American Communities

African American Communities

Bill J. Releford, DPM; Stanley K. Frencher, Jr., MD, MPH; Antronette K. Yancey, MD, MPH Promoting health and preventing illness among African American men, who die disproportionately from preventable diseases, is a challenging health disparity that has seen limited progress. However, focusing our efforts in places outside of traditional clinical and community settings such as the barbershop has...

Alcohol Control Policy and Native American Communities

Preventing Diabetes in American Indian Communities

D iabetes incidence can be reduced by lifestyle interventions aimed at weight loss, diet change, and increased physical activity, according to several randomized clinical trials (RCTs) (1–5). Similarly, diabetes incidence rates were reduced in RCTs of metformin, acarbose, troglitazone, rosiglitazone, and pioglitazone (1,4,6–9). These RCTs enrolled nondiabetic adults who were at high risk of dev...

Health ownership in American indigenous communities.

INTRODUCTION Although the Indian Health Service (IHS) has adequately stifled acute infectious diseases that once devastated American Indian and Alaska Native (AIAN) communities, this system of health provision has become obsolete in the face of chronically debilitating illnesses. Presently, AIAN communities suffer disproportionally from chronic diseases that demand adequate, long-term health ma...

Stress burden and diabetes in two American Indian reservation communities.

OBJECTIVE To examine the association between psychosocial stress and diabetes in two American Indian reservation communities (Northern Plains and Southwest). RESEARCH DESIGN AND METHODS The American Indian Services Utilization, Psychiatric Epidemiology, Risk and Protective Factors Project (AI-SUPERPFP), a cross-sectional probability sample survey, interviewed 3,084 randomly selected members o...