I found this study to be fascinating on many levels. The historical precedence and impact that this study has had on the scientific community is tremendous. The sad fact that the Arizona Pima were robbed of their traditional heritage and that the overall effect was higher risk for disease is just tragic. The World Health Organization says that “Health is a state of physical, mental, and social well-being and not merely the absence of disease or infirmity”(WHO, 2022). The Mexican Pima were able to continue in their traditions and held a state of well-being that overall benefited their health and mental well being.
The data from this study can and has been used to develop secondary care such as diabetes screenings. The primary care model would be to educate on the important that activity and the built environment play in a person’s health. Interacting with your surroundings in a way that physical, mental, and social well-being is maintained will decrease obesity and help combat the genetics that are at work in an ethnic group. As nurses we need to be culturally competent with the populations that we service. We need to understand the risk both genetic and social determinants that can increase disease complexity.
As the article states, modernization is inevitable. Nurses and society should encourage ethnic groups to continue practicing those cultural traditions that untied them to the community and the surroundings for better overall health and well-being.
Schulz, L. O., & Chaudhari, L. S. (2015). High-Risk Populations: The Pimas of Arizona and Mexico. Current Obesity Reports, 4(1), 92–98. https://doi.org/10.1007/s13679-014-0132-9
WHO. (2022). Health and Well-Being. World Health Organisation; World Health Organisation. https://www.who.int/data/gho/data/major-themes/health-and-well-being
The research on high-risk populations like Pima Indians on the association between obesity and diabetes is crucial because it provides insights into these chronic diseases and can inform effective health promotion strategies to other vulnerable and at-risk populations (Schulz & Chaudhari, 2015). These studies show us that there is a wide range of factors leading to health disparities for specific populations. We use this information to develop interventions specifically designed to meet the needs of these populations. For example, when developing a lifestyle modification intervention for indigenous communities, we must consider cultural aspects of diet and other traditional practices.
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