Learning Center
Plans & pricing Sign in
Sign Out

Native American Health Care.pdf


            January1980- January1gg3

            Quick BibliographySeries: QB 93-40

            119 citationsin Englishfrom AGRICOLA

            PatriciaLa CailleJohn
            RuralInformation Center


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

John, PatriciaI-a Caille
   Native American health care.
   (Quick bibliographyseries; 93-a0)
   1. Indiansof North Anerica--Health and hygiene-Bibliography. I. Title.
aZ,5071.N3 no.93-40
Natioel Agrioilrural Ubrary
U.S. Dcpertmcnr of Agriorlture
Bcltsville, Maryland 2O7O5

The Rural Infomation Center (RIC) is a joint project of the Extension Service and the National
Agricultural Library (NAL). RIC provides information and referral services to local governmenl
-offi9rals, community organizationq-health professionals and organizations, cooperativel, libraries,
businesseg and rural citizens working to maintain the "itality of America's nrral areas. The Center
combines the technicaf nrbject-matter expertise of Extension's nationwide educational network witb
the information speciatistsand resources of the world's foremost agriarlturat library.

The OfEce of Rural Health Policy in the Deparrnent of Health and Human Services(DHHS) and
th_elIAL jqiotly created a Rural Information Center Health Service (RICHS) as part of the-Rlc.
RICHS collects and dissgminsfg5information on nrral bealth issues,'researchfinlfings related to
rural healtb, and innovative approachesto tbe delivery of rural heaith czueservices.


Provide customized information products to specific inquiries including assistancein economic
revit^li-ation issues; local governm€trt planning projects; rural health issues;funding sources; and
other related iszuesfor the purpose of m-onitoringthe quality of nrral life.

Process a broad arfiry of general and funding information requests on zuch topics as:
    o Successfulstrategicg mode\ and casc studies of cormmunitydcvelopment projccts
    r Small business attraction, retention, and cxpansion
    o Tourism promotion and development
    o Recycling programs
    o Cornmrrnitywater quality
    o Technolog transfer to rural areas
    r Closureq restructuring and dirrersification of nrral hospital and clinics
    o furiarltural bealth and safety
    o Health programs, serviceg personnel issues
    o State initiatives concerning rural health delivery issues

Refer usersto organi-atioui or expertsin the field who can provide additional information-
Perform brief databasesearcbesof requested topics on a complimentary basis.
Furnish bibliographies and Rural Informatiol Center hrblication Seriestitles.
Identi$ current USDA and DHHS researchand Cooperative Extension Systemsprograrns.

*Telephone                        f -800{33-7 70l (na tionwide) or f -30 f -504-S 547
*Mail                             Rural Information Center
                                  National Agricultural Library, Room 304
                                  Beltwille, MD 20705-?351

'ElectronicMail throughINTERNET (RIC@NALUSDAGOV)
'NAL BulletinBoard(RIC/RICHS           1-301-504-6510
Quick BibliographySeries

 t'-   t
            LlnitedStates                National                 fublic Services         Beltsville,
 r.g!i'     Departrnent
                       of                Agricultural
                                                                  Dvision                 20705

                           Senrices Individuals
           DocumentElelivery      to
           The National
                      Agricultural    (NAL)supplies
                                Library                     material's foundelsewhere other
                                                  agricultural      not             to
           Fillingrequests materials
                             for         readily         fromoher sources
                                                 available                                       and
                                                                          diverFNAL'sresources diminis
           its abilityto serveas a national source agricultural agricr.rlturally
                                                    for           and           related materials.Therefore,
           is viewedas a library lastresort Submitrequests to localor stiate
                                  of                            first            librarysourcespriorto sendi
           to NAL In the UnitedStates,    possible                         lan&grantuniversity otherlargt
                                                    sources publiclibraries,
                                                           are                                 or
           research   libraries                               submitrequests
                               withina state. In othercountries             frroughmajoruniversity, nationa
           provincial  institutions.
           lf the neededpublications not available
                                   are                           submitrequests NALwitha staten
                                                 fromthesesoutces,            to
           indicatingtheirnoravailability.    onerequest
                                         Submit                                               bt
                                                        perpagefollowing instructions libraries
                                                                       the          for

                                  NAL's Document            Informetionfor theLibrery
                                                yourlibrarian obtaining required
                      information provided assist
           Thefollowing         is       to                 in        the
           Loan Service- Materials NAL'scollection loaned
                                 in              are                                Requests lt
                                                           onlyto otherU.S.libraries.      for
                                    academic, special
                                             or      libraries.
           The followingmaterials not available loan:serials(except
                                are           for                                            and
           reserue books;microforms; proceedings conferences symposia.Photocopy microform
                                    and           of           or                   or         o
                         publications be purchased described
           non-circrlating          may             as         below.
           DocumentDeliveryService- Photocopies articles available a fee. Makerequests
                                                        of       are         for                        throu
           localpublic, academic, special
                                 or                 The library submit separate
                                           libraries.           will       a         interlibrary formfo
           eacharticleor itemrequested.lf the citation ftom an NALdatabase
                                                       is                     (CAIN/AGRICOI-A,     Bibliograp
            Agricufture, the NALCatalog) the callnumber given, thatcallnumber the proper
                       or                 and                 is       put                 in            blocl
           thL request form.Willingness paycharges
                                       to              mustbe indicated theform. Include
                                                                        on                    compliance  witl
                                                           "research purposesonly''on the interlibrary fol
           copyright or a statement the article for
                     law              that           is
           letter. Reguests cannotbe processed  without  hese statements.
            . Photocopy,                                    -
                          hardcopyof microfilm microfiche $5.00for the first 10 pagesor fraction
                                               and                                                copie
              a singlearticleor publication.
                                           $3.00for eachadditional 10 pagesor faction.
            . Duplication NAL-owned
                         of                     -       per
                                        microfilm $10.00 reel.
            . Duplication NAL-owned
                         of                       -                                                 fic
                                        microfiche $ 5.00for the firstficheand $ .50for eachadditional

           Billing- Chargesincludepostage handling, aresubject change.Invoices issued
                                         and         and          to             are
           quarterty thi National
                  ' by                             Service(NTIS),
                                TechniialInformation             5285_P_ott
           22161. gitaOtishing deposit
                              a       accountwith NTISis encouraged. DO NOTSEND PREPAYMENI
           Send Requeststo:
                                             USDA,National            Library
                                             Documsnt  Dclivery              6th
                                                                      Brarrcb Fl.
                                             10301Baltimore Blvd, NAL Bldg.
                                             Bcltwillc,Marylan 207 -235
                                                              d    05   |

           Contact Hea4Documcnt
                thc          Dclivcry      Branch writingorby calling
                                    Scrviccs    in                      504-5755 qucstions
                                                                    (301)      with
           commcnts about this policY.

ilAL       rrdotf,gtcrxurtth.'T
                                                            - Over -                            DDSB/F-CISSSS(s/e2)
ELECTRONTC                      LOAN(rLL)REQUESTS
The NationalAgricultural Library(NAL),DocumentDeliveryServicesBranchacceptsILL requestsfrom
librariesvia severalelectronicservices. All requestsmust complywith estiablished   routingand refenal
policiesand procedures.The transmitting   librarywill pay all fees incuned duringthe creationof requests
and communication   with NAL. A sampleformatfor ILL requestsis printedbelow along with a list of the
ELECTROMC IUAIL - (Srnple form bdow)

     SYSTEM                        ADDRESSCODE

     IN]ERNET                        LENDINGBR@ASRRARSUSDA.GOV
     EASY-LINK.............        .6203t265
     ONT144E                       . NAI/LB
     TW)VTELDC.........            . Numberis 710-828-0506 NAL LEND. This numbermay only bc nssdfor
                                      ILL rcqucsts.
     FTS2OOO.                     .. AIzNALLEI{D
     OCLC                     .......NAL's gmbol AGL rccd only bc cntcredoncc,but it mustbs thc lastcntry
                                                                from USDA andFedcrallibraricsmay contain
                                     in thc Lcndcrstring Rcqucsts
                                     AGL anywhcrein thc kndcr String.
                                  sArvrPLE ELECTROMC lr{AIL REQI}EST

TELEFACSIMILE     - Tetephone                                      via
                            number 301-504-5675. accepts requests telefacsimile.
                                 is            NAL        ILL
Requests  shouldbe created standard formsand then
                          on       ILL                                               via
                                                 faxedto NAL. NALdoesnot fill requests
Fax at this time.
1.    Bonowe/saddress   mustbe in blockformatwiilr at leasttwo blanklinesaboveand belowso formmay
      be usedin windowenvelopes.
2.    Providecomplete citation                    etc.
3.    Provideauthor2ing          name(request be rejected not included).
                        official's            will           if
4.    Includestatement copyright
                       of          complianceif applicable.
5.    Indicatewillingness payapplicable
                        to              charges.
6.    Include                if
             NALcallnumber available.
Contact Document                                           information required.
                             Branch (301)50+6503if additional
               Delivery           at                                 is
                                               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

                   Arizonameets rooamarketing
                              Jrt           challenge.                               I                                 I
                   ildorrison, B. Denver,
                             S.         Colo.: American    "I
                                                      School                             service           s"u*l foodservice
htblicuion         journal Sep,t
                               1987.y.4L(8). p.4tl-50. ilL (NALCall No.: DNe€9.8.ffi),
                                                \          \
                                                        ^)*,    Pages                                NAL Clt Number

                                    Title                                                              htblisher           Date
                   Exploring *"..lls        in dieteticsand nutrition /byJune Kozak tr(ane.
..4ur/tor |,^-^f-.-^|,^-^|.rT^--.\.-'^-t-.n--------=.
                   'Kane,June Kozak. New York : Rosenrub.
                                                          ffi                      , Lg87 Includesindoc xii,
                                                                                        .                               lL;
                                                                                                                   ti o.:
Place of
htblication        22 cm- Bibliographf p. 126.(NAL Call No.: DNAL\RM218.I36 1987).

                                                                                     NAL Call Number               ,"!^,'.
                                                                                                                   of Pages

                                                        Place of
                            Title                       rufsuon
                                                        Publication       Publisher             Date
                                                                               |                 |
                   AII aboard the nutri-trai ". /                                                /
                                                    /                     l                     l
                          qEthia. Richmond, Va. : Richmondpublic schools,1981. NET funded. Activity
Media Format                                                          I
                   packetprepared by Qrnthia Mayo. 1 videocassette                             tja, tol_t # h-*      aaivity
                   packet. (NAL Call No.: DNAL FNC.TX364A425E4N aY

                                                                 NAL Call Number                     Desciption
                                                                                                     (soun4 color, sizz)
                          NATTVEAMERICANI HEALTH CARE


1.   exssausa/user

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

3.   ss(healthor medicalor disease? mortalityor alcohol?or diabetes diabetic?
                                  or                              or         or
     hypertension AIDS or acquired0immune)/ti,de,eng

4.   sss1 and s2 and s3

Quick Bibliography Series
                              NATTVE AMERICAN HEALTH CARE

 1               NAL Call No: RA40E.I49A25      1991.     S.l. : s.n., L976-I987.
 Accessto health care findings from the Survey            I74 v.: i l l . ; 30 cm.
 of American Indians and Alaska Natives.
 Beauregard,Karen; Cunningham,Peter J.; Cor-              Language.' English
 nelius, Llewellyn Joseph,                                Desciptons.' Indians of North America; Nutrition;
 Center for General Health ServicesIntramural             Indians of North America; Health and hygiene; Es-
 Research(U.S.)                                           kimos; Alaska; Nutrition; Eskimos; Alaska; Health
 Rockville,MD : U.S. Dept. of Health and Human            and hygiene; Aleuts; Nutrition; Aleuts; Health and
 Services, PublicHealth Service,Agencyfor Health          hygiene
 Care Policy and Research,.
 15 p. ; 28 cm. (AHCPR pub ; no. 9L-0028;        Re-     Abstract: A collection of pamphlets, leaflets, slides
 search fiodiogs (Rockville, Md.) ; 9.). Title from      and posters on the nutrition and health of Ameri-
 cover. July 19L. Includesbibliographical     refer-     can Indians and Alaska natives. issued by varions
 ences(p. 1+15).                                         agencies.

 Langunge.'                                                4                      NAL Call No: 4/,8.9 A1\437
 Descriptors.'Indians of North America; Medical            American Indian-Alaska native youth health.
                                                           Blum, R.W.; Harmon, B.; Harris, L.; Bergeisen,L.;
 c:lre surveys
                                                           Resnick, M.D.
                                                         . Chicago, Ill. : The Association.
 2                    NAL Call No: RA771-A1J68
 AIDS knowledge   and attitudesamongadolescents            JAMA : Journal of the American Medical Associ-
 in the nrral southwest.                                   ation v.267 (12): p. I637-L64; L992 Mar25. In-
 Miller, WA.; Qualtere-Burcher, Lauber, C.i
                                  P.;                      cludes references.
 Rockow,J.P.;BaumsnrKA.                                   Lcngtage.' English
 KansasCiry, Mo. : National Rural Health Associ-
 ation.                                                   Descriptors.' Health; Adolescents; American indi-
 The Journal of rural health v. 6 (3): p. 246-254;        ans; Risk; Human behavior; Schools; Attitudes;
 1990Jul. Includesreferences.                             Performance; Trauma; Abuse; Mental health;
                                                          Sexual behavior; Substance abuse; Geographical
Language.'                                                distribution; Ethnic groups; Epidemiological sur-
                                           At-            veys
 D esciptors.'                  Ifu
             Arizona;Adolescents; owledge;
 titudes; Acquired immune deficiencysyndrome;
                                                          5                     NAL Call No: RI499.A1J57
 Blacks; American indians;Hispanics;Age differ-
                                                          An analysis of mental health research with Amer'
 ences;Diseaseprevention;Mortality; Human im-
 munodeficiency  virus                                    ican Indian youth.
                                                          McShane, D.
  Abstact: A survey of adolescents     living in nral     London : Academic Press.
  southwestern  townsdemonstrated    their knowledge      Journal of adolescencev. LL (2): p. 87-116; 1988
  of the basic transmission  routes of Acquired Im-       Jun. Includes references.
  mune DeficiencySpdrome (AIDS). Nevertheless,
                                                          Language.' English
  misconceptions attitudes,which may interfere
  with adopting safe behaviors,persist.Significant        Desciptors.' U.SA.; Ethnic groups; Adolescents;
  differencesin knowledgedid existbetweenthe eth-         Mental health; Infants; Children; Mental disorders;
  nic groupssurveyed.  Further, American Indian and       Foster children; Adopted children
  black adolescents  were more likely to express   at-
' titudinal biasesagainstpeoplewho haveAIDS. We
                                                          6                        NAL Call No: #Jg.g An/IilJ
  concludethat current mediaefforts havebeensuc-          Birthweight-specific infant mortality for native
  cessfulin communicatingbasicinformation regard-         Americans compaFedwith whites, six statesr 19E0.
  ing transmission,  but there may exist a need for       V anl andi ngham, M.J.; B uehl er, J.W .; Hogue,
  ethnically specificprogramsthat focus on the mis-       C.J.R.; Strauss,L.T.
  conceptions  and attitudessurroundingAIDS.              Washington, D.C. : American Public Health Asso-
 3                         NAL Call No: E75-A5            American journal of public health v.78 (5): p. a99-
 American Indian bibliographyseries.                      503. ilI., charts; 1988 May. Includes 22 refetences.
                                     Quick Bibliography Series

                                                       en; Men
                                                       Abstact: Cardiovascular disease is a significant
Descriptors.' Alaska; Arizona; Montana; New             health problem for the Z;urrrIndians of southwest
Mexico; North Dakota; South Dakota; American            New Mexico, in part because of high rates of non-
indians; Infant mortality; Birth weight; Epidemiol-     insulin-dependent diabetes mellitus (NIDDM).
ogy; National suveys                                   The Zuni Diabetes Project was initiated in July
Abstact: Extract: We used data from the National        1983 to reduce rates of obesity and provide primary
Infant Mortality Surveillance(MMS) project to           and secondary prevention of MDDM. Two studies
compare birthweights and birthweight-specific           of the project's activities have been carried out to
mortality risks among Native American and White         date. After 2 y of. follow-up, diabetic participants
infants.Because  race categories NIMS were lim-
                                in                      in an exercise program compared with diabetic
ited to White, Blach and all, we studiedsix states      nonparticipants experienced weigbt loss, a drop in
in which greaterthan 85 per cent of newborns who        fasting blood glucose values, and reductions in the
were neither White nor Black were Native Amer-          use of hlpoglycemic medications. In a weight-loss
ican. In these states,the infant mortaliry risk         competi ti on,, 45V o (I22/271) of the en r ollees
(IMR) amoog Native Americanswas 15.3 deaths             finished and lost greater than or equal to 2.3 kg.
per 1,000live births comparedwith 8.7 deaths           The results of these two studies demonstrate that
among Whites, relative risk (RR) = L.8 (95% CI          1) participation in a community-based exercise
= 1.5-2.0). The percentage NativeAmerican in-
                           of                                     can produce siguificant weight loss and
fants with less than 2,500 g birthweights was 5.8      improvement in glycemic control in Zuni Indians
per cent versus5.0 per cent for White infants.         with MDDM and 2) weight-loss competitions ap-
Birthweight-specific neonatalmortality risks were      pear to be an important public health model for
similar for the two race groups, but birthweight-      health-behavior change in communities similar to
specific postneonatal   mortality risks (PNMRs)        that of Zuni, NM.
were more than three times as high amongNative
Americans comparedwith Whites for infants of           I                        NAL Call No: 151.65 P96
greater than or equal to 2.,500 birthweight.
                                   g                   Comparison of native Arnerican births in upstate
PNMRs were elevatedfor most causesof death             New York with other race births, 1980-86.
and for all categories maternalage,educational
                      for                              B uck, G.M.; Mahoney, M.C .; Mi chal ek, A. M . ;
attainment,trimester prenatal care began,and           Powell, E.J.; Shelton, JA.
number of previouslive births. Leading causes  of      Rockville, Md. : U.S. Department of Health &
postneonatal   death among Native Americansof          Human Services, Public Health Service.
greater than or equal to 2,500g birthweightwere        Public health reports v. I07 (5): p. 569-575; 1992
sudden infant death svndromeand infec-                 Sep. Includes references.
tions.(author)                                        Langtoge; English

7                      NAL Call No: 389.EJ824         Desciptors.' New York; Birth; American indians;
Community-based   exerciseand weight control:         Blacks; Ethnic groups; Ethnicity; Birth weight;
diabetes risk reduction and glycemiccontrol in        Pregnancy; Medical treatment; Education; Age;
Zuni Indians.                                         Mothers; Women; Infants; Epidemiological sur-
Heath, G.W.; Wilsoq R.H.; Smith, J.; Leonar4          veys
Baltimore, Md. : American Society for Clinical        Abstract: The purpose of this study was to describe
Nutrition.                                            the neonatal characteristics of Native American
                                                      (Indian) infants and the antenatal characteristics
American journal of clinical nutrition v. (53)
(6,suppl): p. L6425-L646,S.
                          charts; 1991 Jun. In-       of their mothers as compared with white, blaclq
                                                      and other race infants. The study population com-
                                                      prised 979,444live births to upstate New York (ex-
Language.'                                            cl usi ve of N ew Y ork C i ty) resi dent m ot her s
                                                      between 1980and 1986.Data were abstracted from
            New Mexico; Weight control; Exer-
Descriptors.'                                         vital records (birth certificates) and analyzed using
cise; Diabetes mellitus; Weight losses;Body           a variety of descriptive statistics.Mothers of Native
weight; Blood sugar;Community programs;Pa-            American and black infants had similar antenatal
                American indians;Adults; Wom-
tient compliance;                                     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                 Coumarin-containing plants and senrm albumin
white or other race infants. Despite having at-risk            polymorphisms: biomedical implications for Na-
mothers, Native American infants were similar to               tive Arnericans of the Southwest.
white and other race infants with respect to the               Raichelson, R.M"
percentage of births that were considered low                  Bedford Hills, N.Y. : Redgrave.
birth weight or premature. Black infants were                  Plants in indigenous medicine & diet :
nvice as likely as the other three groups of infants           biobehavioral approaches / edited by Nina L. Et-
to'be low birth weight or premature. These fuid-               kin. p" 229-EL;1986. Includes references.
ings suggest that other factors appe:u to be im-
portant in determining neonatal outcome and that               Language; English
typical at-risk antenatal profile of mothers may               Descriptors: U.S.A.; Food consumption;
not be consistent across all racial groups.                    Coumarins; Polymorphism; Albumins; American
                                                               indians; Health hazards
9                        NAL Call No: 151.65 P96
A comprehensive local program for the prevention               11                       NAL Call No: 500 AM33
of fetal alcohol syndrome.                                     Cross<ultural medicine: the Navajo Indians as
Masis, K.B.; May, PA.                                          case exemplar.
Rockville, Md. : U.S. Department of Health &                   Deuschle, K.W.
Human Services, Public Health Service.                         Cambridge, Mass. : American Academy of Ars
Public health reports v. 106 (5): p. €4-489; 1991.             and Sciences.
Sep. Includes references.                                      Daedalus v. 115 (2): p. L75-I84;1986.Includes ref-
Language.'English                                              erences.

Desciptors.' Arizona; Fetal alcohol syndrome; Dis-             Langtage.' English
ease prevention; Program development; Program                  Desciptors: U.SA.; American indians; Health ser-
evaluation; American indians; Alco holic beverages;            vices; Cultural integration; Cultural values; Public
Community health services; Family counseling;                  health
Abstract: A hospital based, comprehensive ap-                  L2                  NAL Call No: RC660.A1DS22
proach to the prevention of Fetal Alcohol                      Cultural challengesin nutrition education among
                                                               American Indians.
Syndrome and Fetal Alcohol Effects that combines
c linic al a s s e s s me n t,c o mmu n i ty o u treach, and   Jackson, M.Y.; Broussard, BA.
epidemiologic knowledge to attack alcohol-related              Chicago, Ill. : American Association of Diabetes
birth defects is described. The program includes
training of clinicians and members of the commu-               Diabetes educator v. 13 (1): p. 47-50; 1987. In-
nity, baseline screening of suspected children, and            cludes 33 references.
alcohol consumption screening of pregnant women                Language.' English
in prenatal clinics. The major, although not exclu-
sive, focus of the program is on tertiary prevention           Descripton: U.S.A.; American indians; Nutrition
undertaken with women defined as "high risk" for               education; Cultural influences; Diabetes; Health
producing alcohol affected children. Of the 48                 beliefs; Food beliefs
women referred to the program at the Tuba Ciry,
                                                               Abstract: An overview is presented of the cultural
AZ, Indian Medical Center between January L988
                                                               factors influencing nutrition behavior and its
and July 1989,39 (81 percent) became participants.
                                                               relevance for nutrition education and diabetes
Complete followup was possible on 3l; Ll of them
                                                               management among American Indians. Tradi-
reported alcohol abstinence in July L989, 18
                                                               ti onal and bi omedi cal heal th bel i ef syst em s,
months into the program. Of the 29 referred
                                                               diabetes and traditional medicine, functions of
women who were pregnant at the time, 2L agreed
                                                               food in American Indian culture, and Indian beliefs
to participate, of these, 19 (85.7 percent) were
                                                               about body image and obesity are discussed.Tech-
abstinent by the third trimester of pregnancy, 5
                                                               niques are suggested to improve nutrition educa-
v olunt a ri l y a c c e p te d o ffe rs o f c ontracepti ve
                                                               tion among American Indians.(mjs)
measures after the birth of their child.
                                          Quick BibliographySeries

13                 NAL Call No: RC660-AfDS22                 ings on the determinants of diabetes mellitus in
Designing and evaluating diabetes education ma-              Pima Indians.
terial for American Indians.
Hosey, G.M.; Freeman, W.L.; Stracqualursi, F.;               15                            NAL Call No: RI1.C3
Gohdes, D.                                                   Developmental outcome of minority infants: a
Chicago, Ill. : American Association of Diabetes             process-oriented look into our beginnings.
Educators.                                                   Garcia Coll, C.T.
Diabetes educator v. 16 (5): p. 4O7-4L4.ill., charts;        Chicago, Ill. : University of Chicago Press.
1990 Sep. Includes 43 references.                            Child development v. 6L (2): p. T70-739;1990 Apr.
                                                             Literature review. Includes references.
Language; English
                                                             Language; English
Desciptors.' Washington; Oregon; Idaho; Diabetes
mellitus; Educational programs; Program develop-             Descriptors: U.S.A.; Child development;
ment; Program evaluation; Teaching materials;                Minorities; American indians; Asians; Blacks;
Reading; Nutrition education; Knowledge level;               Hispanics;Parents;Preschool children; Infants; In-
Achievement tests; Resource materials; American              fluences; Cultural sociology Beliefs; Child care;
indians                                                      Health; Health care; Family structure; Socioeco-
                                                             nomic status; Parent child relationships;Literature
Abstract: This paper describes the methods used to           reviews
develop and evaluate diabetes education material
for American India"s and Alaska Natives living in            16                      NAL Call No: 4/t9.9 AII3J
Washington, Oregoq and ldaho. Reading skills of              Diabetes among the three alliliated tribes: Corrc-
individuals and readability of a semple of existing          lation with degree of Indian inheritance.
diabetic education material were measured. Using             Brosseau, James D.; Eelkema, Robert C.; Craw-
the Wide Range Achievement Test to measure                   ford, Andrea C.; Abe, Thomas A.
lssding skills, the authors found that 667o of the           Washington, D.C., American Public Health Asso-
sample read at a 5th              or higher level.           ciation.
Readability of a sample of available diabetic edu-           American journal of public health v. 69 (12): p.
cation material was found to be, on average,at the            1277-L278.charts; Dec 1979. 4 ref.
loth "grade" level. Diabetes education booklets
                               "grade" level were            Langtage: English
targeted to a 5th to 7th
developed and assessedfor acceptability and com-
                                                             Desciptors.' North Dakota; Diabetes mellitus; Age
prehension. Final evaluation, using the cloze pro-
                                                             factors; Racial composition; Racial differences;
cedure, showed that 62Vo of the target audience
                                                             American Indians; Hereditary factors; Sociocul-
understood the messagesin the booklets. A com-
                                                             tural patterns; Epidemiology
prehensive assessment process was found to be
useful in developing effective diabetes education            Abstract: Higher than usual incidence of diabetes
material for Indian communities.                             is reported among many American Indian tribes.
                                                             To define the extent of the problem in a retrospec-
14                         NAL Call No: RC660-AfD53          tive analysis,the health records of members of the
Determinants of diabetes mellitus in the Pima In-            Mandan, Arickara and Hidatsa Indians of North
dians.                                                       Dakota (the Three Affiliated Tribes) were
Knowler, W.C.; Saad, M.F.; Pettitt, D.J.; Nelson,            reviewed, 3,7't9 usable Indian charts. Full in-
R.G.; Bennett, P.H.                                          heritance Indians (a5Vo of the total) age 35 or
Alexandria, Va. : American Diabetes Association.             older have a diabetes prevalence rate of. 223%.
Diabetes care v. 16 (1): p.216-227;L993Jan. Paper            Persons with between half and full inheritance
presented at conference, 'Diabetes in Native                 (29% of the total) have a rate of L4.9Vo.Those
A m er ic a n s ," N o v e m b e r L 4 -L 7 , 1 989, Mesa,   with less than half Indian inheritance (26Vo of the
Arizona. Literature review. Includes references.             totd) have a rate of 4.LVo,or the same as whites
                                                             living on the reservation. Below the age of 35,
Language.' English
                                                             diabetes is uncommon among all racial subgroups.
Desciptors.' Arizona; Diabetes mellitus; Literature
reviews; Pathogenesis;American indians                       L7                 NAL Call No: RC660-AID53
                                                             Diabetes and its complications among selected
Abstract: Objective. To review the research find-
                                      NATTVEA.MERICAI\I HEALTH CARE

tribes in North Dakota, South Dakota, and Ne-                        have experienced marked changes in lifesryle and
braska.                                                              a progressive increase in the incidence of obesity
Stahn" R.M.; Gohdes, D.; Valway, S.E.                                and of type 2 diabetes mellitus. The reasons for
Ale>randria Va. : American Diabetes Association.                     these changes,which are probably numerous, are
Diabetes qrre v. L6 (1): p. 245247; l9g3 Jan.                        unclear. As a group, the Pima Indians appear to
Paper presented at conference, "Diabetes in Na-                      have a strong genetic predisposition to diabetes,
tive Americans," November L+.L7, 1989, Mesa,
         -Includes                                                   probably as a result of genetic selection. In addi-
Arizona.           references.                                       tion, some families are more at risk than others,
                                                                     either as a result of a greater genetic load or from
Language; English                                                    greater environmentd stress. The products of
Desciptors.' North Dakota; South Dakota; Nebras-                     pregnancies which were complicated by diabetes
ka; Diabetes; Complications; American indians                        are at a particularly high risk of becoming obese
                                                                     and developing diabetes. Successivegenerationq
Abstract: Objective. To determine the prevalence                     because of genetic predisposition, environmental
and incidence rates of diabetes and two specific                     stress, and a greater number of diabetic preg-
complications for selectedAmerican-Indian tribes                     nanciesare at increasing risk.
in North Dakota, South Dakota, and Nebraska.
                                                                     20                    NAL Call No: RC660*AID53
18                         NAL Call No: RC660-AID53                  D i abetes and pl asma l i poprotei ns i n Nat ive
Diabetes and obesity in the offspring of Pima In-                    Americans: Studies of the Pima Indians.
dian women with diabetes during prcgnancy.                           Howard, B.V.
Pettitt, D.J.; Nelson, R.G.; Saad, M.F.; Bennett,                    Alexandria, Va. : American Diabetes Association.
P.H.; I(nowler, W.C.                                                 Diabetes care v. 16 (1): p.?3{291; L993Jan. Paper
Alexandria, Va. : American Diabetes Association.                                                   "Diabetes in Native
                                                                     presented at conference,
Diabetes care v. 16 (1): p. 310-314;1993             Jan. Paper      Americans." November 14-L7, 1989, Mesa,
pr es ent e d a t c o n fe re n c e , " D i a b e tes i n N ati ve   Arizona. Includes references.
Americans," November l4-L7, 1989, Mesa,
Arizona. Includes references.                                        Language.' English

Language.' English                                                   Desciptors; U.SA.; Diabetes; Lipoproteins; Blood
                                                                     plasma; American indians
Descriptors.' Arizona; Diabetes; Obesity; Preg-
nancy; American indians                                              Abstract: To determine the effects of diabetes on
                                                                     plasma lipoproteins in Pima Indians, to identiS
Abstact: Objective. To review the long-term ef-                      metabolic determinants of these differences, and
fects of the diabetic pregnancy on the offspring                     to examine the effects of various modes of diabetes
amoog the Pima Indians of Arizona.                                   therapy.

L9                     NAL Call No: RC628.O22                        2l                   NAL Call No: 875.A5 [no.A'50]
Diabetes and obesityin the Pima Indians: a cross-                    [Diabetes handout series]. (Diabetes series.)
generationalvicious cycle.                                           Hembekides, Ruth
Pettitt,DJ.; Knowler,W.C.                                            Oklahoma City : OK : Oklahoma Ciry Area, Indian
New York, N.Y. : Human Sciences   Press.                             Health Service, 1984-.
Journal of obesityand weight regulationv. 7 (2):                     v. : ill. ; 28 cm. (American Indian bibliography se-
p. 61,-75.                                                           ries ; [A-501).
Language:English                                                     Language.' English
Desciptor.' Arizona; Diabetes mellitus; Obesity                      Desuiptors.' Popular works; Americdn indians;
Geneticmarkers;Familial incidence; Generations;                      Diabetes; Symptoms; Diabetes treatment; Dietary
Lifestyle;Risk; Environmentalfactors;Tribal soci-                    guidelines
ety; American indians
                                                                     Abstract: The causes, symptoms, complications,
Abstract:The ancestors the Pima Indians have
                       of                                            and management of diabetes are overviewed in this
subsisted the southernArizona desertby irriga-
         in                                                          series of handouts developed by the Oklahoma
tion farming, hunting and gathering for at least                     City Area Indian Health Service. A Check-list
2000 years. During the past 40 to 50 years,they                      identifies common diabetic symptoms, including
                                                 Quick Bibliography Series

overweight, family history of disease, constant                       native Alaskans was over 2-fold that of all other
hunger, fatigue, thirst, and slow wound healing.                      US races (L9.9/100,000 vs. 9.6/100,000). Geo-
Diabetic complications include atherosclerosis,                       graphic distribution plots and data summaries are
impaired blood circulation, kidney failure, nerye                     included and discussed.(wz)
damage, visual changes, and increased risk of in-
fection. The following aspects of diabetes man-                       24                    NAL Call No: RC660A1D53
agem en t a re d e s c ri b e d : fo o d s e l ecti on and            Diabetes in American Indians: an oveniew.
preparation for weigbt control, selecting and or-                     Gohdes, D.; Kaufman, S.i Valway, S.
dering meals away from home, and controlling                          Alexandria, Va. : American Diabetes Association.
diabetes while on travel. Synptoms and emer-                          Diabetes care v. 16 (1): p.?39-2a3;L993Jan. Paper
gency treatment measures for insulin reaction                         presented at conference, "Diabetes in Native
(hypoglycemia) and d iabetic acidosis (hyper-                         Americans," November L4-I7, 1989, Mesa,
glycemia) are reviewed. Several recipes are pro-                      Arizona. Includes references.
vided for low-calorie salad dressings. Benefits of
diet counseling and counseling services available                     Langruge.' English
through the local Indian Health Service are iden-                     Desciptors.' U.SA.; Diabetes; Trends; American
tified.                                                               indians

22                         NAL Call No: RC660.Af D53                  Abstact: To review the growth of diabetes as a
Diabetes in a northern Minnesota Chippewa                             major health problem for American Indians and
Tribe Prcvalence and incidence of diabetes and                        Alaska Natives.
incidence of major complications, 1986-198E.
Rith-Najarian, S.J.; Valway, S.E.; Gohdes, D.M.                       25                            NAL Call No: RC660-Af D53
Alexandri4 Va. : American Diabetes Association.                       Diabetes in American Indians and Alaska Natives.
Diabetes care v. 16 (1): p.266-?J70;1993              Jan. Paper      Gohdes, D.; Bennett, P.H.
pr es ent e d a t c o n fe re n c e , " D i a b e te s i n N ati ve   Alexandria, Va. : American Diabetes Association.
Americans," November L4-17, 1989, Mesa,                               Diabetescare v. 16 (1): p.2l$2L5;1993 Jan. Paper
                                                                                                            " D i abetes i n Nat ive
Arizona. Includes references.                                         presented at conference,
                                                                      A m e r i c a n s , " N o v e m b e r L 4 - 1 7 , ,1 9 8 9 , M e s a ,
Language.' English                                                    Arizona.
Desciptons.'Minnesota; Diabetes; Incidence; Com-                      Langruge.' English
plications; American indians
                                                                      Desciptors.' Alaska; Diabetes; Incidence; Confer-
Abstact: Objective. To determine the prevalence                       ences: American indians
and incidence of diabetes, and the incidence of
major diabetic complications, in a Chippewa In-                       Abstract: Diabetes in American Indians and Alaska
dian population.                                                      Natives,wasthe focus of a conference that resulted
                                                                      in a unique interchange among tribal leaders,
23                    NAL Call No: RC660-AID53                        health-care providers, and medical scientists with
Diabetes in American Indians: a growing problem.                      particular interests in diabetes mellitus and its
Gohdes, D.M.                                                          complications. The conference, which was held in
Alexandria, Va. : American Diabetes Association.                      Mesa, Arizona, L+I1 November 1989, was spon-
Diabetes care v. 9 (6): p. 609-613.ill., charts; 1986                 sored by the Indian Health Service and the Na-
Nov. Includes 14 references.                                          tional Institute of Diabetes and Digestive and
                                                                      Kidney Diseases, in collaboration with the Inter-
Language: English                                                     tribal Council of Arizona.
Descipton.' U.S.A.; American indians; Diabetes;
                                                                      26                    NAL Call No: RC660-A1D53
Mortality; Trends; National surveys
                                                                      Diabetes in American Indians: Reflections and fu'
Abstract: Data obtained from the US Indian Health                     ture directions.
Service were examined and compared to other data                      Kuller, L.H.
sources to describe the extent and growth of                          Alexandria, Va. : American Diabetes Association.
diabetes morbidity and mortality among US Indi-                       Diabetes care v. 16 (1): p. 380-386;1993Jan. Paper
                                                                                                    "Diabetes in Native
ans. The results indicate that, in L982, the in-                      presented at conference,
cidence of diabetes mortalitv for US Indians and                      Americans," November L4'1.7, 1989, Mesa,
                                     NATTVE AMERICAN HEALTH CARE

Arizona. Includes references.                                          Abstract: Objective. To establish a registry of
                                                                       diabetes patients and to determine the point prev-
Language:English                                                       alence of diabetes in the St. Regis Mohawk New
Desciptors.'Diabetes;Diseaseprevention;Ameri-                          York community at the end of August 1989.
can indians
                                                                       29                   NAL Call No: RC660-{1D53
Abstact: The two goals of the next generation of                       Diabetes mellitus in Alaskan Yup'ik Eskimos and
diabetes researchshould be to reduce the in-                           Athabascan Indians after 25 W.
cidence of diabetes mellitus and to decreasethe                        Murphy, N.J.; Schraer, C.D.; Bulkow, L.R.; Boyko,
risk of complications from the disease.The pre-                        EJ.; Lanier, A.P.
vention of diabeteswill require a better under-                        Alexandria" Va. : American Diabetes Association.
standing of the interaction of genetic and                             Diabetes care v. 15 (10): p. 1390-1395; 1992 Oct.
host-environmentalfactors, especiallyenergy bal-                       Includes references.
ance,diet and exercise,        and specificnutrients.The
preventionof weigbt gain should probably be of                         Language: English
highest priority. The preventionof complications                       Desciptors.' Alaska; Diabetes mellitus; Incidence;
needs to focus on hyperinsulinemia,                     hyper-         Men; Women; Inuit
g l y c e m i a , b l o o d p r e s s u r e ,s m o k i n g , a n d
lipoproteins.Clinical trials are neededto evaluate                     Abstract: Objective. To estimate the prevalence of
objectively the benefits of specific interventions.                    diabetes mellitus and overweight in two popula-
Such trials should be closelytinked to community                       tions of Alaska Natives and to compare the results
health programsto maximizethe health statusof                          with previous data.
the population.
                                                                       30                       NAL Call No: RC660-A1D53
27                          NAL Call No: RC660.A1D53                   D i abetes mel l i tus i n Tohono O' odham pr eg-
Diabetesin Mississippi ChoctawIndians.                                 nancies.
Johnson,L.G.; Strauss,         K.                                      Livingston, R.C.; Bachman-Carter, K; Frank, C.;
Alexandria,Va. : American DiabetesAssociation.                         Mason, W.B.
Diabetes    carev. 16 (1): p.25,0-2521,1993 Paper    Jan.              Alexandria. Va. : American Diabetes Association.
presented at conference,"Diabetes in Native                            Diabetes care v. 16 (1): p.3L8-321';1993  Jan. Paper
                                                                                                     " D i abetes i n Nat ive
A m e r i c a n s , "N o v e m b e r 1 4 - L 7 , 1 9 8 9 ,M e s a ,    presented at conference,
Arizona. Includesreferences.                                           Americans," November l4-L7, 1989, Mesa,
                                                                       Arizona. Includes references.
                                                                       Language.' English
Descriptors:Mississippi; Diabetes; Incidence;
American indians                                                       Desciptors.' U.SA.; Diabetes mellitus; Pregnancy;
                                                                       Incidence; American indians
Abstract: Objective. To establish a registry of
patients with diabetesand determine the point                          Abstract: Objective. To determine the prevalence
prevalence diabetesin the Mississippi
           of                         Choctaw                          of diabetes in Tohono O'odham pregnancies, and
Indiansat the end of September 1989.                                   to assessthe efficacy of early prenatal diabetes
                                                                       screening in populations with high rates of
2E                            NAL Call No: RC660.A1D53                 diabetes.
Diabetesin St. RegisMohawk Indians.
Martinez, C.B.; Strauss,         IC                                    31                    NAL Call No: RC660-41D53
Alexandri4 Va. : American DiabetesAssociation.                         Diabetes mortality among New Mexico's fuirerican
Diabetes     carev. 16 (1): p.?ffi-?52;L99.3 Paper    Jan.             Indian, Hispanic, and non-Hispanic white popula'
presented at conference,"Diabetes in Native                            tions, 1958-19E7.
A m e r i c a n s , " N o v e m b e r I 4 - L 7 , 1 9 8 9 ,M e s a ,   Carter, J.S.; Wiggins, C.L.; Becker, T.M.; Key,
Arizona. Includesreferences.                                           C.R.; Samet, J.M.
                                                                       Alexandria, Va. : American Diabetes Association.
Language.'                                                             Diabetes care v. 16 (1): p. 306-309; 1993Jan. Paper
                                                                                                     " D i abetes i n Nat ive
Descriptors:New York; Diabetes; Incidence;                             presented at conference,
American indians                                                       Americans," November 14-17, 1989, Mesa,
                                                                       Arizona. lncludes references.
                                                 Quick BibliographySeries

                                                                      sion, before the Select Committee on Aging, House
Language; English                                                     of Representatives.
Desciptors.' New Mexico; Diabetes; Mortality; Eth-                    Chelimsky, Eleanor
nic groups; American indians; Hispanics                               United States,General Accounting Office, United
                                                                      States, Congress, House, Select Committee on
Abstract: Objective. To determine the diabetes-                       Agrng
related mortality rates among New Mexico's                            Washington, D.C. : The Office; Gaithersburg MD
American Indians, Hispanics, and non-Hispanic                         (P.O. Box 6015, Gaithersburg 2n8TI): The Office
whites over a 30-n period.                                            [distributor; GA I.5 /2:T -PEMD-92-7 .
                                                                      16 p. : ill. ; 28 cm. (Testimony ; GAO /T-PEMD-
32                         NAL Call No: RC660-AID53                   92-7). Cover title. April 6, t992. Includes
Diabetes prcvalence, incidence, and complications                     bibliographical references.
among Alaska Natives, L987.
Schraer, C.D.; Bulkow, L.R.; Murphy, NJ.; Lanier,                     Language.' English
A.P.                                                                  Desciptors.' Diabetes; Minorities
Alexandria, Va. : American Diabetes Association.
Diabetes care v. 16 (1): p.67-259;1993 Jan. Paper                     35                    NAL Call No: RC660'A1D53
pr es ent e d a t c o n fe re n c e , " D i a b e te s i n N ati ve   Diabetes-associated mortality in Native
Americans," November L4-17, 1989, Mesa,                               Americans.
Arizona. Includes references.                                         Newman, J.M.; DeStefano, F.i Valway, S.E.; Ger-
Language; English                                                     man, R.R.; Muneta, B.
                                                                      Alexandria, Va. : American Diabetes Association.
Desciptors.' Alaska; Diabetes; Incidence; Compli-                     Diabetes care v. 16 (1): p.297-299i1993Jan. Paper
                                                                                                   " D i abetes i n Nat ive
cations; American indians                                             presented at conference,
                                                                      Americans," November         14-17, 1989, Mesa,
A bs t r ac t ' Ob j e c ti v e . T o p ro v i d e descri pti ve      Arizona. Includes references.
epidemiological data on diabetes mellitus among
Alaska Natives, including incidence, updated prev-                    Langtage; English
alence, and incidence rates of ESRD, LEA, MI,
and stroke in the diabetic population.                                Desciptors: U.S.A.; Diabetes; Mortality; American
33                    NAL Call No: RC660-AfD53                        Abstract; Objective. To describe diabetes-
The diabetes project at Fort Totten, North                            associated mortality among Native Americans.
Dakota, 1984-19EE.
Newman, W.P.; Hollevoet, JJ.; Frohlich, K.L.                          36                    NAL Call No: RC660-41D53
Alexandria, Va. : American Diabetes Association.                      Diabetic complications among Arnerican Indians
Diabetes care v. 16 (1): p. 361-363; t993 Jan. Paper                  of Washington, Orcgon, and ldaho: Prevalence of
presented at conference, "Diabetes in Native                          retinopathy, end-stage renal disease,and amputa'
Americans," November l4-t7, 1989, Mesa,                               tions.
Arizona. Includes references.                                         Freeman, W.L.; Mosey, G.M.
Language.' English                                                    Alexandria, Va. : American Diabetes Association.
                                                                      Diabetes care v. 16 (1): p.357-3601' L993Jan. Paper
                                                                                                   " D i abetes i n Nat ive
Descipton: North Dakota; Diabetes mellitus;                           presented at conference,
Health programs; American indians                                     Americans," November L4-I7, 1989, Mesa,
                                                                      Arizona. Includes references.
Ab stract: Obj ectivq. To char acterize demographig
thelapeutiq and complication features of patients                     Langnge: English
in the Fort Totten Diabetes Project and to assess
the longitudinal impact of intervention strategies.                   D esciptors.' Washington; Oregon; Idaho; Diabetes;
                                                                      Complications; Incidence; American indians
34                 NAL Call No: RC660.C53 L992                        Abstract: Objective. To estimate the prevalence of
Diabetes status of the disease among American                         severe diabetic complications.
Indians, Blaclcs, and Hispanics : [statement ofl
Eleanor Chelimsky, Assistant Comptroller Gener-                       37                      NAL Call No: 389.8 SCH6
al, Program Evaluation and Methodologt Divi-
                                     NATryE AMERICAN HEALTH CARE

 Diet and nutrition' related diseases of ethnic                    high in these diets, whereas total fat, saturated fat,
 minorities.                                                       calcium, iron and some vitamins are relatively low.
 Groziak, S.M.; Diemand L.M.                                       Inadequate calcium intake of many ethnic minoriry
 Ale:randria Va. : American School Food Service                    populations is associatedwith limited use of dairy
 Association.                                                      foods, either as a result of lactose intolerance or
 School foodservice journal v. 43 (6): p. 82, 84; 1989             cul tural l y-determi ned food avoi dances. Som e
 Jun.                                                              nutritional risks associated with ethnic minority
                                                                   group dietary patterns are the result of adaptation
 Language.' English                                                to U.S. dietary patterns. Nutrition-related diseases
 Descripton: Ethnicitg Eating habits; Risks; Nutri-                of high prevalence in ethnic minorities include
 tional assessment; Blacks; Hispanics; Asians;                     obesity and diabetes in black, Hispanic, and Native
 American indiarrs                                                 Americans, and hypertension in black and
                                                                   Asian/Pacific Americans. Salt sensitiviry and a low
 Abstract: This article discusses several ethnic                   dietary intake of potassium and calcium have been
 minorities, their eating habits and how their food                identified as possible risk factors for hypertension
 choices affect their health and nutritional status.               in black Americans. Compared with whites, some
                                                                   minority groups, despite their overall lower cal-
 3E                        NAL Call No: 3E9.8 D14                  cium intakes, are
 Diet and nutrition-related concerns of blacks and
 other ethnic minorities.                                          39                        NAL Call No: 151.65 P96
 McBean, L.D.                                                      Differcnces betweenOklahoma Indian infant mor-
 Rosemont, Ill. : National Dairy Council.                          tality and other races.
 Dairy Council digest v. 59 (6): p. 3L-36;1988 Nov.                Kennedy, R.D.; Deapen, R.E.
 Literature review. Includes 85 references.                        Washington, D.C. : Public Health Service.
                                                                   Public health reports v. 106 (1): p. 97-99:.1991.
 Language: English
                                                                   Includes references.
 Descripton: U.SA.; Food intake; Cultural influen-
                                                                   Langtage; English
 ces; Health; Dietary factorsl Nutrition; Nutrient in-
 take; Obesity; Hypertension; Diabetes;                            D escipt ors.' O klahom a; Infant mortality; Am erican
 Osteoporosis; Risks; Blacks; Hispanics; American                  indians; Races; Classification
 indians; Asians
                                                                   Abstract: Indian infant mortality rates (IMR) in the
 Abstract: Ethnic minorities in the U.S., specifically             State of Oklahoma follow a downward linear trend
  black, Hispanic, Asian/Pacific, and Native                       from 13 per 1,000 live births in the 1975-76period
  Americans, have higher rates of morbidity and                    to 5.8 in 1987-88. Data from 7,63L death certif-
  mortality than the white (non-Hispanic) popula-                  icates matched to birth certificates, however, reveal
  tion. Both genetic and environmental factors con-                much higher indian IMR across the time interval
  tribute to these disparities. Among environmental                than is currently documented. Matching (linking)
  factors, dietary patterns are important deter-                   of infant deaths to birth certificates from 1975 to
  minants of health. Diets of ethnic minority groups               1988 indicates that infants born Indian had a 28
  are influenced by a number of factors including the              percent chance of being misclassified as another
  nature of the traditional diet, and the degree to                race (usually white) on the death certificate. In-
  which this diet has been adapted to or replaced by               fants born white or black had less than a 1 percent
  diets typical of the U.S. Although certain food                  chance of being misclassified. Misclassification of
  themes and preferences such as "soul" and south-                 lndian deaths strongly alters the overall IMR for
  ern foods are emphasized in the diets of black                   the Oklahoma Indian Population from the cur-
  Americans, their diets resemble those of the white               rently reirorted 5.8 per L,000 (1987-88) to an esti-
" populat i o n . In c o n tra s t, tra d i ti o n a l di ets of
                                                                   mated actual rate of L0.4 per L,000 for the same
  Hispanic, Asian/Pacific, and Native Americans not                period.
  only differ from each other but also from those of
  the white population. In particular, carbohydrate-               40                      NAL Call No: RA651.853
  containing foods (".9., rice, tortillas), rather than            Diseases of North American Indians.
  meat, are the major source of energy in the tradi-               Sievers,M.L.; Fisher, J.R.
  tional diets of these ethnic minority populations.               Orlando, Fla. : Academic Press.
  In general, complex carbohydrates and sodium are                 Biocultural aspects of disease / edited by Henry
                                    Quick BibliographySeries

Rothschild; coordinating editor CharlesF. Chap-             cidence of non-insulin-dependent   diabetesmellitus
man. p. L9t-?52;198I. Literature review.Includes            (NIDDM) was determined among Pima Indians.
288 references.                                             Duration of obesity was defined as the time since
                                                           body mass index (BMI) was first known to be at
Language.'                                                  least 30 kg/m2. Among 1057 participants eligible
Descripton.'U.SA.; American indians; Diseases;             for study, there were 224incident casesof MDDM
Genetic correlation; Risks; Environmentd factors;          in 5975 person-yr of follow-up. The association of
Reviews                                                    duration of obesity with incidence of diabetes ad-
                                                           justed for age, sex, and curent BMI was highly
Abstract: A comprehensivetechnical review sum-             significant (P
marizesand discusses specificdiseases dis-
                       the                 and             of diabetes in cases/1000 person-yr of obesity was
ease patterns of North American Indians.                    24.8 for people with less < 5 yr of obesity, 35.2 for
Following a review and discussion the origin and
                                   of                       people with 5-10 yr of obesity, and 59.8 for people
current statusof AmericanIndian populations     and        with at least 10 yr of obesity. There was no appar-
their health patterns,attention is given to discus-        ent excessrisk of diabetes for people who had a
sionsof the prevalence predisposition such
                          and               of             BMI of at least 30 kg/mZ and then lost weight.
populationsto each of 18 diseases.    The influence        They had a slightly nonsignificantly higher rate
of the drastic cultural disruptionsexperienced   by        than people who had nof attained a BMI of at least
these populationson disease                  is
                                 propensity dis-            30kg/mZ and a lower rate than people whose BMI
cussed.  Their relativelyhigh tendencytowards               remained 30-35 kg/m2. The relationship of dura-
diabetes,cholesterolgallstones,   and obesity,and          tion of obesity with serum insulin concentrations
their relativelylow incidence duodenalulcer and
                              of                           among nondiabetic people was determined con-
coronaryheart disease noted.(wz)                           trolling for sex and age, BMI, and plasma glucose
                                                           concentrations at the time of a glucose tolerance
4l                     NAL Call No: HV5285.A43             test. Duration of obesity was inversely associated
Drinking patterns of urban and rural Arnerican             with fasting serum insulin concentration through
Indians.                                                   most of the range of fasting plasma glucose con-
Weibel-Orlando,   J.C.                                     centrations (P < 0.001) and tended to be inversely
Rockville, Md. : U.S. Department of Health, Ed-            associatedwith 2-h postload serum insulin concen-
ucation,and Welfare.                                       tration through the entire range of postload plasma
Alcohol health and research world - NationalIn-            glucose concentrations(P = 0.058).
stituteon Alcohol AbuseandAlcoholism 11 (2):
p. 8-12,54. ill; 1986-1987.                                43                       NAL Call No: 4/,8.9 AM37
                                                           Effects of exposure to salty drinking water in an
Language:English                                           Arizona community.
D escipton : U.SA.; American indians;Alcoholism;           W el ty, T.K .; Freni -Ti tul aer, L.; Zack, M . M . ;
Drinking behavior;Urban population;Rural pop-              Weber, P.; Sippel, J.; Huete, N.i Justice,J.; Dever,
ulation                                                    D.; Murphy, MA.
                                                           Chicago : Arnerican Medical Association.
42                    NAL Call No: RC65E-AfDs              JAMA : Journal of the American Medical Associ-
Duration of obesity increasesthe incidenceof               ation v. ?55 (5): p. 622-630.ill., charts; 1986 Feb07.
NIDDM.                                                     Includes l0 references.
Everhart, J.E.; Pettitt, D.J.; Bennett,P.H.;               Langtage.' English
I(nowler, W.C.
Alexandria,Va. : American DiabetesAssociation.             Descriptors.' Arizona; Drinking water; Sodium;
                              charts; 1992Feb.
Diabetes v. 4L (2): p. 235-240.                            American indians; Blood pressure; Hypertension;
Includesreferences.                                        Nutrient intake

Language:English                                        Abstract: A survey of.342 Arizona Papago lldians
                                                       . and 375 non-Indians consuming drinking water
Desciptors.' Arizona; Obesity;Duration; Diabetes         containing a high Na level (4A mg/L) revealed no
mellitus; Incidence;Body weight; American indi-          association between NA intake and blood pres-
ans; Blood sugar;Blood serum; Insulin; Women;            sures. Mean blood pressures in white subjects ac-
Men; Longitudinalstudies                                 tually were lower at most age levels than in US
Abstract:The effect of duration of obesitvon in-         white populations, and the hypertension incidence

                                      NATIVE AMERICAN HEALTH CARE

was not significantly higher than the national US                        p. 239-2a8;
incidence. Data on health risk factors, Ca intakes,
and urinary Na and K levels also were ob-                                Language: English
tained.(wz)                                                              Descriptors: U.S.A.; Canada; Fetal alcohol
                                                                         syndrome; A meri can i ndi ans; E thni c gr oups;
U                      NAL Call No: QH54f3.U5 v.8                        Maternal-fetal exchange; Cultural differentiation;
Eskimos of northwesterrr Alaska.                                         A l cohol i c beverages; C onsumpti on; Wom en;
Jamison, Paul L.; ed                                                     Trends; Epidemiology
Stroudsburg, Pa. Dowden, Hutchinson, & Ross
(New York) distributed world wide by Academic                            47                  NAL Call No: E75-,15 [no-{-107]
Press.                                                                   Focus your efforts on things that matter.
loq 319 p. : ill. ; 25 cm. (U.S./IBP slmthesis series                    Morgan, Helen
; 8). Bibliography: p.293-3L3.                                           Oklahoma Ciry, OK : Oklahoma City Area, Indian
Language; English                                                        Health Service,.
                                                                         [tl p. : ill. ; 28 cm. (American Indian bibliography
Desciptors.' Eskimos; Alaska; Anthropometry; Es-                         series ; [n-107]). Caption title. December 1986.
k im os ; Al a s k a ; Po p u l a ti o n ; E s k i mos; A l aska;
Health and hygiene                                                       Langtage.' English
                                                                         Desciptors; Oklahoma; Popular works; Health ed-
45                        NAL Call No: RC662.F3                          ucation; American indians; Guidelines
Family food choices a guide to weight and diabetes
control.                                                                 Abstract: Smoking, alcohol consumption, fad diets,
United States, Indian Health Service                                     exercise, smoke detectors, seat belts, blood pres-
Washington, D.C.? : Indian Health Service :.                             sure checks, and obesity are topics briefly dealt
                                     "Indian Health                      with on an avoidance or use level in this flier. De-
[15] p. : ill. ; 23 cm. Cover title.
Service Diabetes Program in cooperation with the                         signed for the American Indian, it promotes good
Michigan Diabetes Research and Training Center,                          health through becoming a cautious and intelligent
National Institutes of Health grant no. NIH 5 P60                        consumer.
AN12057} National Institute of Arthritis, Diabetes,
and Digestive and Kidney Diseases",P. [15].                              48                            NAL Call No: RC660.A1D53
                                                                         A lbllow-up study of diabetic Oklahoma Indians:
Langtager English                                                        Mortality and causes of death.
Desciptors.' Diabetes; Diet therapy; Reducing                            Lee, E.T.; Russell, D.; Jorge, N.; Kenny, S.; Yu,
diets; Popular works; Diabetes; Weight control;                          M.L.
American indians; Diets; Alcoholic beverages;                            Alexandria, Va. : American Diabetes Association.
Sugar                                                                    Diabetes care v. 16 (1): p. 300-305;1993               Jan. Paper
                                                                         presented at conference, "Diabetes in Native
Abstract: Designed to assist American Indians in                         A m e r i c a n s , " N o v e m b e r 1 , 4 - 1 7 ,1 9 8 9 , M e s a ,
controlling diabetes, this folder explains causes of                     Arizona. Includes references.
diabetes specific to this group, and gives tips on
how to control the disease through the amounts                           Langtage.' English
and kinds of foods eaten. Weight loss, fats, fiber,                      D escri ptors: Okl ahoma; D i abetes; Mor t alit y;
sugar and alcohol the factors to control, are ad-                        American indians
dressed in separate sections, each including ways
to help plan meals. Specific food lists are included.                    Abstroct: Objective. To determine the mortality
                                                                         rates and causes of death for diabetic Oklahoma
46                      NAL Call No: try52E5-{43                         Indian adults by sex and age.
Fetal alcohol effects among North American Indi-
ans.                                                                     49                  NAL Call No: aHV696.F6F6E
May, PA.                                                                 Food distribution program on Indian reserryations
Rockville, Md. : U.S. Department of Health and                           review of food package and nutrition education
Human Services.                                                          components : task force report.
Alcohol health and research world - National In-                         Molofsky, Anne J.
stitute on Alcohol Abuse and Alcoholism v. 15 (3):                       United States, Food and Nutrition Service
                                                                         Washington, D.C.? : U.S. Dept. of Agriculture,

                                             Quick BibliographySeries

Food and Nutrition Service..
75 leaves in various foliations : ill. ; 28 cm. Cover                  51                      NAL Call No: FIW01.C51
title. July 1986. Bibliography: leaf 41..                              Head Start combats Baby Bottle Tooth Decay.
                                                                       Phillips, M.G.; Stubbs, P.E.
Language; English                                                      Washington, D.C. : Office of Human Development
Descriptors.'U.SA.; Food relief; United States; In-                    Services, Department of Health and Human Ser-
di"t's of North America; Reservations; Nutrition;                      vices"
Study and teaching; Reference works; Supplemen-                        Children today v. 16 (5): p. 25-28. ill; 1987 Sep.
tal feeding'programs; Nutritional value; Nutrition                     Includes references.
education; American indians; Food costs; Federal                       Langtage.' English
progrems; Hedth promotion; Program evaluation
                                                                       Descipton; U.SA.; Infants; Dental caries; Ameri-
Abstract: A 4-month technical project addressed                        can indians; Health services;Educational programs
two important components of providing adequate
nutrition to US Indian reservations: 1) the foods                      52             NAL Call No: RA408.I49H43 1991
provided were reviewed for nutrient content, cost,                     Health care coverage findings from the Surrey of
and food preferences of participants, and com-                         American Indians and Naska Natives.
pared the foods for satisffing the RDA's of major                      Cunningham, Peter J.; Schur, Claudia L.
nutrients; and 2) an assessmentwas made of cur-                        Center for General Health Services lntramurai
rent nutrition education practices, available nutri-                   Research(U.S.)
tion education materials, and new methods for                          Rockville, MD : U.S. Dept. of Health and Human
delivering nutrition education. Following these as-                    Services,Public Health Service,Agency for Health
sessments, recommendations were developed for                          Care Policy and Research,.
improving the nutrient content of the foods pro-                       13 p. ; 28 cm. (AHCPR pub ; no. 9L-0027; R.e'
vided and for improving the delivery of nutrition                      search findings (Rockville, Md.) ; 8.). Title from
education. Background information on legislation,                      cover. July 1991. Includes bibliographical refer-
regulations, ild organizational structure of the US                    ences(p. t3).
Indian reservations program, the current health
status of American Indians, and on the evaluation                      Langrage.' English
of food preferences is included. Descriptive com-
                                                                       Desciptors.' Indians of North America; Insurance,
ponents of the program are provided in 8 appen-
                                                                       Health; Medical care suryeys;Insurance, Health
dic es . Fo o d c o s ts , n u tri ti o n a l d a ta , and food
inventories are included in the text and the appen-
                                                                       53                      NAL Call No: 3894 J824
                                                                       Health implications of obesity in American Indi-
                     NAL Call No: E75-A5 [no.A{E]                      ans and Alaska Natives.
                                                                       Welty, T.K.
Foot care for diabetics.
                                                                       Baltimore, Md. : American Society for Clinical
United States, Indian Health Service
Kotzebue, AK : Indian Health Service,.
                                                                       American journal of clinical nutrition v. (53)
[2] p. : ill. ; 22 cm. (American Indian bibliography                                             1991 Jun. Includes ref-
                                                                       (6,suppl.): p. 16165-16205;
series ; [e-681). Cover title.
Language: English
Desciptorc: Popular works; Consumer education;
                                                                       Desciptors.' Obesity; American indians; Diabetes;
Diabetes; Feet; Circulatory disorders; Patient care;
                                                                       Cardiovascular diseases; Hypertension; Hyper-
American indians
                                                                       cholesterolemia; Kidney diseases;Pregnancy; Gall
Abstact: Basic foot care guidelines for diabetics                      bladder diseases;Infections; Mortality; Literature
are outlined in this illustrated brochure from the                     reviews
I ndian H e a l th Se rv i c e i n K o tz e b ue, A l aska.
                                                                       Abstract: American Indians and Alaska Natives
Recommedations include L) cleaning feet and
                                                                       (AI/ANs) are experiencing an epidemic of
changing socks daily, 2) keeping feet warm and dry
                                                                       diabetes, increasing rates of coronary artery dis-
at all times,3) wearing shoes that fit properly, and
                                                                       ease and hypertension, and poor survival rates for
4) checking feet often for irritations or sores that
                                                                       breast cancer that are likely partially attributable
could develop into more serious infections.

                              NATIVE AMERICAN HEALTH CARE

to the increasing prevalence of obesity over the            56                NAL Call No: E75.A5 [no.{-1131
past generation. Obesiry may also contribute to             High blood pressure and commodity foods.
the high rates of gallstones and to adverse out-            Kincheloe, Michigan : Nutrition Program, IHS In-
comes of pregnancy in AI/ANs. Althougb overall              dian Health Center,.
mortality was not associated with obesity in Pima           1 folded sheet ; 28 x 22 cm. (American Indian bib-
[sdians (except in the most obese men), the re-             liography se.ries [A-1131).
lationship of obesity to longevity in other AI/AN
groups is not known. Further study of the specific          Language.' English
health effects of obesity in various groups of              Descipiors.' Popular works; American indians; Hy-
AI/ANs are needed. In the meantime,                         pertensi on; D i etary gui del i nes; C ommodit ies;
community-based programs to prevent obesity and             Food preparation
its sequelae should be implemented in all AI/AN
communities.                                                Abstract: Guidelines for using commodity foods
                                                            while following a diet to control blood pressure:ue
54                   NAL Call No: RA44E5.I5C4E              outlined in this brochure from the Indian Health
The health of Native Americans in Alaska an ex.             Service in Kincheloe, Michig-. Specific food se-
ploratora study.                                            lection and preparation suggestions are outlined
Chen, Martin K.; Berg, Lawrence E.; London, Vir-            for each of the fol l ow i ng recommendat ions:
gnia                                                        decrease sodium intake, eat less fat and choles-
Hyattsville, Md. : National Center for Health Ser-          terol, and achieve normal weight. The importance
vices Research ; Springfield, Va. : available from          of exercising regularly and taking medications as
NTIS,.                                                      prescribed to control blood pressure are also dis-
i, 20 leaves : map ; 28 cm. August L977. NCHSR              cussed. Health risks associated with high blood
78-L25. PB-280 223. Bibliography: leaf 11.                  pressure are identified.

Language.' English                                          57                        NAL Call No: RI216.H62
Desciptors.' Indians of North America; Health and           Honey not for babies : a word of caution to par-
hygiene; Indians of North America; Alaska; Indi-            ents. (Honey, not for babies.)
ans of North America; Alcohol use; Heart; Dis-              Hembekides, Ruth
eases;Pneumonia                                             Oklahoma City : Nutrition Branch, Indian Health
55                  NAL Call No: E75.A5 [no.A-llll          I sheet : ill. ; 28 cm. June 1984.
Healthy teeth for happy smiles.                             Langtage.' English
California, WIC Supplemental Food Section
Sacramento, CA? : WIC Supplemental Food Sec-                Desciptors.' Baby foods; Honey; Infants; Diseases;
tion, California Dept. of Health Services,.                 Borulism; Popular works; Consumer education;
[3] p. : ill. ; ?3 cm. (American Indian bibliography        American indians; tnfant feeding; Honey; Risks;
series ; [A-1111).                                          Botulism

Language; English                                           Abstract: Parents are cautioned against feeding
                                                            honey to infants less than 12 months of age in this
Desciptors.' Popular works; Consumer education;             factsheet from the Oklahoma City Indian Health
Dental health; Infants; Eating habits; American in-         Services.Honey has been shown to cause botulism
dians                                                       in some infants because their immune systems are
Abstait: Guidelines for protecting infants' teeth           not yet fully able to fight the disease. Symptoms
and preventing future dental problems aie outlined          and treatment of infant botulism are described.
in this brochure from the California Department
of Health Services. Recommendations are pro-                58                NAL Call No: KF275.H8 19E7d
vided on proper feeding from both the bottle and            Hunger and nutrition problems among American
cup. Tooth bnrshing and flossing guidelines are             Indians a case study of North Dakota : hearing
provided for infants from birth to 6 years of age.          belbre the Select Committee on Hunger, House of
Eating habits that help promote healthy teeth and           Reprcsentatives, One hundredth Congrcss, Iirst
gums are identified.                                        session, hearing held in New Town, ND, July 10'
                                                            United States.Congress.House. SelectCommittee

                                     Quick Bibliography Series

on Hunger                                                   servicesat a rural school; (c) established links with
Washington,    [D.C.] : U.S. G.P.O. : For sale by           existing agencies;and (d) incorporated communiry
the Supt. of Docs., Congressional      Sales Office,        action toward creating change. The project began
U.S. G.P.O.;Y 4.H 89-100-11..                               as a joint effort of three communities, the Univer-
iv, L38 p. : il., forms, maps ;24 cm" Distributed           siry of New Mexico (UNM), and the Albuquerque
to some depositorylibraries in microfiche.Ship-             Area Indian Health Service (IHS) of the Public
ping list no.: 87-680-P.                   Includes
                         Serial no. 1.00-11.                Health Service; a secondary level public school
bibliographies.                                             soon became a participant. The project is being
                                                            replicated in two other communities that have
Language:English                                            formed separate partnerships with UNM and the
Descipton.' Hunger; Indians of North America;               area IHS; also the New Mexico Health and Envi-
North Dakota; Health and hygiene;Indians of                 ronment Department has joined the effort in one
North America; North Dakota; Nutrition                      community. Preliminary data suggest that the ser-
                                                            vices are being used by a majority of the target
59                      NAL Call No: RA425.C6               population, with the proportions of boys and girls
Implementing  COPC:achieving           in
                               change a small               about equal.
Freeman;  W.L.                                              6l                    NAL Call No: RC660i.rD53
Rockville,Md.? : U.S.Dept. of Health and Human              Increasing prevalence of diabetes among the three
Services.                                                   affiliated tribes.
Community-oriented  primary care : from principle           Brosseau,J.D.
to practice/ editedby Paul A. Nutting. p. afi-a1.5;         Alexandria, Va. : American Diabetes Association.
1987.(HRSA publication ; no. HRS-A-PE 86-1).                                                       Jan. Paper
                                                            Diabetes care v. 16 (t): p.248-249:'L993
Includesreferences.                                         presented at conference, " D i abetes i n Nat ive
                                                            Americans," November L4-I7, 1989, Mesa,
        English                                             Arizona. Includes references.
D es                                  Health
                      American indians;                     Language.' English
care; Communityhealth services;
velopment                                                   Desciptors: U.SA.; Diabetes; Incidence;American
60                       NAL Call No: 15f.65 P96            Abstract: The tindings from a 1988audit of medical
Improving the health of Indian teenagers, dem-
                                           a                records of the Three Affiliated Tribes (the Man-
onstration program in rural New Mexico.                     dan, Arickara, and Hidatsa) at the Fort Berthold,
Davis, S.M.; Hunt, tr(";Kitzes,J.M.                         ND, Indian Reservation were compared with the
Washington"  D.C. : Public Health Service.                  findings from a 1975 audit. The total population
Public health reports v. 104 (3): p. 271,-278;
                                             L989           served by the IHS clinic there has remained about
May. Includesreferences.                                    the sahe. However, the number of people
Language;English                                            diagnosed as having diabetes has increased by
                                                            >40Vo. This increase in known cases is caused
Desciptors.'New Mexico; Adolescents;Health;                 largely by an increase in the number of women
American indians; Rural youth; Public services;             aged > 40 vr who have diabetes. The actual prev-
Demonstrations;Program development                          alence of diabetesamong people aged > 4A yr has
                                                            increasedvery little, presumablybecausethe clinic
Abstract: The health status of Indian teenagersin           population has aged somewhat over this period of
the United Statesis below that of the generd pop-           time.
ulation. The usualbarriers to the useof health care
servicesthat young people, including young Indi-            62                NAL Call No: HQ1064.U5H2{i
ans, eDCounter compounded rural areasby
               are                in                        Indian and Alaskan natives.
distance,isolation, and lack of appropriate ser-            Westport, Conn. : Greenwood Press.
vices. To overcome these barriers in rural New              Handbook on the aged in the United States /
Mexico, a public health demonstration   project (a)         edited by Erdman B. Palmore. p. 269-276;1984.
established singlelocationwhere adolescents
            a                                   can
receive multiple, integratedhealth care services            Langruge.' English
free of charge; (b) set up the initial program of

                             NATTVE AMERICAN HEALTH CARE

Descipton: U.SA.; American indians; Elderly;             among American Indians and Alaska natives.
Life sryle; Rural areas; Health services                 R hoades, E .R .; Mason, R .D .; E ddy, P .; Sm it h,
                                                         E.M.; Burns, T.R.
 63                    NAL Call No: HN90.C6N4            Washington, D.C. : Public Health Service.
 Indian health cane.                                     Public health reports v. 103 (6): p. 62L-627; 1988
 Kozoll, R.                                              Nov. Includes references.
 Washingtoq D.C. : U.S. G.P.O. : for sale by the
                                                         Language.' English
 Supt of Docs, CongressionalSalesOff.
 New dimensions rural policy: buildingupon our
                 in                                      D esciptors.' U.S A. ; Am erican indians; Alcoholism;
 heritage: studiespreparedfor the use of the Sub-        Health programs; Disease prevention; Mortality;
 committee on Agriculture and Transportationof           Public agencies; Federal programs; Educational
 the Joint Economic Committee,Congressof the             programs; Fetal alcohol syndrome
 United States. a77-a80;       (S.
                         1986. prt. ; 99-153).
                                                         67                      NAL Call No: 151.65 P96
                                                         The lndian health service record of achievemenL
Descriptors:U.S.A.; Rural environment;Health             Rhoades,E.R.; D'Angelo, A.J.; Hurlburt, W.B.
care; American indians;Mortality; Cultural influ-        Washington, D.C. : Public Health Service.
ences                                                    Public health reports v. 102 (a): p. 356-350. ill.,
                                                         charts; 1987Jul. Includes 3 references.
 64                   NAL Call No: I(F26.I4 L992a
 Indian Health Care Act Amendmentsof L992                Langtage; English
 hearing beforethe SelectCommitteeon Indian Af-          Desciptors.' American indians; Eskimos; Commu-
 fairs, United StatesSenate, One Hundrcd Second          nity health services; Program evaluation
 Congrcss,secondsession,on S. 2481 ... April I,
 L992,Washington,DC.                                     Abstroct: Extract: The Indian Health Service (IHS)
 United States.          Senate.
                 Congress.      SelectCommittee          was transt'erred from the Department of Interior
 on Indian Affairs                                       to the Public Health Service in the Department of
 Washington U.S. G.P.O. : For sale by the U.S.
               :                                         Health, Education, and Welfare in 1955. At that
 G.P.O.,Supt.of Docs.,Congressional  Sales Office;       time, the general health of Indian people substan-
 Y 4.In 2/ Lt:S.hrg.I02-76a.                             tially laggedbehind the rest of the U.S. population.
 iv,357 p. ;24 cm. (S. htg. ; L02-764).
                                      Distributed        This gap was reflected in mortality rates which
 to some depositorylibraries in microfiche.Ship-         were several-fold higher for Indians, or reflected
 ping list no.: 924616-P.Includesbibliographical         in time: there were decades between the dates
 references 241-242).                                    when the U.S. population achieved certain lower
                                                         death rates compared with the dates when similar
Language;English                                         reductions were achieved by Indians. As a result
                                                         of preventive health programs, improvements in
           Indians of North America
                                                         sanitation, and the development of a number of
                                                         medical advances, substantial progress has been
 65                   NAL Call No: KF265.I4 1992
                                                         achieved in improving the health of American In-
  Indian Health Care Improvement Act of 1992
                                                         dians and Alaska Natives. Life expectancy of Indi-
  report (to accompany 24E1.).
                                 Select  Committee       ans has increased 20 years between 1940 and 1980.
  United States.          Senate.
                                                         From 1955 through 1982,the death rate for Indian
  on Indian Affairs
                                                         infants dropped by 82 per.cent. Also, the age-
 Washington D.C.?: U.S.G.P.O.; t.L/5:L02-392.
                                                         adjusted death rate for tuberculosis decreased
  204 p. ; 24 cm. (Report / L02dCongress,2d ses-
'sioq                                                    from 57.9 per 100,000population in 1.955to 3.3 in
        Senate; L02-392). Caption title. Distributed
                                                         1983. These and other improvements are summa-
  to some depositorylibraries in microfiche.Ship-
                                                         rized in this paper.(author)
                          August n, 1992.
  ping list no.: 92-0593-P.
 Langtoge.'English                                       6E                    NAL Call No: HBI323.I4B3
                                                         Infant mortality in South Dakota.
            Indians of North America
 Desciptors.'                                            Baer, Linda; DeWitt, Dana
                                                         Brookings, S.D. : South Dakota State University,
 66                   NAL Call No: 151.65P96             Ford Foundation Grant, [1990?].
 The Indian HealthSeniceapproachto alcoholism

                                    Quick Bibliography Series

23 leaves: ill. ; 28 cm. (NativeArnericanproject).        Chil d Development and Mental Retardation Cen-
Caption title. Includesbibliographicalreferences.         ter, University of Washington, Alcoholism and
                                                          Drug Abuse Institute, United States,Indian Health
Language:English                                          Service
Desciptors.'Infants; Indians of North America             Rockville, Md.? : U.S. Dept. of Health alrd f{rrman
                                                          Services,Public Health Service,Indian Health Ser-
69                   NAL Call No: RC660-A1D53             vice; HE 20.9408:Ad 7.
Insulin therapy and weight change in Native-              x, 55 p. : ill. ; 28 cm. Supported by Indian Health
American NIDDM patients.                                  S ervi ce contract. October 1..,1988. In cludes
Hickey, M.E.; Hall, T.R.                                  bibliographical references (p. 53-55).
Alexandria,Va. : American DiabetesAssociation.            Language: English
Diabetes carev. 16 (1): p.36+ffi;L993 Jan.Paper
presented at conference,"Diabetes in Native               Desciptors: Fetal alcohol syndrome; Indians of
Americans,"November 14-17,1.989, esa,    M                North America
Arizona. Includesreferences.
                                                          Abstract: This book is designed to make available
Language:English                                          the latest information about fetal alcohol
                                                          syndrome, especially related to adolescents and
Desciptors.' Arizona; Diabetes mellitus; Weight           children. [t may serve as a basic reference tool for
gain; lnsulin; American indians                           those interested in learning more about the conse-
Abstract' Objective.To determinewhether                   quence of alcohol ingestion.
MDDM patientsexposedto insulin therapy in a
clinical setting gain weight.                             72               NAL Call No: E78.N4MU L9EZ
                                                          Medicinal uses of plants by Indian tribes of
70                    NAL Call No: RC628-A1O2             Nevada.
A low-costcompetitiveapproachto weight reduc-             Train, Percy; Henrichs, James R.; Archer, W.
tion in a native American community..                     Andrew; (William Andrew); 1894-
Wilson,R.; Smith,J.; Marfin, A.M.; Helgerson,   S.        Lawrence, Mass. Quarterman Publications
Basingstoke,Harnpshire : The Macmillan Press              (1e82?).
Ltd.                                                                                         v.
                                                                                        plants 1; Contri-
                                                          139p. : ill. ; 24 cm.(Bioactive
International journal of obesiryv. 13 (6): p. 731-        buti ons tow ard a fl ora of N evada ; no. 45. ) .
738. charts;1989Dec. Includes17 references.               Reprint. Originally published: Rev. ed. /with sum-
                                                          mary of pharmacological research by W. Andrew
Language.'                                                Archer. Beltsville,Md. : U.S. Dept. of Agriculture,
                                                          Plant Industry Station, L957.(Contributions toward
           New Mexico; Weight losses;
Desciptors.'                                              a flora of Nevada ; no. 45). Includes index. Bibli-
education;Health programs;Diabetes;Prograrn               ography: p. 128-131.
evaluation;Teams;Men; Women; American indi-
ans                                                       Langtage: English
Abstract: Eat Right is a state-widenutrition edu-         Desciptors.' Indians of North America; Nevada;
cationandweightcontrol programimplemented      by         Medicine; Ethnobotany; Nevada; Botany, Medical;
the Healthnet New Mexico health promotion or-             Nevada; Materia medica, Vegetable; Nevada
ganization.This study evaluates weight loss pro-
gram usingweight losscompetitionbetweenteams.             73                NAL Call No: I(F275-d3 1988c
The Zuni and Ramah Navajo communities regis-              Mental heaith and the elderly issues in service
tered 251 individuals in the program.                     delivery to the Hispanic and Black community I
                                                          hearing beforc the Select Committee on Aging
7l              NAL Call No: RG629.F45S9   198t           House of Representatives, One Hundredth
A manual on adolescents and adults with fetal al-         C ongress, second sessi on. (Issues i n ser vice
cohol syndrome,with special rcfetcnce to Ameri-           delivery to the American Indian and Hispanic
can Indians., 2nd ed.                                     communities.)
Streissguth,Ann Pytkowicz;LaDue, Robin A.;                United States.Congress.House. SelectCommittee
Randels,SandraP.                                          on Aging
Universityof Washington, Dept. of Psychiatryand           Washington [D.C.l : U.S. G.P.O. : For sale by the
BehavioralSciences,   University of Washington,

                            NATIVE AMERICAN HEALTH CARE

Supt. of Docs., Congressional    SalesOffice, U.S.        Journal of rural community psychologyv. t1 (2):
G.P.O.,1988-1989                                          p. 17-29; 1990.lncludes references.
3 v. ; 24 m. Distributed to some depositoryli-
braries in microfiche.Pt. 2 has subtitle: Issuesin        Language: English
service delivery to the American Indian and               Desciptors.' North Dakota; American indians; Col-
Hispanic communities.Pt. 3 has subtitle: Issues           lege students; Mental health; Values; Question-
in servicedelivery to Asian Americans, Hispattics,        naires; Demography; Ethnic groups
and Blacks.'May L3, 1988,Long Island City, NY',
Pt. 1. "May n, L98f, Denver, CO', Pt. 2. "July 8,         Abstact' Differences between Native and
1988,Los Angeles, CA", pt. 3. "Comm. pub. no.             Caucasian American college students in the way
L00-674', 1. "Comm. pub. no. 1.00-673", 2.
          Pt.                                Pt.          mental health is conceptualized was investigated
"Comm. pub. no. 100-694", 3. Item 1009-8-2,
                             pt.                          using the Mental Health Values Questionnaire, an
1009-C-2(microfiche). Includes bibliographical            eight-scale, factor analytically derived measure of
references.                                               dimensions used in conceptualizing the nature of
                                                          good emotional adjustment. Sixty-six Native Amer-
Language.'                                                ican and 93 Caucasian American undergraduate
Descriptors:Hispanic American aged; Mental                studentsserved as subjects.The most striking eth-
health services;United States;Afro-American               nic group difference had to do with the tendency
aged;Mental healthservices;            Indi-
                          United States;                  of CaucasianAmerican subjects to more strongly
ans of North America; Aged; Mental health;                associate unconventional experiences of reality
Minority aged; Mental health services;                    (e.g., having visions) with poor mental health in
States;Federal aid to communitymental health              contrast to Native studentswho tended to perceive
        United States                                     a neutral to positive relationship between such ex-
                                                          periences and healthy emotional functioning.
74                     NAL Call No: KF27.l5 L992
Mental health needs in Indian country hearings            76                        NAL Call No: 470 C16D
beforethe Committeeon Interior and Insular Af-            n-3 Docosapentaenoicacid in blubber of dam and
                                                          pup grey seals (Halichoerus grTpus): irnplications
fairs, House of Representatives,   One Hundred
First Congrcss,secondsession,oversightand S.              in the Inuit diet and for human health.
                                                          Ackman, R.G.; Eaton, C-4.
L270to provide an Indian mental health demon-
                                                          Ottaw4 Canada : National Research Council of
stration grant program : hearingsheld March 29,
1990, Washington,DC; May 12,1990,Seattle,   WA;           Canada.
                                                          Canadian journal of zoology v. 66 (11): p. 24?3'
June 22, 1990,Sioux Falls, SD.
                          House.Committee In-             2431.;1988 Nov. Includes references.
United States. Congress.                   on
terior and Insular Affairs                                Language: English
Washington: U.S. G.P.O. : For sale by the U.S.
G.P.O.,Supt.of Docs.,Congressional   SalesOffice,         D escri ptors: A l aska; N ova S coti a; N u t r it ion;
1991[i.e.; Y 4.In 8/A:L0l-59.                             Health; Eskimos; Diets; Seals; Docosenoic acid;
v, 764 p. : ill. ; 24 cm. Distributed to some             Fat products
depository                       Shippinglist no.:
           librariesin microfiche.
92-205-P. Serial no. 101-59.Includesbibliographi-         77                     NAL Call No: KF275.C7 l9E6
cal references.                                           Native American children, youth, and families
                                                          hearing beforc the Select Committee on Children'
Language:English                                          Youth, and Families, House of Reprcsentatives,
                                                          Ninety-ninth Congness,second session.
Descipton: Indians of North America; Federal aid
                                                          United States.Congress. House. Select Committee
to comm'rnitymental health services
                                                          on Children, Youth, and Families
                      NAL Call No: RA790-AIJ68            Washington, [D.C.] : U.S. G.P.O. : For sale by the
Mental health values dilferences betweenNative            Supt. of Docs., Congressional Sales Office, U.S.
                                                          G.P.O., 1986-.
American and CaucasianAmerican collegestu-                                                    "Hearing held in
                                                          v. : ill., 1. form, maps ; 24 cm.
dents.                                                                                           "Hearing held
                                                          Seattle,WA, January 7,1986', Pt. 1.
Tyler, J.D.; Suan,L.V.                                                                                 "Hearing
                                                          in Sacaton,                            Pt.2.
                                                                         AZo on January 9, 1.986",
Fresno, Calif. : California School of Professional
                                                          held in Albuquerque, NM, January 10, 1986",Pt.

                                     Quick BibliographySeries

3. Distributedto sornedepository  librariesin mi-          Language.'English
crofiche.Shippinglist no.: 86-886-P  (pt. 1). Ship-
ping list no.: 86-853-P(pt. 2). Shipping list no.:         Desciptors.' U.SA.; Alaska; Nutritional su5veys;
86-830-P(pt. 3). Includesbibliographies.                   Public health; Ethnic groups; Feeding behavior

Language:English                                           81                     NAL Call No: L&3401-A57
                                                           Nutrition aspects of a cardiovascular curriculum
Descipton: Indians of North America; Social con-           in the Southwesl
ditions; Indians of North America; Drug use; In-           Koehler, K.M.; Harris, M.B.
dia"s of North America; Alcohol tse; Federalaid            Reston, Va. : American Alliance for Health, Physi-
to alcoholismprograms;               Federalaid
                        United States;                     cal Education and Dance.
to drug abusetreatmentprograms;United States;              Health Education v. 19 (5): p. 2+28. charts; 1.988
Federal aid to community development;United                Oct. Includes 23 references.
                                                           Language.' English
7E                       NAL Call No: 5612-{753
Native Baja California plants:potential treatment          Descriptors.' New Mexico; Nutrition education;
for diabetes.                                              Cardiovascular diseases; Elementary education;
Winkelnil, M.                                              Curriculum guides;Food preferences; Food intake;
Tucson, Ariz.: Office of Arid Lands Studies,Uni-           Cultural influences;Food habits; Behavior change;
versiryof Arizona.                                         Hispanics; American indians
Arid landsnewsletter 31.:  p.I4-L7;1991.  Includes         Abstract: This article discussesthe pilot-testing of
references.                                                a cardiovascular health curriculum designed for
Language:English                                           fifth grade students in the Southwest. The curric-
                                                           ulum was developed after a survey was adminis-
Descripton: California; Wild plants; Diabetes;             tered to the. children to determine eating behaviors
Medicinal plants;Ethnobotany;American indians;             and favorite foods. The curriculum was designed
Computer software                                          to include cultural foods in a heart-healthy diet.

79                  NAL Call No: RC660-A1D5                E2                   NAL Call No: RC660-Af D522
A new kind of pioneer.                                     Nutrition counseling: Meeting the needs of ethnic
Mazur, M.                                                  clients with diabetes.
Alexandria,Va. : American DiabetesAssociation.             Bertorelli, A.M.
Diabetesforecastv. 44 (11): p. 36-a0;1991Nov.              Chicago, Ill. : American Association of Diabetes
Language.'                                                 Diabetes educator v. 16 (4): p. ?f'5-?36, ?39; 1990
Descipton.' Alaska; Diabetes; Diet; Metabolism;            Jul. Includes t3 references.
Case reports; Lifestyle; History; Ethnicity; Eating        Language.' English
patterns;Inuit; American indians
                                                           Descriptors.' U.S.A.; Diabetes; Diet counseling;
Abstract: Dan Kahklen, an Alaska native Thlinget           Ethnicity; Eating patterns; Obesity; Disease prev-
Indian, is living with diabetes.Dan and his wife,          alence; Nutrition education; Asians; American in-
Sue, are helping other Alaska nativesunderstand            dians; Hispanics; Blacks
the connectionbetweendiet and diabetes.
                                                           Abstract: Diabetes educators must be aware of and
80                NAL Call No: RM2185.I5 r9EE              sensitive to ethnic and cultural diversity in the
Nutrition and health concerns of American lndi-            United States. This article discussed the need of
ans and Alaska natives.                                    nutrition counseling to be adjusted to take into ac-
Jackson,  M.Y.                                             count traditional foods and meal habits.
London : Libbey Eurotext.
Proceedings the Xth InternationalCongress
              of                             of            83                     NAL Call No: 389.E Alltl4
Dietetics/ held under the auspices the I.C.DA.
                                  of                       Nutrition in American Indian health: past, prcs-
(the InternationalCommitteeof Dietetic Associa-            ent, and future.
tions) ; editedby M.F. Moyal.v. 2 p.65-68; 1988.           Jackson,M.Y.
Includesreferences.                                        Chicago, Ill. : The Association.

                              NATTVE AMERICAN HEALTH CARE

Journal of the American Dietetic Associationv.               health care programs. Each lessonhas color-coded
86 (11): p. U61-1565.charts;1986Nov. Includes                sections (e.9., blue for objectives, yellow for the
41 references.                                               self-study section, green for the answer section). A
                                                             final report on the project also is available."(kbc)
Descipton: Alaska; Nutritional state;American in-            85          NAL Call No: RI216.P362 F&N E-4300,
dians;Trends; Health; History                                                                           84302
                                                             Papago breastfeeding education model project :
Abstract: Extract: The nutritional and health status         final report, July 31, 19E1 : report of project
of American Indians and Alaska Natives has im-               breastfeeding education model.
provedthrougboutthe years.    However,their health           Papago Nutrition Improvement Program (Sells,
statusstill lagsbehindthat of the generalAmerican            Ariz.)
population There is incompleteinformation on                 Sells, Ar'u. Papago Nutrition Improvement Pro-
their nutritional status and presentdietary pat-             gram.
terns,uutritivevaluesof nativefoods,and nutrition                                 "July 31, 1981..
                                                             3 v. : ill. ; 28 cm.                Agreement no.
education   knowledge the population.(author)
                      of                                     59-3198-9-83,   funded under P.L. 95-627,Section 3,
                                                             USDA/FNS. Bibliography:pt.3., p. 118-119.
E4               NAL Call No: T)G6I.W55N8EF&N
                                     8-3703,8-3705           Langtage; English
Nutrition technicianprogram.                                 Descripto,n.' Reference materials; Breast feeding;
SpecialSupplemental     Food Programfor Women,               American Indians; Health education; Nutrition ed-
Infants,and Children (U.S.),UnitedTribes Educa-              ucation; Behavior modihcation; Pregnant women;
tional TechnigalCenter (Bismarck,N.D.)                       Mother-child relations
Bismarck,N.D. United Tribes EducationalTech-
nical Center.                                                Abstmct: A breastfeeding education project was
3 v. : ill. ; 28 cm. U.S. Dept. of Agriculture, Food         designed to increase the incidence and duration of
and Nutrition Service,   SpecialSupplemental    Food         breastfeeding among women at the Papago Indian
Program for Women, Infants,and Children,grant                reservation in Arizona. The activities of this proj-
no. 59-3198-9-80.                                            ect, the development of new educationalmaterials,
                                                             and the overall results are presented in 3 volumes.
        English                                              Attitudes influencing infant feeding practiceswere
Desciptors.'Instructionalmaterials;Vocationaled-             assessed,and supporting services for pregnant
ucation; Lesson plans; Learning activities;Nutri-            women and new mothers were developed and
tion; American Indians;WIC program;                          used. All activities of the project were coordinated
Independent  study;Nutrition education;
                                      Pregnancy              by staff of 7 related health agencieson the reser-
and nutrition; Health care                                   vation site. This education project produced an in-
                                                             creased number of women beginning
Abstract:A set of lessonplans developedby the                breastfeeding.The educational materials are appli-
N.D. StateDept. of Health is presented.     The les-         cable for breastfeedingeducation for other Indian
son plnnswere developed be usedin the United
                            to                               tribes. (wz)
Tribes EducationalTechnicalCenter(UTETC) to
train native Americans to work as paraprofes-                86          NAL Call No: RI2r6.P36 F&N 8-3671
sionalsin the WIC program.The lessons       can also         Papago breastt'eeding education model project :
be usedfor self study.The first modulesconsistof             report of project, breastfeeding education model.
2 sections.The first section contains9 lessons               Papago Nutrition Improvement Program (Sells,
related to basic nutrition (i.e., food composition,          Ariz.)
major nurients, digestion  and nutrient needs). The          Sells, Arh. Papago Nutrition Improvement Pro-
second  sectioncontains lessons
                         6         that discussnutri-        gram 1981?
tional assessment  (clinical,anthropometrylabora-            1 v. (various pagings) : ill. ; 1981?) cm. Cover title.
tory, dietary, obesity, and diabetes).The second             Agreement no. 59-3198-9-83,funded under.P.L.
module discuses the WIC program (2 lessons),                 95-627,Section 3, USDA/FNS.
nutrition counseling  skills, (3 lessons), and nutri-
tion education.techniques lesson).         The third         Langtage.' English
moduleconsists 2 major areasthat discuss
                 of                            nutri-        Desciptors.' Reference materials; Breast feeding;
tion and pregnancyand communityresources         for

                                              Quick Bibliography Series

tion education; Health education; Pregnant wom-                          Pathogenesisof NIDDM in Pima Indians.
en; Infant feeding; Diarrhea; Mother-child rela-                         Bogardus, C.; Lillioja, S.; Bennett, P.H.
tions                                                                    Alexandria, Va. : American Diabetes Association.
                                                                         Diabetes care v. U (7): p. 685-690; 1991 Jul. In-
Abstract: A comprehensive report describes a                             cludes references.
breastfeeding education project, conducted at the
Papago Indian reservation in Arizona" to increase                        Language: English
breastfeeding among the Papago women. The proj-
                                                                         D esciptors.' Arizona; Diabetes mellitus; Incidence;
ect coordinated the services of 6 health agencies
in a team approach. The project sougbt to: increase                      Glucose tolerance; Longitudinal studies; Insulin;
                                                                         B l ood pl asma; Metabol i c studi es; Li ve r ; Pat -
breastfeeding practices by 20Vo; support
                                                                         hogenesis; Pancreas; American indians
breastfeeding mothers; reduce infant diarrhea; es-
tablish a data collection system; and develop a                          Abstact: The Pima Indians of Arizona have the
breastfeeding education model which would be                             highest reported prevalenceand incidence of non-
widely applicable. Initial breastfeeding increased                       insulin-dependent diabetes mellitus (NIDDM) of
from 23.4% to 43.8Vo,while initial bottle-feeding                        anv population in the world. A cross-sectional  and
dropped from 76.5% to 56.LVo.There was no ap-                            longitudinal study was begun in 1982 to determine
par ent c h a n g e , h o w e v e r, i n th e durati on of               the metabolic characteristic(s)that is (are) predic-
breastfeeding. The rate of hospitalization for diar-                     tive of the development of NIDDM and to docu-
rhea in the first 6 months of life among initially                       ment the sequenceof metaboiic events that occur
bottle-fed infants was about 4 times that breast-fed                     w i th the transi ti on from normal to i m pair ed
infants. Numerous illustrations (used as                                 glucose tolerance and then to diabetes. Preliminary
breastfeeding education tools) aod basic ancillary                       analysessuggestthat insulin resistance is a primary
information are appended. (t*z)                                          abnormality predisposingPima Indians to develop
                                                                         impaired glucose tolerance, and that the develop-
87                                 NAL Call No: RIG31.P3                 ment of diabetes occurs with subsequent
Parents helping parents stop baby bottle tooth                           pancreatic failure.
decay. (Stop baby bottle tooth decay Baby bottle
tooth decay.)                                                            89                      NAL Call No: RA448.4.R4
Holcomb, Barbara; Bruerd, Bonnie; Kinney, Mary                           The pattern of organi zed heal th care: non-
Beth; Backinger, Cathy                                                   response to dilTering health beliefs and behavior.
Washington, D.C. : Indian Health Service,[1986?1.                        Grossman, L.
[18] leaves : ill. ; 28 cm. Cover title. Produced                        Chapel Hill? : Dept. of Maternal and Child Health,
cooperatively by the Head Start, VSPHS, Indian                           School of Social Work?
Health Service and the Centers for Disease Con-                          Removing cultural and ethnic barriers to health
t r ol. P h o to g ra p h y : B a rb a ra H o l c o mb. S cri pt:        care : based on proceedings of a national confer-
Bonnie Bruerd, Maty Beth Kinney, Cathy Back-                             ence f edited by Elizabeth L. Watkins and Audreye
inger.                                                                   E. Johnson. p. 29-48;1985. Paper presented at a
                                                                                                   "Removing Cultural and
                                                                         national Conference on
Language: English
                                                                         Ethnic Barriers to   Health Care," held June 4-8,
Desciptors.' Dental caries in children; Prevention;                      Lng, Charlotte, North Carolina. Includes refer-
Bottle feeding; Teaching materials; Flipcharts;                          ences.
Parent education; American indiaru; Tooth dis-
                                                                         Langtage: English
e:rses; Infants; Bootle feeding
                                                                         Descripton.' U.S.A.; Health care; Health beliefs;
Abstact: Geared primarily toward American In-
                                                                         Hispanics; Blacks; Asians; American indians; Cul-
dian/Alaska Native populatiotrs, this flip book of
                                                                         tural influences
color photographs is aimed at helping parents
avoid tooth decay in infants. What baby bottle
                                                                         90              NAL Call No: RA408.I49P47 L99l
tooth decay is, prevalence :rmong American Indi-
                                                                         Personal health practices lindings from the Sur'
ans and Alaska Natives and prevention suggestions
                                                                         vey of American Indians and Alaska Natives.
are topics covered in an easily understood lesson
                                                                         Lefkowitz, Doris Cadigan; Underwood, Carol
                                                                         Center for General Health Services Intramural
                                                                         Research (U.S.)
8E                         NAL Call No: RC660-A1D53

                               NATI\iE AMERICAN HEALTH CARE

Rockville,MD : U.S. Dept. of Health and Human                 H uman R esources D ept./H eal th B ranc h, WI C
Services,Public Health Service,Agencyfor Health               Program, [198-?1.
Care Poticy and Research,.                                    [6] : ill. ;22 cm" Cover title.
t4 p. ; 28 cm. (AHCPR pub ; no. 91-003; Re-
searchfiodiogr (Rockville,Md.) ; 10.).Title from              Languoge.' English
cover. "July 1991'. Includesbibliographicalrefer-             Desciptors.' Arizona; Popular works; Patient edu-
ences(p.13-14).                                               cation; Diabetes; Pregnant women; American in-
Language:English                                              dians; Health care

Desciptors.'Indians of North America                          Abstract: Designed for the pregnant American In-
                                                              dian woman with diabetes, this booklet presents
9r                          NAL Call No: E9E.F7P5             specific steps to follow in order to keep the disease
Plains Indian diet handbook (Diet handboolc)                  under control. Symptoms of both hlpoglycemia
Swanson Center for Nutrition, United States, In-              and hyperglycemia are listed, as well as signs indi-
dian Health Service, National Diabetes Informa-               cating the need for immediate medical attention.
tion Clearinghouse (U.S.)                                     The necessityfor weight control is emphasized
Washington" D.C.? : Dept. of Health and Human                 Drawings illustrate the concepts presented.
Services:;'HE 20.9408-D 55.
20 p. : col. iLl. ;27 x 2\ cm. Swanson Center for             93                   NAL Call No: E75.AS [no.A-14]
Nutrition, Inc., in cooperation with Indian Health            Prcnatal care.
Service Diabetes Control Program and Experience               Native American Maternal and Child Health Proj-
Education supported by a subcontract with Na-                 ect
tional Diabetes Information Clearinghouse, Na-                Bismarck : ND : Native American Maternal &
tional Institute of Arthritis, Diabetes, and                  Child Health Project, North Dakota State Dept. of
Digestive and Kidney Diseases, Department of                  Health, Division of Maternal & Child Health,.
Health and Human Servicescontract no. NOIAM-                  [Zl p. : ill. ; 22 cm. (American Indian bibliography
8222L.Cover title: Diet handbook.                             series; [A-tal). Cover title.

Langtoge.' English                                            Langtage; English

Desciptors.' Nebraska; Indians of North America;              Desciptors.' North Dakota; Popular works; Prena-
Food; Diabetes; Nutritional aspects; Diabetes;                tal educati on; H eal th care; A meri can indians;
Diet therapy; Diet; Handbooks, manuals, etc;                  Nutrition information
Popular works; Patient education; Diabetes;                   Abstroct: Designed to inform the pregnant Amer-
American indians; Dietary guidelines; Diabetic                ican Indian woman about the importance of prena-
diets                                                         tal healtb this pamphlet stresses doctor's visitg
Abstract: Developed for use by the Plains Indians             proper nutrition, and avoidance of cigarettes and
with diabetes, this booklet emphasizesdiet as a               alcohol.
means for controlling the disease.Introduced by a
color-coded dietary guide, the basic food groups              94              NAL Call No: RA40E.I49H3 1991
are presented to include recommended foods and                Prevalence of chronic diseasesa summary of data
serving sizes. Combination foods, foods with fat,             from the survey of American Indians and Alaska
foods to avoid, foods to freely use and those al-             Natives.
lowed in reasonable amounts are presented in the              Johnson, Ayah E.; Taylor, Amy K.
same manner. Cautions and reminders accompany                 Center for General Health Services Intramural
each sections; pictures illustrating serving sizes and        Research (U.S.)
                                                              Rockville, MD : U.S. Dept. of Health and Human
other concepts addressed are included with each
section.                                                      Services,Public Health Service,Agency for Health
                                                              Care Policy and Research,.
92                   NAL Call No: RG580.D5P7                  10 p. ; 28 cm. (AHCPR pub ; no. 91-0031; Data
Pregnancy and diabetes.                                       summary (Rockville, Md.) ; 3.). Title from cover.
Gila River Indian Community (Arizona : Associa-               July 1991. Includes bibliographical references (p.
tion)                                                         l 0).
Sacaton, Ariz. : Gila River Indian Communiry,                 Langtage; English

                                               Quick Bibliography Series

Desciptorc: Indians of North America; Medical                               indians
care surveys
                                                                            Abstract: Objective. To estimate the prevalence of
                    NAL CaIl No: RC660-{1D53                                diagnosed diabetes among American Indians and
Prcvalenceof diabetesand its complicationsin                                Alaska Natives served by the IHS.
the Eastern Band of CherolreeIndians.
                                                                            9E                    NAL.Call No: RC660-AID53
Farrell, MA; Quiggins, PA; Eller, J.D.; Owle,
                                                                            Prevalence of diagnosed diabetes and selected
PA.; Miner, ICM.; Walkingstick,E.S.
                                                                            related conditions of six resenations in Montana
Alexandri4 Va. : American DiabetesAssociation.
                                                                            and Wyoming.
Diabetescarev. 16 (1): p.?53-256;1993
presented at conference,"Diabetes in Native                                 Acton, IC; Rogers, B.i Campbell, G.; Johnson, C.;
Americans," November l4-I7, 1989,Mesa,                                      Gohdes, D.
                                                                            Alexandria, Va. : American Diabetes Association.
Arizona. Includesreferences.
                                                                            Diabetes nre v. t6 (1): p.263-265; 1993Jan. Paper
                                                                                                         " D i abetes i n Nat ive
Language;English                                                            presented at conference,
                                                                            Americans," November 14-17, 1989, Mesa,
           North Carolina; Diabetes;Incidence;
Desciptons.'                                                                Arizona. lncludes references.
             American indians
                                                                            Langtage; English
Absffact: Objective.To determine the prevalence
of diabetesand selectedcomplications amongthe                               Desciptors: Montana; Wyoming; Diabetes; In-
Eastern Band of CherokeeIndians in North                                    cidence; Complications; American indians
                                                                            Abstract: Objective. To describe the prevalence of
                                                                            diabetes and related complications in Plains Indi-
96                          NAL CalI No: RC660-A1D53
Prevalenceof diabetes mellitus in pregnancy
among Yup'ik Eskimos,1987-19EE.
                                                                            99                      NAL Call No: 151.65 P96
Murphy, N.J.;Bulkow, L.R.; Schraer,               C.D.; Lanier,
                                                                            Preventing baby bottle tooth decay in tunerican
                                                                            Indian and Alaska native communities: a model
Alexandria,Va. : American DiabetesAssociation.
                                                                            for planning.
Diabetes    carev. 16 (1): p.3L5-3L7;t993            Jan.Paper
                                     "Diabetesin Native                     Bruerd, B.; Kinney, M.B.; Bothwell, E.
presentedat conference,
                                                                            Washington, D.C. : Public Health Service.
A m e r i c a n s , "N o v e m b e r L 4 - L 7 , 1 9 8 9 ,M e s a ,
                                                                            Public health reports v. 10a (6): p. 631-640. ill.,
Arizona. Includesreferences.
                                                                            charts: 1989 Nov. Includes 18 references.
                                                                            Language.' English
Descriptors.' Alaska; Diabetes; Pregnancy;In-
                                                                            Desciptorc: U.S.A.; Nursing bottle syndrome;
                                                                            Dental caries; Disease prevention; Health pro-
Abstract:Objective.To evaluatethe prevalence
                                           of                               grams; Program evaluation; Bottle feeding; Child
diabetesmellitus in pregnancy Yup'ik Eskimos.
                            in                                              feeding; Infants; Children; American indians

                                                                            Abstract: Baby bottle tooth decay (BBTD) is a
97                          NAL Call No: RC660-AfD53
                                                                            preventable dental disease which surveys have
Prevalenceof diagnosed diabetes among Ameri-
                                                                            shown affects more than 50 percent of Native
can Indians and Alaska Natives,19E7:Estimates
                                                                            American children. An experimental progran to
from a national outpatient data base.
                                                                            prevent BBTD was implemented in L2 Native
Valway,S.; Freemtn, W.i lkufman, S.; Welty, T.;
                                                                            American communities. The project represented a
Helgerson,S.D.; Gohdes,D.
                                                                            cooperative effort by three Department of Health
Alexandria, Va. : American Diabetes Association.
                                                                            and Human Service agencies: Administration for
Diabetes    carev. 16 (t): p.T7l-2i76;1993 Paper     Jan.
                                                                            Children, Youth, and Families, Head Start Bureau;
presented at conference,"Diabetes in Native
                                                                            Indi an H eal th S ervi ce, D ental P rogra m ; and
A m e r i c a n s , "N o v e m b e r 1 4 - 1 7 , 1 9 8 9 ,M e s a ,
                                                                            Centers for Disease Control, Dental Disease Pre-
Arizona. Includesreferences.
                                                                            vention Activity. Intervention strategies included
Language.'                                                                  the training of parent volunteers, health profes-
                                                                            sionals, and the tribal employees who counseled
Descipton' U.SA.; Diabetes;Incidence;

                             NATTVEAMERICAI{ HEALTH CARE

caretakers of young children and made group pre-           titative or qualitative importance of CVD risk fac-
sentations. There was also a media campaign in             tors among diverse population groups.
each community that ran for a 3-year period.
Nurnerous educational. materials were developed            10r                                     19EE
                                                                            NAL Call No: 26675.R9RE7
including training manuals, counseling booklets,           Rural health abstracts and citations, 1980-19E7.
tippee cuF, posterg and bumper stickers. The               (Rural hospitals Indian health carc Rural health
BBTD project's planners encouraged tailoring the           professionals.)
education materials and strategies to fit each com-        University of North Dakota, Center for Rural
munity. Preliminary results docrrmented statisti-          Health Services, Policy, and Research" University
cally significant decreases in the prevalence of           of North Dakota, Rural Health Research Center
BBTD at the pilot sites. This multidisciplinary,           Grand Forks, N.D. : Center for Rural Health Ser-
comprehensive intervention offers a model for or-          vices, Policy and Researc[ University of North
ganrzitg members of minority communities to                Dakota, c1988-.
prevent health problems.                                   v. ;28 cm. First edition, August 1988.Title on Part
                                                           III: Rural health abstractsand citations, 1980-1990.
100                   NAL Call No: RC658.AfD5              Publisher on Parts II and III is University of North
Risk factors for coronaryheart disease diabetic            Dakota Rural Health Research Center.
and nondiabetic Native Americans: The Strong
Heart Study.                                               Language; English
Howard, B.V.; Welty, T.K.; Fabsitz,R.R.; Cowan,            Descriptors: Rural health services; Hospitals,
L.D.; Oopik, AJ.; Le, NA.; Yeh, J.; Savage, P.J.;          Rural; Indians of North America
Lee, E.T.
Alexandria,Va. : American DiabetesAssociation.             102                   NAL Call No: RA771-AU6t
Diabetes 41 (suppl.2): 4-11;L992
         v.            p.           Oct.Includes           Rural residence and poor birth outcome in Wash-
references.                                                ington state.
Language:English                                           Larson, E.H.; Hart, L.G.; Rosenblatt,RA.
                                                           Kansas City, Mo. : National Rural Health Associ-
            Cardiovasculardiseases;  Diabetes;             ation.
Risk; American indians;Diagnosis;    Mortality;            The Journal of rural health v. 8 (3): p. 162-L70;
Morbidiry; Longitudinal studies;Diseasesurveys;            1992.Includes references.
                                                           Language; English
Abstract:The StrongHeart Studyis a studyof car-
diovasculardiseaseand its risk factors among               Desciptors.' Washington; Obstetrics; Health care;
diabetic and nondiabeticNative Americans.The               Prenatal period; Rural areas; Urban areas; Infant
                                                           mortaliry; Low birth weight infants; Risk; Blacks;
studyincludest2 tribes in Arizona, Oklahoma,and
North and South Dakota. PhaseI, initiated in Oc-           American indians; Marriage; Age differences; Eth-
                                                           nic groups; Hospitals; Health centers
tober 1988,included a mortality surveyto deter-
mine CVD death rates in individuals   35-74yr old          Abstract: It is often assumed that poor birth out-
between 1984 and 1988,and a medical record                 comes are more common among rural women than
reviewto determineratesof myocardialinfarction             urban women, but there is little substantive
and stroke for individualsages 45-74during the             evidence to that et'fect. While the effectiveness of
sametime. In addition,a physical  examination  was         rural provider and hospitals has been evaluated in
performedon persons   45-74yr old to measure    the        previous studies, this study focuses on poor birth
prevalenceof cardiovascular   and peripheral vas-          outcome in'a population of rural residents, includ-
cular diseases and known and suspectedrisk fac-            ing those who leave rural areas for obstetricd'care..
tors. In Phase tr, CVD mortality and morbidity             Rural arid urban differences in rates of inadequate
rates will be determinedin the examinedcohort              prenatal care, neonatal death, and low birth weight
by sunreillance.CVD risk factors, changesin risk           were examined in the general population and in
factorsover time, &d thq relationship between  risk        subpopulations stratified by risk and race using
factorsand CVD incidence    will be assessed longi-        data from five years (1984-88) of birth and infant
tudinally.This study providesdata on the relative          death certificates from Washington state. Also ex-
importanceof cardiovascular   risk factors in non-         amined were care and outcome differences be-
diabetic and diabetic Native Americans and will            tween rural women delivering in rural hospitals
provideinsightinto possible variationsin the quan-

                                   Quick Bibliography Series

and those delivering in urban facilities.Bivariate        r a t i o n ; N u t r i e n t d a t a b a n k s ;N u t r i e n t c o n t e n t ;
analyses  were confirmed with logistic regression.        Diabetes; Risk; Dietary surveys;Obesity; Ameri-
Resultsindicatethat rural residents thb general
                                    in                    can indians
population and in various subpopulationshad
                                                          Abstract: In 1988, a large-scale dietary survey of
similar or lower rates of poor outcome than did
urban residentsbut experienced    higher rates of         the Pimas was begun as part of a study of the nat-
            prenatalcare than did urban residents.        ural history of diabetic renal disease. Because of
Rural residentsdelivering in urban hospitals had          the uniqueness of this population and the specific
                                                          character of their foods, it was decided to develop
higher rates of poor outcomesthan those deliver-
iog in rural hospitals. We conclude that rural            a new computerized nutrient database contuioiog
residenceis not associated   with greater risk of         specific entries for the food items and mixed dishes
                                                          currently used by the Pimas. In this _way. potential
poor birth outcome. White and nonwhite differ-
                                                          errors in approximating Piman foods with others
encesappear to exceedany rural and urban res-
                                                          in commonly used US nutrient databaseswould be
ident differencesin rates of poor birth outcome.
                                                          avoided, and accurate dietary analysis of food
                                                          records could be accomplished.In addition, more
103                   NAL Call No: LC5146.R87
                                                          complete nutrient composition data would be ob-
Secondarydisabilities among Arnerican Indians
in Montana.                                               tained on Piman foods than had previously been
Clay,JA.; Seekins, Cowie,C.
Las Cruces,NM : New Mexico State University.
                                                          106                       NAL Call No: 151.65 Pg6
Rural specialeducation quarterlyv. lL (2): p.20-
                                                          Serum cholesterol concentrations among Navajo
?5; L992.Includesreferences.
Language:English                                          Sugarman, J.R.; Gilbert, T.J.; PercY, CA.; Peter,
           Montana; American indians; Handi-
Descripto,n.'                                             Rockville, Md. : U.S. Department of Health &
capped persons;Tribal society;Health care;                Human Services,Public Health Service.
Health services;Rural communities;Reserved                Public health reports v. 107 (1): p. 92-99;1992 Jan.
areas;Regionalsurveys                                     Includes references.

104                  NAL Call No: QP14f.{NBE              Langtage.' English
Selectedrisk factors tbr diabetes in native
                                                          Descriptors.'Arizona; Cholesterol; Blood serum;
                                                          American indians; Anthropometric dimensions;
Mohs, M.E.; Leonard,T.K.; Watson,R.R.
                                                          Diabetes; Low density lipoprotein; High density
ELnsford, N.Y. : PergamonPress.
                                                          lipoprotein; Triacylglycerols; Surveys; Age differ'
Nutrition research 5 (9): p. 1035-1045; Sep.
                  v.                 1985
                                                          ences;Women; Men
Includes57 references.
                                                          Abstmct: Navajo Indians have been reported by
                                                          earlier investigators to have low concentrations of
Descriptors:U.S.A.; Tribal societies;Races;               serum l i pi ds and a l ow preval ence of hyper -
Diabetes;Obesity;Diet; Ethanol;Intake; Genetic            lipidemia, as well as low rates of ischemic heart
factors                                                   disease. However, no data on serum lipid con-
                                                          centrations among Navajos have been reported for
105                     NAL Call No: 3E9.EAM34            more than two decades.The authors conducted a
Selected traditional and contemporarytbods cur-           study to determine the distribution of concentra-
rcntly used by the Pima Indians.                          tions of serum total cholesterol (TC), high density
Smith, CJ.; Schakel,S.F.;Nelson,R.G.                      lipoprotein cholesterol, low density lipoprotein
Chicago,Ill. : The Association.                           cholesterol, and triglyceride among persons ?5'74
Journal of the American Dietetic Association 91.
                                           v.             years old living in a representative community on
(3): p. 338.341. charts;199LMar. Includes13 ref-          the Navajo Indian reservation. Data are reported
erences.                                                  for 255 subjects, 105 men and 150 women, ages
                                                          N-74 years. The authors compared these data to
Language:English                                          those for the general population as determined by
Descipton.' Arizona; Food preferences; History;           the second National Health and Nutrition Exam-
Ethnic foods; Eating patterns;Diet; Food prepa-           ination Survey (NI{ANES II). TC concentrations

                              NATIVE AMERICAN HEALTH CARE

among Navajo men were similar to those from                 ings related to Native American ST use: (a) young
NI{ANES II. TC concentrations among younger                 age of onset of ST use, (b) similar prevalence of
Navajo women were similar to those for women                use among adolescent boys and girls, and (c)
younger than 55 years from NI{ANES II, but were             higher overall prevalence of ST use when com-
significantly lower amorg older Navajo women.               pared to non-Native American populations. Accep-
While 27.6 percent of men ages 25-74 years                  tance of the habit, peer pressure, and addiction
studied in NTIANES II had TC concentrations                 seem to be contributing to the high ST use in Na-
greater than 240 milligrams per deciliter, 33.8 per-        tive American communities.
cent of Navajo men had similarly elevated TC.
However, the prevalence of serum TC concentra-              10E                  NAL Call No: E75.AS [no.4,-15]
tions greater than 240 milligrams per deciliter             Spacing of babies.
amotrg Navajo women (17.5 percent) was about                Gipp, Bertha
half that among women studied in NI{ANES II                 Native American Maternal and Child Health Proj-
(32.9 percent). A similar pattern was found for             ecr (N.D.)
low density lipoprotein cholesterol. The research-          Bismarck : ND : Native American Maternal and
ers concluded that Navajo Indians iue no longer             Child Health Project, Division of Maternal and
characterized by low serum lipid concentrations,            Child Health, North Dakota State Dept. of
that increased cholesterol concentrations may be            Health,.
a harbinger of increasing rates of atherosclerotic          [10] p. : ill. ; 22 cm. (American Indian bibliography
coronary heart disease among Navajos, and that              series; [A-l5l). Cover title.
attention should be directed to prim:uy prevention
of hyperlipidemia in Navajo Indian communities.             Langrage; English

                                                            Desciptors.' North Dakota; Popular works; Family
L07                      NAL Call No: 151.65 P96            planning; Birth control; American indians; Health
Smokeless tobacco use among native American                 care
school children.
Bruerd, B.                                                  Abstact: To assist the American Indian in family
Washington, D.C. : Public Health Service.                   planning, this pamphlet provides basic information
Public health reports v. 105 (2), p. L96-201; L990          on bi rth control methods. P i l l s, i ntra - ut er ine
Mar. Includes references.                                   devices,diaphraoms,condoms,vaginal medications
                                                            and natural family planning are the methods ex-
Langtage.' English                                          plained thoroughly and accompaniecl a drawing
Desciptors.' South Dakota; Montana; Nebraska;               of each.A short summary of Native American fam-
Washington; Arizona; New Mexico; Alaska; School             ily planning, both past and present, is included. A
children; Chewing tobacco; American indians;                checklist of good health practices that accompany
                                                            participation in spacingof babies is also presented.
Literature reviews; Health hazards

Abstract: Seven published and two unpublished               109                   NAL Call No: KF275.H8 1990
surveys of Native American school children's use            Standing Rock Sioux Reserryationa case study of
of smokeless tobacco (ST) are reviewed. The sur-            food security among native funericans : hearing
veys represent school children in the States of             before the Select Committee on Hunger, House of
South Dakota, Montan4 Nebraska, WashingtorL                 Reprcsentatives, One Hundred First Congress,
Arizona, New Mexico, and Alaska. This review                second session, hearing held in Fort Yates, ND,
describes and discussesthe survey methods, prev-            February 26, 1990.
alence, duration, and intensity of ST use, and ST           United States.Congress.House. SelectCommittee
health effects documented in these studies. Preva-          on Hunger
lence of regular ST use ranges from 18 percent in           Washington [D.C.] : U.S. G.P.O. : For sale by the
kindergartners through 6th graders to 55.9 percent          Supt. of Docs., Congressional Sales Office, U.S.
among 9th and 10th graders. In two studies that             G.P.O.; Y 4.H 89:101-15.
surveyed kindergartners, regular use was reported           iv, 208 p. : ill., maps ;24 cm. Distributed to some
at 13 percent in one study and 2L percent in the            depository libraries in microfiche. Serial no. 101-
other. Comparisons to use by non-Native                     15. Includes bibliographical references(p. afl.
Americans, as reported in surveys,demonstrate the
                                                            Langtage.' English
severity of the problem in Native American com-
munities. There appear to be three significant find-

                                      Quick Bibliography Series

Descriptors:Standing Rock Indian Reservation                 D escri ptors: H vpertensi on; R esearch; Unit ed
(N.D. and S.D.);Indiansof North America;North                States; Congresses;Indians of North America;
Dakota; Health and hygiene;Indians of North                  Medical care; Congresses
America; South Dakota; Health and hygiene;
Dakota lsdians; Health and hygiene;Food relief;              LLz             NAL Call No: RA4485.I5N37l9t4
United States                                                nThe Key to prevention: youn report on the Sixth
                                                             National Indian/Alaska Native Health Confer-
Abstract: This hearing of the House Selection                ence, June 4-7, Lg|d/.isponsoned by the National
Committee on Hunger containstestimony,state-                 Indian Health Board.
ments and supplemental  materialspresentedby                 Cull, Scott R.; Compton, John H.
membersof the Rock Siou,x Tribal Council,mem-                National Indian Health Board
bers of Congressand other govemmentofficials.                National Indian/Alaska Native Health Conference
The topics discussed problemsof poverty and
                    are                                      6th : 1984 : Reno, Nev.
malnutrition among Native Americans,especially               United States?: s.n., 1984?
those at The StandingRock SiouxReservation.                  iv, 119 p. : ill. ; 28 cm. This publication was made
                                                             possible through contract no. 240-84-0008,   with the
1L0                     NAL Call No: 151.65 P96              Department of Health and Human Services,Public
A study of dog bites on the Navajo Reservation.              Health Service,Indian Health Service.
Daniels, TJ.
Washington, D.C. : Public Health Service.                    Langtage; English
Public health reports v. 101 (1): p. 50-59. maps;
1986 Jan. Includes references.                               Desciptors.' Indians of North America; Health and
                                                             hygiene; Public health; United States; Congresses
Language: English
                                                             1L3                    NAL Call No: RC65E-A1D5
Desciptors.' Arizona; Utah; New Mexico; Ameri-               Thermic elTect of glucose in obese subjects with
can indians; Statistical data; Bites; Dog control;           non-insulin-dependent diabetes mellitus.
Public health                                                Ravussin, E; Zawadzki, J.K.
Abstract: Reservation-wide dog-bite statistics indi-         Alexandria, Va. : American Diabetes Association.
cate a bite rate on the Navajo Reservation that is           Diabetes v.36 (12): p. L4l-147. ill., charts; L987
comparable to that of a large city. Detailed analysis        Dec. Includes 27 references.
of TI2 bite reports was made to determine the                Langtage.' English
characteristics of biters and their victims. This in-
cluded an assessmentof the behavioral antece-                Desciptors.' Arizona; Obesity; Diabetes; Glucose;
dents leading up to the bite incident; 98.4 percent          Heat production; Energy metabolism; American
of all cases for which a possible cause could be             indians
ascertained were provoked in some way. Both dog
                                                             Abstract: Extract: A reduced thermic effect of
control and public education measures need to be
                                                             glucose in non-insulin-dependentdiabetes mellitus
taken to reduce the frequency of dog bites.
                                                             (MDDM) has been previously reported. To inves-
                                                             tigate whether this defect is related to t) a
11.1              NAL Call No: RC6E5.HEN27   1980
                                                             decreasedrate of glucose storage, 2) a reduced en-
Summary report of the SecondNational Confer-
ence on High Blood Pressurc Control in Native                ergy cost of glucose storage, or 3) a defect in the
                                                             sympatheti cal l y medi ated component of t her -
American Communities.
                                                             mogenesis, we studied the thermic effect of in-
National Heart, L-9, and Blood Institute, Na-
                                                             gested and infused glucose in nine MDDM obese
tional Institutesof Health (U.S.)
                                                             Pima Indians [90.5 + /- 3.9 kg, 39 + /- ZVo fat, fas-
NationalConference High Blood.Pressure
                      on                    Con-
                                                             ting plasma glucose (FPG) 130 + /' r0 mgldll and
trol in Native American Communities2nd : 1980:
                                                             in nine nondiabetic obese Pima Indians (99.3 + /'
Tulsa, Oklahoma.
                                                             7.2 kg, 38 + /- 2% fat, FPG 103 + /- 2 mgldl).
Bethesda,Md. U.S. Dept. of Health and Human
                                                             Energy expenditure and glucose storage were
Services, Public Health Service,NationalInstitutes
                                                             derived from indirect calorimetry measurements.
of Health, [1982?1.
                                                             The thermic effect of 100 g of glucose was found
53 leaves; 28 cm. Administrativeuse only.
                                                             to be similar in both groups (4.0 + /- 0.9 vs 5.0 + /-
Language:English                                             1.3% of energy ingested in diabetic and non-

                                      NATI\iE AMERICAN HEALTH CARE

diabetic subjects, respectively) but lower than that
previously reported in nonobese subjects. The cost                         Desciptors.' U.SA.; American indians; Families;
of glucose storage calculated after stimulating                            Cultural heritage; Law; Handicapped persons;Cul-
storage by constant glucose infusion (0.46 g/min)                          tural differentiation; Partnerships; Health pro-
and variable insulin infusion (19.5 + /- 3.8 vs. 2.9                       grams
 + /- 0.6 in diabetic and non-
diabetic subjects, respectively; P less than .01) was                      116                     NAL Call No: TX341.C6
similar in both groups (approximately 0.35 kcal/g                          USDA to improve quality of canned beef and pork
glucose stored) and not different from that re-                            Washington, D.C. : Community Nutrition Institute.
ported in lean subjects. As opposed to lean and                            Nutrition week v.2L (22): p.2-3; 1991^
obese Caucasian subjects, energy expenditure                               Language.' English
tailed to markedly decrease during propranolol in-
fusion in both nondiabetic and diabetic Pima In-                           Desciptors.' Beef; Pigmeat; Meat quality; Canned
dians. We postulate that the decreased rate of                             meat; Usda; Food distribution programs; Dietary
tissue glucose uptake and storage associated with                          faq Diet; Eating patterns; Diabetes; American in-
insulin resistance is the major cause of the lower                         dians
thermic effect of ingested glucose in NIDDM. It
                                                                           Abstract: Following congressional hearings and a
is unlikely that a reduced thermic effect of glucose
                                                                           GA O i nvesti gati on,the U S D A w i l l attem pt t o
causesor perpetuates obesity in NIDDM, because
                                                                           reduce the amount of bone, blood vesseland con-
a low thermic response is the consequenceof the
                                                                           nective tissue in canned beef and pork products
increased insulin resistance and is opposed by
                                                                           and will take steps to generally improve the nutri-
greater increases in resting metabolic
                                                                           tional value of these products.
                                                                           LL7                       NAL Call No: RA425.C6
ll4                        NAL Call No: RC660A1D53
                                                                           Use of secondary data: extrapolating to the com-
The traditional Pima Indian diet Composition
and adaptation for use in a dietary intervention
                                                                           Stewart, B.; Kozoll, R.; Rhyne, R.L.
                                                                           Rockville, Md.? : U.S. Dept. of Health and Human
Boyce, V.L.; Swinburn, BA.
Alexandria, Va. : American Diabetes Association.
                                                                           Community-oriented primary care : from principle
Diabetescare v. 16 (1): p.369-371;1993Jan. Paper
                                                                           to practice / edited by Paul A. Nutting. p. 168-173;
pr es ent e d a t c o n fe re n c e , " D i a b e te s i n N ati ve
                                                                           1987. (HRSA publication ; no. HRS-A-PE 86-1).
Americans," November t4-t7, 1989, Mesa,
Arizona. Includes references.                                              Langtage.' English
Language: English                                                          Desciptors.' New Mexico; American indians; Com-
                                                                           munities; Community health services; Vital statis-
Descriptors.' Arizona; Diet; Diabetes mellitus;
                                                                           tics; Data collection; Information services
American indians

Abstract: Objective. To examine changes in the                             118                            NAL Call No: RC660-A1D53
Pima Indian diet composition that may have played                          Workshop report Prevention and early treatment
a role in the dramatic rise in the incidence of                            of N ID D M.
MDDM among Pima Indians over the last century.                             Wilson, R.; Hortoo, E.
                                                                           Alexandria, Va. : American Diabetes Association.
115                     NAL Call No: LC5146.R87                            Diabetes care v. 16 (1): p.376-377; 1993Jan. Paper
                                                                                                                  " D i abetes i n Nat ive
Understanding the cultural characteristics of                              presented at conference,
American Indian families: elfective partnerships                           A m e e r i c a n s , "N o v e m b e r L 4 - 1 7 , 1 9 8 9 , M e s a ,
under the Individualized Family Service Plan                               Arizona.
                                                                           Language.' English
Nelson, J.R.; Smith, D.J.; Dodd, J.M.
Las Cruces, NM : New Mexico State University.                              Descripton.' Diabetes mellitus; Health programs;
Rural special education quarterly v. 11 (2): p. 33-                        American indians
36; 1992. Includes references.
                                                                           Absffact: Critical scientific and practical questions
Language.' English                                                         are whether it is possible to prevent NIDDM and

                                       Quick Bibliography Series

whether early treatmdnt of diabetes is effective.              ican population and underscores the preventable
There are three potential strategies that may                  nature of premature loss of life.
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 exer-
cise program such as that conducted in the Z;.trrr
community can be made available to an entire
community. The importance of community in-
volvement in establishing nad suslaining such pro-
gr am s , a n d th e i m p o rta n c e o f usi ng sound
principles of effective behavior modification were

119                       NAL Call No: 151.65 P96
Years of potential life lost amonga Native Arner-
ican population.
Mahoney, M.C.; Michalek, A.M.; Cummings,
K.M.; Hanley,J.; Snyder,R.L.
Washington, D.C. : Public Health Service.
Public health reportsv. 104 (3): p. T79-735;1989
May. Includesreferences.
Desciptors.'New York; American indians; Mor-
talicy;Risks; Health
Abstract:The determinationof years of potential
life lost (YPLL) can aid in monitoring changesin
premature mortality among various population
groups.While prematuremortalityhasbeenshown
to differ among blacks and whites, patternsof
Y?LL havenot beenwell established    amongother
racial groups.The Seneca  Nation of Indians(SM)
is a Native American group residing primarily in
westernNew York State (I.[YS).A review of SNI
necrologyrecordsrevealedthat 55 percent(510 of
92$ of.the deathsbetween1955and 1984occurred
before 65 yearsof age.The proportion of prema-
ture deathsamongmalesexceeded proportion
in females.SNI malesdemonstrated increased
risk of prematuredeath (odds ratio = 1.43)rela-
                   Both the percentage prema-
tive to SNI females.                    of
ture deaths and the number of Y?LL per death
Weregreater amongSM memberscomparedwith
NYS residents.Almost one-half of all YPLL
amorg the SM were attributableto accidents   and
injuries. Heart disease,digestivediseases,   and
malignant neoplasmsalso representedimportant
contributors to YPLL for both SNI males and
females.This investigationidentifies important
causes prematuredeathamonga NativeAmer-

                                       Author Index

(William Andrew), 72                                 Diemand,L.M. 37
Ab_e, Thomas A. 16                                   Dodd, J.M. 115
Ackman, R.G. 76                                      Eaton, CA. 76
Acton, K 98                                          e d M
Archer, W. Andrew 72                                 Eddy, P. ffi
Bachman-Carter,trC 30                                Eelkema Robert C. L6
Backinger, Cathy 87                                  Eller, J.D. 95
Baer, Linda 68                                       Everhart, J.E. 42
f|2nmen, KA.   2                                     Fabsita R.R. 100
Beauregard"Karen 1                                   Farrell" MA. 95
Becker, T.M. 31                                      Fisher, J.R. 40
Bennett, P.H. 14, 18, ?5, 42, 88                     Frank, C. 30
Berg, Lawrence E. 54                                 Freeman,W. 97
Bergeisen,  L. 4                                     Freeman,W.L. L3, 36, 59
Bertorelli, A.M. 82                                  Freni-Titulaer,L. 43
Blum, R.W. 4                                         Frohlich, K.L. 33
Bogardus,C. 88                                       Garcia Coll, C.T. 15
Bothwell. E. 99                                      German,R.R. 35
Boyce,V.L. LL4                                       Gila River Indian Community(Arizona : Associ-
Boyko, EJ. 29                                           ation) 92
Brosseau,  J.D. 6I                                   Gilbert, T.J. 106
BrosseaqJamesD. 16                                   Gipp, Bertha 108
Broussar4 BA. 12                                     Gohdes,D. L3, L7, 24, ?5, 97, 98
Bruerd, B. 99, L07                                   Gohdes,D.M. 22,,?3
Bruerd, Bonnie 87                                    Grossman, 89L.
Buck, G.M. 8                                         Groziak,S.M. 37
Buehler,J.W. 6                                       Hall, T.R. 69
Bulkow, L.R. 29, 32, 96                              Hanley,J. 119
Burns,T.R. 66                                        Harmon, B. 4
California, WIC Supplemental  Food Section 55        Harris, L. 4
Campbell,G. 98                                       Harris, M.B. 81
Carter, J.S. 31,                                     Hart, L.G. L02
Center for General Health ServicesIntramural         Heath,G.W. 7
   Research(U.S.) l, 52, 90, 94                      Helgerson, 70
Chelimsky,Eleanor 34                                 Helgerson, S.D. 97
Chen, Martin K. 54                                   Hembekides,  Ruth 2'1,,
Clay, JA. 103                                        Henrichs,JamesR. 72
Compton,John H. ILz                                  Hickey, M.E. 69
Cornelius,Llewellyn Joseph, 1                        Hogue, C.J.R. 6
Cowan, L.D. 100                                      Holcomb,Barbara 87
Cowie, C. 103                                        Hollevoet,J.J. 33
Crawford, Andrea C. 16                               Horton, E. 118
Cull, Scott R. ILz                                   Hosey, G.M. 13
Cummings,KM. 119                                     Howard, B.V. 20, 100
Qrrnningfoam, Peter J. L, 52                         Huete, N. 43
D'Angelo, AJ. 67                                     Hunt, K. 60
Daniels,TJ. 110                                      Hurlburt, W.B. 67
Davis, S.M. 60                                       Jackson,M.Y. 12, 80, 83
Deapen,R.E. 39                                       Jamison,Paul L., 4
DeStefano,F. 35                                      Johnson,Ayah E. 94
Deuschle, KW. 11                                     Johnson, C. 98
Dever, D. 43                                         Johnson, L.G. 27
DeWitt, Dana 68                                      Jorge, N. 48

                                 Quick BibliographySeries

Justice,J. 13                                         Newman,J.M. 35
Kaufman, S. 24, 97                                    Newman,W.P. 33
Kennedy,R.D. 39                                       Oopik, A.J. 100
Kenny, S. 48                                          Owle, PA. 95
Key, C.R. 31                                          PapagoNutrition ImprovementProgram (Seilst
Kinney, M.B. 99                                          Ariz.) 85, 86
Kinney, Mary Beth 87                                  Percy,CA. 106
Kitzes, J.M. 60                                       Peter,D.G. 106
Knowler, W.C. 14, 18, L9, 42                          Pettitt, D.J. 14, 18, 19, 42
Koehler, ICM. 81.                                     Phillips,M.G. 5t
Kozoll, R. 63, II7                                    Powell, E.J. 8
Kuller, L.H. 26                                       Qualtere-Burcher, 2 P.
LaDue, Robin A. 7L                                    Quiggins, PA. 95
                                                      Raichelson,   R.M. t0
Lanisl, 4.P. 29, 32, 96
                                                      Randels,   SandraP. 7L
Larson, E.H. 102                                      Rarrussin.  E. 113
Lauber. C. Z                                          Resnick,M.D. 4
Le, NA. 100                                           Rhoades,   E.R. 66, 67
Lee, E.T. 48, 100                                     Rhyne, R.L. IL7
Lefkowitz, Doris Cadigan 90                           Rith-Najarian,   S.J. 22
Leonard,B.E. 7                                        Rockow,J.P. 2
Leonard, T.trC L04                                    Rogers,B. 98
Lillioja S. 88                                        Rosenblatt,RA. L02
Livingston,R.C. 30                                    Russell,D. 48
London, Virginia 54                                   Saad,M.F. 14, 18
Mahoney, M.C. 8, 119                                  Samet,   J.M. 3L
Marfin, A.M. 70                                       Savage,   P.J. 100
Martinez, C.B. 7A                                     Schakel,  S.F. 105
Masis,K.B. 9                                          Schraer,  C.D. 29, 32, 96
Mason, R.D. 66                                        Schur,ClaudiaL. 52
Mason,W.B. 30                                         Seekins,  T. 103
May, PA. 9, 46                                        Shelton,  JA. 8
Mazur, M. 79                                          Sievers,  M.L. 40
McBean, L.D. 38                                       Sippel,J. 13
                                                      Smith. C.J. 105
McShane,D. 5                                          Smith,D.J. 115
Michalek, A.M. 8, 119                                 Smith, E.M. 66
Miller, WA. Z                                         SmithJ. 7,70
Miner, ICM. 95                                        Snyder,R.L. 119
Mohs, M.E. 104                                        SpecialSupplemental    Food Program for Women,
Molofsky, Anne J. 49                                     Infants,and Children(U.S.),United TribesEd-
Morgan, Helen 47                                         ucational Technical Center (Bismarck,
Mosey, G.M. 36                                           N.D.) 84
Muneta, B. 35                                         Stahn,R.M. I7
Murphy, MA. 43                                        Stewart,B. lL1
Murphy, N.J. 29, 32, 96                               Stracqualursi,  F. 13
National Heart, Lung, and Blood Institute, Na-        Strauss,K. 27, ?3
   tional Institutes of Health (U.S.) 111             Strauss,L.T. 6
National Indian Health Board ILz                      Streissguth,  Ann Pykowicz 7L
Native American Maternal and Child Health             Stubbs,P.E. 51
   Project 93                                         Suan,L.V. 75
NativeAmerican Maternal and Child Health Proj-        Sugarman,    J.R. 106
   ecr (N.D.) 108                                     SwansonCenter for Nutrition, United States,In-
Nelson,J.R. 115                                          dian Health Service,National DiabetesInfor-
Nelson,R.G. 14, 18, 105                                  mation Clearinghouse    (U.S.) 9L

                                              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, GeneralAccountingOffice, United
       States,Congress, House, SelectCommitteeon
       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 Commit-
       tee on Agng 73
    United States.Congress.  House.SelectCommit-
       tee on Children, Youth, and Families 77
    United States. Congress. House.SelectCommit-
       tee on Hunger 58, 109
    United States.Congress.  Senate.  SelectCommit-
       tee on Indian Affairs 64, 65
    University of North Dakot4 Center for Rural
       Health Services,Policy,and Research,  Univer-
       siry of North Dakota, Rural Health Research
       Center 10L
    Universityof Washington,                    and
                              Dept. of Psychiatry
       BehavioralSciences,  Universityof Washington,
       Chil d Developmentand Mental Retardation
       Center, Universiryof Washington,   Alcoholism
       and Drug Abuse Institute,United States,    In-
       dian 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              \

                                          Subject Index

Abuse 4                                                  Chewing tobacco 107
Achievementtests 13                                      Child care t5
Acquired immune deficiencysyndrome 2                     Child development 15
Adolescents 2, 4, 5, 60                                  Child feeding 99
Adopted children 5                                       Children 5,99
Adults 7                                                 Cholesterol 106
Afro-American aged 73                                    Circulatory disorders 50
Age 8                                                    Classification 39
Age differences 2" I02, LM                               College students 75
Age factors 16                                           Commodities 56
Aged 73                                                  Communities LI7
Alaska 3, 6, U, 29, 32, 4, 54,76,79,80, 83, 96,          Communiry development 59
    r07                                                  Community health services 9, 59, 67, lI7
Alb'tmins 10                                             Community programs 7
Alcohol use 54,,77                                       C ompl i cati ons 17,22, 32,36,95, 98
Alcoholic beverages 9, 45, 46                            Computer software 78
Alcoholism 4t, 66                                        Conferences 25
Aleuts 3, 3                                              Congresses L1,L,1-l,L,LLz
American indians 2, 4,,6-?3, 30-33 35-43,45-51,          Consumer education 50, 55, 57
    53, 55-57,59-63,66,67, 69, 70, 75,78, 79, 8L-        Consumption M
   89, 9L-93,95, 97-L00,102, 103, 105-L08,  1l.0,        Coumarins 10
    113-119                                              Cultural differentiation 46,, Lls
Anthropometric di-ensions L06                            Cultural heritage 115
Anthropometry 4                                          Cultural influences 12, 38,63, 8L, 89
Arizona 2, 6, 9, L4, 18, 19,,42, 43, 69, 88, 92,         Cultural integration 11
    105-107,110,113,114                                  Cultural sociology 15
Asians L5,37,38, 82, 89                                  Cultural values 11
Attitudes 2, 4                                           Curriculum guides 81
Baby foods 57                                            Dakota Indians 109
Beef 11.6                                                Data collection lI7
Behaviorchange 81                                        Demography 75
Behavior modification 85, 86                             Demonstrations 60
Beliefs 15                                               Dental caries 51, 99
Birth 8
Bhth control 108                                         Dental caries in children 87
                                                         Dental health 55
Birth weight 6, 8
                                                         Diabetes 12, 17, L8, 20-?3, 3L, 32, 3+36, 38, 45,
Bites 110
                                                            48, 50, 53, 6L, 70, 78,'79, 82, 91, 92,95-98, 100,
Blacks 2, 8, 15, 37,38, 82, 89, L02
                                                            10+106, Lr3, LL6
Blood plasma 20, 88                                      Diabetes mellitus 7, L3, L4, L6, 19, 29, 30, 33,
Blood pressure 43                                           42, 69,88, 114, 11.8
Blood serum 42, L06                                      Diabetes treatment 2I
Blood sugar 7, Q                                         Diabetic diets 9I
Body weight 7, Q                                         Diagnosis 100
Bootle feeding 87                                        Diarrhea 86
Botany, Medical 72                                       Diet 79,9L, 104, 1,05,LL4, LL6
Bottle feeding 87,99                                     Diet counseling 82
Boturism 57, 57                                          Diet therapy 45, 9"1.
Breast feeding 85, 86                                    Dietary factors 38
California 78                                            Dietary tat 116
Canada 46                                                Dietary guidelines 2I, 56, 9L
Canned meat 116                                          Dietary surveys 105
Cardiovasculardiseases 53, 81, 100                       Diets 45, 76
Case reports 79                                          Disease prevalence 82

                                  Quick Bibliography Series

Diseaseprevention 2, 9, 26, 66, 99                 Foster children 5
Diseasesurveys 100                                 Gall bladder diseases 53
Diseases q, 54, 5'7                                Generations 19
Docosenoicacid 76                                  Genetic correlation 40
Dog control 110                                    Genetic factors 104
Drinking behavior 41,                              Genetic markers 19
Drinking water 43                                  Geographical distribution 4
Drug use 77                                        Glucose 113
Duration 42                                        Glucose tolerance 88
Eating habits 37, 55                               Guidelines 4'7
Eating patterns 79, 82" 105, 1L6                   Handbooks, manuals, etc 9L
Education 8                                        Handicapped persons 103, 115
Educationalprograms B, 51, 66                      Health 4, 15,38, 60, 76, 83, LLg
Elderly 62                                         Health and hygiene 3, 4,54, 58, L09,,II2
Elementaryeducation 81                             Health beliefs L2,89
Energy metabolism 113                              Health care 15, 59, 63, 84, 89, 92,93, L02, L03,
Environmentalfactors 19, 40                           108
Epidemiologicalsurveys 4, 8                        Health centers 102
Epidemiology 6, 16, 46                             Health education 47, 85, 86
Eskimos 3, 4, 67, 76                               Health hazards 10, 107
Ethanol 104                                        Health programs 33, 66, 70, 99, 115, L18
Ethnic foods 105                                   Health promotion 49
Ethnic groups 4, 5, 8, 3L, 46,75, 80, 102          Health services L1.,51, 62, I03
Ethnicity 8,37,79,82                               Heart 54
Ethnobotany 72, 78                                 Heat production 113
Exercise 7                                         Hereditary factors 16
Familial incidence 19                              High density lipoprotein 106
Families 115                                       Hispanic American aged 73
Family counseling 9                                Hispanics 2, L5, 3'1, 37,, 38, 81, 82, 89
Family planning 108                                History 79, 83, 105
Family structure 15                                Honey 57, 57
Fat products 76                                    Hospitals L02
Federal aid to alcoholismprograms 77               Hospitals, Rural 10L
                                                   Human behavior 4
Federal aid to community development 77
Federal aid to community mental health ser-        Human immunodeficiency virus 2
    vices 73, 74                                   Hunger 58
Federal aid to drug abuse treatment                Hypercholesterolemia 53
    programs 77                                    Hypertension 38, 43, 53, 56, 111.
Federal programs 49, 66                            Idaho L3,36
Feedingbehavior 80                                 Incidence 22, 25,27-30, 32,36, 42, 6L,88, 95-98
Feet 50                                            Independent study 84
Fetal alcoholsyndrome 9, 6, 66,7L                  Indians of North America L, 3, 49, 52, 54, 58,
Flipcharts 87                                         &, 65, 68,71-74, 77, 90, 9L,94, 10L, L09, 11L,
Food 9L                                               LLz
Food beliefs Lz                                    Infant feeding 57, 86
Food consumption 10                                Infant mortality 6,39, L02
Food costs 49                                      Infants 5, 8, 15, 5L, 55, 57, 68, 87, 99
Food distribution programs 116                     Infections 53
Food habits 81                                     Influences 15
Food intake 38, 81                                 Information services LI7
Food preferences 81, 105                           Instructional materials 84
Food preparation- 56, 105                          Insulin 42,, 69, 88
Food relief 49, L09                                Insurance, Health 52

                                         Subject Index

Intake L04                                            Nutrition education L2, L3,,49, 70,8L, 82, 84, 85,
Inuit 29,79, 96                                           86
Kidney diseases 53                                    Nutrition information 93
Knowledge 2                                           Nutritional aspects 91
Ifuowledge level 13                                   Nutritional assessment 37
Law 115                                               Nutritional state 83
Learning activities 84                                Nutritional surveys 80
Lessonplans U                                         Nutritional value 49
Life style 62                                         Obesity L8, 1.9,38,,42, 53,82, 1,04,1.05,1.13
Lifestyle L9, 79                                      Obstetrics L02
Lipoproteins 20                                       Oklahoma 39, 47, 48
Literature reviews 14, 15, 53, L07                    Oregon L3,36
Liver 88                                              Osteoporosis 38
Longitudinal studies 42, 88, 100                      Pancreas 88
Low birth weight infants I02                          Parent child relationships 15
Low density tipoprotein 106                           Parent education 87
Marriage 102                                          Parents 15
Materia medica,Vegetable 72                           Partnerships 115
Maternal-fetalexchange 46                             Pathogenesis 14, 88
Meat qualiry 116                                      Patient care 50
Medical care 111                                      Patient compliance 7
Medical care surveys L, 52, 94                        Patient education 9L. 92
Medical treatment 8                                   Performance 4
Medicinal plants 78                                   Pigmeat 116
Medicine 72                                           Pneumonia 54
M en 7 ,2 9 , 4 2 ,7 0 , 1 0 0 , L 0 6                P ol ymorphi sm 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                                    Prenatalperiod 102
rvrmonryageq t'J
                                                      Preschoolchildren t5
Mississippi 27
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        Programevaluation 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         Reducingdiets 45
Nova Scotia 76                                        Referencematerials 85, 86
Nursing bottle syndrome 99                            Referenceworks 49
Nutrient content 105                                  Regionalsurveys 103
Nutrient databanks 105                                Research 111
Nutrient intake 38, 43                                Reservations 49
Nutrition 3, 38, 49, 58, 76, 84                       Reservedareas 103

                                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
Supplementalfeeding programs 49
Suneys 106
Symptoms 21
Teachingmateriais 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" 20,?3, 24,30, 35, 38,40, 41,
       49,51,61-63, 80,82,89,97,,99,104,
    16,,             66,                  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


To top