A Native American community initiative to prevent diabetes.

A Native American community initiative to prevent diabetes.
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美国原住民社区预防糖尿病的倡议。

DOI:
10.1080/13557858.1997.9961836
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发表时间:
1997
期刊:
影响因子:
3.1
通讯作者:
Secker-Walker,R
Secker-Walker,R
中科院分区:
医学3区
文献类型:
--
作者:
Hood,VL;Kelly,B;Martinez,C;Shuman,S;Secker-Walker,R

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Akwesasne的莫霍克社区肥胖症和糖尿病的发病率日益增加,导致成立了一个咨询小组,其使命是提高社区认识,加强必要的基础设施,以建立一个社区联盟,促进健康的生活方式。实现这些目标所使用的方法包括:使用半结构化访谈和焦点小组来了解社区对糖尿病、饮食和运动的知识、态度和行为;使用病历审查分析糖尿病及其并发症病例对照研究的数据;探索评估儿童能量消耗的方法;并确定有影响力的社区成员和组织。在过去的50年里,人们的身体活动减少了,高脂肪、高热量的食物变得更容易获得。社区成员关心其子女的健康和福祉,了解健康的生活方式,但缺乏信心和社会支持来实现预期的变化。在这个社区,糖尿病、吸烟、高血胆固醇和血管疾病之间有很强的关联。大约有100人参加了会议,数百人通过向17个社区组织、两个公共论坛、给与会者的信件和当地报纸上的文章收到了会议结果。确定了50名个人和29个企业或组织被视为健康生活方式的大力倡导者。由此形成了一个社区联盟,并发起了减少膳食脂肪和增加幼儿体育活动的计划。
The increasing prevalence of obesity and diabetes in the Mohawk Community of Akwesasne led to the formation of an advisory group who's mission was to increase community awareness and strengthen the infrastructure necessary to create a community coalition to promote healthy lifestyles. The methodology used to reach these goals included: obtaining an understanding of the community's knowledge, attitudes and behaviors about diabetes, diet and exercise using semi‐structured interviews and focus groups; analyzing data from a case control study of diabetes and it complications using a medical record review; exploring methods for evaluating energy expenditure in children; and identifying influential community members and organizations. In the last 50 years people had become less physically active and high fat, high caloric foods were more available. Community members were concerned about health and the well‐being of their children, had knowledge about healthy lifestyles but lacked confidence and social support for bringing about desired changes. A strong association was documented between diabetes, smoking cigarettes, high blood cholesterol and vascular disease in this community. Approximately 100 persons participated, several hundred received the results in presentations to 17 community organizations, two public fora, letters to participants and articles in local newspapers. Fifty persons and 29 businesses or organizations regarded as strong advocates of healthy lifestyles were identified. From these a community coalition was formed and has initiated programs to reduce dietary fat and increase physical activity in young children.
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DOI: --
发表时间: 1987
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影响因子: --
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影响因子: 5.5
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发表时间: 1993
期刊: Diabetes Care
影响因子: 16.2
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