Traditionalism and its relationship to disease risk and protective behaviors of women living on the Hopi reservation.
Traditionalism and its relationship to disease risk and protective behaviors of women living on the Hopi reservation.
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DOI：
10.1080/07399330490438314
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发表时间：
2004-05-01
影响因子：
1.4
通讯作者：
Nuvayestewa, Leon
中科院分区：
文献类型：
--
作者：
Coe, Kathryn;Attakai, Agnes;Nuvayestewa, Leon
本研究的基本目的是确定美国印第安人（AI）人口有效癌症预防计划的发展的关键因素。为此，我们开发了一种工具来评估传统主义对吸烟、消费和肥胖等健康风险的影响。从1993年7月至12月，对生活在霍皮族保留地的559名年龄在18岁以上的妇女进行了一次基于人口的调查。为了构建传统主义评分，我们在社区中进行了焦点小组调查。通过评估土著文化的三个方面：语言的使用，文化参与，或参与霍皮人仪式等活动，并在保留地外度过的生活百分比的多维方法。计算每个受访者的三个维度的平均得分。高水平的传统主义与疾病保护行为显著相关，如实践传统的霍皮族活动，以保持健康（OR = 3.07），并与疾病的危险因素，如吸烟（OR = 0.26）和肥胖（OR = 0.60）独立的年龄，婚姻状况和教育显着负相关。由于这些数据为在公共卫生项目中促进传统以降低人工智能女性慢性病发病率提供了强有力的依据，我们在本文的最后讨论了传统主义的重要性以及如何准确评估传统主义。
The fundamental aim of this study was to identify factors crucial for the development of effective cancer prevention programs for American Indian (AI) populations. Toward that end, we developed an instrument to assess the influence of traditionalism on health risks such as smoking, consumption, and obesity. A population-based survey was conducted among 559 randomly selected women living on the Hopi reservation aged 18 years and older, from July through December 1993. To construct a traditionalism score, we conducted focus groups in the community. A multidimensional approach was adopted by assessing three dimensions of native culture: language usage; cultural participation, or participation in such activities as Hopi ceremonies; and percentage of life spent off-reservation. A mean score of the three dimensions was computed for each respondent. High levels of traditionalism were significantly associated with disease protective behaviors, such as practicing traditional Hopi activities to keep healthy (OR = 3.07), and significantly inversely associated with disease risk factors such as smoking (OR = 0.26) and obesity (OR = 0.60) independent of age, marital status, and education. As these data provide a strong rationale for the promotion of traditions in public health programs aimed at decreasing rates of chronic disease among AI women, we conclude this paper with a discussion of the importance of traditionalism and how it might be accurately assessed.