Haring Rodney C, Hudson Maui, Erwin Deborah, Rodriguez Elisa M, Henry Whitney Ann E, Haring Marissa
Roswell Park Cancer Institute.
University of Waikato.
J Indig Wellbeing. 2016 Aug;1(1):68-82.
There is growing evidence for links between obesity and certain types of cancer. Studies done within Native American, Māori, and other Indigenous populations suggest the need to promote healthier lifestyles, including the maintenance of optimal body weight through nutrition and physical activity, to lower the risk factors of obesity-related cancers. What is missing is a program that combines culturally attuned workplace interventions that deal with obesity reduction as it relates to cancer prevention. The main purpose of this project was to discuss the process of developing an employee assistance program module to reduce the risk for obesity-related cancers. Expert curriculum developers specialising in workplace disease management assisted with the creation of a unique obesity and cancer prevention program. Several national leaders in Indigenous and minority health were consulted for feedback. The completed intervention included a six-session model with cultural features wrapped around topics of obesity-related cancer warning signs, diet and physical activity guidance, stress management, goal-setting, and resource linkage. A Native American workplace was selected for feasibility and pilot testing. Preliminary results are also discussed. Ultimately, this paper presents a novel intervention approach to address health issues for Native Americans, with indicators for use in other Indigenous populations globally.
越来越多的证据表明肥胖与某些类型的癌症之间存在联系。在美国原住民、毛利人和其他原住民群体中开展的研究表明,有必要推广更健康的生活方式,包括通过营养和体育活动维持最佳体重,以降低肥胖相关癌症的风险因素。目前缺少一个将与文化相契合的职场干预措施结合起来的项目,这些干预措施涉及与癌症预防相关的肥胖问题。本项目的主要目的是讨论开发一个员工援助计划模块以降低肥胖相关癌症风险的过程。专门从事职场疾病管理的专家课程开发者协助创建了一个独特的肥胖与癌症预防项目。咨询了几位原住民和少数族裔健康领域的国家领导人以获取反馈。完成的干预措施包括一个六节课程的模式,围绕与肥胖相关癌症的警示信号、饮食和体育活动指导、压力管理、目标设定以及资源链接等主题融入了文化特色。选择了一个美国原住民职场进行可行性和试点测试。还讨论了初步结果。最终,本文提出了一种新颖的干预方法来解决美国原住民的健康问题,并提供了可在全球其他原住民群体中使用的指标。