For the past forty years, the Pima Indians living in the Gila River Indian Community have been among the most consistently studied diabetic populations in the world. But despite many medical
advances, the epidemic is continuing and prevalence rates are increasing.
Diabetes Among the Pima
is an accessible, thoughtful, and penetrating examiantion of a disease that afflicts minority populations specifically, but it is also an indiscriminate disease that has broad implications for the health and health care system in the United States. Smith-Morris has effectively revealed the crucial role the Pima community has played and continues to play in advancing the world's understanding and treatment of diabetes.
--David Kozak, Fort Lewis College
Diabetes among the Pima is the first in-depth ethnographic volume to delve into the entire spectrum of
causes, perspectives, and conditions that underlie the occurrence of diabetes in this community. Drawing on the narratives of pregnant Pima women and nearly ten years' work in this community, this
book reveals the Pimas' perceptions and understanding of type 2 and gestational diabetes, and their experience as they live in the midst of a health crisis.
Arguing that the prenatal period
could offer the best hope for curbing this epidemic, Smith-Morris investigates many core values informing the Pimas' experience of diabetes: motherhood, foodways, ethnic identity, exercise, attitude
toward health care, and a willingness to seek care. Smith-Morris contrasts gripping first-person narratives with analyses of several political, economic, and biomedical factors that influence
diabetes among the Pimas. She also integrates major theoretical explanations for the disease and illuminates the strengths and weaknesses of intervention strategies and treatment.
important contribution to the ongoing struggle to understand and prevent diabetes, this volume will be of special interest to experts in the fields of epidemiology, genetics, public health, and