YUP'IK PERCEPTIONS OF BODY WEIGHT AND DIABETES

这个子项目是许多研究子项目中的一个 由NIH/NCRR资助的中心赠款提供的资源。子项目和 研究者（PI）可能从另一个NIH来源获得了主要资金， 因此可在其他CRISP条目中表示。所列机构为 研究中心，而研究中心不一定是研究者所在的机构。 先前的CANHR研究发现，糖尿病的强风险因素（即超重，肥胖和葡萄糖耐量受损）的发生率在Yup'ik爱斯基摩人中急剧增加。此外，COBRE I的数据表明，Yup'ik对体重的文化观念将超重和肥胖视为健康和强壮个体的指标，而不是糖尿病的强烈风险因素。如果这种观念在文化上普遍存在，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，本研究的总体目的是进行重要的形成性研究，以阐明Yup'ik在偏远村庄生活的背景下对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，可以针对村庄生活世界的优势和限制，尊重Yup'ik人民的价值观和当地知识。我们将通过应用Kleinman解释模型（EM）的疾病问卷调查，通过深入的，半结构化的访谈，确定Yup'ik糖尿病的文化模式。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的身体形象卡的标准堆排序任务来确定Yup'ik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信息人访谈和参与者观察来探讨结构性因素。我们期待着与直接健康相关的令人信服的发现，以在偏远村庄创建文化上适当和可行的糖尿病预防计划，提供文化能力培训，并提高那些已经接受治疗的人的依从性。 本项目研究对象的性别/少数民族构成预计不会发生变化。

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.