Traditionalism and its relationship to disease risk and protective behaviors of women living on the Hopi reservation

Kathryn Coe, Agnes Attakai, Mary Papenfuss, Anna Giuliano, Lorencita Martin, Leon Nuvayestewa

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

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

Original languageEnglish (US)
Pages (from-to)391-410
Number of pages20
JournalHealth Care for Women International
Volume25
Issue number5
DOIs
StatePublished - May 2004
Externally publishedYes

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North American Indians
Risk-Taking
Obesity
Smoking
Marital Status
Focus Groups
Population
Chronic Disease
Language
Public Health
Education
Health
Neoplasms
Surveys and Questionnaires

ASJC Scopus subject areas

  • Health Professions(all)

Cite this

Traditionalism and its relationship to disease risk and protective behaviors of women living on the Hopi reservation. / Coe, Kathryn; Attakai, Agnes; Papenfuss, Mary; Giuliano, Anna; Martin, Lorencita; Nuvayestewa, Leon.

In: Health Care for Women International, Vol. 25, No. 5, 05.2004, p. 391-410.

Research output: Contribution to journalArticle

Coe, Kathryn ; Attakai, Agnes ; Papenfuss, Mary ; Giuliano, Anna ; Martin, Lorencita ; Nuvayestewa, Leon. / Traditionalism and its relationship to disease risk and protective behaviors of women living on the Hopi reservation. In: Health Care for Women International. 2004 ; Vol. 25, No. 5. pp. 391-410.
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