STOP Diabetes! An Educational Model for Native American Adolescents in the Prevention of Diabetes

From East Bakersfield Community Health Center, Bakersfield, California (Ms Marlow); Yale University School of Nursing, New Haven, Connecticut (Dr D’Eramo Melkus); and the Winnebago Tribe Diabetes Project, Winnebago, Nebraska (Ms Bosma). Correspondence to Elizabeth Marlow, 8200 North Laurelglen #316, Bakersfield CA 93311. E-mail: emarlowrn@aol.com Reprint requests to The Diabetes Educator, 367 West Chicago Avenue, Chicago IL 60610-3025. The prevalence of type 2 diabetes is reaching epidemic proportions among the Native American community. The Winnebago and Omaha tribes have a diabetes prevalence rate of 8.8 times the general rate in the US and 3.2 times the overall rate for American Indi-

[1]  R. DeFronzo.  Insulin resistance: a multifaceted syndrome responsible for NIDDM, obesity, hypertension, dyslipidaemia and atherosclerosis. , 1997, The Netherlands journal of medicine.

[2]  C. Hanis,et al.  A Community-Based, Culturally Sensitive Education and Group-Support Intervention for Mexican Americans With NIDDM: A Pilot Study of Efficacy , 1995, The Diabetes educator.

[3]  R. M. Stahn,et al.  Acanthosis Nigricans among Native Americans: an indicator of high diabetes risk. , 1994, American journal of public health.

[4]  M. Jackson,et al.  Height, weight, and body mass index of American Indian schoolchildren, 1990-1991. , 1993, Journal of the American Dietetic Association.

[5]  K. Crow.  Multiculturalism and pluralistic thought in nursing education: Native American world view and the nursing academic world view. , 1993, The Journal of nursing education.

[6]  S. Rith-Najarian,et al.  Assessing and Implementing Diabetes Patient Education Programs for American Indian Communities , 1993, The Diabetes educator.

[7]  S. Valway,et al.  Diabetes in American Indians: An overview , 1993, Diabetes Care.

[8]  P. A. DeMars.  An occupational therapy life skills curriculum model for a Native American tribe: a health promotion program based on ethnographic field research. , 1992, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[9]  Joy,et al.  Prevalence of obesity in American Indians and Alaska Natives. , 1991, The American journal of clinical nutrition.

[10]  E. Ravussin,et al.  Studies of the etiology of obesity in Pima Indians. , 1991, The American journal of clinical nutrition.

[11]  R. DeFronzo,et al.  Insulin Resistance: A Multifaceted Syndrome Responsible for NIDDM, Obesity, Hypertension, Dyslipidemia, and Atherosclerotic Cardiovascular Disease , 1991, Diabetes Care.

[12]  R. Hagey.  The Native Diabetes Program: rhetorical process and praxis. , 1989, Medical anthropology.

[13]  S. Pelican,et al.  Obesity prevention. , 1991, The American journal of clinical nutrition.