YUP'IK PERCEPTIONS OF BODY WEIGHT AND DIABETES

这个子项目是许多研究子项目中利用 资源由NIH/NCRR资助的中心拨款提供。子项目和 调查员(PI)可能从NIH的另一个来源获得了主要资金， 并因此可以在其他清晰的条目中表示。列出的机构是 该中心不一定是调查人员的机构。 CANHR之前的研究发现，在尤普尼克爱斯基摩人中，糖尿病的强烈危险因素(即超重、肥胖和糖耐量受损)的发生率正在急剧增加。此外，来自Cobre I的数据表明，Yupik对体重的文化认知将超重和肥胖视为健康和强壮的个人的指标，而不是糖尿病的强烈风险因素。如果这种观念在文化上盛行，超重和肥胖的人可能会感到远离风险，并认为没有必要监测糖尿病风险或改变健康行为。因此，这项研究的总体目的是进行重要的形成性研究，以阐明尤皮克人在偏远村庄生活中关于体重和糖尿病的信念。这样的理解将推动我们走向未来的干预研究和预防规划，这些干预研究和预防规划可以根据村庄生活世界的优势和限制而量身定做，并尊重尤皮克人的价值观和当地知识。我们将通过应用Kleinman疾病解释模型(EM)问卷，通过深入的、半结构化的访谈来识别Yup‘ik糖尿病的文化模型。我们将通过深入访谈中嵌入的具体探索性问题，以及通过管理预先测试的文化敏感型身体形象卡的标准堆叠任务，来确定Yup‘ik人对体重和身体形象的文化认知。最后，我们将通过对两个村庄的关键线人访谈和参与者观察来调查结构性因素。我们期待具有直接健康相关性的令人信服的发现，在偏远村庄创建文化上合适和可行的糖尿病预防计划，提供文化能力方面的培训，并提高已经接受治疗的人的依从性。 预计本项目研究对象的性别/少数群体构成不会发生变化。

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. Prior CANHR research has found that the incidence of strong risk factors for diabetes (i.e. overweight, obesity, and impaired glucose tolerance) is increasing dramatically among Yup'ik Eskimos. Moreover, data from COBRE I suggest that Yup'ik cultural perceptions of body weight identify overweight and obesity as indicators of a healthy and strong individual, as opposed to a strong risk factor for diabetes. If such perceptions are culturally prevalent, overweight and obese individuals may feel removed from risk and believe there is no need to monitor diabetes risk or modify health behaviors. Therefore, the overall purpose of this study is to conduct vital formative research to elucidate Yup'ik beliefs about body weight and diabetes in the context of remote village life. Such an understanding will move us toward future intervention research and prevention planning that can be tailored to the strengths and constraints of the village lifeworld and respectful to the values and local knowledge of Yup'ik peoples. We will identify Yup'ik cultural models of diabetes through an application of the Kleinman Explanatory Model (EM) of illness questionnaire administered via in-depth, semi-structured interviews. We will identify Yup'ik cultural perceptions of body weight and body image via specific probing questions embedded within the in-depth interviews and via administration of a standard pile sort task of pre-tested culturally sensitive body image cards. Finally, we will investigate structural factors via key informant interviews and participant observation in two villages. We expect compelling findings with direct health relevance for creating culturally appropriate and viable diabetes prevention programs in remote villages, provider training in cultural competency, and improving adherence among those already receiving medical treatment. There are no expected changes in the gender/minority composition of research subjects for this project.