolina; Diabetes; Incidence; Complications; American indians

Abstract: Objective. To determine the prevalence of diabetes and selected complications among the Eastern Band of Cherokee Indians in North Carolina.

96 NAL Call. No.: RC660.A1D53 Prevalence of diabetes mellitus in pregnancy among Yup'ik Eskimos, 1987-1988. Murphy, N.J.; Bulkow, L.R.; Schraer, C.D.; Lanier, A.P.
Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 315-317; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona. Includes references.

Abstract: Objective. To evaluate the prevalence of diabetes mellitus in pregnancy in Yup'ik Eskimos.

97 NAL Call. No.: RC660.A1D53 Prevalence of diagnosed diabetes among American Indians and Alaska Natives, 1987: Estimates from a national outpatient data base.
Valway, S.; Freeman, W.; Kaufman, S.; Welty, T.; Helgerson, S.D.; Gohdes, D. Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 271-276; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona. Includes references.

Abstract: Objective. To estimate the prevalence of diagnosed diabetes among American Indians and Alaska Natives served by the IHS.

98 NAL Call. No.: RC660.A1D53 Prevalence of diagnosed diabetes and selected related conditions of six reservations in Montana and Wyoming. Acton, K.; Rogers, B.; Campbell, G.; Johnson, C.; Gohdes, D. Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 263-265; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona. Includes references.

Descriptors: Montana; Wyoming; Diabetes; Incidence; Complications; American indians

Abstract: Objective. To describe the prevalence of diabetes and related complications in Plains Indians.

99 NAL Call. No.: 151.65 P96 Preventing baby bottle tooth decay in American Indian and Alaska native communities: a model for planning. Bruerd, B.; Kinney, M.B.; Bothwell, E.
Washington, D.C. : Public Health Service; 1989 Nov. Public health reports v. 104 (6): p. 631-640. ill., charts; 1989 Nov. Includes 18 references.

Descriptors: U.S.A.; Nursing bottle syndrome; Dental caries; Disease prevention; Health programs; Program evaluation; Bottle feeding; Child feeding; Infants; Children; American indians

Abstract: Baby bottle tooth decay (BBTD) is a preventable dental disease which surveys have shown affects more than 50 percent of Native American children. An experimental program to prevent BBTD was implemented in 12 Native American communities. The project represented a cooperative effort by three Department of Health and Human Service agencies: Administration for Children, Youth, and Families, Head Start Bureau; Indian Health Service, Dental Program; and Centers for Disease Control, Dental Disease Prevention Activity. Intervention strategies included the training of parent volunteers, health professionals, and the tribal employees who counseled caretakers of young children and made group presentations. There was also a media campaign in each community that ran for a 3-year period. Numerous educational materials were developed including training manuals, counseling booklets, tippee cups, posters, and bumper stickers. The BBTD project's planners encouraged tailoring the education materials and strategies to fit each community. Preliminary results documented statistically significant decreases in the prevalence of BBTD at the pilot sites. This multidisciplinary, comprehensive intervention offers a model for organizing members of minority communities to prevent health problems.

100 NAL Call. No.: RC658.A1D5 Risk factors for coronary heart disease in diabetic and nondiabetic Native Americans: The Strong Heart Study. Howard, B.V.; Welty, T.K.; Fabsitz, R.R.; Cowan, L.D.; Oopik, A.J.; Le, N.A.; Yeh, J.; Savage, P.J.; Lee, E.T. Alexandria, Va. : American Diabetes Association; 1992 Oct. Diabetes v. 41 (suppl.2): p. 4-11; 1992 Oct. Includes references.

Descriptors: Cardiovascular diseases; Diabetes; Risk; American indians; Diagnosis; Mortality; Morbidity; Longitudinal studies; Disease surveys; Women; Men

Abstract: The Strong Heart Study is a study of cardiovascular disease and its risk factors among diabetic and nondiabetic Native Americans. The study includes 12 tribes in Arizona, Oklahoma, and North and South Dakota. Phase I, initiated in October 1988, included a mortality survey to determine CVD death rates in individuals 35-74 yr old between 1984 and 1988, and a medical record review to determine rates of myocardial infarction and stroke for individuals ages 45-74 during the same time. In addition, a physical examination was performed on persons 45-74 yr old to measure the prevalence of cardiovascular and peripheral vascular diseases and known and suspected risk factors. In Phase II, CVD mortality and morbidity rates will be determined in the examined cohort by surveillance. CVD risk factors, changes in risk factors over time, and the relationship between risk factors and CVD incidence will be assessed longitudinally. This study provides data on the relative importance of cardiovascular risk factors in nondiabetic and diabetic Native Americans and will provide insight into possible variations in the quantitative or qualitative importance of CVD risk factors among diverse population groups.

101 NAL Call. No.: Z6675.R9R87 1988 Rural health abstracts and citations, 1980-1987.. Rural hospitals Indian health care Rural health professionals University of North Dakota, Center for Rural Health Services, Policy, and Research, University of North Dakota, Rural Health Research Center Grand Forks, N.D. : Center for Rural Health Services, Policy and Research, University of North Dakota, c1988-; 1988-9999.
v. ; 28 cm. First edition, August 1988. Title on Part III: Rural health abstracts and citations, 1980-1990. Publisher on Parts II and III is University of North Dakota Rural Health Research Center.

102 NAL Call. No.: RA771.A1J68 Rural residence and poor birth outcome in Washington state. Larson, E.H.; Hart, L.G.; Rosenblatt, R.A. Kansas City, Mo. : National Rural Health Association; 1992. The Journal of rural health v. 8 (3): p. 162-170; 1992. Includes references.

Descriptors: Washington; Obstetrics; Health care; Prenatal period; Rural areas; Urban areas; Infant mortality; Low birth weight infants; Risk; Blacks; American indians; Marriage; Age differences; Ethnic groups; Hospitals; Health centers

Abstract: It is often assumed that poor birth outcomes are more common among rural women than urban women, but there is little substantive evidence to that effect. While the effectiveness of rural provider and hospitals has been evaluated in previous studies, this study focuses on poor birth outcome in a population of rural residents, including those who leave rural areas for obstetrical care. Rural arid urban differences in rates of inadequate prenatal care, neonatal death, and low birth weight were examined in the general population and in subpopulations stratified by risk and race using data from five years (1984-88) of birth and infant death certificates from Washington state. Also examined were care and outcome differences between rural women delivering in rural hospitals and those delivering in urban facilities. Bivariate analyses were confirmed with logistic regression. Results indicate that rural residents in the general population and in various subpopulations had similar or lower rates of poor outcome than did urban residents but experienced higher rates of inadequate prenatal care than did urban residents. Rural residents delivering in urban hospitals had higher rates of poor outcomes than those delivering in rural hospitals. We conclude that rural residence is not associated with greater risk of poor birth outcome. White and nonwhite differences appear to exceed any rural and urban resident differences in rates of poor birth outcome.

103 NAL Call. No.: LC5146.R87 Secondary disabilities among American Indians in Montana. Clay, J.A.; Seekins, T.; Cowie, C.
Las Cruces, NM : New Mexico State University; 1992. Rural special education quarterly v. 11 (2): p. 20-25; 1992. Includes references.

Descriptors: Montana; American indians; Handicapped persons; Tribal society; Health care; Health services; Rural communities; Reserved areas; Regional surveys

104 NAL Call. No.: QP141.A1N88 Selected risk factors for diabetes in native Americans. Mohs, M.E.; Leonard, T.K.; Watson, R.R. Elmsford, N.Y. : Pergamon Press; 1985 Sep. Nutrition research v. 5 (9): p. 1035-1045; 1985 Sep. Includes 57 references.

Descriptors: U.S.A.; Tribal societies; Races; Diabetes; Obesity; Diet; Ethanol; Intake; Genetic factors

105 NAL Call. No.: 389.8 AM34 Selected traditional and contemporary foods currently used by the Pima Indians.
Smith, C.J.; Schakel, S.F.; Nelson, R.G. Chicago, Ill. : The Association; 1991 Mar. Journal of the American Dietetic Association v. 91 (3): p. 338-341. charts; 1991 Mar. Includes 13 references.

Descriptors: Arizona; Food preferences; History; Ethnic foods; Eating patterns; Diet; Food preparation; Nutrient databanks; Nutrient content; Diabetes; Risk; Dietary surveys; Obesity; American indians

Abstract: In 1988, a large-scale dietary survey of the Pimas was begun as part of a study of the natural history of diabetic renal disease. Because of the uniqueness of this population and the specific character of their foods, it was decided to develop a new computerized nutrient database containing specific entries for the food items and mixed dishes currently used by the Pimas. In this way potential errors in approximating Piman foods with others in commonly used US nutrient databases would be avoided, and accurate dietary analysis of food records could be accomplished. In addition, more complete nutrient composition data would be obtained on Piman foods than had previously been reported.

106 NAL Call. No.: 151.65 P96 Serum cholesterol concentrations among Navajo Indians. Sugarman, J.R.; Gilbert, T.J.; Percy, C.A.; Peter, D.G. Rockville, Md. : U.S. Department of Health & Human Services, Public Health Service; 1992 Jan.
Public health reports v. 107 (1): p. 92-99; 1992 Jan. Includes references.

Descriptors: Arizona; Cholesterol; Blood serum; American indians; Anthropometric dimensions; Diabetes; Low density lipoprotein; High density lipoprotein; Triacylglycerols; Surveys; Age differences; Women; Men

Abstract: Navajo Indians have been reported by earlier investigators to have low concentrations of serum lipids and a low prevalence of hyperlipidemia, as well as low rates of ischemic heart disease. However, no data on serum lipid concentrations among Navajos have been reported for more than two decades. The authors conducted a study to determine the distribution of concentrations of serum total cholesterol (TC), high density lipoprotein cholesterol, low density lipoprotein cholesterol, and triglyceride among persons 25-74 years old living in a representative community on the Navajo Indian reservation. Data are reported for 255 subjects, 105 men and 150 women, ages 25-74 years. The authors compared these data to those for the general population as determined by the second National Health and Nutrition Examination Survey (NHANES II). TC concentrations among Navajo men were similar to those from NHANES II. TC concentrations among younger Navajo women were similar to those for women younger than 55 years from NHANES II, but were significantly lower among older Navajo women. While 27.6 percent of men ages 25-74 years studied in NHANES II had TC concentrations greater than 240 milligrams per deciliter, 33.8 percent of Navajo men had similarly elevated TC. However, the prevalence of serum TC concentrations greater than 240 milligrams per deciliter among Navajo women (17.5 percent) was about half that among women studied in NHANES II (32.9 percent). A similar pattern was found for low density lipoprotein cholesterol. The researchers concluded that Navajo Indians are no longer characterized by low serum lipid concentrations, that increased cholesterol concentrations may be a harbinger of increasing rates of atherosclerotic coronary heart disease among Navajos, and that attention should be directed to primary prevention of hyperlipidemia in Navajo Indian communities.

107 NAL Call. No.: 151.65 P96 Smokeless tobacco use among native American school children. Bruerd, B.
Washington, D.C. : Public Health Service; 1990 Mar. Public health reports v. 105 (2): p. 196-201; 1990 Mar. Includes references.

Descriptors: South Dakota; Montana; Nebraska; Washington; Arizona; New Mexico; Alaska; School children; Chewing tobacco; American indians; Literature reviews; Health hazards

Abstract: Seven published and two unpublished surveys of Native American school children's use of smokeless tobacco (ST) are reviewed. The surveys represent school children in the States of South Dakota, Montana, Nebraska, Washington, Arizona, New Mexico, and Alaska. This review describes and discusses the survey methods, prevalence, duration, and intensity of ST use, and ST health effects documented in these studies. Prevalence of regular ST use ranges from 18 percent in kindergartners through 6th graders to 55.9 percent among 9th and 10th graders. In two studies that surveyed kindergartners, regular use was reported at 13 percent in one study and 21 percent in the other. Comparisons to use by nonNative Americans, as reported in surveys, demonstrate the severity of the problem in Native American communities. There appear to be three significant findings related to Native American ST use: (a) young age of onset of ST use, (b) similar prevalence of use among adolescent boys and girls, and (c) higher overall prevalence of ST use when compared to nonNative American populations. Acceptance of the habit, peer pressure, and addiction seem to be contributing to the high ST use in Native American communities.

108 NAL Call. No.: E75.A5 [no.A-15] Spacing of babies.
Gipp, Bertha
Native American Maternal and Child Health Project (N.D.) Bismarck : ND : Native American Maternal and Child Health Project, Division of Maternal and Child Health, North Dakota State Dept. of Health,; 1982. [10] p. : ill. ; 22 cm. (American Indian bibliography series ; [A-15]). Cover title.

Descriptors: North Dakota; Popular works; Family planning; Birth control; American indians; Health care

Abstract: To assist the American Indian in family planning, this pamphlet provides basic information on birth control methods. Pills, intra-uterine devices, diaphraoms, condoms, vaginal medications and natural family planning are the methods explained thoroughly and accompanied by a drawing of each. A short summary of Native American family planning, both past and present, is included. A checklist of good health practices that accompany participation in spacing of babies is also presented.

109 NAL Call. No.: KF27.5.H8 1990 Standing Rock Sioux Reservation a case study of food security among native Americans : hearing before the Select Committee on Hunger, House of Representatives, One Hundred First Congress, second session, hearing held in Fort Yates, ND, February 26, 1990.
United States. Congress. House. Select Committee on Hunger Washington [D.C.] : U.S. G.P.O. : For sale by the Supt. of Docs., Congressional Sales Office, U.S. G.P.O.,; 1990; Y 4.H 89:101-15. iv, 208 p. : ill., maps ; 24 cm. Distributed to some depository libraries in microfiche. Serial no. 101-15. Includes bibliographical references (p. 45).

Descriptors: Standing Rock Indian Reservation (N.D. and S.D.); Indians of North America; North Dakota; Health and hygiene; Indians of North America; South Dakota; Health and hygiene; Dakota Indians; Health and hygiene; Food relief; United States

Abstract: This hearing of the House Selection Committee on Hunger contains testimony, statements and supplemental materials presented by members of the Rock Sioux Tribal Council, members of Congress and other government officials. The topics discussed are problems of poverty and malnutrition among Native Americans, especially those at The Standing Rock Sioux Reservation.

110 NAL Call. No.: 151.65 P96 A study of dog bites on the Navajo Reservation. Daniels, T.J.
Washington, D.C. : Public Health Service; 1986 Jan. Public health reports v. 101 (1): p. 50-59. maps; 1986 Jan. Includes references.

Descriptors: Arizona; Utah; New Mexico; American indians; Statistical data; Bites; Dog control; Public health

Abstract: Reservation-wide dog-bite statistics indicate a bite rate on the Navajo Reservation that is comparable to that of a large city. Detailed analysis of 772 bite reports was made to determine the characteristics of biters and their victims. This included an assessment of the behavioral antecedents leading up to the bite incident; 98.4 percent of all cases for which a possible cause could be ascertained were provoked in some way. Both dog control and public education measures need to be taken to reduce the frequency of dog bites.

111 NAL Call. No.: RC685.H8N27 1980 Summary report of the Second National Conference on High Blood Pressure Control in Native American Communities. National Heart, Lung, and Blood Institute, National Institutes of Health (U.S.)
National Conference on High Blood Pressure Control in Native American Communities 2nd : 1980 : Tulsa, Oklahoma. Bethesda,Md. : U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health, [1982?]; 1980. 53 leaves ; 28 cm. Administrative use only.

Descriptors: Hypertension; Research; United States; Congresses; Indians of North America; Medical care; Congresses

112 NAL Call. No.: RA448.5.I5N37 1984 "The Key to prevention: you" report on the Sixth National Indian/Alaska Native Health Conference, June 4-7, 1984, sponsored by the National Indian Health Board. Cull, Scott R.; Compton, John H.
National Indian Health Board
National Indian/Alaska Native Health Conference 6th : 1984 : Reno, Nev. United States? : s.n., 1984?; 1984. iv, 119 p. : ill. ; 28 cm. This publication was made possible through contract no. 240-84-0008, with the Department of Health and Human Services, Public Health Service, Indian Health Service.

Descriptors: Indians of North America; Health and hygiene; Public health; United States; Congresses

113 NAL Call. No.: RC658.A1D5 Thermic effect of glucose in obese subjects with non-insulindependent diabetes mellitus.
Ravussin, E.; Zawadzki, J.K.
Alexandria, Va. : American Diabetes Association; 1987 Dec. Diabetes v. 36 (12): p. 1441-1447. ill., charts; 1987 Dec. Includes 27 references.

Descriptors: Arizona; Obesity; Diabetes; Glucose; Heat production; Energy metabolism; American indians

Abstract: Extract: A reduced thermic effect of glucose in non-insulin-dependent diabetes mellitus (NIDDM) has been previously reported. To investigate whether this defect is related to 1) a decreased rate of glucose storage, 2) a reduced energy cost of glucose storage, or 3) a defect in the sympathetically mediated component of thermogenesis, we studied the thermic effect of ingested and infused glucose in nine NIDDM obese Pima Indians [90.5 +/- 3.9 kg, 39 +/- 2% fat, fasting plasma glucose (FPG) 130 +/-10 mg/dl] and in nine nondiabetic obese Pima Indians (99.3 +/- 7.2 kg, 38 +/-2% fat, FPG 103 +/- 2 mg/dl). Energy expenditure and glucose storage were derived from indirect calorimetry measurements. The thermic effect of 100 g of glucose was found to be similar in both groups (4.0 +/- 0.9 vs 5.0 +/- 1.3% of energy ingested in diabetic and nondiabetic subjects, respectively) but lower than that previously reported in nonobese subjects. The cost of glucose storage calculated after stimulating storage by constant glucose infusion (0.46 g/min) and variable insulin infusion (19.5 +/- 3.8 vs. 2.9 +/- 0.6 mU.kg-1.min-1 in diabetic and nondiabetic subjects, respectively; P less than .01) was similar in both groups (approximately 0.35 kcal/g glucose stored) and not different from that reported in lean subjects. As opposed to lean and obese Caucasian subjects, energy expenditure failed to markedly decrease during propranolol infusion in both nondiabetic and diabetic Pima Indians. We postulate that the decreased rate of tissue glucose uptake and storage associated with insulin resistance is the major cause of the lower thermic effect of ingested glucose in NIDDM. It is unlikely that a reduced thermic effect of glucose causes or perpetuates obesity in NIDDM, because a low thermic response is the consequence of the increased insulin resistance and is opposed by greater increases in resting metabolic rate.(author)

114 NAL Call. No.: RC660.A1D53 The traditional Pima Indian diet: Composition and adaptation for use in a dietary intervention study. Boyce, V.L.; Swinburn, B.A.
Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 369-371; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona. Includes references.

Abstract: Objective. To examine changes in the Pima Indian diet composition that may have played a role in the dramatic rise in the incidence of NIDDM among Pima Indians over the last century.

115 NAL Call. No.: LC5146.R87 Understanding the cultural characteristics of American Indian families: effective partnerships under the Individualized Family Service Plan (IFSP). Nelson, J.R.; Smith, D.J.; Dodd, J.M.
Las Cruces, NM : New Mexico State University; 1992. Rural special education quarterly v. 11 (2): p. 33-36; 1992. Includes references.

Descriptors: U.S.A.; American indians; Families; Cultural heritage; Law; Handicapped persons; Cultural differentiation; Partnerships; Health programs

116 NAL Call. No.: TX341.C6 USDA to improve quality of canned beef and pork. Washington, D.C. : Community Nutrition Institute; 1991 May31. Nutrition week v. 21 (22): p. 2-3; 1991 May31.

Descriptors: Beef; Pigmeat; Meat quality; Canned meat; Usda; Food distribution programs; Dietary fat; Diet; Eating patterns; Diabetes; American indians

Abstract: Following congressional hearings and a GAO investigation, the USDA will attempt to reduce the amount of bone, blood vessel and connective tissue in canned beef and pork products and will take steps to generally improve the nutritional value of these products.

117 NAL Call. No.: RA425.C6 Use of secondary data: extrapolating to the community. Stewart, B.; Kozoll, R.; Rhyne, R.L.
Rockville, Md.? : U.S. Dept. of Health and Human Services; 1987. Community-oriented primary care : from principle to practice / edited by Paul A. Nutting. p. 168-173; 1987. (HRSA publication ; no. HRS-A-PE 86-1).

Descriptors: New Mexico; American indians; Communities; Community health services; Vital statistics; Data collection; Information services

118 NAL Call. No.: RC660.A1D53 Workshop report: Prevention and early treatment of NIDDM. Wilson, R.; Horton, E.
Alexandria, Va. : American Diabetes Association; 1993 Jan. Diabetes care v. 16 (1): p. 376-377; 1993 Jan. Paper presented at conference, "Diabetes in Native Americans," November 14-17, 1989, Mesa, Arizona.

Abstract: Critical scientific and practical questions are whether it is possible to prevent NIDDM and whether early treatment of diabetes is effective. There are three potential strategies that may retard the development of prevention of NIDDM and which are also of importance in the early treatment of NIDDM--control of obesity, preservation of insulin action, and preservation of insulin secretion. The panel stressed the impact of exercise both on the control of obesity and the preservation of insulin action. A structured exercise program such as that conducted in the Zuni community can be made available to an entire community. The importance of community involvement in establishing and sustaining such programs, and the importance of using sound principles of effective behavior modification were recognized.

119 NAL Call. No.: 151.65 P96 Years of potential life lost among a Native American population. Mahoney, M.C.; Michalek, A.M.; Cummings, K.M.; Hanley, J.; Snyder, R.L. Washington, D.C. : Public Health Service; 1989 May.
Public health reports v. 104 (3): p. 279-285; 1989 May. Includes references.

Abstract: The determination of years of potential life lost (YPLL) can aid in monitoring changes in premature mortality among various population groups. While premature mortality has been shown to differ among blacks and whites, patterns of YPLL have not been well established among other racial groups. The Seneca Nation of Indians (SNI) is a Native American group residing primarily in western New York State (NYS). A review of SNI necrology records revealed that 55 percent (510 of 924) of the deaths between 1955 and 1984 occurred before 65 years of age. The proportion of premature deaths among males exceeded the proportion in females. SNI males demonstrated an increased risk of premature death (odds ratio = 1.43) relative to SNI females. Both the percentage of premature deaths and the number of YPLL per death were greater among SNI members compared with NYS residents. Almost one-half of all YPLL among the SNI were attributable to accidents and injuries. Heart disease, digestive diseases, and malignant neoplasms also represented important contributors to YPLL for both SNI males and females. This investigation identifies important causes of premature death among a Native American population and underscores the preventable nature of premature loss of life.

Abuse 4
Achievement tests 13
Acquired immune deficiency syndrome 2
Adolescents 2, 4, 5, 60
Adopted children 5
Adults 7
Afro-American aged 73
Age 8
Age differences 2, 102, 106
Age factors 16
Aged 73
Alaska 3, 6, 25, 29, 32, 44, 54, 76, 79, 80, 83, 96, 107 Albumins 10
Alcohol use 54, 77
Alcoholic beverages 9, 45, 46
Alcoholism 41, 66
Aleuts 3, 3
American indians 2, 4, 6-28, 30-33 35-43, 45-51, 53, 55-57, 59-63, 66, 67, 69, 70, 75, 78, 79, 81-89, 91-93, 95, 97-100, 102, 103, 105-108, 110, 113-119
Anthropometric dimensions 106
Anthropometry 44
Arizona 2, 6, 9, 14, 18, 19, 42, 43, 69, 88, 92, 105-107, 110, 113, 114
Asians 15, 37, 38, 82, 89
Attitudes 2, 4
Baby foods 57
Beef 116
Behavior change 81
Behavior modification 85, 86
Beliefs 15
Birth 8
Birth control 108
Birth weight 6, 8
Bites 110
Blacks 2, 8, 15, 37, 38, 82, 89, 102
Blood plasma 20, 88
Blood pressure 43
Blood serum 42, 106
Blood sugar 7, 42
Body weight 7, 42
Bootle feeding 87
Botany, Medical 72
Bottle feeding 87, 99
Botulism 57, 57
Breast feeding 85, 86
California 78
Canada 46
Canned meat 116
Cardiovascular diseases 53, 81, 100
Case reports 79
Chewing tobacco 107
Child care 15
Child development 15
Child feeding 99
Children 5, 99
Cholesterol 106
Circulatory disorders 50
Classification 39
College students 75
Commodities 56
Communities 117
Community development 59
Community health services 9, 59, 67, 117 Community programs 7
Complications 17, 22, 32, 36, 95, 98
Computer software 78
Conferences 25
Congresses 111, 111, 112
Consumer education 50, 55, 57
Consumption 46
Coumarins 10
Cultural differentiation 46, 115
Cultural heritage 115
Cultural influences 12, 38, 63, 81, 89 Cultural integration 11
Cultural sociology 15
Cultural values 11
Curriculum guides 81
Dakota Indians 109
Data collection 117
Demography 75
Demonstrations 60
Dental caries 51, 99
Dental caries in children 87
Dental health 55
Diabetes 12, 17, 18, 20-28, 31, 32, 34-36, 38, 45, 48, 50, 53, 61, 70, 78, 79, 82, 91, 92, 95-98, 100, 104-106, 113, 116 Diabetes mellitus 7, 13, 14, 16, 19, 29, 30, 33, 42, 69, 88, 114, 118
Diabetes treatment 21
Diabetic diets 91
Diagnosis 100
Diarrhea 86
Diet 79, 91, 104, 105, 114, 116
Diet counseling 82
Diet therapy 45, 91
Dietary factors 38
Dietary fat 116
Dietary guidelines 21, 56, 91
Dietary surveys 105
Diets 45, 76
Disease prevalence 82
Disease prevention 2, 9, 26, 66, 99
Disease surveys 100
Diseases 40, 54, 57
Docosenoic acid 76
Dog control 110
Drinking behavior 41
Drinking water 43
Drug use 77
Duration 42
Eating habits 37, 55
Eating patterns 79, 82, 105, 116
Education 8
Educational programs 13, 51, 66
Elderly 62
Elementary education 81
Energy metabolism 113
Environmental factors 19, 40
Epidemiological surveys 4, 8
Epidemiology 6, 16, 46
Eskimos 3, 44, 67, 76
Ethanol 104
Ethnic foods 105
Ethnic groups 4, 5, 8, 31, 46, 75, 80, 102 Ethnicity 8, 37, 79, 82
Ethnobotany 72, 78
Exercise 7
Familial incidence 19
Families 115
Family counseling 9
Family planning 108
Family structure 15
Fat products 76
Federal aid to alcoholism programs 77
Federal aid to community development 77 Federal aid to community mental health services 73, 74 Federal aid to drug abuse treatment programs 77 Federal programs 49, 66
Feeding behavior 80
Feet 50
Fetal alcohol syndrome 9, 46, 66, 71
Flipcharts 87
Food 91
Food beliefs 12
Food consumption 10
Food costs 49
Food distribution programs 116
Food habits 81
Food intake 38, 81
Food preferences 81, 105
Food preparation 56, 105
Food relief 49, 109
Foster children 5
Gall bladder diseases 53
Generations 19
Genetic correlation 40
Genetic factors 104
Genetic markers 19
Geographical distribution 4
Glucose 113
Glucose tolerance 88
Guidelines 47
Handbooks, manuals, etc 91
Handicapped persons 103, 115
Health 4, 15, 38, 60, 76, 83, 119
Health and hygiene 3, 44, 54, 58, 109, 112 Health beliefs 12, 89
Health carep 15, 59, 63, 84, 89, 92, 93, 102, 103, 108 Health centers 102
Health education 47, 85, 86
Health hazards 10, 107
Health programs 33, 66, 70, 99, 115, 118 Health promotion 49
Health services 11, 51, 62, 103
Heart 54
Heat production 113
Hereditary factors 16
High density lipoprotein 106
Hispanic American aged 73
Hispanics 2, 15, 31, 37, 38, 81, 82, 89 History 79, 83, 105
Honey 57, 57
Hospitals 102
Hospitals, Rural 101
Human behavior 4
Human immunodeficiency virus 2
Hunger 58
Hypercholesterolemia 53
Hypertension 38, 43, 53, 56, 111
Idaho 13, 36
Incidence 22, 25, 27-30, 32, 36, 42, 61, 88, 95-98 Independent study 84
Indians of North America 1, 3, 49, 52, 54, 58, 64, 65, 68, 71-74, 77, 90, 91, 94, 101, 109, 111, 112 Infant feeding 57, 86
Infant mortality 6, 39, 102
Infants 5, 8, 15, 51, 55, 57, 68, 87, 99 Infections 53
Influences 15
Information services 117
Instructional materials 84
Insulin 42, 69, 88
Insurance, Health 52
Intake 104
Inuit 29, 79, 96
Kidney diseases 53
Knowledge 2
Knowledge level 13
Law 115
Learning activities 84
Lesson plans 84
Life style 62
Lifestyle 19, 79
Lipoproteins 20
Literature reviews 14, 15, 53, 107
Liver 88
Longitudinal studies 42, 88, 100
Low birth weight infants 102
Low density lipoprotein 106
Marriage 102
Materia medica, Vegetable 72
Maternal-fetal exchange 46
Meat quality 116
Medical care 111
Medical care surveys 1, 52, 94
Medical treatment 8
Medicinal plants 78
Medicine 72
Men 7, 29, 42, 70, 100, 106
Mental disorders 5
Mental health 4, 5, 73, 75
Mental health services 73
Metabolic studies 88
Metabolism 79
Minnesota 22
Minorities 15, 34
Minority aged 73
Mississippi 27
Montana 6, 98, 103, 107
Morbidity 100
Mortality 2, 23, 31, 35, 48, 53, 63, 66, 100, 119 Mother-child relations 85, 86
Mothers 8
National surveys 6, 23
Nebraska 17, 91, 107
Nevada 72
New Mexico 6, 7, 31, 60, 70, 81, 107, 110, 117 New York 8, 28, 119
North Carolina 95
North Dakota 6, 16, 17, 33, 58, 75, 93, 108, 109 Nova Scotia 76
Nursing bottle syndrome 99
Nutrient content 105
Nutrient databanks 105
Nutrient intake 38, 43
Nutrition 3, 38, 49, 58, 76, 84
Nutrition education 12, 13, 49, 70, 81, 82, 84, 85, 86 Nutrition information 93
Nutritional aspects 91
Nutritional assessment 37
Nutritional state 83
Nutritional surveys 80
Nutritional value 49
Obesity 18, 19, 38, 42, 53, 82, 104, 105, 113 Obstetrics 102
Oklahoma 39, 47, 48
Oregon 13, 36
Osteoporosis 38
Pancreas 88
Parent child relationships 15
Parent education 87
Parents 15
Partnerships 115
Pathogenesis 14, 88
Patient care 50
Patient compliance 7
Patient education 91, 92
Performance 4
Pigmeat 116
Pneumonia 54
Polymorphism 10
Popular works 21, 45, 47, 50, 55, 56, 57, 91, 92, 93, 108 Population 44
Pregnancy 8, 9, 18, 30, 53, 96
Pregnancy and nutrition 84
Pregnant women 85, 86, 92
Prenatal education 93
Prenatal period 102
Preschool children 15
Prevention 87
Program development 9, 13, 60
Program evaluation 9, 13, 49, 67, 70, 99 Public agencies 66
Public health 11, 80, 110, 112
Public services 60
Questionnaires 75
Races 39, 104
Racial composition 16
Racial differences 16
Reading 13
Reducing diets 45
Reference materials 85, 86
Reference works 49
Regional surveys 103
Research 111
Reservations 49
Reserved areas 103
Resource materials 13
Reviews 40
Risk 4, 19, 100, 102, 105
Risks 37, 38, 40, 57, 119
Rural areas 62, 102
Rural communities 103
Rural environment 63
Rural health services 101
Rural population 41
Rural youth 60
School children 107
Schools 4
Seals 76
Sexual behavior 4
Social conditions 77
Sociocultural patterns 16
Socioeconomic status 15
Sodium 43
South Dakota 6, 17, 107, 109
Standing Rock Indian Reservation (N.D. and S.D.) 109 Statistical data 110
Study and teaching 49
Substance abuse 4
Sugar 45
Supplemental feeding programs 49
Surveys 106
Symptoms 21
Teaching materials 13, 87
Teams 70
Tooth diseases 87
Trauma 4
Trends 23, 24, 46, 83
Triacylglycerols 106
Tribal societies 104
Tribal society 19, 103
U.S.A. 5, 10-12, 15, 20, 23, 24, 30, 35, 38, 40, 41, 46, 49, 51, 61-63, 66, 80, 82, 89, 97, 99, 104, 115 United States 49, 73, 77, 109, 111, 112 Urban areas 102
Urban population 41
Usda 116
Utah 110
Values 75
Vital statistics 117
Vocational education 84
Washington 13, 36, 59, 102, 107
Weight control 7, 45
Weight gain 69
Weight losses 7, 70
WIC program 84
Wild plants 78
Women 7, 8, 29, 42, 46, 70, 100, 106
Wyoming 98

(William Andrew), 72
Abe, Thomas A. 16
Ackman, R.G. 76
Acton, K. 98
Archer, W. Andrew 72
Bachman-Carter, K. 30
Backinger, Cathy 87
Baer, Linda 68
Bauman, K.A. 2
Beauregard, Karen 1
Becker, T.M. 31
Bennett, P.H. 14, 18, 25, 42, 88
Berg, Lawrence E. 54
Bergeisen, L. 4
Bertorelli, A.M. 82
Blum, R.W. 4
Bogardus, C. 88
Bothwell, E. 99
Boyce, V.L. 114
Boyko, E.J. 29
Brosseau, J.D. 61
Brosseau, James D. 16
Broussard, B.A. 12
Bruerd, B. 99, 107
Bruerd, Bonnie 87
Buck, G.M. 8
Buehler, J.W. 6
Bulkow, L.R. 29, 32, 96
Burns, T.R. 66
California, WIC Supplemental Food Section 55 Campbell, G. 98
Carter, J.S. 31
Center for General Health Services Intramural Research (U.S.) 1, 52, 90, 94
Chelimsky, Eleanor 34
Chen, Martin K. 54
Clay, J.A. 103
Compton, John H. 112
Cornelius, Llewellyn Joseph, 1
Cowan, L.D. 100
Cowie, C. 103
Crawford, Andrea C. 16
Cull, Scott R. 112
Cummings, K.M. 119
Cunningham, Peter J. 1, 52
D'Angelo, A.J. 67
Daniels, T.J. 110
Davis, S.M. 60
Deapen, R.E. 39
DeStefano, F. 35
Deuschle, K.W. 11
Dever, D. 43
DeWitt, Dana 68
Diemand, L.M. 37
Dodd, J.M. 115
Eaton, C.A. 76
ed 44
Eddy, P. 66
Eelkema, Robert C. 16
Eller, J.D. 95
Everhart, J.E. 42
Fabsitz, R.R. 100
Farrell, M.A. 95
Fisher, J.R. 40
Frank, C. 30
Freeman, W. 97
Freeman, W.L. 13, 36, 59
Freni-Titulaer, L. 43
Frohlich, K.L. 33
Garcia Coll, C.T. 15
German, R.R. 35
Gila River Indian Community (Arizona : Association) 92 Gilbert, T.J. 106
Gipp, Bertha 108
Gohdes, D. 13, 17, 24, 25, 97, 98
Gohdes, D.M. 22, 23
Grossman, L. 89
Groziak, S.M. 37
Hall, T.R. 69
Hanley, J. 119
Harmon, B. 4
Harris, L. 4
Harris, M.B. 81
Hart, L.G. 102
Heath, G.W. 7
Helgerson, S. 70
Helgerson, S.D. 97
Hembekides, Ruth 21, 57
Henrichs, James R. 72
Hickey, M.E. 69
Hogue, C.J.R. 6
Holcomb, Barbara 87
Hollevoet, J.J. 33
Horton, E. 118
Hosey, G.M. 13
Howard, B.V. 20, 100
Huete, N. 43
Hunt, K. 60
Hurlburt, W.B. 67
Jackson, M.Y. 12, 80, 83
Jamison, Paul L., 44
Johnson, Ayah E. 94
Johnson, C. 98
Johnson, L.G. 27
Jorge, N. 48
Justice, J. 43
Kaufman, S. 24, 97
Kennedy, R.D. 39
Kenny, S. 48
Key, C.R. 31
Kinney, M.B. 99
Kinney, Mary Beth 87
Kitzes, J.M. 60
Knowler, W.C. 14, 18, 19, 42
Koehler, K.M. 81
Kozoll, R. 63, 117
Kuller, L.H. 26
LaDue, Robin A. 71
Lanier, A.P. 29, 32, 96
Larson, E.H. 102
Lauber, C. 2
Le, N.A. 100
Lee, E.T. 48, 100
Lefkowitz, Doris Cadigan 90
Leonard, B.E. 7
Leonard, T.K. 104
Lillioja, S. 88
Livingston, R.C. 30
London, Virginia 54
Mahoney, M.C. 8, 119
Marfin, A.M. 70
Martinez, C.B. 28
Masis, K.B. 9
Mason, R.D. 66
Mason, W.B. 30
May, P.A. 9, 46
Mazur, M. 79
McBean, L.D. 38
McShane, D. 5
Michalek, A.M. 8, 119
Miller, W.A. 2
Miner, K.M. 95
Mohs, M.E. 104
Molofsky, Anne J. 49
Morgan, Helen 47
Mosey, G.M. 36
Muneta, B. 35
Murphy, M.A. 43
Murphy, N.J. 29, 32, 96
National Heart, Lung, and Blood Institute, National Institutes of Health (U.S.) 111
National Indian Health Board 112
Native American Maternal and Child Health Project 93 Native American Maternal and Child Health Project (N.D.) 108 Nelson, J.R. 115
Nelson, R.G. 14, 18, 105
Newman, J.M. 35
Newman, W.P. 33
Oopik, A.J. 100
Owle, P.A. 95
Papago Nutrition Improvement Program (Sells, Ariz.) 85, 86 Percy, C.A. 106
Peter, D.G. 106
Pettitt, D.J. 14, 18, 19, 42
Phillips, M.G. 51
Powell, E.J. 8
Qualtere-Burcher, P. 2
Quiggins, P.A. 95
Raichelson, R.M. 10
Randels, Sandra P. 71
Ravussin, E. 113
Resnick, M.D. 4
Rhoades, E.R. 66, 67
Rhyne, R.L. 117
Rith-Najarian, S.J. 22
Rockow, J.P. 2
Rogers, B. 98
Rosenblatt, R.A. 102
Russell, D. 48
Saad, M.F. 14, 18
Samet, J.M. 31
Savage, P.J. 100
Schakel, S.F. 105
Schraer, C.D. 29, 32, 96
Schur, Claudia L. 52
Seekins, T. 103
Shelton, J.A. 8
Sievers, M.L. 40
Sippel, J. 43
Smith, C.J. 105
Smith, D.J. 115
Smith, E.M. 66
Smith, J. 7, 70
Snyder, R.L. 119
Special Supplemental Food Program for Women, Infants, and Children (U.S.),United Tribes Educational Technical Center (Bismarck, N.D.) 84
Stahn, R.M. 17
Stewart, B. 117
Stracqualursi, F. 13
Strauss, K. 27, 28
Strauss, L.T. 6
Streissguth, Ann Pytkowicz 71
Stubbs, P.E. 51
Suan, L.V. 75
Sugarman, J.R. 106
Swanson Center for Nutrition, United States, Indian Health Service, National Diabetes Information Clearinghouse (U.S.) 91
Swinburn, B.A. 114
Taylor, Amy K. 94
Train, Percy 72
Tyler, J.D. 75
Underwood, Carol 90
United States, Food and Nutrition Service 49 United States, General Accounting Office, United States, Congress, House, Select Committee on Aging 34 United States, Indian Health Service 45, 50 United States. Congress. House. Committee on Interior and Insular Affairs 74
United States. Congress. House. Select Committee on Aging 73 United States. Congress. House. Select Committee on Children, Youth, and Families 77
United States. Congress. House. Select Committee on Hunger 58, 109
United States. Congress. Senate. Select Committee on Indian Affairs 64, 65
University of North Dakota, Center for Rural Health Services, Policy, and Research, University of North Dakota, Rural Health Research Center 101
University of Washington, Dept. of Psychiatry and Behavioral Sciences, University of Washington, Chil d Development and Mental Retardation Center, University of Washington, Alcoholism and Drug Abuse Institute, United States, Indian Health Service 71
Valway, S. 24, 97
Valway, S.E. 17, 22, 35
Vanlandingham, M.J. 6
Walkingstick, E.S. 95
Watson, R.R. 104
Weber, P. 43
Weibel-Orlando, J.C. 41
Welty, T. 97
Welty, T.K. 43, 53, 100
Wiggins, C.L. 31
Wilson, R. 70, 118
Wilson, R.H. 7
Winkelman, M. 78
Yeh, J. 100
Yu, M.L. 48
Zack, M.M. 43
Zawadzki, J.K. 113