Oklahoma Choctaw

Henderson, J. Neil; Henderson, L. Carson

doi:10.1007/0-387-29905-x_92

Cited by 4 publications

(7 citation statements)

References 3 publications

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“…This was additive to topics of interest identified during three previous studies in the Choctaw Nation of Oklahoma (Henderson, 2002a; Henderson, 2009). After all topics were identified, coding proceeded aided by computer software.…”

Section: Discussionmentioning

confidence: 55%

“…The questionnaire was derived from prior research of the PI and Co-PI with Oklahoma AIs and literature on explanatory model elicitation (Henderson, 2002a; Henderson & Henderson, 2002; Henderson & Henderson, 2004; Kleinman et al, 1978; Pfifferling, 1981). The questionnaire was used in two prior studies and successfully elicited research-relevant, culturally based responses.…”

Section: Methodsmentioning

confidence: 99%

“…Another source of miscommunication is the use of biomedical terminology that means something other to the patient than it means to the provider. For example, sugar and diabetes become linked in communication so that the disease becomes the “sugar illness disease” (Evaneshko, 1994; Henderson, 2002a). …”

Section: Introductionmentioning

confidence: 99%

“…Some of the most informative responses in the research presented here involve avoidance of health care visits because of the fear of being told they have developed diabetes. This was apparent in the L. C. Henderson study with AI elders with type 2 diabetes in which there were definitive components of denial and avoidance (Henderson, 2002a). For the subjects in that study, having a health care provider state that one has developed DM elicited a range of responses, mediated somewhat by the endemic nature of the condition among AI/AN.…”

Section: Introductionmentioning

confidence: 99%

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Perceptions and Concerns Regarding Diabetes Mellitus During Pregnancy Among American Indian Women

Carson

Henderson

King

et al. 2014

Care Management Journals

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Diabetes among American Indian (AI) people is a. condition that creates excessive morbidity and mortality and is a significant health disparity. This research delineated culturally constructed models of diabetes mellitus (DM) among 97 pregnant women in 2 large AI Nations to Oklahoma. Analysis of data revealed intense anxiety, fear, and dread related to DM during pregnancy. The sample was stratified by DM status: (a) absence of DM (n = 66), (b) DM prior to pregnancy (n = 4), and (c) gestational (n = 27). Structured and semistructured interviews elicited patient culturally based explanatory models (EMs) of etiology, course, and treatment. The research incorporated an integrated phenomenologic and ethnographic approach and yielded both quantitative and qualitative data. General findings comprised the following main categories of patients’ concerns regarding DM as an illness: (a) care-seeking behaviors, (b) medical management, (c) adherence and self-management, (d) complications, and (e) the conceptual sense of DM as a “severe” and feared condition. Many findings varied according to acculturation status, but all included significant fear and anxiety surrounding (a) the health and well-being of the unborn child, (b) the use of insulin injections, (c) blindness, (d) amputation, and (e) death, but with (f) a paradoxically lowered anxiety level about diabetes severity overall, while at the same time expressing extreme dread of specific outcomes. The latter finding is considered consistent with the presence of chronic conditions that can usually be managed, yet still having risk if severe.

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Section: Discussionmentioning

confidence: 55%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Perceptions and Concerns Regarding Diabetes Mellitus During Pregnancy Among American Indian Women

Carson

Henderson

King

et al. 2014

Care Management Journals

View full text Add to dashboard Cite

show abstract

“…188 The court concluded that the service was not equal. 189 It based its decision on the fact that Southern's policy (approved of by the ICA in its previous ruling) " [did] Additionally, the court observed that the regulations failed to require the steward to take steps to ascertain whether there were any blacks on the train and that the regulations failed to consider the probability that a black passenger may not desire a meal as soon as he boards the train.…”

mentioning

confidence: 99%