TRADITIONALISM AND ITS RELATIONSHIP TO DISEASE RISK AND PROTECTIVE BEHAVIORS OF WOMEN LIVING ON THE HOPI RESERVATION

Kathryn Coe · Agnes Attakai · Mary R. Papenfuss · Anna R. Giuliano · Lorencita Martin · Leon Nuvayestewa

45 citations0/0 files storedHealth Care For Women International

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Indigenous Health, Education, and Rights Indigenous Cultures and History Indigenous Health and Education

Abstract

The fundamental aim of this study was to identify factors crucial for the development of effective cancer prevention programs for American Indian (AI) populations. Toward that end, we developed an instrument to assess the influence of traditionalism on health risks such as smoking, consumption, and obesity. A population-based survey was conducted among 559 randomly selected women living on the Hopi reservation aged 18 years and older, from July through December 1993. To construct a traditionalism score, we conducted focus groups in the community. A multidimensional approach was adopted by assessing three dimensions of native culture: language usage; cultural participation, or participation in such activities as Hopi ceremonies; and percentage of life spent off-reservation. A mean score of the three dimensions was computed for each respondent. High levels of traditionalism were significantly associated with disease protective behaviors, such as practicing traditional Hopi activities to keep healthy (OR = 3.07), and significantly inversely associated with disease risk factors such as smoking (OR = 0.26) and obesity (OR = 0.60) independent of age, marital status, and education. As these data provide a strong rationale for the promotion of traditions in public health programs aimed at decreasing rates of chronic disease among AI women, we conclude this paper with a discussion of the importance of traditionalism and how it might be accurately assessed.

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References

1980An Acculturation Scale for Mexican American Normal and Clinical Populations.1982COMPARISON OF SELF-REPORTED AND MEASURED HEIGHT AND WEIGHT 2000Use of Traditional Health Practices Among Native Americans in a Primary Care Setting 1998Use of Native American Healers Among Native American Patients in an Urban Native American Health Center 2002Perspectives on American Indian Health 2003Infectious Disease Hospitalizations Among American Indian and Alaska Native Infants

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2004TAKING CARE OF SELF: HEALTH CARE DECISION MAKING OF AMERICAN INDIAN WOMEN 2008Development of the American Indian Enculturation Scale to Assist Counseling Practice 2006CONSTRUCTING A HEALTH AND SOCIAL INDICATOR FRAMEWORK FOR INDIGENOUS COMMUNITY HEALTH RESEARCH 2017Apathy and Type 2 Diabetes among American Indians: Exploring the Protective Effects of Traditional Cultural Involvement 2025Language improves health and wellbeing in Indigenous communities: A scoping review 2022“At risk” languages and the road to recovery: a case from the Yukon

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