Native American Health Care

January 1980 - January 1gg3

Quick Bibliography Series: QB 93-40

1 19 citations in English from AGRICOLA

Patricia La Caille John

Rural Information Center

Rural

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Nationaf Agricultural Library Beltsville, Maryland 20705-2351 June 1993
National Agricultural Library Cataloging Record:

John, Patricia I-a Caille

Native American health care.

(Quick bibliography series ; 93-a0)

1. Indians of North Anerica--Health and hygiene-Bibliography. I. Title.

aZ,5071.N3 no.93-40
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SAMPLE CTTATIONS

Citations in inis bibliography are from the National Agricultural Librar/s AGRICOLA database.

explanation of sample journal article, book, and audiovisual citations appears below.

Journal Article:

Title htblisher loumal Title

Place of

Arizona meets Jrt rooa marketing challenge. I I

Autlnr 

ildorrison, S. B. Denver, Colo. : American School "I service Associatioo- s"u*l foodservice

I

Exploring *"..lls in dietetics and nutrition /byJune Kozak tr(ane.

..4ur/tor|,^-^f-.-^|,^-^|.rT^--.\.-'^-t-.n--------=.

'Kane, June Kozak. New York : Rosen rub. ffi , Lg87 . Includes indoc xii,

htblicuion

Boolic

Title

Place of

htblication 22 cm- Bibliographf p. 126. (NAL Call No.: DNAL\RM218.I36 1987).

NAL Call Number

Audiovisual:

Place of

Title Publication Publisher Date

journal Sep,t 1987.y.4L (8). p.4tl-50. ilL (NALCall No.: DNe€9.8.ffi),

/l\\

D,ite voilme ^)*, Pages NAL Clt Number

htblisher Date

I

packet prepared by Qrnthia Mayo. 1 videocassette (30 Th) tja, tol_t # h-*

packet. (NAL Call No.: DNAL FNC.TX364A425E4N aY

Desciption

(soun4 color, sizz)

ti o.: lL;

,"!^,'.

of Pages

Autlrcr

Media Format

"T" rufsuon 

| |

AII aboard the nutri-trai ". / | /

/ll \Mayo, qEthia. Richmond, Va. : Richmond public schools, 1981. NET funded. Activity

aaivity

Lengh

NAL Call Number
NATTVE AMERICANI HEALTH CARE

SE4,RCH STRATEGY

1. exs sausa/user 9018

2. ss (Indian? (2w)North0America? or Native 0American? or American 0lndian? or

Eskimo?)/ti,de,eng

3. ss (health or medical or disease? or mortality or alcohol? or diabetes or diabetic? or

hypertension or AIDS or acquired0immune)/ti,de,eng

4. ss s1 and s2 and s3

Ix
Quick Bibliography Series
NATTVE AMERICAN HEALTH CARE

1 NAL Call No: RA40E.I49A25 1991.

Access to health care findings from the Survey

of American Indians and Alaska Natives.

Beauregard, Karen; Cunningham, Peter J.; Cornelius, Llewellyn Joseph,

Center for General Health Services Intramural

Research (U.S.)

Rockville, MD : U.S. Dept. of Health and Human

Services, Public Health Service, Agency for Health

Care Policy and Research,.

15 p. ; 28 cm. (AHCPR pub ; no. 9L-0028; Research fiodiogs (Rockville, Md.) ; 9.). Title from

cover. July 19L. Includes bibliographical references (p. 1+15).

Langunge.' English

Descriptors.' Indians of North America; Medical

c:lre surveys

2 NAL Call No: RA771-A1J68

AIDS knowledge and attitudes among adolescents

in the nrral southwest.

Miller, WA.; Qualtere-Burcher, P.; Lauber, C.i

Rockow, J.P.; Baumsnr KA.

Kansas Ciry, Mo. : National Rural Health Association.

The Journal of rural health v. 6 (3): p. 246-254;

1990 Jul. Includes references.

Language.' English

D esciptors.' Arizona; Adolescents; Ifu owledge; Attitudes; Acquired immune deficiency syndrome;

Blacks; American indians; Hispanics; Age differences; Disease prevention; Mortality; Human immunodeficiency virus

Abstact: A survey of adolescents living in nral

southwestern towns demonstrated their knowledge

of the basic transmission routes of Acquired Immune Deficiency Spdrome (AIDS). Nevertheless,

misconceptions and attitudes, which may interfere

with adopting safe behaviors, persist. Significant

differences in knowledge did exist between the ethnic groups surveyed. Further, American Indian and

black adolescents were more likely to express at-

' titudinal biases against people who have AIDS. We

conclude that current media efforts have been successful in communicating basic information regarding transmission, but there may exist a need for

ethnically specific programs that focus on the misconceptions and attitudes surrounding AIDS.

3 NAL Call No: E75-A5

American Indian bibliography series.

S.l. : s.n., L976-I987.

I74 v.: ill. ; 30 cm.

Language.' English

Desciptons.' Indians of North America; Nutrition;

Indians of North America; Health and hygiene; Eskimos; Alaska; Nutrition; Eskimos; Alaska; Health

and hygiene; Aleuts; Nutrition; Aleuts; Health and

hygiene

Abstract: A collection of pamphlets, leaflets, slides

and posters on the nutrition and health of American Indians and Alaska natives. issued by varions

agencies.

4 NAL Call No: 4/,8.9 A1\437

American Indian-Alaska native youth health.

Blum, R.W.; Harmon, B.; Harris, L.; Bergeisen, L.;

Resnick, M.D.

. Chicago, Ill. : The Association.

JAMA : Journal of the American Medical Association v.267 (12): p. I637-L64; L992 Mar25. Includes references.

Lcngtage.' English

Descriptors.' Health; Adolescents; American indians; Risk; Human behavior; Schools; Attitudes;

Performance; Trauma; Abuse; Mental health;

Sexual behavior; Substance abuse; Geographical

distribution; Ethnic groups; Epidemiological surveys

5 NAL Call No: RI499.A1J57

An analysis of mental health research with Amer'

ican Indian youth.

McShane, D.

London : Academic Press.

Journal of adolescence v. LL (2): p. 87-116; 1988

Jun. Includes references.

Language.' English

Desciptors.' U.SA.; Ethnic groups; Adolescents;

Mental health; Infants; Children; Mental disorders;

Foster children; Adopted children

6 NAL Call No: #Jg.g An/IilJ

Birthweight-specific infant mortality for native

Americans compaFed with whites, six statesr 19E0.

Vanlandingham, M.J.; Buehler, J.W.; Hogue,

C.J.R.; Strauss, L.T.

Washington, D.C. : American Public Health Association.

American journal of public health v.78 (5): p. a99-

503. ilI., charts; 1988 May. Includes 22 refetences.
Quick Bibliography Series

Language.' English

Descriptors.' Alaska; Arizona; Montana; New

Mexico; North Dakota; South Dakota; American

indians; Infant mortality; Birth weight; Epidemiology; National suveys

Abstact: Extract: We used data from the National

Infant Mortality Surveillance (MMS) project to

compare birthweights and birthweight-specific

mortality risks among Native American and White

infants. Because race categories in NIMS were limited to White, Blach and all, we studied six states

in which greater than 85 per cent of newborns who

were neither White nor Black were Native American. In these states, the infant mortaliry risk

(IMR) amoog Native Americans was 15.3 deaths

per 1,000 live births compared with 8.7 deaths

among Whites, relative risk (RR) = L.8 (95% CI

= 1.5-2.0). The percentage of Native American infants with less than 2,500 g birthweights was 5.8

per cent versus 5.0 per cent for White infants.

Birthweight-specific neonatal mortality risks were

similar for the two race groups, but birthweightspecific postneonatal mortality risks (PNMRs)

were more than three times as high among Native

Americans compared with Whites for infants of

greater than or equal to 2.,500 g birthweight.

PNMRs were elevated for most causes of death

and for all categories for maternal age, educational

attainment, trimester prenatal care began, and

number of previous live births. Leading causes of

postneonatal death among Native Americans of

greater than or equal to 2,500 g birthweight were

sudden infant death svndrome and infections.(author)

7 NAL Call No: 389.E J824

Community-based exercise and weight control:

diabetes risk reduction and glycemic control in

Zuni Indians.

Heath, G.W.; Wilsoq R.H.; Smith, J.; Leonar4

B.E.

Baltimore, Md. : American Society for Clinical

Nutrition.

American journal of clinical nutrition v. (53)

(6,suppl): p. L6425-L646,S. charts; 1991 Jun. Includes references.

Language.' English

Descriptors.' New Mexico; Weight control; Exercise; Diabetes mellitus; Weight losses; Body

weight; Blood sugar; Community programs; Patient compliance; American indians; Adults; Women; Men

Abstact: Cardiovascular disease is a significant

health problem for the Z;urrr Indians of southwest

New Mexico, in part because of high rates of noninsulin-dependent diabetes mellitus (NIDDM).

The Zuni Diabetes Project was initiated in July

1983 to reduce rates of obesity and provide primary

and secondary prevention of MDDM. Two studies

of the project's activities have been carried out to

date. After 2 y of. follow-up, diabetic participants

in an exercise program compared with diabetic

nonparticipants experienced weigbt loss, a drop in

fasting blood glucose values, and reductions in the

use of hlpoglycemic medications. In a weight-loss

competition,, 45Vo (I22/271) of the enrollees

finished and lost greater than or equal to 2.3 kg.

The results of these two studies demonstrate that

1) participation in a community-based exercise

'program can produce siguificant weight loss and

improvement in glycemic control in Zuni Indians

with MDDM and 2) weight-loss competitions appear to be an important public health model for

health-behavior change in communities similar to

that of Zuni, NM.

I NAL Call No: 151.65 P96

Comparison of native Arnerican births in upstate

New York with other race births, 1980-86.

Buck, G.M.; Mahoney, M.C.; Michalek, A.M.;

Powell, E.J.; Shelton, JA.

Rockville, Md. : U.S. Department of Health &

Human Services, Public Health Service.

Public health reports v. I07 (5): p. 569-575; 1992

Sep. Includes references.

Langtoge; English

Desciptors.' New York; Birth; American indians;

Blacks; Ethnic groups; Ethnicity; Birth weight;

Pregnancy; Medical treatment; Education; Age;

Mothers; Women; Infants; Epidemiological surveys

Abstract: The purpose of this study was to describe

the neonatal characteristics of Native American

(Indian) infants and the antenatal characteristics

of their mothers as compared with white, blaclq

and other race infants. The study population comprised 979,444live births to upstate New York (exclusive of New York City) resident mothers

between 1980 and 1986. Data were abstracted from

vital records (birth certificates) and analyzed using

a variety of descriptive statistics. Mothers of Native

American and black infants had similar antenatal

profiles (that is, younger, higher parity, lower ed-
NATIVE AMERICAN HEALTH CARE

ucational attainment, and delayed initiation of 10 NAL Call No: GR880.P6

prenatal care), which differed from mothers of

white or other race infants. Despite having at-risk

mothers, Native American infants were similar to

white and other race infants with respect to the

percentage of births that were considered low

birth weight or premature. Black infants were

nvice as likely as the other three groups of infants

to'be low birth weight or premature. These fuidings suggest that other factors appe:u to be important in determining neonatal outcome and that

typical at-risk antenatal profile of mothers may

not be consistent across all racial groups.

9 NAL Call No: 151.65 P96

A comprehensive local program for the prevention

of fetal alcohol syndrome.

Masis, K.B.; May, PA.

Rockville, Md. : U.S. Department of Health &

Human Services, Public Health Service.

Public health reports v. 106 (5): p. €4-489; 1991.

Sep. Includes references.

Language.' English

Desciptors.' Arizona; Fetal alcohol syndrome; Disease prevention; Program development; Program

evaluation; American indians; Alco holic beverages;

Community health services; Family counseling;

Pregnancy

Abstract: A hospital based, comprehensive approach to the prevention of Fetal Alcohol

Syndrome and Fetal Alcohol Effects that combines

clinical assessment, community outreach, and

epidemiologic knowledge to attack alcohol-related

birth defects is described. The program includes

training of clinicians and members of the community, baseline screening of suspected children, and

alcohol consumption screening of pregnant women

in prenatal clinics. The major, although not exclusive, focus of the program is on tertiary prevention

undertaken with women defined as "high risk" for

producing alcohol affected children. Of the 48

women referred to the program at the Tuba Ciry,

AZ, Indian Medical Center between January L988

and July 1989, 39 (81 percent) became participants.

Complete followup was possible on 3l; Ll of them

reported alcohol abstinence in July L989, 18

months into the program. Of the 29 referred

women who were pregnant at the time, 2L agreed

to participate, of these, 19 (85.7 percent) were

abstinent by the third trimester of pregnancy, 5

voluntarily accepted offers of contraceptive

measures after the birth of their child.

Coumarin-containing plants and senrm albumin

polymorphisms: biomedical implications for Native Arnericans of the Southwest.

Raichelson, R.M"

Bedford Hills, N.Y. : Redgrave.

Plants in indigenous medicine & diet :

biobehavioral approaches / edited by Nina L. Etkin. p" 229-EL;1986. Includes references.

Language; English

Descriptors: U.S.A.; Food consumption;

Coumarins; Polymorphism; Albumins; American

indians; Health hazards

11 NAL Call No: 500 AM33

Cross<ultural medicine: the Navajo Indians as

case exemplar.

Deuschle, K.W.

Cambridge, Mass. : American Academy of Ars

and Sciences.

Daedalus v. 115 (2): p. L75-I84;1986. Includes references.

Langtage.' English

Desciptors: U.SA.; American indians; Health services; Cultural integration; Cultural values; Public

health

L2 NAL Call No: RC660.A1DS22

Cultural challenges in nutrition education among

American Indians.

Jackson, M.Y.; Broussard, BA.

Chicago, Ill. : American Association of Diabetes

Educators.

Diabetes educator v. 13 (1): p. 47-50; 1987. Includes 33 references.

Language.' English

Descripton: U.S.A.; American indians; Nutrition

education; Cultural influences; Diabetes; Health

beliefs; Food beliefs

Abstract: An overview is presented of the cultural

factors influencing nutrition behavior and its

relevance for nutrition education and diabetes

management among American Indians. Traditional and biomedical health belief systems,

diabetes and traditional medicine, functions of

food in American Indian culture, and Indian beliefs

about body image and obesity are discussed. Techniques are suggested to improve nutrition education among American Indians.(mjs)
Quick Bibliography Series

13 NAL Call No: RC660-AfDS22

Designing and evaluating diabetes education material for American Indians.

Hosey, G.M.; Freeman, W.L.; Stracqualursi, F.;

Gohdes, D.

Chicago, Ill. : American Association of Diabetes

Educators.

Diabetes educator v. 16 (5): p. 4O7-4L4. ill., charts;

1990 Sep. Includes 43 references.

Language; English

Desciptors.' Washington; Oregon; Idaho; Diabetes

mellitus; Educational programs; Program development; Program evaluation; Teaching materials;

Reading; Nutrition education; Knowledge level;

Achievement tests; Resource materials; American

indians

Abstract: This paper describes the methods used to

develop and evaluate diabetes education material

for American India"s and Alaska Natives living in

Washington, Oregoq and ldaho. Reading skills of

individuals and readability of a semple of existing

diabetic education material were measured. Using

the Wide Range Achievement Test to measure

lssding skills, the authors found that 667o of the

sample read at a 5th "grade" or higher level.

Readability of a sample of available diabetic education material was found to be, on average, at the

loth "grade" level. Diabetes education booklets

targeted to a 5th to 7th "grade" level were

developed and assessed for acceptability and comprehension. Final evaluation, using the cloze procedure, showed that 62Vo of the target audience

understood the messages in the booklets. A comprehensive assessment process was found to be

useful in developing effective diabetes education

material for Indian communities.

14 NAL Call No: RC660-AfD53

Determinants of diabetes mellitus in the Pima Indians.

Knowler, W.C.; Saad, M.F.; Pettitt, D.J.; Nelson,

R.G.; Bennett, P.H.

Alexandria, Va. : American Diabetes Association.

Diabetes care v. 16 (1): p.216-227;L993 Jan. Paper

presented at conference, 'Diabetes in Native

Americans," November L4-L7, 1989, Mesa,

Arizona. Literature review. Includes references.

Language.' English

Desciptors.' Arizona; Diabetes mellitus; Literature

reviews; Pathogenesis; American indians

Abstract: Objective. To review the research findings on the determinants of diabetes mellitus in

Pima Indians.

15 NAL Call No: RI1.C3

Developmental outcome of minority infants: a

process-oriented look into our beginnings.

Garcia Coll, C.T.

Chicago, Ill. : University of Chicago Press.

Child development v. 6L (2): p. T70-739; 1990 Apr.

Literature review. Includes references.

Language; English

Descriptors: U.S.A.; Child development;

Minorities; American indians; Asians; Blacks;

Hispanics; Parents; Preschool children; Infants; Influences; Cultural sociology Beliefs; Child care;

Health; Health care; Family structure; Socioeconomic status; Parent child relationships; Literature

reviews

16 NAL Call No: 4/t9.9 AII3J

Diabetes among the three alliliated tribes: Corrclation with degree of Indian inheritance.

Brosseau, James D.; Eelkema, Robert C.; Crawford, Andrea C.; Abe, Thomas A.

Washington, D.C., American Public Health Association.

American journal of public health v. 69 (12): p.

1277-L278. charts; Dec 1979. 4 ref.

Langtage: English

Desciptors.' North Dakota; Diabetes mellitus; Age

factors; Racial composition; Racial differences;

American Indians; Hereditary factors; Sociocultural patterns; Epidemiology

Abstract: Higher than usual incidence of diabetes

is reported among many American Indian tribes.

To define the extent of the problem in a retrospective analysis, the health records of members of the

Mandan, Arickara and Hidatsa Indians of North

Dakota (the Three Affiliated Tribes) were

reviewed, 3,7't9 usable Indian charts. Full inheritance Indians (a5Vo of the total) age 35 or

older have a diabetes prevalence rate of. 223%.

Persons with between half and full inheritance

(29% of the total) have a rate of L4.9Vo. Those

with less than half Indian inheritance (26Vo of the

totd) have a rate of 4.LVo, or the same as whites

living on the reservation. Below the age of 35,

diabetes is uncommon among all racial subgroups.

L7 NAL Call No: RC660-AID53

Diabetes and its complications among selected
NATTVE A.MERICAI\I HEALTH CARE

tribes in North Dakota, South Dakota, and Nebraska.

Stahn" R.M.; Gohdes, D.; Valway, S.E.

Ale>randria Va. : American Diabetes Association.

Diabetes qrre v. L6 (1): p. 245247; l9g3 Jan.

Paper presented at conference, "Diabetes in Native Americans," November L+.L7, 1989, Mesa,

Arizona. 

-Includes 

references.

Language; English

Desciptors.' North Dakota; South Dakota; Nebraska; Diabetes; Complications; American indians

Abstract: Objective. To determine the prevalence

and incidence rates of diabetes and two specific

complications for selected American-Indian tribes

in North Dakota, South Dakota, and Nebraska.

18 NAL Call No: RC660-AID53

Diabetes and obesity in the offspring of Pima Indian women with diabetes during prcgnancy.

Pettitt, D.J.; Nelson, R.G.; Saad, M.F.; Bennett,

P.H.; I(nowler, W.C.

Alexandria, Va. : American Diabetes Association.

Diabetes care v. 16 (1): p. 310-314;1993 Jan. Paper

presented at conference, "Diabetes in Native

Americans," November l4-L7, 1989, Mesa,

Arizona. Includes references.

Language.' English

Descriptors.' Arizona; Diabetes; Obesity; Pregnancy; American indians

Abstact: Objective. To review the long-term effects of the diabetic pregnancy on the offspring

amoog the Pima Indians of Arizona.

L9 NAL Call No: RC628.O22

Diabetes and obesity in the Pima Indians: a crossgenerational vicious cycle.

Pettitt, DJ.; Knowler, W.C.

New York, N.Y. : Human Sciences Press.

Journal of obesity and weight regulation v. 7 (2):

p. 61,-75. charts; 1988. Includes references.

Language: English

Desciptor.' Arizona; Diabetes mellitus; Obesity

Genetic markers; Familial incidence; Generations;

Lifestyle; Risk; Environmental factors; Tribal society; American indians

Abstract: The ancestors of the Pima Indians have

subsisted in the southern Arizona desert by irrigation farming, hunting and gathering for at least

2000 years. During the past 40 to 50 years, they

have experienced marked changes in lifesryle and

a progressive increase in the incidence of obesity

and of type 2 diabetes mellitus. The reasons for

these changes, which are probably numerous, are

unclear. As a group, the Pima Indians appear to

have a strong genetic predisposition to diabetes,

probably as a result of genetic selection. In addition, some families are more at risk than others,

either as a result of a greater genetic load or from

greater environmentd stress. The products of

pregnancies which were complicated by diabetes

are at a particularly high risk of becoming obese

and developing diabetes. Successive generationq

because of genetic predisposition, environmental

stress, and a greater number of diabetic pregnancies are at increasing risk.

20 NAL Call No: RC660*AID53

Diabetes and plasma lipoproteins in Native

Americans: Studies of the Pima Indians.

Howard, B.V.

Alexandria, Va. : American Diabetes Association.

Diabetes care v. 16 (1): p.?3{291; L993 Jan. Paper

presented at conference, "Diabetes in Native

Americans." November 14-L7, 1989, Mesa,

Arizona. Includes references.

Language.' English

Desciptors; U.SA.; Diabetes; Lipoproteins; Blood

plasma; American indians

Abstract: To determine the effects of diabetes on

plasma lipoproteins in Pima Indians, to identiS

metabolic determinants of these differences, and

to examine the effects of various modes of diabetes

therapy.

2l NAL Call No: 875.A5 [no.A'50]

[Diabetes handout series]. (Diabetes series.)

Hembekides, Ruth

Oklahoma City : OK : Oklahoma Ciry Area, Indian

Health Service, 1984-.

v. : ill. ; 28 cm. (American Indian bibliography series ; [A-501).

Language.' English

Desuiptors.' Popular works; Americdn indians;

Diabetes; Symptoms; Diabetes treatment; Dietary

guidelines

Abstract: The causes, symptoms, complications,

and management of diabetes are overviewed in this

series of handouts developed by the Oklahoma

City Area Indian Health Service. A Check-list

identifies common diabetic symptoms, including
Quick Bibliography Series

overweight, family history of disease, constant

hunger, fatigue, thirst, and slow wound healing.

Diabetic complications include atherosclerosis,

impaired blood circulation, kidney failure, nerye

damage, visual changes, and increased risk of infection. The following aspects of diabetes management are described: food selection and

preparation for weigbt control, selecting and ordering meals away from home, and controlling

diabetes while on travel. Synptoms and emergency treatment measures for insulin reaction

(hypoglycemia) and d iabetic acidosis (hyperglycemia) are reviewed. Several recipes are provided for low-calorie salad dressings. Benefits of

diet counseling and counseling services available

through the local Indian Health Service are identified.

22 NAL Call No: RC660.Af D53

Diabetes in a northern Minnesota Chippewa

Tribe Prcvalence and incidence of diabetes and

incidence of major complications, 1986-198E.

Rith-Najarian, S.J.; Valway, S.E.; Gohdes, D.M.

Alexandri4 Va. : American Diabetes Association.

Diabetes care v. 16 (1): p.266-?J70;1993 Jan. Paper

presented at conference, "Diabetes in Native

Americans," November L4-17, 1989, Mesa,

Arizona. Includes references.

Language.' English

Desciptons.' Minnesota; Diabetes; Incidence; Complications; American indians

Abstact: Objective. To determine the prevalence

and incidence of diabetes, and the incidence of

major diabetic complications, in a Chippewa Indian population.

23 NAL Call No: RC660-AID53

Diabetes in American Indians: a growing problem.

Gohdes, D.M.

Alexandria, Va. : American Diabetes Association.

Diabetes care v. 9 (6): p. 609-613. ill., charts; 1986

Nov. Includes 14 references.

Language: English

Descipton.' U.S.A.; American indians; Diabetes;

Mortality; Trends; National surveys

Abstract: Data obtained from the US Indian Health

Service were examined and compared to other data

sources to describe the extent and growth of

diabetes morbidity and mortality among US Indians. The results indicate that, in L982, the incidence of diabetes mortalitv for US Indians and

native Alaskans was over 2-fold that of all other

US races (L9.9/100,000 vs. 9.6/100,000). Geographic distribution plots and data summaries are

included and discussed.(wz)

24 NAL Call No: RC660A1D53

Diabetes in American Indians: an oveniew.

Gohdes, D.; Kaufman, S.i Valway, S.

Alexandria, Va. : American Diabetes Association.

Diabetes care v. 16 (1): p.?39-2a3;L993 Jan. Paper

presented at conference, "Diabetes in Native

Americans," November L4-I7, 1989, Mesa,

Arizona. Includes references.

Langruge.' English

Desciptors.' U.SA.; Diabetes; Trends; American

indians

Abstact: To review the growth of diabetes as a

major health problem for American Indians and

Alaska Natives.

25 NAL Call No: RC660-Af D53

Diabetes in American Indians and Alaska Natives.

Gohdes, D.; Bennett, P.H.

Alexandria, Va. : American Diabetes Association.

Diabetes care v. 16 (1): p.2l$2L5;1993 Jan. Paper

presented at conference, "Diabetes in Native

Americans," November L4-17,, 1989, Mesa,

Arizona.

Langruge.' English

Desciptors.' Alaska; Diabetes; Incidence; Conferences: American indians

Abstract: Diabetes in American Indians and Alaska

Natives,was the focus of a conference that resulted

in a unique interchange among tribal leaders,

health-care providers, and medical scientists with

particular interests in diabetes mellitus and its

complications. The conference, which was held in

Mesa, Arizona, L+I1 November 1989, was sponsored by the Indian Health Service and the National Institute of Diabetes and Digestive and

Kidney Diseases, in collaboration with the Intertribal Council of Arizona.

26 NAL Call No: RC660-A1D53

Diabetes in American Indians: Reflections and fu'

ture directions.

Kuller, L.H.

Alexandria, Va. : American Diabetes Association.

Diabetes care v. 16 (1): p. 380-386;1993 Jan. Paper

presented at conference, "Diabetes in Native

Americans," November L4'1.7, 1989, Mesa,
NATTVE AMERICAN HEALTH CARE

Arizona. Includes references.

Language: English

Desciptors.' Diabetes; Disease prevention; American indians

Abstact: The two goals of the next generation of

diabetes research should be to reduce the incidence of diabetes mellitus and to decrease the

risk of complications from the disease. The prevention of diabetes will require a better understanding of the interaction of genetic and

host-environmental factors, especially energy balance, diet and exercise, and specific nutrients. The

prevention of weigbt gain should probably be of

highest priority. The prevention of complications

needs to focus on hyperinsulinemia, hyperglycemia, blood pressure, smoking, and

lipoproteins. Clinical trials are needed to evaluate

objectively the benefits of specific interventions.

Such trials should be closely tinked to community

health programs to maximize the health status of

the population.

27 NAL Call No: RC660.A1D53

Diabetes in Mississippi Choctaw Indians.

Johnson, L.G.; Strauss, K.

Alexandria, Va. : American Diabetes Association.

Diabetes care v. 16 (1): p.25,0-2521,1993 Jan. Paper

presented at conference, "Diabetes in Native

Americans," November 14-L7, 1989, Mesa,

Arizona. Includes references.

Language.' English

Descriptors: Mississippi; Diabetes; Incidence;

American indians

Abstract: Objective. To establish a registry of

patients with diabetes and determine the point

prevalence of diabetes in the Mississippi Choctaw

Indians at the end of September 1989.

2E NAL Call No: RC660.A1D53

Diabetes in St. Regis Mohawk Indians.

Martinez, C.B.; Strauss, IC

Alexandri4 Va. : American Diabetes Association.

Diabetes care v. 16 (1): p.?ffi-?52;L99.3 Jan. Paper

presented at conference, "Diabetes in Native

Americans," November I4-L7, 1989, Mesa,

Arizona. Includes references.

Language.' English

Descriptors: New York; Diabetes; Incidence;

American indians

Abstract: Objective. To establish a registry of

diabetes patients and to determine the point prevalence of diabetes in the St. Regis Mohawk New

York community at the end of August 1989.

29 NAL Call No: RC660-{1D53

Diabetes mellitus in Alaskan Yup'ik Eskimos and

Athabascan Indians after 25 W.

Murphy, N.J.; Schraer, C.D.; Bulkow, L.R.; Boyko,

EJ.; Lanier, A.P.

Alexandria" Va. : American Diabetes Association.

Diabetes care v. 15 (10): p. 1390-1395; 1992 Oct.

Includes references.

Language: English

Desciptors.' Alaska; Diabetes mellitus; Incidence;

Men; Women; Inuit

Abstract: Objective. To estimate the prevalence of

diabetes mellitus and overweight in two populations of Alaska Natives and to compare the results

with previous data.

30 NAL Call No: RC660-A1D53

Diabetes mellitus in Tohono O'odham pregnancies.

Livingston, R.C.; Bachman-Carter, K; Frank, C.;

Mason, W.B.

Alexandria. Va. : American Diabetes Association.

Diabetes care v. 16 (1): p.3L8-321';1993 Jan. Paper

presented at conference, "Diabetes in Native

Americans," November l4-L7, 1989, Mesa,

Arizona. Includes references.

Language.' English

Desciptors.' U.SA.; Diabetes mellitus; Pregnancy;

Incidence; American indians

Abstract: Objective. To determine the prevalence

of diabetes in Tohono O'odham pregnancies, and

to assess the efficacy of early prenatal diabetes

screening in populations with high rates of

diabetes.

31 NAL Call No: RC660-41D53

Diabetes mortality among New Mexico's fuirerican

Indian, Hispanic, and non-Hispanic white popula'

tions, 1958-19E7.

Carter, J.S.; Wiggins, C.L.; Becker, T.M.; Key,

C.R.; Samet, J.M.

Alexandria, Va. : American Diabetes Association.

Diabetes care v. 16 (1): p. 306-309; 1993 Jan. Paper

presented at conference, "Diabetes in Native

Americans," November 14-17, 1989, Mesa,

Arizona. lncludes references.
Quick Bibliography Series

Language; English

Desciptors.' New Mexico; Diabetes; Mortality; Ethnic groups; American indians; Hispanics

Abstract: Objective. To determine the diabetesrelated mortality rates among New Mexico's

American Indians, Hispanics, and non-Hispanic

whites over a 30-n period.

32 NAL Call No: RC660-AID53

Diabetes prcvalence, incidence, and complications

among Alaska Natives, L987.

Schraer, C.D.; Bulkow, L.R.; Murphy, NJ.; Lanier,

A.P.

Alexandria, Va. : American Diabetes Association.

Diabetes care v. 16 (1): p.67-259;1993 Jan. Paper

presented at conference, "Diabetes in Native

Americans," November L4-17, 1989, Mesa,

Arizona. Includes references.

Language; English

Desciptors.' Alaska; Diabetes; Incidence; Complications; American indians

Abstract' Objective. To provide descriptive

epidemiological data on diabetes mellitus among

Alaska Natives, including incidence, updated prevalence, and incidence rates of ESRD, LEA, MI,

and stroke in the diabetic population.

33 NAL Call No: RC660-AfD53

The diabetes project at Fort Totten, North

Dakota, 1984-19EE.

Newman, W.P.; Hollevoet, JJ.; Frohlich, K.L.

Alexandria, Va. : American Diabetes Association.

Diabetes care v. 16 (1): p. 361-363; t993 Jan. Paper

presented at conference, "Diabetes in Native

Americans," November l4-t7, 1989, Mesa,

Arizona. Includes references.

Language.' English

Descipton: North Dakota; Diabetes mellitus;

Health programs; American indians

Ab s tract: Obj ectivq. To char acterize demographig

thelapeutiq and complication features of patients

in the Fort Totten Diabetes Project and to assess

the longitudinal impact of intervention strategies.

34 NAL Call No: RC660.C53 L992

Diabetes status of the disease among American

Indians, Blaclcs, and Hispanics : [statement ofl

Eleanor Chelimsky, Assistant Comptroller General, Program Evaluation and Methodologt Division, before the Select Committee on Aging, House

of Representatives.

Chelimsky, Eleanor

United States, General Accounting Office, United

States, Congress, House, Select Committee on

Agrng

Washington, D.C. : The Office; Gaithersburg MD

(P.O. Box 6015, Gaithersburg 2n8TI): The Office

[distributor; GA I.5 /2:T -PEMD-92-7 .

16 p. : ill. ; 28 cm. (Testimony ; GAO /T-PEMD92-7). Cover title. April 6, t992. Includes

bibliographical references.

Language.' English

Desciptors.' Diabetes; Minorities

35 NAL Call No: RC660'A1D53

Diabetes-associated mortality in Native

Americans.

Newman, J.M.; DeStefano, F.i Valway, S.E.; German, R.R.; Muneta, B.

Alexandria, Va. : American Diabetes Association.

Diabetes care v. 16 (1): p.297-299i1993 Jan. Paper

presented at conference, "Diabetes in Native

Americans," November 14-17, 1989, Mesa,

Arizona. Includes references.

Langtage; English

Desciptors: U.S.A.; Diabetes; Mortality; American

indians

Abstract; Objective. To describe diabetesassociated mortality among Native Americans.

36 NAL Call No: RC660-41D53

Diabetic complications among Arnerican Indians

of Washington, Orcgon, and ldaho: Prevalence of

retinopathy, end-stage renal disease, and amputa'

tions.

Freeman, W.L.; Mosey, G.M.

Alexandria, Va. : American Diabetes Association.

Diabetes care v. 16 (1): p.357-3601' L993 Jan. Paper

presented at conference, "Diabetes in Native

Americans," November L4-I7, 1989, Mesa,

Arizona. Includes references.

Langnge: English

D es ciptors.' Washington; Oregon; Idaho; Diabetes;

Complications; Incidence; American indians

Abstract: Objective. To estimate the prevalence of

severe diabetic complications.

37 NAL Call No: 389.8 SCH6
NATryE AMERICAN HEALTH CARE

Diet and nutrition' related diseases of ethnic

minorities.

Groziak, S.M.; Diemand L.M.

Ale:randria Va. : American School Food Service

Association.

School foodservice journal v. 43 (6): p. 82, 84; 1989

Jun.

Language.' English

Descripton: Ethnicitg Eating habits; Risks; Nutritional assessment; Blacks; Hispanics; Asians;

American indiarrs

Abstract: This article discusses several ethnic

minorities, their eating habits and how their food

choices affect their health and nutritional status.

3E NAL Call No: 3E9.8 D14

Diet and nutrition-related concerns of blacks and

other ethnic minorities.

McBean, L.D.

Rosemont, Ill. : National Dairy Council.

Dairy Council digest v. 59 (6): p. 3L-36;1988 Nov.

Literature review. Includes 85 references.

Language: English

Descripton: U.SA.; Food intake; Cultural influences; Health; Dietary factorsl Nutrition; Nutrient intake; Obesity; Hypertension; Diabetes;

Osteoporosis; Risks; Blacks; Hispanics; American

indians; Asians

Abstract: Ethnic minorities in the U.S., specifically

black, Hispanic, Asian/Pacific, and Native

Americans, have higher rates of morbidity and

mortality than the white (non-Hispanic) population. Both genetic and environmental factors contribute to these disparities. Among environmental

factors, dietary patterns are important determinants of health. Diets of ethnic minority groups

are influenced by a number of factors including the

nature of the traditional diet, and the degree to

which this diet has been adapted to or replaced by

diets typical of the U.S. Although certain food

themes and preferences such as "soul" and southern foods are emphasized in the diets of black

Americans, their diets resemble those of the white

" population. In contrast, traditional diets of

Hispanic, Asian/Pacific, and Native Americans not

only differ from each other but also from those of

the white population. In particular, carbohydratecontaining foods (".9., rice, tortillas), rather than

meat, are the major source of energy in the traditional diets of these ethnic minority populations.

In general, complex carbohydrates and sodium are

high in these diets, whereas total fat, saturated fat,

calcium, iron and some vitamins are relatively low.

Inadequate calcium intake of many ethnic minoriry

populations is associated with limited use of dairy

foods, either as a result of lactose intolerance or

culturally-determined food avoidances. Some

nutritional risks associated with ethnic minority

group dietary patterns are the result of adaptation

to U.S. dietary patterns. Nutrition-related diseases

of high prevalence in ethnic minorities include

obesity and diabetes in black, Hispanic, and Native

Americans, and hypertension in black and

Asian/Pacific Americans. Salt sensitiviry and a low

dietary intake of potassium and calcium have been

identified as possible risk factors for hypertension

in black Americans. Compared with whites, some

minority groups, despite their overall lower calcium intakes, are

39 NAL Call No: 151.65 P96

Differcnces between Oklahoma Indian infant mortality and other races.

Kennedy, R.D.; Deapen, R.E.

Washington, D.C. : Public Health Service.

Public health reports v. 106 (1): p. 97-99:.1991. Jan.

Includes references.

Langtage; English

D e s cipt ors.' O klahom a; Infant mortality; Am e rican

indians; Races; Classification

Abstract: Indian infant mortality rates (IMR) in the

State of Oklahoma follow a downward linear trend

from 13 per 1,000 live births in the 1975-76 period

to 5.8 in 1987-88. Data from 7,63L death certificates matched to birth certificates, however, reveal

much higher indian IMR across the time interval

than is currently documented. Matching (linking)

of infant deaths to birth certificates from 1975 to

1988 indicates that infants born Indian had a 28

percent chance of being misclassified as another

race (usually white) on the death certificate. Infants born white or black had less than a 1 percent

chance of being misclassified. Misclassification of

lndian deaths strongly alters the overall IMR for

the Oklahoma Indian Population from the currently reirorted 5.8 per L,000 (1987-88) to an estimated actual rate of L0.4 per L,000 for the same

period.

40 NAL Call No: RA651.853

Diseases of North American Indians.

Sievers, M.L.; Fisher, J.R.

Orlando, Fla. : Academic Press.

Biocultural aspects of disease / edited by Henry
Quick Bibliography Series

Rothschild ; coordinating editor Charles F. Chapman. p. L9t-?52; 198I. Literature review. Includes

288 references.

Language.' English

Descripton.' U.SA.; American indians; Diseases;

Genetic correlation; Risks; Environmentd factors;

Reviews

Abstract: A comprehensive technical review summarizes and discusses the specific diseases and disease patterns of North American Indians.

Following a review and discussion of the origin and

current status of American Indian populations and

their health patterns, attention is given to discussions of the prevalence and predisposition of such

populations to each of 18 diseases. The influence

of the drastic cultural disruptions experienced by

these populations on disease propensity is discussed. Their relatively high tendency towards

diabetes, cholesterol gallstones, and obesity, and

their relatively low incidence of duodenal ulcer and

coronary heart disease is noted.(wz)

4l NAL Call No: HV5285.A43

Drinking patterns of urban and rural Arnerican

Indians.

Weibel-Orlando, J.C.

Rockville, Md. : U.S. Department of Health, Education, and Welfare.

Alcohol health and research world - National Institute on Alcohol Abuse and Alcoholism v. 11 (2):

p. 8-12, 54. ill; 1986-1987. Includes references.

Language: English

D es cipton : U.S A.; American indians; Alcoholism ;

Drinking behavior; Urban population; Rural population

42 NAL Call No: RC65E-Af Ds

Duration of obesity increases the incidence of

NIDDM.

Everhart, J.E.; Pettitt, D.J.; Bennett, P.H.;

I(nowler, W.C.

Alexandria, Va. : American Diabetes Association.

Diabetes v. 4L (2): p. 235-240. charts; 1992 Feb.

Includes references.

Language: English

Desciptors.' Arizona; Obesity; Duration; Diabetes

mellitus; Incidence; Body weight; American indians; Blood sugar; Blood serum; Insulin; Women;

Men; Longitudinal studies

Abstract: The effect of duration of obesitv on incidence of non-insulin-dependent diabetes mellitus

(NIDDM) was determined among Pima Indians.

Duration of obesity was defined as the time since

body mass index (BMI) was first known to be at

least 30 kg/m2. Among 1057 participants eligible

for study, there were 224incident cases of MDDM

in 5975 person-yr of follow-up. The association of

duration of obesity with incidence of diabetes adjusted for age, sex, and curent BMI was highly

significant (P

of diabetes in cases/1000 person-yr of obesity was

24.8 for people with less < 5 yr of obesity, 35.2 for

people with 5-10 yr of obesity, and 59.8 for people

with at least 10 yr of obesity. There was no apparent excess risk of diabetes for people who had a

BMI of at least 30 kg/mZ and then lost weight.

They had a slightly nonsignificantly higher rate

than people who had nof attained a BMI of at least

30kg/mZ and a lower rate than people whose BMI

remained 30-35 kg/m2. The relationship of duration of obesity with serum insulin concentrations

among nondiabetic people was determined controlling for sex and age, BMI, and plasma glucose

concentrations at the time of a glucose tolerance

test. Duration of obesity was inversely associated

with fasting serum insulin concentration through

most of the range of fasting plasma glucose concentrations (P < 0.001) and tended to be inversely

associated with 2-h postload serum insulin concentration through the entire range of postload plasma

glucose concentrations (P = 0.058).

43 NAL Call No: 4/,8.9 AM37

Effects of exposure to salty drinking water in an

Arizona community.

Welty, T.K.; Freni-Titulaer, L.; Zack, M.M.;

Weber, P.; Sippel, J.; Huete, N.i Justice, J.; Dever,

D.; Murphy, MA.

Chicago : Arnerican Medical Association.

JAMA : Journal of the American Medical Association v. ?55 (5): p. 622-630. ill., charts; 1986 Feb07.

Includes l0 references.

Langtage.' English

Descriptors.' Arizona; Drinking water; Sodium;

American indians; Blood pressure; Hypertension;

Nutrient intake

Abstract: A survey of.342 Arizona Papago lldians

. and 375 non-Indians consuming drinking water

containing a high Na level (4A mg/L) revealed no

association between NA intake and blood pressures. Mean blood pressures in white subjects actually were lower at most age levels than in US

white populations, and the hypertension incidence

10
NATIVE AMERICAN

was not significantly higher than the national US

incidence. Data on health risk factors, Ca intakes,

and urinary Na and K levels also were obtained.(wz)

U NAL Call No: QH54f3.U5 v.8

Eskimos of northwesterrr Alaska.

Jamison, Paul L.; ed

Stroudsburg, Pa. Dowden, Hutchinson, & Ross

(New York) distributed world wide by Academic

Press.

loq 319 p. : ill. ; 25 cm. (U.S./IBP slmthesis series

; 8). Bibliography: p.293-3L3.

Language; English

Desciptors.' Eskimos; Alaska; Anthropometry; Eskimos; Alaska; Population; Eskimos; Alaska;

Health and hygiene

45 NAL Call No: RC662.F3

Family food choices a guide to weight and diabetes

control.

United States, Indian Health Service

Washington, D.C.? : Indian Health Service :.

[15] p. : ill. ; 23 cm. Cover title. "Indian Health

Service Diabetes Program in cooperation with the

Michigan Diabetes Research and Training Center,

National Institutes of Health grant no. NIH 5 P60

AN12057} National Institute of Arthritis, Diabetes,

and Digestive and Kidney Diseases", P. [15].

Langtager English

Desciptors.' Diabetes; Diet therapy; Reducing

diets; Popular works; Diabetes; Weight control;

American indians; Diets; Alcoholic beverages;

Sugar

Abstract: Designed to assist American Indians in

controlling diabetes, this folder explains causes of

diabetes specific to this group, and gives tips on

how to control the disease through the amounts

and kinds of foods eaten. Weight loss, fats, fiber,

sugar and alcohol the factors to control, are addressed in separate sections, each including ways

to help plan meals. Specific food lists are included.

46 NAL Call No: try52E5-{43

Fetal alcohol effects among North American Indians.

May, PA.

Rockville, Md. : U.S. Department of Health and

Human Services.

Alcohol health and research world - National Institute on Alcohol Abuse and Alcoholism v. 15 (3):

HEALTH CARE

p. 239-2a8; 1991. Includes references.

Language: English

Descriptors: U.S.A.; Canada; Fetal alcohol

syndrome; American indians; Ethnic groups;

Maternal-fetal exchange; Cultural differentiation;

Alcoholic beverages; Consumption; Women;

Trends; Epidemiology

47 NAL Call No: E75-,15 [no-{-107]

Focus your efforts on things that matter.

Morgan, Helen

Oklahoma Ciry, OK : Oklahoma City Area, Indian

Health Service,.

[tl p. : ill. ; 28 cm. (American Indian bibliography

series ; [n-107]). Caption title. December 1986.

Langtage.' English

Desciptors; Oklahoma; Popular works; Health education; American indians; Guidelines

Abstract: Smoking, alcohol consumption, fad diets,

exercise, smoke detectors, seat belts, blood pressure checks, and obesity are topics briefly dealt

with on an avoidance or use level in this flier. Designed for the American Indian, it promotes good

health through becoming a cautious and intelligent

consumer.

48 NAL Call No: RC660.A1D53

A lbllow-up study of diabetic Oklahoma Indians:

Mortality and causes of death.

Lee, E.T.; Russell, D.; Jorge, N.; Kenny, S.; Yu,

M.L.

Alexandria, Va. : American Diabetes Association.

Diabetes care v. 16 (1): p. 300-305;1993 Jan. Paper

presented at conference, "Diabetes in Native

Americans," November 1,4-17, 1989, Mesa,

Arizona. Includes references.

Langtage.' English

Descriptors: Oklahoma; Diabetes; Mortality;

American indians

Abstroct: Objective. To determine the mortality

rates and causes of death for diabetic Oklahoma

Indian adults by sex and age.

49 NAL Call No: aHV696.F6F6E

Food distribution program on Indian reserryations

review of food package and nutrition education

components : task force report.

Molofsky, Anne J.

United States, Food and Nutrition Service

Washington, D.C.? : U.S. Dept. of Agriculture,

tt
Quick Bibliography Series

Food and Nutrition Service..

75 leaves in various foliations : ill. ; 28 cm. Cover

title. July 1986. Bibliography: leaf 41..

Language; English

Descriptors.' U.SA.; Food relief; United States; Indi"t's of North America; Reservations; Nutrition;

Study and teaching; Reference works; Supplemental feeding'programs; Nutritional value; Nutrition

education; American indians; Food costs; Federal

progrems; Hedth promotion; Program evaluation

Abstract: A 4-month technical project addressed

two important components of providing adequate

nutrition to US Indian reservations: 1) the foods

provided were reviewed for nutrient content, cost,

and food preferences of participants, and compared the foods for satisffing the RDA's of major

nutrients; and 2) an assessment was made of current nutrition education practices, available nutrition education materials, and new methods for

delivering nutrition education. Following these assessments, recommendations were developed for

improving the nutrient content of the foods provided and for improving the delivery of nutrition

education. Background information on legislation,

regulations, ild organizational structure of the US

Indian reservations program, the current health

status of American Indians, and on the evaluation

of food preferences is included. Descriptive components of the program are provided in 8 appendices. Food costs, nutritional data, and food

inventories are included in the text and the appendices.

50 NAL Call No: E75-A5 [no.A{E]

Foot care for diabetics.

United States, Indian Health Service

Kotzebue, AK : Indian Health Service,.

[2] p. : ill. ; 22 cm. (American Indian bibliography

series ; [e-681). Cover title.

Language: English

Desciptorc: Popular works; Consumer education;

Diabetes; Feet; Circulatory disorders; Patient care;

American indians

Abstact: Basic foot care guidelines for diabetics

are outlined in this illustrated brochure from the

Indian Health Service in Kotzebue, Alaska.

Recommedations include L) cleaning feet and

changing socks daily, 2) keeping feet warm and dry

at all times,3) wearing shoes that fit properly, and

4) checking feet often for irritations or sores that

could develop into more serious infections.

51 NAL Call No: FIW01.C51

Head Start combats Baby Bottle Tooth Decay.

Phillips, M.G.; Stubbs, P.E.

Washington, D.C. : Office of Human Development

Services, Department of Health and Human Services"

Children today v. 16 (5): p. 25-28. ill; 1987 Sep.

Includes references.

Langtage.' English

Descipton; U.SA.; Infants; Dental caries; American indians; Health services; Educational programs

52 NAL Call No: RA408.I49H43 1991

Health care coverage findings from the Surrey of

American Indians and Naska Natives.

Cunningham, Peter J.; Schur, Claudia L.

Center for General Health Services lntramurai

Research (U.S.)

Rockville, MD : U.S. Dept. of Health and Human

Services, Public Health Service, Agency for Health

Care Policy and Research,.

13 p. ; 28 cm. (AHCPR pub ; no. 9L-0027; R.e'

search findings (Rockville, Md.) ; 8.). Title from

cover. July 1991. Includes bibliographical references (p. t3).

Langrage.' English

Desciptors.' Indians of North America; Insurance,

Health; Medical care suryeys; Insurance, Health

53 NAL Call No: 3894 J824

Health implications of obesity in American Indians and Alaska Natives.

Welty, T.K.

Baltimore, Md. : American Society for Clinical

Nutrition.

American journal of clinical nutrition v. (53)

(6,suppl.): p. 16165-16205; 1991 Jun. Includes references.

Language.' English

Desciptors.' Obesity; American indians; Diabetes;

Cardiovascular diseases; Hypertension; Hypercholesterolemia; Kidney diseases; Pregnancy; Gall

bladder diseases; Infections; Mortality; Literature

reviews

Abstract: American Indians and Alaska Natives

(AI/ANs) are experiencing an epidemic of

diabetes, increasing rates of coronary artery disease and hypertension, and poor survival rates for

breast cancer that are likely partially attributable

L2
NATIVE AMERICAN HEALTH CARE

to the increasing prevalence of obesity over the

past generation. Obesiry may also contribute to

the high rates of gallstones and to adverse outcomes of pregnancy in AI/ANs. Althougb overall

mortality was not associated with obesity in Pima

[sdians (except in the most obese men), the relationship of obesity to longevity in other AI/AN

groups is not known. Further study of the specific

health effects of obesity in various groups of

AI/ANs are needed. In the meantime,

community-based programs to prevent obesity and

its sequelae should be implemented in all AI/AN

communities.

54 NAL Call No: RA44E5.I5C4E

The health of Native Americans in Alaska an ex.

ploratora study.

Chen, Martin K.; Berg, Lawrence E.; London, Virgnia

Hyattsville, Md. : National Center for Health Services Research ; Springfield, Va. : available from

NTIS,.

i, 20 leaves : map ; 28 cm. August L977. NCHSR

78-L25. PB-280 223. Bibliography: leaf 11.

Language.' English

Desciptors.' Indians of North America; Health and

hygiene; Indians of North America; Alaska; Indians of North America; Alcohol use; Heart; Diseases; Pneumonia

55 NAL Call No: E75.A5 [no.A-llll

Healthy teeth for happy smiles.

California, WIC Supplemental Food Section

Sacramento, CA? : WIC Supplemental Food Section, California Dept. of Health Services,.

[3] p. : ill. ; ?3 cm. (American Indian bibliography

series ; [A-1111).

Language; English

Desciptors.' Popular works; Consumer education;

Dental health; Infants; Eating habits; American indians

Abstait: Guidelines for protecting infants' teeth

and preventing future dental problems aie outlined

in this brochure from the California Department

of Health Services. Recommendations are provided on proper feeding from both the bottle and

cup. Tooth bnrshing and flossing guidelines are

provided for infants from birth to 6 years of age.

Eating habits that help promote healthy teeth and

gums are identified.

56 NAL Call No: E75.A5 [no.{-1131

High blood pressure and commodity foods.

Kincheloe, Michigan : Nutrition Program, IHS Indian Health Center,.

1 folded sheet ; 28 x 22 cm. (American Indian bibliography se.ries ; [A-1131).

Language.' English

Descipiors.' Popular works; American indians; Hypertension; Dietary guidelines; Commodities;

Food preparation

Abstract: Guidelines for using commodity foods

while following a diet to control blood pressure:ue

outlined in this brochure from the Indian Health

Service in Kincheloe, Michig-. Specific food selection and preparation suggestions are outlined

for each of the following recommendations:

decrease sodium intake, eat less fat and cholesterol, and achieve normal weight. The importance

of exercising regularly and taking medications as

prescribed to control blood pressure are also discussed. Health risks associated with high blood

pressure are identified.

57 NAL Call No: RI216.H62

Honey not for babies : a word of caution to parents. (Honey, not for babies.)

Hembekides, Ruth

Oklahoma City : Nutrition Branch, Indian Health

Services,.

I sheet : ill. ; 28 cm. June 1984.

Langtage.' English

Desciptors.' Baby foods; Honey; Infants; Diseases;

Borulism; Popular works; Consumer education;

American indians; tnfant feeding; Honey; Risks;

Botulism

Abstract: Parents are cautioned against feeding

honey to infants less than 12 months of age in this

factsheet from the Oklahoma City Indian Health

Services. Honey has been shown to cause botulism

in some infants because their immune systems are

not yet fully able to fight the disease. Symptoms

and treatment of infant botulism are described.

58 NAL Call No: KF275.H8 19E7d

Hunger and nutrition problems among American

Indians a case study of North Dakota : hearing

belbre the Select Committee on Hunger, House of

Reprcsentatives, One hundredth Congrcss, Iirst

session, hearing held in New Town, ND, July 10'

1987.

United States. Congress. House. Select Committee

r3
Quick Bibliography Series

on Hunger

Washington, [D.C.] : U.S. G.P.O. : For sale by

the Supt. of Docs., Congressional Sales Office,

U.S. G.P.O.; Y 4.H 89-100-11..

iv, L38 p. : il., forms, maps ;24 cm" Distributed

to some depository libraries in microfiche. Shipping list no.: 87-680-P. Serial no. 1.00-11. Includes

bibliographies.

Language: English

Descipton.' Hunger; Indians of North America;

North Dakota; Health and hygiene; Indians of

North America; North Dakota; Nutrition

59 NAL Call No: RA425.C6

Implementing COPC: achieving change in a small

organization.

Freeman; W.L.

Rockville, Md.? : U.S. Dept. of Health and Human

Services.

Community-oriented primary care : from principle

to practice / edited by Paul A. Nutting. p. afi-a1.5;

1987. (HRSA publication ; no. HRS-A-PE 86-1).

Includes references.

Language.' English

D es ciptors.' Washington; American indians; Health

care; Community health services; Community development

60 NAL Call No: 15f.65 P96

Improving the health of Indian teenagers, a demonstration program in rural New Mexico.

Davis, S.M.; Hunt, tr("; Kitzes, J.M.

Washington" D.C. : Public Health Service.

Public health reports v. 104 (3): p. 271,-278; L989

May. Includes references.

Language; English

Desciptors.' New Mexico; Adolescents; Health;

American indians; Rural youth; Public services;

Demonstrations; Program development

Abstract: The health status of Indian teenagers in

the United States is below that of the generd population. The usual barriers to the use of health care

services that young people, including young Indians, eDCounter are compounded in rural areas by

distance, isolation, and lack of appropriate services. To overcome these barriers in rural New

Mexico, a public health demonstration project (a)

established a single location where adolescents can

receive multiple, integrated health care services

free of charge; (b) set up the initial program of

services at a rural school; (c) established links with

existing agencies; and (d) incorporated communiry

action toward creating change. The project began

as a joint effort of three communities, the Universiry of New Mexico (UNM), and the Albuquerque

Area Indian Health Service (IHS) of the Public

Health Service; a secondary level public school

soon became a participant. The project is being

replicated in two other communities that have

formed separate partnerships with UNM and the

area IHS; also the New Mexico Health and Environment Department has joined the effort in one

community. Preliminary data suggest that the services are being used by a majority of the target

population, with the proportions of boys and girls

about equal.

6l NAL Call No: RC660i.rD53

Increasing prevalence of diabetes among the three

affiliated tribes.

Brosseau, J.D.

Alexandria, Va. : American Diabetes Association.

Diabetes care v. 16 (t): p.248-249:'L993 Jan. Paper

presented at conference, "Diabetes in Native

Americans," November L4-I7, 1989, Mesa,

Arizona. Includes references.

Language.' English

Desciptors: U.SA.; Diabetes; Incidence; American

indians

Abstract: The tindings from a 1988 audit of medical

records of the Three Affiliated Tribes (the Mandan, Arickara, and Hidatsa) at the Fort Berthold,

ND, Indian Reservation were compared with the

findings from a 1975 audit. The total population

served by the IHS clinic there has remained about

the sahe. However, the number of people

diagnosed as having diabetes has increased by

>40Vo. This increase in known cases is caused

largely by an increase in the number of women

aged > 40 vr who have diabetes. The actual prevalence of diabetes among people aged > 4A yr has

increased very little, presumably because the clinic

population has aged somewhat over this period of

time.

62 NAL Call No: HQ1064.U5H2{i

Indian and Alaskan natives.

Westport, Conn. : Greenwood Press.

Handbook on the aged in the United States /

edited by Erdman B. Palmore. p. 269-276;1984.

Langruge.' English

t4
NATTVE AMERICAN HEALTH CARE

63

Descipton: U.SA.; American indians; Elderly;

Life sryle; Rural areas; Health services

NAL Call No: HN90.C6N4

Indian health cane.

Kozoll, R.

Washingtoq D.C. : U.S. G.P.O. : for sale by the

Supt of Docs, Congressional Sales Off.

New dimensions in rural policy: building upon our

heritage : studies prepared for the use of the Subcommittee on Agriculture and Transportation of

the Joint Economic Committee, Congress of the

United States. p. a77-a80; 1986. (S. prt. ; 99-153).

Language.' English

Descriptors: U.S.A.; Rural environment; Health

care; American indians; Mortality; Cultural influences

64 NAL Call No: I(F26.I4 L992a

Indian Health Care Act Amendments of L992

hearing before the Select Committee on Indian Affairs, United States Senate, One Hundrcd Second

Congrcss, second session, on S. 2481 ... April I,

L992, Washington, DC.

United States. Congress. Senate. Select Committee

on Indian Affairs

Washington : U.S. G.P.O. : For sale by the U.S.

G.P.O., Supt. of Docs., Congressional Sales Office;

Y 4.In 2 / Lt:S.hrg.I02-76a.

iv,357 p. ;24 cm. (S. htg. ; L02-764). Distributed

to some depository libraries in microfiche. Shipping list no.: 924616-P. Includes bibliographical

references (p. 241-242).

Language; English

Desciptors.' Indians of North America

65 NAL Call No: KF265.I4 1992

Indian Health Care Improvement Act of 1992

report (to accompany S. 24E1.).

United States. Congress. Senate. Select Committee

on Indian Affairs

Washington : D.C.? : U.S. G.P.O.; Y t.L/5:L02-392.

204 p. ; 24 cm. (Report / L02d Congress, 2d ses- 'sioq Senate ; L02-392). Caption title. Distributed

to some depository libraries in microfiche. Shipping list no.: 92-0593-P. August n, 1992.

Langtoge.' English

Desciptors.' Indians of North America

66 NAL Call No: 151.65 P96

The Indian Health Senice approach to alcoholism

among American Indians and Alaska natives.

Rhoades, E.R.; Mason, R.D.; Eddy, P.; Smith,

E.M.; Burns, T.R.

Washington, D.C. : Public Health Service.

Public health reports v. 103 (6): p. 62L-627; 1988

Nov. Includes references.

Language.' English

D e s c iptors.' U.S A. ; Am erican indians; Alcoholism;

Health programs; Disease prevention; Mortality;

Public agencies; Federal programs; Educational

programs; Fetal alcohol syndrome

67 NAL Call No: 151.65 P96

The lndian health service record of achievemenL

Rhoades, E.R.; D'Angelo, A.J.; Hurlburt, W.B.

Washington, D.C. : Public Health Service.

Public health reports v. 102 (a): p. 356-350. ill.,

charts; 1987 Jul. Includes 3 references.

Langtage; English

Desciptors.' American indians; Eskimos; Community health services; Program evaluation

Abstroct: Extract: The Indian Health Service (IHS)

was transt'erred from the Department of Interior

to the Public Health Service in the Department of

Health, Education, and Welfare in 1955. At that

time, the general health of Indian people substantially lagged behind the rest of the U.S. population.

This gap was reflected in mortality rates which

were several-fold higher for Indians, or reflected

in time: there were decades between the dates

when the U.S. population achieved certain lower

death rates compared with the dates when similar

reductions were achieved by Indians. As a result

of preventive health programs, improvements in

sanitation, and the development of a number of

medical advances, substantial progress has been

achieved in improving the health of American Indians and Alaska Natives. Life expectancy of Indians has increased 20 years between 1940 and 1980.

From 1955 through 1982, the death rate for Indian

infants dropped by 82 per.cent. Also, the ageadjusted death rate for tuberculosis decreased

from 57.9 per 100,000 population in 1.955 to 3.3 in

1983. These and other improvements are summarized in this paper.(author)

6E NAL Call No: HBI323.I4B3

Infant mortality in South Dakota.

Baer, Linda; DeWitt, Dana

Brookings, S.D. : South Dakota State University,

Ford Foundation Grant, [1990?].

r5
Quick Bibliography Series

23 leaves : ill. ; 28 cm. (Native Arnerican project).

Caption title. Includes bibliographical references.

Language: English

Desciptors.' Infants; Indians of North America

69 NAL Call No: RC660-A1D53

Insulin therapy and weight change in NativeAmerican NIDDM patients.

Hickey, M.E.; Hall, T.R.

Alexandria, Va. : American Diabetes Association.

Diabetes care v. 16 (1): p.36+ffi;L993 Jan. Paper

presented at conference, "Diabetes in Native

Americans," November 14-17, 1.989, Mesa,

Arizona. Includes references.

Language: English

Desciptors.' Arizona; Diabetes mellitus; Weight

gain; lnsulin; American indians

Abstract' Objective. To determine whether

MDDM patients exposed to insulin therapy in a

clinical setting gain weight.

70 NAL Call No: RC628-A1O2

A low-cost competitive approach to weight reduction in a native American community..

Wilson, R.; Smith, J.; Marfin, A.M.; Helgerson, S.

Basingstoke, Harnpshire : The Macmillan Press

Ltd.

International journal of obesiry v. 13 (6): p. 731-

738. charts; 1989 Dec. Includes 17 references.

Language.' English

Desciptors.' New Mexico; Weight losses; Nutrition

education; Health programs; Diabetes; Prograrn

evaluation; Teams; Men; Women; American indians

Abstract: Eat Right is a state-wide nutrition education and weight control program implemented by

the Healthnet New Mexico health promotion organization. This study evaluates a weight loss program using weight loss competition between teams.

The Zuni and Ramah Navajo communities registered 251 individuals in the program.

7l NAL Call No: RG629.F45S9 198t

A manual on adolescents and adults with fetal alcohol syndrome, with special rcfetcnce to American Indians., 2nd ed.

Streissguth, Ann Pytkowicz; LaDue, Robin A.;

Randels, Sandra P.

University of Washington, Dept. of Psychiatry and

Behavioral Sciences, University of Washington,

Chil d Development and Mental Retardation Center, University of Washington, Alcoholism and

Drug Abuse Institute, United States, Indian Health

Service

Rockville, Md.? : U.S. Dept. of Health alrd f{rrman

Services, Public Health Service, Indian Health Service; HE 20.9408:Ad 7.

x, 55 p. : ill. ; 28 cm. Supported by Indian Health

Service contract. October 1.., 1988. Includes

bibliographical references (p. 53-55).

Language: English

Desciptors: Fetal alcohol syndrome; Indians of

North America

Abstract: This book is designed to make available

the latest information about fetal alcohol

syndrome, especially related to adolescents and

children. [t may serve as a basic reference tool for

those interested in learning more about the consequence of alcohol ingestion.

72 NAL Call No: E78.N4MU L9EZ

Medicinal uses of plants by Indian tribes of

Nevada.

Train, Percy; Henrichs, James R.; Archer, W.

Andrew; (William Andrew); 1894-

Lawrence, Mass. Quarterman Publications

(1e82?).

139 p. : ill. ; 24 cm. (Bioactive plants v. 1; Contributions toward a flora of Nevada ; no. 45.).

Reprint. Originally published: Rev. ed. /with summary of pharmacological research by W. Andrew

Archer. Beltsville, Md. : U.S. Dept. of Agriculture,

Plant Industry Station, L957. (Contributions toward

a flora of Nevada ; no. 45). Includes index. Bibliography: p. 128-131.

Langtage: English

Desciptors.' Indians of North America; Nevada;

Medicine; Ethnobotany; Nevada; Botany, Medical;

Nevada; Materia medica, Vegetable; Nevada

73 NAL Call No: I(F275-d3 1988c

Mental heaith and the elderly issues in service

delivery to the Hispanic and Black community I

hearing beforc the Select Committee on Aging

House of Representatives, One Hundredth

Congress, second session. (Issues in service

delivery to the American Indian and Hispanic

communities.)

United States. Congress. House. Select Committee

on Aging

Washington [D.C.l : U.S. G.P.O. : For sale by the

t6
NATIVE AMERICAN HEALTH CARE

Supt. of Docs., Congressional Sales Office, U.S.

G.P.O., 1988-1989

3 v. ; 24 m. Distributed to some depository libraries in microfiche. Pt. 2 has subtitle: Issues in

service delivery to the American Indian and

Hispanic communities. Pt. 3 has subtitle: Issues

in service delivery to Asian Americans, Hispattics,

and Blacks. 'May L3, 1988, Long Island City, NY',

Pt. 1. "May n, L98f, Denver, CO', Pt. 2. "July 8,

1988, Los Angeles, CA", pt. 3. "Comm. pub. no.

L00-674', Pt. 1. "Comm. pub. no. 1.00-673", Pt. 2. "Comm. pub. no. 100-694", pt. 3. Item 1009-8-2,

1009-C-2 (microfiche). Includes bibliographical

references.

Language.' English

Descriptors: Hispanic American aged; Mental

health services; United States; Afro-American

aged; Mental health services; United States; Indians of North America; Aged; Mental health;

Minority aged; Mental health services; United

States; Federal aid to community mental health

services; United States

74 NAL Call No: KF27.l5 L992

Mental health needs in Indian country hearings

before the Committee on Interior and Insular Affairs, House of Representatives, One Hundred

First Congrcss, second session, oversight and S.

L270 to provide an Indian mental health demonstration grant program : hearings held March 29,

1990, Washington, DC; May 12, 1990, Seattle, WA;

June 22, 1990, Sioux Falls, SD.

United States. Congress. House. Committee on Interior and Insular Affairs

Washington : U.S. G.P.O. : For sale by the U.S.

G.P.O., Supt. of Docs., Congressional Sales Office,

1991 [i.e.; Y 4.In 8/A:L0l-59.

v, 764 p. : ill. ; 24 cm. Distributed to some

depository libraries in microfiche. Shipping list no.:

92-205-P. Serial no. 101-59. Includes bibliographical references.

Language: English

Descipton: Indians of North America; Federal aid

to comm'rnity mental health services

75 NAL Call No: RA790-AIJ68

Mental health values dilferences between Native

American and Caucasian American college students.

Tyler, J.D.; Suan, L.V.

Fresno, Calif. : California School of Professional

Psychology.

Journal of rural community psychology v. t1 (2):

p. 17-29; 1990. lncludes references.

Language: English

Desciptors.' North Dakota; American indians; College students; Mental health; Values; Questionnaires; Demography; Ethnic groups

Abstact' Differences between Native and

Caucasian American college students in the way

mental health is conceptualized was investigated

using the Mental Health Values Questionnaire, an

eight-scale, factor analytically derived measure of

dimensions used in conceptualizing the nature of

good emotional adjustment. Sixty-six Native American and 93 Caucasian American undergraduate

students served as subjects. The most striking ethnic group difference had to do with the tendency

of Caucasian American subjects to more strongly

associate unconventional experiences of reality

(e.g., having visions) with poor mental health in

contrast to Native students who tended to perceive

a neutral to positive relationship between such experiences and healthy emotional functioning.

76 NAL Call No: 470 C16D

n-3 Docosapentaenoic acid in blubber of dam and

pup grey seals (Halichoerus grTpus): irnplications

in the Inuit diet and for human health.

Ackman, R.G.; Eaton, C-4.

Ottaw4 Canada : National Research Council of

Canada.

Canadian journal of zoology v. 66 (11): p. 24?3'

2431.; 1988 Nov. Includes references.

Language: English

Descriptors: Alaska; Nova Scotia; Nutrition;

Health; Eskimos; Diets; Seals; Docosenoic acid;

Fat products

77 NAL Call No: KF275.C7 l9E6

Native American children, youth, and families

hearing beforc the Select Committee on Children'

Youth, and Families, House of Reprcsentatives,

Ninety-ninth Congness, second session.

United States. Congress. House. Select Committee

on Children, Youth, and Families

Washington, [D.C.] : U.S. G.P.O. : For sale by the

Supt. of Docs., Congressional Sales Office, U.S.

G.P.O., 1986-. '

v. : ill., 1. form, maps ; 24 cm. "Hearing held in

Seattle, WA, January 7,1986', Pt. 1. "Hearing held

in Sacaton, AZo on January 9, 1.986", Pt.2. "Hearing

held in Albuquerque, NM, January 10, 1986", Pt.

L7
Quick Bibliography Series

3. Distributed to sorne depository libraries in microfiche. Shipping list no.: 86-886-P (pt. 1). Shipping list no.: 86-853-P (pt. 2). Shipping list no.:

86-830-P (pt. 3). Includes bibliographies.

Language: English

Descipton: Indians of North America; Social conditions; Indians of North America; Drug use; India"s of North America; Alcohol tse; Federal aid

to alcoholism programs; United States; Federal aid

to drug abuse treatment programs; United States;

Federal aid to community development; United

States

7E NAL Call No: 5612-{753

Native Baja California plants: potential treatment

for diabetes.

Winkelnil, M.

Tucson, Ariz.: Office of Arid Lands Studies, Universiry of Arizona.

Arid lands newsletter v. 31.: p.I4-L7;1991. Includes

references.

Language: English

Descripton: California; Wild plants; Diabetes;

Medicinal plants; Ethnobotany; American indians;

Computer software

79 NAL Call No: RC660-A1D5

A new kind of pioneer.

Mazur, M.

Alexandria, Va. : American Diabetes Association.

Diabetes forecast v. 44 (11): p. 36-a0; 1991 Nov.

Language.' English

Descipton.' Alaska; Diabetes; Diet; Metabolism;

Case reports; Lifestyle; History; Ethnicity; Eating

patterns; Inuit; American indians

Abstract: Dan Kahklen, an Alaska native Thlinget

Indian, is living with diabetes. Dan and his wife,

Sue, are helping other Alaska natives understand

the connection between diet and diabetes.

80 NAL Call No: RM2185.I5 r9EE

Nutrition and health concerns of American lndians and Alaska natives.

Jackson, M.Y.

London : Libbey Eurotext.

Proceedings of the Xth International Congress of

Dietetics / held under the auspices of the I.C.DA.

(the International Committee of Dietetic Associations) ; edited by M.F. Moyal. v. 2 p.65-68; 1988.

Includes references.

Language.' English

Desciptors.' U.SA.; Alaska; Nutritional su5veys;

Public health; Ethnic groups; Feeding behavior

81 NAL Call No: L&3401-A57

Nutrition aspects of a cardiovascular curriculum

in the Southwesl

Koehler, K.M.; Harris, M.B.

Reston, Va. : American Alliance for Health, Physical Education and Dance.

Health Education v. 19 (5): p. 2+28. charts; 1.988

Oct. Includes 23 references.

Language.' English

Descriptors.' New Mexico; Nutrition education;

Cardiovascular diseases; Elementary education;

Curriculum guides; Food preferences; Food intake;

Cultural influences; Food habits; Behavior change;

Hispanics; American indians

Abstract: This article discusses the pilot-testing of

a cardiovascular health curriculum designed for

fifth grade students in the Southwest. The curriculum was developed after a survey was administered to the. children to determine eating behaviors

and favorite foods. The curriculum was designed

to include cultural foods in a heart-healthy diet.

E2 NAL Call No: RC660-Af D522

Nutrition counseling: Meeting the needs of ethnic

clients with diabetes.

Bertorelli, A.M.

Chicago, Ill. : American Association of Diabetes

Educators.

Diabetes educator v. 16 (4): p. ?f'5-?36, ?39; 1990

Jul. Includes t3 references.

Language.' English

Descriptors.' U.S.A.; Diabetes; Diet counseling;

Ethnicity; Eating patterns; Obesity; Disease prevalence; Nutrition education; Asians; American indians; Hispanics; Blacks

Abstract: Diabetes educators must be aware of and

sensitive to ethnic and cultural diversity in the

United States. This article discussed the need of

nutrition counseling to be adjusted to take into account traditional foods and meal habits.

83 NAL Call No: 389.E Alltl4

Nutrition in American Indian health: past, prcsent, and future.

Jackson, M.Y.

Chicago, Ill. : The Association.

18
NATTVE AMERICAN HEALTH CARE

Journal of the American Dietetic Association v.

86 (11): p. U61-1565. charts; 1986 Nov. Includes

41 references.

Language; English

Descipton: Alaska; Nutritional state; American indians; Trends; Health; History

Abstract: Extract: The nutritional and health status

of American Indians and Alaska Natives has improved througbout the years. However, their health

status still lags behind that of the general American

population There is incomplete information on

their nutritional status and present dietary patterns, uutritive values of native foods, and nutrition

education knowledge of the population.(author)

E4 NAL Call No: T)G6I.W55N8E F&N

8-3703, 8-3705

Nutrition technician program.

Special Supplemental Food Program for Women,

Infants, and Children (U.S.),United Tribes Educational Technigal Center (Bismarck, N.D.)

Bismarck, N.D. United Tribes Educational Technical Center.

3 v. : ill. ; 28 cm. U.S. Dept. of Agriculture, Food

and Nutrition Service, Special Supplemental Food

Program for Women, Infants, and Children, grant

no. 59-3198-9-80.

Language.' English

Desciptors.' Instructional materials; Vocational education; Lesson plans; Learning activities; Nutrition; American Indians; WIC program;

Independent study; Nutrition education; Pregnancy

and nutrition; Health care

Abstract: A set of lesson plans developed by the

N.D. State Dept. of Health is presented. The lesson plnns were developed to be used in the United

Tribes Educational Technical Center (UTETC) to

train native Americans to work as paraprofessionals in the WIC program. The lessons can also

be used for self study. The first modules consist of

2 sections. The first section contains 9 lessons

related to basic nutrition (i.e., food composition,

major nurients, digestion and nutrient needs). The

second section contains 6 lessons that discuss nutritional assessment (clinical, anthropometry laboratory, dietary, obesity, and diabetes). The second

module discuses the WIC program (2 lessons),

nutrition counseling skills, (3 lessons), and nutrition education.techniques (1lesson). The third

module consists of 2 major areas that discuss nutrition and pregnancy and community resources for

health care programs. Each lesson has color-coded

sections (e.9., blue for objectives, yellow for the

self-study section, green for the answer section). A

final report on the project also is available."(kbc)

85 NAL Call No: RI216.P362 F&N E-4300,

84302

Papago breastfeeding education model project :

final report, July 31, 19E1 : report of project

breastfeeding education model.

Papago Nutrition Improvement Program (Sells,

Ariz.)

Sells, Ar'u. Papago Nutrition Improvement Program.

3 v. : ill. ; 28 cm. "July 31, 1981.. Agreement no.

59-3198-9-83, funded under P.L. 95-627, Section 3,

USDA/FNS. Bibliography: pt.3., p. 118-119.

Langtage; English

Descripto,n.' Reference materials; Breast feeding;

American Indians; Health education; Nutrition education; Behavior modihcation; Pregnant women;

Mother-child relations

Abstmct: A breastfeeding education project was

designed to increase the incidence and duration of

breastfeeding among women at the Papago Indian

reservation in Arizona. The activities of this project, the development of new educational materials,

and the overall results are presented in 3 volumes.

Attitudes influencing infant feeding practices were

assessed, and supporting services for pregnant

women and new mothers were developed and

used. All activities of the project were coordinated

by staff of 7 related health agencies on the reservation site. This education project produced an increased number of women beginning

breastfeeding. The educational materials are applicable for breastfeeding education for other Indian

tribes. (wz)

86 NAL Call No: RI2r6.P36 F&N 8-3671

Papago breastt'eeding education model project :

report of project, breastfeeding education model.

Papago Nutrition Improvement Program (Sells,

Ariz.)

Sells, Arh. Papago Nutrition Improvement Program 1981?

1 v. (various pagings) : ill. ; 1981?) cm. Cover title.

Agreement no. 59-3198-9-83, funded under.P.L.

95-627, Section 3, USDA/FNS.

Langtage.' English

Desciptors.' Reference materials; Breast feeding;

t9
tion education; Health education; Pregnant women; Infant feeding; Diarrhea; Mother-child relations

Abstract: A comprehensive report describes a

breastfeeding education project, conducted at the

Papago Indian reservation in Arizona" to increase

breastfeeding among the Papago women. The project coordinated the services of 6 health agencies

in a team approach. The project sougbt to: increase

breastfeeding practices by 20Vo; support

breastfeeding mothers; reduce infant diarrhea; establish a data collection system; and develop a

breastfeeding education model which would be

widely applicable. Initial breastfeeding increased

from 23.4% to 43.8Vo, while initial bottle-feeding

dropped from 76.5% to 56.LVo. There was no apparent change, however, in the duration of

breastfeeding. The rate of hospitalization for diarrhea in the first 6 months of life among initially

bottle-fed infants was about 4 times that breast-fed

infants. Numerous illustrations (used a s

breastfeeding education tools) aod basic ancillary

information are appended. (t*z)

87 NAL Call No: RIG31.P3

Parents helping parents stop baby bottle tooth

decay. (Stop baby bottle tooth decay Baby bottle

tooth decay.)

Holcomb, Barbara; Bruerd, Bonnie; Kinney, Mary

Beth; Backinger, Cathy

Washington, D.C. : Indian Health Service, [1986?1.

[18] leaves : ill. ; 28 cm. Cover title. Produced

cooperatively by the Head Start, VSPHS, Indian

Health Service and the Centers for Disease Control. Photography: Barbara Holcomb. Script:

Bonnie Bruerd, Maty Beth Kinney, Cathy Backinger.

Language: English

Desciptors.' Dental caries in children; Prevention;

Bottle feeding; Teaching materials; Flipcharts;

Parent education; American indiaru; Tooth dise:rses; Infants; Bootle feeding

Abstact: Geared primarily toward American Indian/Alaska Native populatiotrs, this flip book of

color photographs is aimed at helping parents

avoid tooth decay in infants. What baby bottle

tooth decay is, prevalence :rmong American Indians and Alaska Natives and prevention suggestions

are topics covered in an easily understood lesson

forrnat.

Quick Bibliography Series

Pathogenesis of NIDDM in Pima Indians.

Bogardus, C.; Lillioja, S.; Bennett, P.H.

Alexandria, Va. : American Diabetes Association.

Diabetes care v. U (7): p. 685-690; 1991 Jul. Includes references.

Language: English

D es ciptors.' Arizona; Diabetes mellitus; Incidence;

Glucose tolerance; Longitudinal studies; Insulin;

Blood plasma; Metabolic studies; Liver; Pathogenesis; Pancreas; American indians

Abstact: The Pima Indians of Arizona have the

highest reported prevalence and incidence of noninsulin-dependent diabetes mellitus (NIDDM) of

anv population in the world. A cross-sectional and

longitudinal study was begun in 1982 to determine

the metabolic characteristic(s) that is (are) predictive of the development of NIDDM and to document the sequence of metaboiic events that occur

with the transition from normal to impaired

glucose tolerance and then to diabetes. Preliminary

analyses suggest that insulin resistance is a primary

abnormality predisposing Pima Indians to develop

impaired glucose tolerance, and that the development of diabetes occurs with subsequent

pancreatic failure.

89 NAL Call No: RA448.4.R4

The pattern of organized health care: nonresponse to dilTering health beliefs and behavior.

Grossman, L.

Chapel Hill? : Dept. of Maternal and Child Health,

School of Social Work?

Removing cultural and ethnic barriers to health

care : based on proceedings of a national conference f edited by Elizabeth L. Watkins and Audreye

E. Johnson. p. 29-48;1985. Paper presented at a

national Conference on 

"Removing Cultural and

Ethnic Barriers to Health Care," held June 4-8,

Lng, Charlotte, North Carolina. Includes references.

Langtage: English

Descripton.' U.S.A.; Health care; Health beliefs;

Hispanics; Blacks; Asians; American indians; Cultural influences

90 NAL Call No: RA408.I49P47 L99l

Personal health practices lindings from the Sur'

vey of American Indians and Alaska Natives.

Lefkowitz, Doris Cadigan; Underwood, Carol

Center for General Health Services Intramural

Research (U.S.) 8E NAL Call No: RC660-A1D53

20
NATI\iE AMERICAN HEALTH CARE

Rockville, MD : U.S. Dept. of Health and Human

Services, Public Health Service, Agency for Health

Care Poticy and Research,.

t4 p. ; 28 cm. (AHCPR pub ; no. 91-003; Research fiodiogr (Rockville, Md.) ; 10.).Title from

cover. "July 1991'. Includes bibliographical references (p.13-14).

Language: English

Desciptors.' Indians of North America

9r NAL Call No: E9E.F7P5

Plains Indian diet handbook (Diet handboolc)

Swanson Center for Nutrition, United States, Indian Health Service, National Diabetes Information Clearinghouse (U.S.)

Washington" D.C.? : Dept. of Health and Human

Services :;'HE 20.9408-D 55.

20 p. : col. iLl. ;27 x 2\ cm. Swanson Center for

Nutrition, Inc., in cooperation with Indian Health

Service Diabetes Control Program and Experience

Education supported by a subcontract with National Diabetes Information Clearinghouse, National Institute of Arthritis, Diabetes, and

Digestive and Kidney Diseases, Department of

Health and Human Services contract no. NOIAM8222L. Cover title: Diet handbook.

Langtoge.' English

Desciptors.' Nebraska; Indians of North America;

Food; Diabetes; Nutritional aspects; Diabetes;

Diet therapy; Diet; Handbooks, manuals, etc;

Popular works; Patient education; Diabetes;

American indians; Dietary guidelines; Diabetic

diets

Abstract: Developed for use by the Plains Indians

with diabetes, this booklet emphasizes diet as a

means for controlling the disease. Introduced by a

color-coded dietary guide, the basic food groups

are presented to include recommended foods and

serving sizes. Combination foods, foods with fat,

foods to avoid, foods to freely use and those allowed in reasonable amounts are presented in the

same manner. Cautions and reminders accompany

each sections; pictures illustrating serving sizes and

other concepts addressed are included with each

section.

92 NAL Call No: RG580.D5P7

Pregnancy and diabetes.

Gila River Indian Community (Arizona : Association)

Sacaton, Ariz. : Gila River Indian Communiry,

Human Resources Dept./Health Branch, WIC

Program, [198-?1.

[6] : ill. ;22 cm" Cover title.

Languoge.' English

Desciptors.' Arizona; Popular works; Patient education; Diabetes; Pregnant women; American indians; Health care

Abstract: Designed for the pregnant American Indian woman with diabetes, this booklet presents

specific steps to follow in order to keep the disease

under control. Symptoms of both hlpoglycemia

and hyperglycemia are listed, as well as signs indicating the need for immediate medical attention.

The necessity for weight control is emphasized

Drawings illustrate the concepts presented.

93 NAL Call No: E75.AS [no.A-14]

Prcnatal care.

Native American Maternal and Child Health Project

Bismarck : ND : Native American Maternal &

Child Health Project, North Dakota State Dept. of

Health, Division of Maternal & Child Health,.

[Zl p. : ill. ; 22 cm. (American Indian bibliography

series ; [A-tal). Cover title.

Langtage; English

Desciptors.' North Dakota; Popular works; Prenatal education; Health care; American indians;

Nutrition information

Abstroct: Designed to inform the pregnant American Indian woman about the importance of prenatal healtb this pamphlet stresses doctor's visitg

proper nutrition, and avoidance of cigarettes and

alcohol.

94 NAL Call No: RA40E.I49H3 1991

Prevalence of chronic diseases a summary of data

from the survey of American Indians and Alaska

Natives.

Johnson, Ayah E.; Taylor, Amy K.

Center for General Health Services Intramural

Research (U.S.)

Rockville, MD : U.S. Dept. of Health and Human

Services, Public Health Service, Agency for Health

Care Policy and Research,.

10 p. ; 28 cm. (AHCPR pub ; no. 91-0031; Data

summary (Rockville, Md.) ; 3.). Title from cover.

July 1991. Includes bibliographical references (p.

l0).

Langtage; English

2r
Desciptorc: Indians of North America; Medical

care surveys

95 NAL CaIl No: RC660-{1D53

Prcvalence of diabetes and its complications in

the Eastern Band of Cherolree Indians.

Farrell, MA; Quiggins, PA; Eller, J.D.; Owle,

PA.; Miner, ICM.; Walkingstick, E.S.

Alexandri4 Va. : American Diabetes Association.

Diabetes care v. 16 (1): p.?53-256;1993 Jan. Paper

presented at conference, "Diabetes in Native

Americans," November l4-I7, 1989, Mesa,

Arizona. Includes references.

Language; English

Desciptons.' North Carolina; Diabetes; Incidence;

Complications; American indians

Absffact: Objective. To determine the prevalence

of diabetes and selected complications among the

Eastern Band of Cherokee Indians in North

Carolina.

96 NAL CalI No: RC660-A1D53

Prevalence of diabetes mellitus in pregnancy

among Yup'ik Eskimos, 1987-19EE.

Murphy, N.J.; Bulkow, L.R.; Schraer, C.D.; Lanier,

A.P.

Alexandria, Va. : American Diabetes Association.

Diabetes care v. 16 (1): p.3L5-3L7;t993 Jan. Paper

presented at conference, "Diabetes in Native

Americans," November L4-L7, 1989, Mesa,

Arizona. Includes references.

Language: English

Descriptors.' Alaska; Diabetes; Pregnancy; Incidence; Inuit

Abstract: Objective. To evaluate the prevalence of

diabetes mellitus in pregnancy in Yup'ik Eskimos.

97 NAL Call No: RC660-AfD53

Prevalence of diagnosed diabetes among American Indians and Alaska Natives, 19E7: Estimates

from a national outpatient data base.

Valway, S.; Freemtn, W.i lkufman, S.; Welty, T.;

Helgerson, S.D.; Gohdes, D.

Alexandria, Va. : American Diabetes Association.

Diabetes care v. 16 (t): p.T7l-2i76;1993 Jan. Paper

presented at conference, "Diabetes in Native

Americans," November 14-17, 1989, Mesa,

Arizona. Includes references.

Language.' English

Descipton' U.SA.; Diabetes; Incidence; American

Quick Bibliography Series

indians

Abstract: Objective. To estimate the prevalence of

diagnosed diabetes among American Indians and

Alaska Natives served by the IHS.

9E NAL.Call No: RC660-AID53

Prevalence of diagnosed diabetes and selected

related conditions of six resenations in Montana

and Wyoming.

Acton, IC; Rogers, B.i Campbell, G.; Johnson, C.;

Gohdes, D.

Alexandria, Va. : American Diabetes Association.

Diabetes nre v. t6 (1): p.263-265; 1993 Jan. Paper

presented at conference, "Diabetes in Native

Americans," November 14-17, 1989, Mesa,

Arizona. lncludes references.

Langtage; English

Desciptors: Montana; Wyoming; Diabetes; Incidence; Complications; American indians

Abstract: Objective. To describe the prevalence of

diabetes and related complications in Plains Indians.

99 NAL Call No: 151.65 P96

Preventing baby bottle tooth decay in tunerican

Indian and Alaska native communities: a model

for planning.

Bruerd, B.; Kinney, M.B.; Bothwell, E.

Washington, D.C. : Public Health Service.

Public health reports v. 10a (6): p. 631-640. ill.,

charts: 1989 Nov. Includes 18 references.

Language.' English

Desciptorc: U.S.A.; Nursing bottle syndrome;

Dental caries; Disease prevention; Health programs; Program evaluation; Bottle feeding; Child

feeding; Infants; Children; American indians

Abstract: Baby bottle tooth decay (BBTD) is a

preventable dental disease which surveys have

shown affects more than 50 percent of Native

American children. An experimental progran to

prevent BBTD was implemented in L2 Native

American communities. The project represented a

cooperative effort by three Department of Health

and Human Service agencies: Administration for

Children, Youth, and Families, Head Start Bureau;

Indian Health Service, Dental Program; and

Centers for Disease Control, Dental Disease Prevention Activity. Intervention strategies included

the training of parent volunteers, health professionals, and the tribal employees who counseled

"r)
caretakers of young children and made group presentations. There was also a media campaign in

each community that ran for a 3-year period.

Nurnerous educational. materials were developed

including training manuals, counseling booklets,

tippee cuF, posterg and bumper stickers. The

BBTD project's planners encouraged tailoring the

education materials and strategies to fit each community. Preliminary results docrrmented statistically significant decreases in the prevalence of

BBTD at the pilot sites. This multidisciplinary,

comprehensive intervention offers a model for organrzitg members of minority communities to

prevent health problems.

100 NAL Call No: RC658.AfD5

Risk factors for coronary heart disease in diabetic

and nondiabetic Native Americans: The Strong

Heart Study.

Howard, B.V.; Welty, T.K.; Fabsitz, R.R.; Cowan,

L.D.; Oopik, AJ.; Le, NA.; Yeh, J.; Savage, P.J.;

Lee, E.T.

Alexandria, Va. : American Diabetes Association.

Diabetes v. 41 (suppl.2): p. 4-11; L992 Oct.Includes

references.

Language: English

Descriptors.' Cardiovascular diseases; Diabetes;

Risk; American indians; Diagnosis; Mortality;

Morbidiry; Longitudinal studies; Disease surveys;

Women; Men

Abstract: The Strong Heart Study is a study of cardiovascular disease and its risk factors among

diabetic and nondiabetic Native Americans. The

study includes t2 tribes in Arizona, Oklahoma, and

North and South Dakota. Phase I, initiated in October 1988, included a mortality survey to determine CVD death rates in individuals 35-74 yr old

between 1984 and 1988, and a medical record

review to determine rates of myocardial infarction

and stroke for individuals ages 45-74 during the

same time. In addition, a physical examination was

performed on persons 45-74 yr old to measure the

prevalence of cardiovascular and peripheral vascular diseases and known and suspected risk factors. In Phase tr, CVD mortality and morbidity

rates will be determined in the examined cohort

by sunreillance. CVD risk factors, changes in risk

factors over time, &d thq relationship between risk

factors and CVD incidence will be assessed longitudinally. This study provides data on the relative

importance of cardiovascularisk factors in nondiabetic and diabetic Native Americans and will

provide insight into possible variations in the quanNATTVE AMERICAI{ HEALTH CARE

titative or qualitative importance of CVD risk factors among diverse population groups.

10r NAL Call No: 26675.R9RE7 19EE

Rural health abstracts and citations, 1980-19E7.

(Rural hospitals Indian health carc Rural health

professionals.)

University of North Dakota, Center for Rural

Health Services, Policy, and Research" University

of North Dakota, Rural Health Research Center

Grand Forks, N.D. : Center for Rural Health Services, Policy and Researc[ University of North

Dakota, c1988-.

v. ;28 cm. First edition, August 1988. Title on Part

III: Rural health abstracts and citations, 1980-1990.

Publisher on Parts II and III is University of North

Dakota Rural Health Research Center.

Language; English

Descriptors: Rural health services; Hospitals,

Rural; Indians of North America

102 NAL Call No: RA771-AU6t

Rural residence and poor birth outcome in Washington state.

Larson, E.H.; Hart, L.G.; Rosenblatt, RA.

Kansas City, Mo. : National Rural Health Association.

The Journal of rural health v. 8 (3): p. 162-L70;

1992. Includes references.

Language; English

Desciptors.' Washington; Obstetrics; Health care;

Prenatal period; Rural areas; Urban areas; Infant

mortaliry; Low birth weight infants; Risk; Blacks;

American indians; Marriage; Age differences; Ethnic groups; Hospitals; Health centers

Abstract: It is often assumed that poor birth outcomes are more common among rural women than

urban women, but there is little substantive

evidence to that et'fect. While the effectiveness of

rural provider and hospitals has been evaluated in

previous studies, this study focuses on poor birth

outcome in'a population of rural residents, including those who leave rural areas for obstetricd'care..

Rural arid urban differences in rates of inadequate

prenatal care, neonatal death, and low birth weight

were examined in the general population and in

subpopulations stratified by risk and race using

data from five years (1984-88) of birth and infant

death certificates from Washington state. Also examined were care and outcome differences between rural women delivering in rural hospitals

23
and those delivering in urban facilities. Bivariate

analyses were confirmed with logistic regression.

Results indicate that rural residents in thb general

population and in various subpopulations had

similar or lower rates of poor outcome than did

urban residents but experienced higher rates of

inadequate prenatal care than did urban residents.

Rural residents delivering in urban hospitals had

higher rates of poor outcomes than those deliveriog in rural hospitals. We conclude that rural

residence is not associated with greater risk of

poor birth outcome. White and nonwhite differences appear to exceed any rural and urban resident differences in rates of poor birth outcome.

103 NAL Call No: LC5146.R87

Secondary disabilities among Arnerican Indians

in Montana.

Clay, JA.; Seekins, T.; Cowie, C.

Las Cruces, NM : New Mexico State University.

Rural special education quarterly v. lL (2): p.20-

?5; L992. Includes references.

Language: English

Descripto,n.' Montana; American indians; Handicapped persons; Tribal society; Health care;

Health services; Rural communities; Reserved

areas; Regional surveys

104 NAL Call No: QP14f.{NBE

Selected risk factors tbr diabetes in native

Arnericans.

Mohs, M.E.; Leonard, T.K.; Watson, R.R.

ELnsford, N.Y. : Pergamon Press.

Nutrition research v. 5 (9): p. 1035-1045; 1985 Sep.

Includes 57 references.

Language.' English

Descriptors: U.S.A.; Tribal societies; Races;

Diabetes; Obesity; Diet; Ethanol; Intake; Genetic

factors

105 NAL Call No: 3E9.E AM34

Selected traditional and contemporary tbods currcntly used by the Pima Indians.

Smith, CJ.; Schakel, S.F.; Nelson, R.G.

Chicago, Ill. : The Association.

Journal of the American Dietetic Association v. 91.

(3): p. 338.341. charts; 199L Mar. Includes 13 references.

Language: English

Descipton.' Arizona; Food preferences; History;

Ethnic foods; Eating patterns; Diet; Food prepaQuick Bibliography Series

ration; Nutrient databanks; Nutrient content;

Diabetes; Risk; Dietary surveys; Obesity; American indians

Abstract: In 1988, a large-scale dietary survey of

the Pimas was begun as part of a study of the natural history of diabetic renal disease. Because of

the uniqueness of this population and the specific

character of their foods, it was decided to develop

a new computerized nutrient database contuioiog

specific entries for the food items and mixed dishes

currently used by the Pimas. In this _way. potential

errors in approximating Piman foods with others

in commonly used US nutrient databases would be

avoided, and accurate dietary analysis of food

records could be accomplished. In addition, more

complete nutrient composition data would be obtained on Piman foods than had previously been

reported.

106 NAL Call No: 151.65 Pg6

Serum cholesterol concentrations among Navajo

Indians.

Sugarman, J.R.; Gilbert, T.J.; PercY, CA.; Peter,

D.G.

Rockville, Md. : U.S. Department of Health &

Human Services, Public Health Service.

Public health reports v. 107 (1): p. 92-99;1992 Jan.

Includes references.

Langtage.' English

Descriptors.' Arizona; Cholesterol; Blood serum;

American indians; Anthropometric dimensions;

Diabetes; Low density lipoprotein; High density

lipoprotein; Triacylglycerols; Surveys; Age differ'

ences; Women; Men

Abstmct: Navajo Indians have been reported by

earlier investigators to have low concentrations of

serum lipids and a low prevalence of hyperlipidemia, as well as low rates of ischemic heart

disease. However, no data on serum lipid concentrations among Navajos have been reported for

more than two decades. The authors conducted a

study to determine the distribution of concentrations of serum total cholesterol (TC), high density

lipoprotein cholesterol, low density lipoprotein

cholesterol, and triglyceride among persons ?5'74

years old living in a representative community on

the Navajo Indian reservation. Data are reported

for 255 subjects, 105 men and 150 women, ages

N-74 years. The authors compared these data to

those for the general population as determined by

the second National Health and Nutrition Examination Survey (NI{ANES II). TC concentrations

24
NATIVE AMERICAN HEALTH CARE

among Navajo men were similar to those from

NI{ANES II. TC concentrations among younger

Navajo women were similar to those for women

younger than 55 years from NI{ANES II, but were

significantly lower amorg older Navajo women.

While 27.6 percent of men ages 25-74 years

studied in NTIANES II had TC concentrations

greater than 240 milligrams per deciliter, 33.8 percent of Navajo men had similarly elevated TC.

However, the prevalence of serum TC concentrations greater than 240 milligrams per deciliter

amotrg Navajo women (17.5 percent) was about

half that among women studied in NI{ANES II

(32.9 percent). A similar pattern was found for

low density lipoprotein cholesterol. The researchers concluded that Navajo Indians iue no longer

characterized by low serum lipid concentrations,

that increased cholesterol concentrations may be

a harbinger of increasing rates of atherosclerotic

coronary heart disease among Navajos, and that

attention should be directed to prim:uy prevention

of hyperlipidemia in Navajo Indian communities.

L07 NAL Call No: 151.65 P96

Smokeless tobacco use among native American

school children.

Bruerd, B.

Washington, D.C. : Public Health Service.

Public health reports v. 105 (2), p. L96-201; L990

Mar. Includes references.

Langtage.' English

Desciptors.' South Dakota; Montana; Nebraska;

Washington; Arizona; New Mexico; Alaska; School

children; Chewing tobacco; American indians;

Literature reviews; Health hazards

Abstract: Seven published and two unpublished

surveys of Native American school children's use

of smokeless tobacco (ST) are reviewed. The surveys represent school children in the States of

South Dakota, Montan4 Nebraska, WashingtorL

Arizona, New Mexico, and Alaska. This review

describes and discusses the survey methods, prevalence, duration, and intensity of ST use, and ST

health effects documented in these studies. Prevalence of regular ST use ranges from 18 percent in

kindergartners through 6th graders to 55.9 percent

among 9th and 10th graders. In two studies that

surveyed kindergartners, regular use was reported

at 13 percent in one study and 2L percent in the

other. Comparisons to use by non-Native

Americans, as reported in surveys, demonstrate the

severity of the problem in Native American communities. There appear to be three significant findings related to Native American ST use: (a) young

age of onset of ST use, (b) similar prevalence of

use among adolescent boys and girls, and (c)

higher overall prevalence of ST use when compared to non-Native American populations. Acceptance of the habit, peer pressure, and addiction

seem to be contributing to the high ST use in Native American communities.

10E NAL Call No: E75.AS [no.4,-15]

Spacing of babies.

Gipp, Bertha

Native American Maternal and Child Health Projecr (N.D.)

Bismarck : ND : Native American Maternal and

Child Health Project, Division of Maternal and

Child Health, North Dakota State Dept. o f

Health,.

[10] p. : ill. ; 22 cm. (American Indian bibliography

series ; [A-l5l). Cover title.

Langrage; English

Desciptors.' North Dakota; Popular works; Family

planning; Birth control; American indians; Health

care

Abstact: To assist the American Indian in family

planning, this pamphlet provides basic information

on birth control methods. Pills, intra-uterine

devices, diaphraoms, condoms, vaginal medications

and natural family planning are the methods explained thoroughly and accompaniecl by a drawing

of each. A short summary of Native American family planning, both past and present, is included. A

checklist of good health practices that accompany

participation in spacing of babies is also presented.

109 NAL Call No: KF275.H8 1990

Standing Rock Sioux Reserryation a case study of

food security among native funericans : hearing

before the Select Committee on Hunger, House of

Reprcsentatives, One Hundred First Congress,

second session, hearing held in Fort Yates, ND,

February 26, 1990.

United States. Congress. House. Select Committee

on Hunger

Washington [D.C.] : U.S. G.P.O. : For sale by the

Supt. of Docs., Congressional Sales Office, U.S.

G.P.O.; Y 4.H 89:101-15.

iv, 208 p. : ill., maps ;24 cm. Distributed to some

depository libraries in microfiche. Serial no. 101-

15. Includes bibliographical references (p. afl.

Langtage.' English

7 <
Descriptors: Standing Rock Indian Reservation

(N.D. and S.D.); Indians of North America; North

Dakota; Health and hygiene; Indians of North

America; South Dakota; Health and hygiene;

Dakota lsdians; Health and hygiene; Food relief;

United States

Abstract: This hearing of the House Selection

Committee on Hunger contains testimony, statements and supplemental materials presented by

members of the Rock Siou,x Tribal Council, members of Congress and other govemment officials.

The topics discussed are problems of poverty and

malnutrition among Native Americans, especially

those at The Standing Rock Sioux Reservation.

1L0 NAL Call No: 151.65 P96

A study of dog bites on the Navajo Reservation.

Daniels, TJ.

Washington, D.C. : Public Health Service.

Public health reports v. 101 (1): p. 50-59. maps;

1986 Jan. Includes references.

Language: English

Desciptors.' Arizona; Utah; New Mexico; American indians; Statistical data; Bites; Dog control;

Public health

Abstract: Reservation-wide dog-bite statistics indicate a bite rate on the Navajo Reservation that is

comparable to that of a large city. Detailed analysis

of TI2 bite reports was made to determine the

characteristics of biters and their victims. This included an assessment of the behavioral antecedents leading up to the bite incident; 98.4 percent

of all cases for which a possible cause could be

ascertained were provoked in some way. Both dog

control and public education measures need to be

taken to reduce the frequency of dog bites.

11.1 NAL Call No: RC6E5.HEN27 1980

Summary report of the Second National Conference on High Blood Pressurc Control in Native

American Communities.

National Heart, L-9, and Blood Institute, National Institutes of Health (U.S.)

National Conference on High Blood.Pressure Control in Native American Communities 2nd : 1980 :

Tulsa, Oklahoma.

Bethesda,Md. : U.S. Dept. of Health and Human

Services, Public Health Service, National Institutes

of Health, [1982?1.

53 leaves ; 28 cm. Administrative use only.

Language: English

Quick Bibliography Series

Descriptors: Hvpertension; Research; United

States; Congresses; Indians of North America;

Medical care; Congresses

LLz NAL Call No: RA4485.I5N37 l9t4

nThe Key to prevention: youn report on the Sixth

National Indian/Alaska Native Health Conference, June 4-7, Lg|d/.i sponsoned by the National

Indian Health Board.

Cull, Scott R.; Compton, John H.

National Indian Health Board

National Indian/Alaska Native Health Conference

6th : 1984 : Reno, Nev.

United States? : s.n., 1984?

iv, 119 p. : ill. ; 28 cm. This publication was made

possible through contract no. 240-84-0008, with the

Department of Health and Human Services, Public

Health Service, Indian Health Service.

Langtage; English

Desciptors.' Indians of North America; Health and

hygiene; Public health; United States; Congresses

1L3 NAL Call No: RC65E-A1D5

Thermic elTect of glucose in obese subjects with

non-insulin-dependent diabetes mellitus.

Ravussin, E; Zawadzki, J.K.

Alexandria, Va. : American Diabetes Association.

Diabetes v.36 (12): p. L4l-147. ill., charts; L987

Dec. Includes 27 references.

Langtage.' English

Desciptors.' Arizona; Obesity; Diabetes; Glucose;

Heat production; Energy metabolism; American

indians

Abstract: Extract: A reduced thermic effect of

glucose in non-insulin-dependent diabetes mellitus

(MDDM) has been previously reported. To investigate whether this defect is related to t) a

decreased rate of glucose storage, 2) a reduced energy cost of glucose storage, or 3) a defect in the

sympathetically mediated component of thermogenesis, we studied the thermic effect of ingested and infused glucose in nine MDDM obese

Pima Indians [90.5 + /- 3.9 kg, 39 + /- ZVo fat, fasting plasma glucose (FPG) 130 + /' r0 mgldll and

in nine nondiabetic obese Pima Indians (99.3 + /'

7.2 kg, 38 + /- 2% fat, FPG 103 + /- 2 mgldl).

Energy expenditure and glucose storage were

derived from indirect calorimetry measurements.

The thermic effect of 100 g of glucose was found

to be similar in both groups (4.0 + /- 0.9 vs 5.0 + /-

1.3% of energy ingested in diabetic and non26
diabetic subjects, respectively) but lower than that

previously reported in nonobese subjects. The cost

of glucose storage calculated after stimulating

storage by constant glucose infusion (0.46 g/min)

and variable insulin infusion (19.5 + /- 3.8 vs. 2.9

+ /- 0.6 mU.kg-t.min-1 in diabetic and nondiabetic subjects, respectively; P less than .01) was

similar in both groups (approximately 0.35 kcal/g

glucose stored) and not different from that reported in lean subjects. As opposed to lean and

obese Caucasian subjects, energy expenditure

tailed to markedly decrease during propranolol infusion in both nondiabetic and diabetic Pima Indians. We postulate that the decreased rate of

tissue glucose uptake and storage associated with

insulin resistance is the major cause of the lower

thermic effect of ingested glucose in NIDDM. It

is unlikely that a reduced thermic effect of glucose

causes or perpetuates obesity in NIDDM, because

a low thermic response is the consequence of the

increased insulin resistance and is opposed by

greater increases in resting metabolic

rate.(author)

ll4 NAL Call No: RC660A1D53

The traditional Pima Indian diet Composition

and adaptation for use in a dietary intervention

study.

Boyce, V.L.; Swinburn, BA.

Alexandria, Va. : American Diabetes Association.

Diabetes care v. 16 (1): p.369-371; 1993 Jan. Paper

presented at conference, "Diabetes in Native

Americans," November t4-t7, 1989, Mesa,

Arizona. Includes references.

Language: English

Descriptors.' Arizona; Diet; Diabetes mellitus;

American indians

Abstract: Objective. To examine changes in the

Pima Indian diet composition that may have played

a role in the dramatic rise in the incidence of

MDDM among Pima Indians over the last century.

115 NAL Call No: LC5146.R87

Understanding the cultural characteristics of

American Indian families: elfective partnerships

under the Individualized Family Service Plan

(IFSP).

Nelson, J.R.; Smith, D.J.; Dodd, J.M.

Las Cruces, NM : New Mexico State University.

Rural special education quarterly v. 11 (2): p. 33-

36; 1992. Includes references.

Language.' English

NATI\iE AMERICAN HEALTH CARE

Desciptors.' U.SA.; American indians; Families;

Cultural heritage; Law; Handicapped persons; Cultural differentiation; Partnerships; Health programs

116 NAL Call No: TX341.C6

USDA to improve quality of canned beef and pork

Washington, D.C. : Community Nutrition Institute.

Nutrition week v.2L (22): p.2-3; 1991^ May31.

Language.' English

Desciptors.' Beef; Pigmeat; Meat quality; Canned

meat; Usda; Food distribution programs; Dietary

faq Diet; Eating patterns; Diabetes; American indians

Abstract: Following congressional hearings and a

GAO investigation, the USDA will attempt to

reduce the amount of bone, blood vessel and connective tissue in canned beef and pork products

and will take steps to generally improve the nutritional value of these products.

LL7 NAL Call No: RA425.C6

Use of secondary data: extrapolating to the community.

Stewart, B.; Kozoll, R.; Rhyne, R.L.

Rockville, Md.? : U.S. Dept. of Health and Human

Services.

Community-oriented primary care : from principle

to practice / edited by Paul A. Nutting. p. 168-173;

1987. (HRSA publication ; no. HRS-A-PE 86-1).

Langtage.' English

Desciptors.' New Mexico; American indians; Communities; Community health services; Vital statistics; Data collection; Information services

118 NAL Call No: RC660-A1D53

Workshop report Prevention and early treatment

of NIDDM.

Wilson, R.; Hortoo, E.

Alexandria, Va. : American Diabetes Association.

Diabetes care v. 16 (1): p.376-377; 1993 Jan. Paper

presented at conference, "Diabetes in Native

Ameericans," November L4-17, 1989, Mesa,

Arizona.

Language.' English

Descripton.' Diabetes mellitus; Health programs;

American indians

Absffact: Critical scientific and practical questions

are whether it is possible to prevent NIDDM and

27
Quick Bibliography Series

whether early treatmdnt of diabetes is effective.

There are three potential strategies that may

retard the develbpment of prevention of MDDM

and which are also of importance in the early

treatment of NIDDM, control of obesity,

preservation of insulin action, and preservation of

i6ulin secretion" The panel stressed _the impact

of exercise both on the control of obesity and the

preservation of issrrlin action. A structured exercise program such as that conducted in the Z;.trrr

community can be made available to an entire

community. The importance of community involvement in establishing nad suslaining such programs, and the importance of using sound

principles of effective behavior modification were

recognized.

ican population and

nature of premature

underscores the preventable

loss of life.

119 NAL Call No: 151.65 P96

Years of potential life lost among a Native Arnerican population.

Mahoney, M.C.; Michalek, A.M.; Cummings,

K.M.; Hanley, J.; Snyder, R.L.

Washington, D.C. : Public Health Service.

Public health reports v. 104 (3): p. T79-735;1989

May. Includes references.

Language.' English

Desciptors.' New York; American indians; Mortalicy; Risks; Health

Abstract: The determination of years of potential

life lost (YPLL) can aid in monitoring changes in

premature mortality among various population

groups. While premature mortality has been shown

to differ among blacks and whites, patterns of

Y?LL have not been well established among other

racial groups. The Seneca Nation of Indians (SM)

is a Native American group residing primarily in

western New York State (I.[YS). A review of SNI

necrology records revealed that 55 percent (510 of

92$ of. the deaths between 1955 and 1984 occurred

before 65 years of age. The proportion of premature deaths among males exceeded the proportion

in females. SNI males demonstrated an increased

risk of premature death (odds ratio = 1.43) relative to SNI females. Both the percentage of premature deaths and the number of Y?LL per death

Were greater among SM members compared with

NYS residents. Almost one-half of all YPLL

amorg the SM were attributable to accidents and

injuries. Heart disease, digestive diseases, and

malignant neoplasms also represented important

contributors to YPLL for both SNI males and

females. This investigation identifies important

causes of premature death among a Native Amer28
(William Andrew), 72

Ab_e, Thomas A. 16

Ackman, R.G. 76

Acton, K 98

Archer, W. Andrew 72

Bachman-Carter, trC 30

Backinger, Cathy 87

Baer, Linda 68

f|2nmen, KA. 2

Beauregard" Karen 1

Becker, T.M. 31

Bennett, P.H. 14, 18, ?5, 42, 88

Berg, Lawrence E. 54

Bergeisen, L. 4

Bertorelli, A.M. 82

Blum, R.W. 4

Bogardus, C. 88

Bothwell. E. 99

Boyce, V.L. LL4

Boyko, EJ. 29

Brosseau, J.D. 6I

Brosseaq James D. 16

Broussar4 BA. 12

Bruerd, B. 99, L07

Bruerd, Bonnie 87

Buck, G.M. 8

Buehler, J.W. 6

Bulkow, L.R. 29, 32, 96

Burns, T.R. 66

California, WIC Supplemental Food Section 55

Campbell, G. 98

Carter, J.S. 31,

Center for General Health Services Intramural

Research (U.S.) l, 52, 90, 94

Chelimsky, Eleanor 34

Chen, Martin K. 54

Clay, JA. 103

Compton, John H. ILz

Cornelius, Llewellyn Joseph, 1

Cowan, L.D. 100

Cowie, C. 103

Crawford, Andrea C. 16

Cull, Scott R. ILz

Cummings, KM. 119

Qrrnningfoam, Peter J. L, 52

D'Angelo, AJ. 67

Daniels, TJ. 110

Davis, S.M. 60

Deapen, R.E. 39

DeStefano, F. 35

Deuschle, KW. 11

Dever, D. 43

DeWitt, Dana 68

Diemand, L.M. 37

Dodd, J.M. 115

Eaton, CA. 76

edM

Eddy, P. ffi

Eelkema Robert C. L6

Eller, J.D. 95

Everhart, J.E. 42

Fabsita R.R. 100

Farrell" MA. 95

Fisher, J.R. 40

Frank, C. 30

Freeman, W. 97

Freeman, W.L. L3, 36, 59

Freni-Titulaer, L. 43

Frohlich, K.L. 33

Garcia Coll, C.T. 15

German, R.R. 35

Gila River Indian Community (Arizona : Association) 92

Gilbert, T.J. 106

Gipp, Bertha 108

Gohdes, D. L3, L7, 24, ?5, 97, 98

Gohdes, D.M. 22,, ?3

Grossman, L. 89

Groziak, S.M. 37

Hall, T.R. 69

Hanley, J. 119

Harmon, B. 4

Harris, L. 4

Harris, M.B. 81

Hart, L.G. L02

Heath, G.W. 7

Helgerson, S. 70

Helgerson, S.D. 97

Hembekides, Ruth 2'1,, 57

Henrichs, James R. 72

Hickey, M.E. 69

Hogue, C.J.R. 6

Holcomb, Barbara 87

Hollevoet, J.J. 33

Horton, E. 118

Hosey, G.M. 13

Howard, B.V. 20, 100

Huete, N. 43

Hunt, K. 60

Hurlburt, W.B. 67

Jackson, M.Y. 12, 80, 83

Jamison, Paul L., 4

Johnson, Ayah E. 94

Johnson, C. 98

Johnson, L.G. 27

Jorge, N. 48

Author Index

29
Quick Bibliography Series

Justice, J. 13

Kaufman, S. 24, 97

Kennedy, R.D. 39

Kenny, S. 48

Key, C.R. 31

Kinney, M.B. 99

Kinney, Mary Beth 87

Kitzes, J.M. 60

Knowler, W.C. 14, 18, L9, 42

Koehler, ICM. 81.

Kozoll, R. 63, II7

Kuller, L.H. 26

LaDue, Robin A. 7L

Lanisl, 4.P. 29, 32, 96

Larson, E.H. 102

Lauber. C. Z

Le, NA. 100

Lee, E.T. 48, 100

Lefkowitz, Doris Cadigan 90

Leonard, B.E. 7

Leonard, T.trC L04

Lillioja S. 88

Livingston, R.C. 30

London, Virginia 54

Mahoney, M.C. 8, 119

Marfin, A.M. 70

Martinez, C.B. 7A

Masis, K.B. 9

Mason, R.D. 66

Mason, W.B. 30

May, PA. 9, 46

Mazur, M. 79

McBean, L.D. 38

McShane, D. 5

Michalek, A.M. 8, 119

Miller, WA. Z

Miner, ICM. 95

Mohs, M.E. 104

Molofsky, Anne J. 49

Morgan, Helen 47

Mosey, G.M. 36

Muneta, B. 35

Murphy, MA. 43

Murphy, N.J. 29, 32, 96

National Heart, Lung, and Blood Institute, National Institutes of Health (U.S.) 111

National Indian Health Board ILz

Native American Maternal and Child Health

Project 93

Native American Maternal and Child Health Projecr (N.D.) 108

Nelson, J.R. 115

Nelson, R.G. 14, 18, 105

Newman, J.M. 35

Newman, W.P. 33

Oopik, A.J. 100

Owle, PA. 95

Papago Nutrition Improvement Program (Seilst

Ariz.) 85, 86

Percy, CA. 106

Peter, D.G. 106

Pettitt, D.J. 14, 18, 19, 42

Phillips, M.G. 5t

Powell, E.J. 8

Qualtere-Burcher, P. 2

Quiggins, PA. 95

Raichelson, R.M. t0

Randels, Sandra P. 7L

Rarrussin. E. 113

Resnick, M.D. 4

Rhoades, E.R. 66, 67

Rhyne, R.L. IL7

Rith-Najarian, S.J. 22

Rockow, J.P. 2

Rogers, B. 98

Rosenblatt, RA. L02

Russell, D. 48

Saad, M.F. 14, 18

Samet, J.M. 3L

Savage, P.J. 100

Schakel, S.F. 105

Schraer, C.D. 29, 32, 96

Schur, Claudia L. 52

Seekins, T. 103

Shelton, JA. 8

Sievers, M.L. 40

Sippel, J. 13

Smith. C.J. 105

Smith, D.J. 115

Smith, E.M. 66

Smith, J. 7,70

Snyder, R.L. 119

Special Supplemental Food Program for Women,

Infants, and Children (U.S.),United Tribes Educational Technical Center (Bismarck,

N.D.) 84

Stahn, R.M. I7

Stewart, B. lL1

Stracqualursi, F. 13

Strauss, K. 27, ?3

Strauss, L.T. 6

Streissguth, Ann Pykowicz 7L

Stubbs, P.E. 51

Suan, L.V. 75

Sugarman, J.R. 106

Swanson Center for Nutrition, United States, Indian Health Service, National Diabetes Information Clearinghouse (U.S.) 9L

30
Author Index

' Swinburn, BA. LL4

Taylor, Amy trC 94

Train, Percy 72

Tyler, J.D. 75

Underwood, Carol 90

United States, Food and Nutrition Service 49

United States, General Accounting Office, United

States, Congress, House, Select Committee on

Agng 34

United States, Indian Health Service 45, 50

United States. Congress. House. Committee on

Interior and Insular Affairs 74

United States. Congress. House. Select Committee on Agng 73

United States. Congress. House. Select Committee on Children, Youth, and Families 77

United States. Congress. House. Select Committee on Hunger 58, 109

United States. Congress. Senate. Select Committee on Indian Affairs 64, 65

University of North Dakot4 Center for Rural

Health Services, Policy, and Research, Universiry of North Dakota, Rural Health Research

Center 10L

University of Washington, Dept. of Psychiatry and

Behavioral Sciences, University of Washington,

Chil d Development and Mental Retardation

Center, Universiry of Washington, Alcoholism

and Drug Abuse Institute, United States, Indian Health Service 7l

Valway. S. 24, 97

Valway, S.E. L7, 22, 35

Vanlandingbam, M.J. 6

Walkingstick, E.S. 95

Watson, R.R. 104

Weber, P. 43

Weibel-Orlando, J.C. 4L

Welty, T. 97

Welty, T.IC 43, 53, 100

Wiggins, C.L. 31

Wilson, R. 70, 118

Wilson, R.H. 7

Winkelna& M. 78

Yeh, J. 100

Yu, M.L. 48

Zack, M.M. 43

Zawadzf<r, J.IC 113 \

3r
32
Abuse 4

Achievement tests 13

Acquired immune deficiency syndrome 2

Adolescents 2, 4, 5, 60

Adopted children 5

Adults 7

Afro-American aged 73

Age 8

Age differences 2" I02, LM

Age factors 16

Aged 73

Alaska 3, 6, U, 29, 32, 4, 54, 76,79,80, 83, 96,

r07

Alb'tmins 10

Alcohol use 54,,77

Alcoholic beverages 9, 45, 46

Alcoholism 4t, 66

Aleuts 3, 3

American indians 2, 4,, 6-?3, 30-33 35-43,45-51,

53, 55-57, 59-63, 66, 67, 69, 70, 75,78, 79, 8L89, 9L-93, 95, 97-L00, 102, 103, 105-L08, 1l.0,

113-119

Anthropometric di-ensions L06

Anthropometry 4

Arizona 2, 6, 9, L4, 18, 19,, 42, 43, 69, 88, 92,

105-107, 110, 113, 114

Asians L5, 37,38, 82, 89

Attitudes 2, 4

Baby foods 57

Beef 11.6

Behavior change 81

Behavior modification 85, 86

Beliefs 15

Birth 8

Bhth control 108

Birth weight 6, 8

Bites 110

Blacks 2, 8, 15, 37,38, 82, 89, L02

Blood plasma 20, 88

Blood pressure 43

Blood serum 42, L06

Blood sugar 7, Q

Body weight 7, Q

Bootle feeding 87

Botany, Medical 72

Bottle feeding 87,99

Boturism 57, 57

Breast feeding 85, 86

California 78

Canada 46

Canned meat 116

Cardiovascular diseases 53, 81, 100

Case reports 79

Chewing tobacco 107

Child care t5

Child development 15

Child feeding 99

Children 5,99

Cholesterol 106

Circulatory disorders 50

Classification 39

College students 75

Commodities 56

Communities LI7

Communiry development 59

Community health services 9, 59, 67, lI7

Community programs 7

Complications 17,22, 32,36,95, 98

Computer software 78

Conferences 25

Congresses L1,L, 1-l,L, LLz

Consumer education 50, 55, 57

Consumption M

Coumarins 10

Cultural differentiation 46,, Lls

Cultural heritage 115

Cultural influences 12, 38,63, 8L, 89

Cultural integration 11

Cultural sociology 15

Cultural values 11

Curriculum guides 81

Dakota Indians 109

Data collection lI7

Demography 75

Demonstrations 60

Dental caries 51, 99

Dental caries in children 87

Dental health 55

Diabetes 12, 17, L8, 20-?3, 3L, 32, 3+36, 38, 45,

48, 50, 53, 6L, 70, 78,'79, 82, 91, 92,95-98, 100,

10+106, Lr3, LL6

Diabetes mellitus 7, L3, L4, L6, 19, 29, 30, 33,

42, 69,88, 114, 11.8

Diabetes treatment 2I

Diabetic diets 9I

Diagnosis 100

Diarrhea 86

Diet 79,9L, 104, 1,05, LL4, LL6

Diet counseling 82

Diet therapy 45, 9"1.

Dietary factors 38

Dietary tat 116

Dietary guidelines 2I, 56, 9L

Dietary surveys 105

Diets 45, 76

Disease prevalence 82

Subject Index

33
Disease prevention 2, 9, 26, 66, 99

Disease surveys 100

Diseases q, 54, 5'7

Docosenoic acid 76

Dog control 110

Drinking behavior 41,

Drinking water 43

Drug use 77

Duration 42

Eating habits 37, 55

Eating patterns 79, 82" 105, 1L6

Education 8

Educational programs B, 51, 66

Elderly 62

Elementary education 81

Energy metabolism 113

Environmental factors 19, 40

Epidemiological surveys 4, 8

Epidemiology 6, 16, 46

Eskimos 3, 4, 67, 76

Ethanol 104

Ethnic foods 105

Ethnic groups 4, 5, 8, 3L, 46,75, 80, 102

Ethnicity 8,37,79, 82

Ethnobotany 72, 78

Exercise 7

Familial incidence 19

Families 115

Family counseling 9

Family planning 108

Family structure 15

Fat products 76

Federal aid to alcoholism programs 77

Federal aid to community development 77

Federal aid to community mental health services 73, 74

Federal aid to drug abuse treatment

programs 77

Federal programs 49, 66

Feeding behavior 80

Feet 50

Fetal alcohol syndrome 9, 6, 66,7L

Flipcharts 87

Food 9L

Food beliefs Lz

Food consumption 10

Food costs 49

Food distribution programs 116

Food habits 81

Food intake 38, 81

Food preferences 81, 105

Food preparation- 56, 105

Food relief 49, L09

Quick Bibliography Series

Foster children 5

Gall bladder diseases 53

Generations 19

Genetic correlation 40

Genetic factors 104

Genetic markers 19

Geographical distribution 4

Glucose 113

Glucose tolerance 88

Guidelines 4'7

Handbooks, manuals, etc 9L

Handicapped persons 103, 115

Health 4, 15,38, 60, 76, 83, LLg

Health and hygiene 3, 4,54, 58, L09,, II2

Health beliefs L2,89

Health care 15, 59, 63, 84, 89, 92,93, L02, L03,

108

Health centers 102

Health education 47, 85, 86

Health hazards 10, 107

Health programs 33, 66, 70, 99, 115, L18

Health promotion 49

Health services L1., 51, 62, I03

Heart 54

Heat production 113

Hereditary factors 16

High density lipoprotein 106

Hispanic American aged 73

Hispanics 2, L5, 3'1, 37,, 38, 81, 82, 89

History 79, 83, 105

Honey 57, 57

Hospitals L02

Hospitals, Rural 10L

Human behavior 4

Human immunodeficiency virus 2

Hunger 58

Hypercholesterolemia 53

Hypertension 38, 43, 53, 56, 111.

Idaho L3,36

Incidence 22, 25,27-30, 32,36, 42, 6L,88, 95-98

Independent study 84

Indians of North America L, 3, 49, 52, 54, 58,

&, 65, 68,71-74, 77, 90, 9L,94, 10L, L09, 11L,

LLz

Infant feeding 57, 86

Infant mortality 6,39, L02

Infants 5, 8, 15, 5L, 55, 57, 68, 87, 99

Infections 53

Influences 15

Information services LI7

Instructional materials 84

Insulin 42,, 69, 88

Insurance, Health 52

34
Intake L04

Inuit 29,79, 96

Kidney diseases 53

Knowledge 2

Ifuowledge level 13

Law 115

Learning activities 84

Lesson plans U

Life style 62

Lifestyle L9, 79

Lipoproteins 20

Literature reviews 14, 15, 53, L07

Liver 88

Longitudinal studies 42, 88, 100

Low birth weight infants I02

Low density tipoprotein 106

Marriage 102

Materia medica, Vegetable 72

Maternal-fetal exchange 46

Meat qualiry 116

Medical care 111

Medical care surveys L, 52, 94

Nutrition education L2, L3,, 49, 70,8L, 82, 84, 85,

86

Nutrition information 93

Nutritional aspects 91

Nutritional assessment 37

Nutritional state 83

Nutritional surveys 80

Nutritional value 49

Obesity L8, 1.9, 38,, 42, 53,82, 1,04, 1.05, 1.13

Obstetrics L02

Oklahoma 39, 47, 48

Oregon L3,36

Osteoporosis 38

Pancreas 88

Parent child relationships 15

Parent education 87

Parents 15

Partnerships 115

Pathogenesis 14, 88

Patient care 50

Patient compliance 7

Patient education 9L. 92

Subject Index

Medical treatment 8 Performance 4

Medicinal plants 78 Pigmeat 116

Medicine 72 Pneumonia 54

Men 7,29, 42,70, 100, L06 Polymorphism 10

Mental disorders 5 Popular works 21, 45, 47, 50,55, 56, 57, 9t, 92,

Mental health 4, 5,73, 75 93, 108

Mental health services 73 Population 44

Metabolic studies 88 Pregnancy 8, 9, 18, 30, 53, 96

Metabolism 79 Pregnancy and nutrition 84

Minnesota 22 Pregnant women 85,86,92

Minorities 15, 34 Prenatal education 93

I t. .. t

rvrmonry ageq t'J Prenatal period 102

Mississippi 27 Preschool children t5

Montana 6, 98, 103, 107 Prevention 87

Morbidity 100 Program development 9, L3, 60

Mortality 2, 8,31, 35, 48, 53, 63, 66, 100, 119 Program evaluation 9, L3, 49, 67,70, 99

Mother-child relations 85, 86 Public agencies 66

Mothers 8 Public health 11, 80, lL}, ll2

National surveys 6, 73 Public services 60

Nebraska L7, 91, L07 Questionnaires 75

Nevada 72 Races 39, 104

New Mexico 6,7, 3t,60, 70, 8L, 107, 110, 117 Racial composition L6

New York 8, 28, 119 Racial differences 16

North Carolina 95 Reading L3

North Dakota 6, 16, 17,33,58, 75, 93, 108, 109 Reducing diets 45

Nova Scotia 76 Reference materials 85, 86

Nursing bottle syndrome 99 Reference works 49

Nutrient content 105 Regional surveys 103

Nutrient databanks 105 Research 111

Nutrient intake 38, 43 Reservations 49

Nutrition 3, 38, 49, 58, 76, 84 Reserved areas 103

35
Quick Bibliography Series

Resource materials L3 Wyoming 98

Reviews 40

Risk 4, 19, 100, 102, 105

Risks 37, 38,,10, 57, 119

Rural areas 62" L02

R'ral se66nnigiss 103

Rural environ-ent 63

Rural health services 101

Rural population 4L

Rural youth 60

School children L07

Schools 4

Seals 76

Semal behavior 4

Social conditions 77

Sociocultural patterns 16

Socioeconomic status 15

$sdium 43

South Dakota 6,, L7, 107, 109

Standing Rock Indian Reservation (N.D. and

s.D.) 10e

Statistical data 110

Study and teaching 49

Substance abuse 4

Sugar -t5

Supplemental feeding programs 49

Suneys 106

Symptoms 21

Teaching materiais 13, 87

Teams 70

Tooth diseases 87

Trauma 1

Trends ?3, 24,46, 83

Triacylglycerols 106

Tribal societies 104

Tribal society 19, 103

u.sA. 5, 10-12" L5, 20, ?3, 24,30, 35, 38, 40, 41,

16,, 49,51, 61-63, 66, 80, 82, 89, 97,,99,104, 1L5

United States 49, 73, 77, 109, lLL,, l]-z

Urban areas L02

Urban population 4L

Usda 116

utah 110

Values 75

Vital statistics lL7

Vocational education 84

YTs5hington L3,36, 59, L01 107

Weight control 7, 45

Weight gain 69

Weight losses 7,70

WIC proglam 84

Wild plants 78

Women 7, 8, 29, 42, 16,70, 100, 106

36