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Native Americans

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by

Elaine Rodriguez

on 26 June 2014

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Transcript of Native Americans

Native Americans
&
Heart Disease


General Population
There are roughly 5.2 million American Indians and Alaska Natives living in the United States, making up 1.7% of the U.S. population.
565 are currently recognized tribes plus an unknown number of unrecognized tribes.
In the 2010 U.S. Census, tribal groupings with 100,000 or more responses were: Cherokee, Navajo, Choctaw, Mexican American Indian, Chippewa, Sioux, Apache, and Blackfeet.

Health Information
Leading causes of death include:
1. Heart Disease
2. Cancer
3. Unintentional Injuries
4. Diabetes
5. Chronic liver disease and Cirrohosis

By: Monique Reynolds and Elaine Rodriguez
DIET/ NUTRITION
HEART DISEASE
Many sub-categories of heart disease.
In 2009, Cardiovascular Heart Disease resulted in 1,813 deaths among American Indians or Alaska Natives.
Coronary Heart Disease is most common throughout Native American communities.
Greatest source of plaque build-up in the arteries is high intake of saturated fats and smoking cigarettes.
LIVE OFF THE LAND!
The diet of Native American Tribes is dependent upon location.
Wild game
Fish
Other plant staples include: corn, peppers, squash, various types of berries, herbs, and potatoes.
BEAR GREASE DELICACY
Consumption of fat and creation of sacrifice alter with the bones.
TRADITIONAL VS. ACCULTURATED RECIPES
CORN SOUP
• 5 cups prepared white corn
• 3 cups prepared kidney beans
• 1 cup cooked pumpkin/squash
• 1 smoked turkey thigh
• 3 quarts/ litres water
• several fresh sage leaves
• 1 tbsp/ 15 ml salt
• 1 small onion

FRYBREAD TACO
FryBread
1 1/4 cup all-purpose flour
1/4 tsp salt
1/4 tsp baking powder
1/2 cup water
Lard to fry the bread
Tacos
1 tbsp olive oil
1 lb. ground venison
1/2 tsp pepper
1/2 tsp salt
1/4 tsp garlic powder
1/4 tsp onion powder
shredded cabbage
2 Roma tomatoes, diced
1 can black beans
2 fresh corn ears
salsa
sour cream
shredded cheese

SMOKING
TESTIMONY
“The offering of the sacred peace
pipe has been the method of
communicating by the Indian
people with all other peoples and
the Great Spirit since ancient
times. It symbolizes the sacred
relationships of the brotherhood
of all mankind and consecrates
mankind’s nearness to the Great
Spirit, making possible the
tranquility necessary for peace
and harmony among them.”

Abbott Sekaquaptewa, Former Chairman,
Hopi Tribe located in Northeastern Arizona

Limited Access to Healthcare

Indian Health Services (IHS) is underfunded.
Only 22% of Native Americans live on reservations
Lower employment rates leads to lower health coverage by an employer. (36% compared to 62% of overall non-elderly population in the U.S.A)
How will the Affordable Care Act help Native Americans have more access to healthcare?
1. You may continue to use IHS, tribal, and/or urban Indian health programs,
2. Enroll in a qualified health plan (QHP) through the Marketplace, and/or
3. Access coverage through Medicare, Medicaid, and the Children's Health Insurance Program.

OTHER CONSIDERATIONS
Tobacco products sold on reservations are not subject to state and local taxes.
Some Native teens rebel by using tobacco habitually rather than reserving it for ceremonial use only.

Second Hand Smoke
As estimated by the United States Environmental Protection Agency, nearly 3,000 deaths occur annually due second-hand smoke.
HEART DAMAGE
Contrary to public perception, smoking-caused heart disease actually results in more deaths per year than smoking-caused lung cancer.

Carbon monoxide reduces flow of oxygen to the heart.

Nicotine increases heart rate and blood pressure that leads to long-term wear and tear on the cardiovascular system.
Role of the Healthcare Team
Be mindful of the patient's specific tribe, as well as whether or not they actively practice their traditions.

KEEP IN MIND

Use eye contact judiciously

Involve the extended family in treatment plan.
Show special respect to the elderly.
Accomodate tribal healing
Respect the Medicine Man's patient diagnosis
Suggest healthy alternatives to traditional meals.
Do not assume all tribes use tobacco for spiritual ceremonies.

Minimize tobacco use.
Within 5 to 15 years an ex-smoker’s risk of developing heart disease and or stroke is just as prevalent as a non-smoker.

References
American Academy of Pediatrics . (n.d.). American Academy of Pediarics. Retrieved June 25, 2014, from http://www.aap.org/en-us/advocacy-and-policy/federal-advocacy/Documents/MooreAppropriationsTestimonyIndianHealth_3_19_13.pdf

American Indian and Alaska Nativs . (2013, July 2). Centers for Disease Control and Prevention. Retrieved June 25, 2014, from http://www.cdc.gov/minorityhealth/populations/REMP/aian.html#Contributing

American Indians/Alaska Natives - American Lung Association. (n.d.). American Lung Association. Retrieved June 25, 2014, from http://www.lung.org/stop-smoking/about-smoking/facts-figures/american-indians-tobacco.html

Broken promises: Reservations lack basic care. (n.d.). msnbc.com. Retrieved June 25, 2014, from http://www.nbcnews.com/id/31210909/ns/health-health_care/t/broken-promises-reservations-lack-basic-care/#.U6t9GU1OVdh

Commodity Supplemental Food Program (CSFP). (n.d.). CSFP Foods Fact Sheets / Recipes. Retrieved June 25, 2014, from http://www.fns.usda.gov/csfp/csfp-foods-fact-sheets-recipes

Culture-Sensitive Health Care: American Indian. (n.d.). Culture-Sensitive Health Care: American Indian. Retrieved June 25, 2014, from http://diversityresources.com/health/indian.html

Health Coverage and Care for American Indians and Alaska Natives. (n.d.). Health Coverage and Care for American Indians and Alaska Natives. Retrieved June 25, 2014, from http://kff.org/disparities-policy/issue-brief/health-coverage-and-care-for-american-indians-and-alaska-natives/

Health, United States, 2013 . (2014, May 14). Centers for Disease Control and Prevention. Retrieved June 25, 2014, from http://www.cdc.gov/nchs/hus/american.htm#deaths

How the Affordable Care Act Applies to Native Americans. (n.d.). HealthBiz Decoded. Retrieved June 25, 2014, from http://www.healthbizdecoded.com/2013/11/how-the-affordable-care-act-applies-to-native-americans/

Indian Health Service The Federal Health Program for American Indians and Alaska Natives. (n.d.). Health Promotion. Retrieved June 25, 2014, from http://www.ihs.gov/communityhealth/hpdp/

Native American Action Plan . (n.d.). Native American Action Plan . Retrieved June 25, 2014, from http://www.tobacco-cessation.org/PDFs/NativeAmericanActionPlan.pdf

Native American Healing. (n.d.). Native American Healing. Retrieved June 24, 2014, from http://www.cancer.org/treatment/treatmentsandsideeffects/complementaryandalternativemedicine/mindbodyandspirit/native-american-healing


QUESTIONS??
June 26th, 2014
Health P.A.S.S.
Full transcript