diabetes final version

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DIABETES, DIET AND NUTRITION Presented by: Victoria Christine Brooke

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Page 2: Diabetes FINAL VERSION

INTRODUCTION Diabetes Prevalence in 2011 (graph)

Themes Misunderstanding of diabetes Significance of food meanings Colonization and the impact on traditional foodways

Importance Foodways Reserves Colonialism

Opposing View Points on Themes Sugar Social determinants Nutrition

Page 3: Diabetes FINAL VERSION

PREVALENCE OF DIABETES IN 2011

17.2%

10.3%

7.3%

5.0%

2011

First Nations (on)

First Nations (off)

Metis

Non-Aboriginals

(Public Health Agency of Canada, 2011)

Page 5: Diabetes FINAL VERSION

THEME 1: MISUNDERSTANDINGS OF DIABETES

Thompson & Gifford, (2000) Short-term worry Sugars can be flushed out of the body

Wilson & Rosenberg, (2002) Lack of access to adequate physician care (especially on

reserves) Proper knowledge regarding diabetes and its biological

significance within the body and treatment options E.g.. video we watched

Bodirsky & Johnson, (2008) The destruction of traditional food sources has led to

more prevalence of choosing processed foods

Page 6: Diabetes FINAL VERSION

THEME 2: SIGNIFICANCE OF FOOD MEANINGS

Thompson & Gifford, (2000) What is sugar to them → sugar can be seen as bitter

and sweet Bitter because it is influencing the communities

health Sweet because these foods that contain the sugars

are being passed down from generation to generation

Wilson & Rosenberg, (2002) Hunting and gathering is a source of great confusion

Bodirsky & Johnson, (2008) The Three Sisters Story

Page 7: Diabetes FINAL VERSION

THEME 3: COLONIZATION AND THE IMPACT ON TRADITIONAL FOODWAYS

Thompson & Gifford, (2000) Sugar as a cause of imbalance within the community

Introduced by the “white man”, in ways that, in the past, were seen as intentionally used to upset the balance of these connections

Wilson & Rosenberg, (2002) Indigenous peoples living on reserves who hunt, may

actually have POORER health because this may reflect their reaction to inadequate food supply

Colonization has significantly impacted the way in which Indigenous peoples can practice their traditional foodways

Bodirsky & Johnson,(2008) Indigenous peoples have unhealthy attitudes towards food

(Article quote) Traditional foodways and knowledge had stopped during

the time (food-related abuse)

Page 9: Diabetes FINAL VERSION

IMPORTANCE: Thompson & Gifford, (2000) :

Emphasizes the importance of foodways when it comes to maintaining tradition in a healthy manner

Wilson & Rosenberg, (2002) : Reinforces the importance of recognizing how poor

living conditions (reserves) has major impacts on access to proper nutrition and education

Bodirsky & Johnson, (2008): Shows the impact of colonialism and how it effected

Indigenous populations, especially regarding their nutrition

Page 10: Diabetes FINAL VERSION

Imagine someone who has an opposing viewpoint, and provide an argument that you would use to counter their objections

Page 11: Diabetes FINAL VERSION

THOMPSON & GIFFORD, (2000) BROOKE “Diabetes only happens to the person, why would

it disrupt the whole community and balance?” Indigenous culture believes in balance in all aspects of life in

order to be truly healthy. Sugar affects the health of one individual and is thus

impacting the whole community

“If sugar is both good and bad for the community, why is the bad always concentrated on?” Although sugar is seen to connect a family, it also tears

apart families When all members of a community are healthy it will create

a stronger connection

Page 12: Diabetes FINAL VERSION

WILSON & ROSENBERG, (2002) VICTORIA People who argue that reserves are

supportive environments for Indigenous populations Need to take into account the living

conditions in these environments Recognize the deterioration of traditional

practicesHaving lack of access to adequate

healthcare and food

Page 13: Diabetes FINAL VERSION

BODIRSKY & JOHNSON, J. (2008) CHRISTINE “Put yourself in their shoes”

So much has proven that colonialism has had a great impact on Indigenous people

“Think outside the box”Learn about their cultureEducate yourself on the history so problems can

be understood

“What you don’t know”Don’t be ignorant to others beliefs Embrace understanding of others culture

Page 14: Diabetes FINAL VERSION

CLASS DISCUSSION1) Why do you think that Rosenberg

and Wilson argue that traditional hunting and gathering practices on reserves do not always equal better health?

2) What would be the best solution, in your opinion, to reduce the prevalence of diabetes among Indigenous populations, especially those on reserves?

Page 15: Diabetes FINAL VERSION

QUESTIONS?

Page 16: Diabetes FINAL VERSION

REFERENCESBodirsky, M., & Johnson, J. (2008). Decolonizing diet: Healing by reclaiming traditional Indigenous Foodways. Cuizine: The Journal of Canadian Food Cultures Cuizine:/Revue des cultures culinaires au Canada, 1(1).

Diabetes in Canada: Facts & Figures from Public Health Perspective (2011). Retrieved February 25, 2016 from, http://www.phac-aspc.gc.ca/cd-mc/publications/diabetes-diabete/facts-figures-faits-chiffres-2011/highlights-saillants-eng.php#chp6

Thompson, S. J., & Gifford, S. M. (2000). Trying to keep a balance: the meaning of health and diabetes in an urban Aboriginal community. Social science & medicine, 51(10), 1457-1472.

Wilson, K., & Rosenberg, M. W. (2002). Exploring the determinants of health for First Nations peoples in Canada: can existing frameworks accommodate traditional activities?. Social science & medicine, 55(11), 2017-2031.