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dc.contributor.advisorOrtiz, Ana T.en_US
dc.contributor.authorSmith-Morris Carolyn, 1966-en_US
dc.creatorSmith-Morris Carolyn, 1966-en_US
dc.date.accessioned2013-04-11T08:37:58Z
dc.date.available2013-04-11T08:37:58Z
dc.date.issued2001en_US
dc.identifier.urihttp://hdl.handle.net/10150/279885
dc.description.abstractMore than half of all Pima Indians over age 35 have Diabetes Mellitus and prevalence rates continue to rise; this despite billions of dollars spent every year on research and prevention activity by the National Institute of Health, the American Diabetes Association, and the Indian Health Service nationwide. Because of the many health problems which can occur in conjunction with uncontrolled diabetes, including heart disease, kidney disease, neuropathy, retinopathy, and depression, the insidious or symptomless nature of this disease creates an urgent need for early detection, prevention, and effective treatment. Several anthropological studies of Native Americans have been conducted over the last century, but few have focused on Native American understandings of and response to diabetes, particularly its sometimes "latent" quality, as in gestational diabetes which "goes into remission" after childbirth. Biomedical concepts such as risk, prevention, disease latency, and genetic predisposition or heritability are critical to the prevention of many chronic illnesses, but do not translate well or effectively across cultural lines. This dissertation presents a focused ethnography examining this process of integration between Native American and biomedical health models at the Gila River Indian Community, particularly around the issue of diabetes. Because diabetes is a complicating factor in pregnancy and childbirth due to fetal stress, high birth weight, and necessitated cesarean-section deliveries, and due to the relationship between gestational diabetes and the subsequent health of both the mother and infant, pregnant women are the focus of this research.
dc.language.isoen_USen_US
dc.publisherThe University of Arizona.en_US
dc.rightsCopyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.en_US
dc.subjectAnthropology, Cultural.en_US
dc.subjectHealth Sciences, Public Health.en_US
dc.titleA political economy of diabetes, pregnancy, and identity in the Gila River Indian Communityen_US
dc.typetexten_US
dc.typeDissertation-Reproduction (electronic)en_US
thesis.degree.grantorUniversity of Arizonaen_US
thesis.degree.leveldoctoralen_US
dc.identifier.proquest3031404en_US
thesis.degree.disciplineGraduate Collegeen_US
thesis.degree.disciplineAnthropologyen_US
thesis.degree.namePh.D.en_US
dc.identifier.bibrecord.b42288666en_US
refterms.dateFOA2018-06-14T22:10:42Z
html.description.abstractMore than half of all Pima Indians over age 35 have Diabetes Mellitus and prevalence rates continue to rise; this despite billions of dollars spent every year on research and prevention activity by the National Institute of Health, the American Diabetes Association, and the Indian Health Service nationwide. Because of the many health problems which can occur in conjunction with uncontrolled diabetes, including heart disease, kidney disease, neuropathy, retinopathy, and depression, the insidious or symptomless nature of this disease creates an urgent need for early detection, prevention, and effective treatment. Several anthropological studies of Native Americans have been conducted over the last century, but few have focused on Native American understandings of and response to diabetes, particularly its sometimes "latent" quality, as in gestational diabetes which "goes into remission" after childbirth. Biomedical concepts such as risk, prevention, disease latency, and genetic predisposition or heritability are critical to the prevention of many chronic illnesses, but do not translate well or effectively across cultural lines. This dissertation presents a focused ethnography examining this process of integration between Native American and biomedical health models at the Gila River Indian Community, particularly around the issue of diabetes. Because diabetes is a complicating factor in pregnancy and childbirth due to fetal stress, high birth weight, and necessitated cesarean-section deliveries, and due to the relationship between gestational diabetes and the subsequent health of both the mother and infant, pregnant women are the focus of this research.


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