Factors that Predispose Eskimos

1. List factors that predispose Eskimos to risk as a result of the consumption of large quantities of sugar.
2. Analyze different strategies useful in communicating with the Japanese American family.
3. When caring for a Russian American client, for the most part, at what distance would a Russian patient feel at most ease?

Submission Instructions:

• Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.

Factors Predisposing Eskimos to Risk from Sugar Consumption

1. Genetic Predispositions: Eskimos, also known as Inuit people, have genetic predispositions that affect their metabolism and insulin response. Studies indicate that some Inuit populations have higher susceptibility to Type 2 diabetes due to genetic variations affecting glucose metabolism.
2. Dietary Changes: Traditionally, the Inuit diet was high in protein and fat, with minimal carbohydrate intake. The introduction of Western diets high in sugar and refined carbohydrates has led to an increased risk of metabolic disorders, including obesity and diabetes.
3. Physical Activity Levels: Modern lifestyle changes have reduced physical activity levels among Inuit populations. This, combined with high sugar consumption, contributes to obesity and related health issues, such as cardiovascular disease and diabetes.
4. Nutritional Deficiencies: A diet high in sugar can lead to nutritional deficiencies, as it often replaces nutrient-dense traditional foods. This can result in deficiencies in essential nutrients like omega-3 fatty acids, which are abundant in traditional Inuit diets and important for cardiovascular health.
5. Oral Health: High sugar consumption is linked to dental problems, including cavities and periodontal disease. Access to dental care may be limited in remote Inuit communities, exacerbating these issues.

Strategies for Communicating with Japanese American Families

1. Respect for Hierarchy: Japanese American families often have a strong sense of hierarchy and respect for elders. When communicating, address the head of the family or the eldest person present. Showing respect and deference is crucial.
2. Non-verbal Communication: Pay attention to non-verbal cues, as Japanese culture places a high value on body language, tone of voice, and facial expressions. Be mindful of personal space, and avoid excessive physical contact or gestures that may be considered intrusive.
3. Politeness and Formality: Use polite and formal language. Avoid being overly familiar or casual in your speech. Titles and last names should be used until given permission to use first names.
4. Indirect Communication: Japanese Americans may use indirect communication to avoid confrontation or to show politeness. Be attentive to hints or subtle cues indicating discomfort or disagreement.
5. Building Trust: Establish trust and rapport by showing genuine interest in the family’s cultural background and health beliefs. Acknowledge and respect their cultural practices and preferences in healthcare.
6. Involving Family Members: Decision-making in Japanese American families often involves multiple family members. Encourage family discussions and consider the opinions of all involved when making healthcare decisions.

Comfort Distance for Russian American Clients

1. Personal Space Preferences: Russian Americans may have different personal space preferences compared to other cultures. Typically, they are comfortable with a moderate level of personal space, similar to Western standards.
2. Social and Professional Context: In social contexts, Russian Americans may prefer closer personal distances when engaging in conversation, reflecting a warm and friendly interaction style. In professional settings, a more formal distance, similar to Western norms, is often maintained.
3. Initial Interactions: During initial interactions with healthcare providers, maintaining a respectful distance of about an arm’s length is generally appropriate. This distance can be adjusted based on the patient’s comfort level and response.
4. Cultural Sensitivity: Being aware of and responsive to individual preferences is key. Some Russian American clients may appreciate a more personal approach, while others may prefer maintaining a formal distance. Observing and adapting to non-verbal cues can help in determining the appropriate distance.

References

• Bjerregaard, P., & Young, T. K. (1998). The Circumpolar Inuit: Health of a population in transition. Munksgaard.
• Young, T. K., Reading, J., Elias, B., & O’Neil, J. D. (2000). Type 2 diabetes mellitus in Canada’s First Nations: status of an epidemic in progress. CMAJ, 163(5), 561-566.
• Sussner, K. M., Lindsay, A. C., Greaney, M. L., & Peterson, K. E. (2008). The influence of immigrant status and acculturation on the development of overweight in Latino families: A qualitative study. Journal of Immigrant and Minority Health, 10(6), 497-505.
• Kim, H. S., & Hocking, P. J. (2018). The Cultural Context of Health Communication: Cross-Cultural Considerations in Palliative Care. Omega: Journal of Death and Dying, 77(2), 129-147.
• Ruble, J. L., & Zhang, Y. B. (2013). Stereotype characteristics of Russian immigrants to the United States: Content analysis of Russian-language advertisements in a Russian American community newspaper. Journal of Intercultural Communication Research, 42(4), 336-354.

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