Abstract
This is a study of the prevalence of hypertension among a sample of Navajo Indians 65 years of age and above. It is not clear whether prevalence has increased over the past generation in this age group. When men and women are compared, conventional measures of “acculturation” are related to hypertension among women but not among men. The differences between men and women seem most probably related to differences in the situation of men and women within both Navajo and Anglo-American society. Several alternative explanations are discussed as well.
Department of Preventive, Family, and Rehabilitation Medicine, Univiersity of Rochester School of Medicine, Rochester, New York 14642.
Department of Anthropology, University of Arizona, Tucson, Arizona 85721.
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References
Aberle, David F. 1966 The Peyote Religion among the Navajo. Chicago: Aldine.
Alfred, Braxton M. 1970 Blood pressure changes among male Navaho migrants to an urban environment. Canadian Review of Sociology and Anthropology 7: 189–200.
Beaglehole, R., Salmond, C. E., Hooper, A., Huntsman, J., Stanhope, J. M., Cassel J. C. and Prior I. A. M. 1977 Blood pressure and social interaction in Tokelauan migrants in New Zealand. Journal of Chronic Diseases 30: 803–812.
Buschan, G. 1910 Illustrierte Volkerkunde. 2 vols. Stuttgart: Strecker; pp. 97–98.
Cassel, J. 1974 Hypertension and cardiovascular disease in migrants: a potential source of clues? International Journal of Epidemology 3: 204–206.
Committee on Criteria 1960 Conference on Methodology in Epidemiological Studies of Cardiovascular Disease. American Journal of Public Health 50: No. 10, Supplement.
DeStefano, Frank, Coulehan, J. L. and Wiant, M. K. 1979 Blood pressure survey on the Navajo Indian Reservation. American Journal of Epidemiology 109: 335–345.
Fulmer, Hugh S. and Roberts, R. W. 1963 Coronary heart disease among the Navajo Indians. Annals of Internal Medicine 59: 740–764.
Henderson, E. B. 1985 Status and social change among the western Navajo. Unpublished doctoral dissertation. Dept. of Anthropology. Univ. of Arizona, Tucson.
Joseph, J. G., Prior, I. A. M., Salmond, C. E. and Stanley D. 1983 Elevation of systolic and diastolic blood pressure associated with migration: the Tokelau Island migrant study. Journal of Chronic Diseases 36: 507–516.
Kunitz, S. J. 1977 Economic variation on the Navajo Reservation. Human Organization. 36: 186–193.
1983 Disease Change and the Role of Medicine. Berkeley and Los Angeles: University of California Press.
Levy, J. E. and Kunitz S. J. 1974 Indian Drinking: Navajo Practices and Anglo-American Theories. New York: John Wiley and Sons, Inc..
Marmot, M. G. 1980 Affluence, urbanization and coronary heart disease. In E. J. Clegg and J. P. Garlick, eds. Disease and Urbanization. London: Taylor and France.
Oliver, C. 1981 The Discovery of Humanity: An Introduction to Anthropology. New York: Harper & Row.
Redfield, R., Linton, R. and Herskowitz, M. J. 1936 Memorandum on the study of acculation. American Anthropolgoist. 38: 149–152.
Suzman, R. M., Voorhees-Rosen, D. J. and Rosen, D. H. 1980The impact of North Sea Oil development on mental and physical health: a longitudinal study of the consequences of an economic boom and rapid social change. Paper presented at the annual meeting of the American Sociological Association, New York City.
Vogt E. 1951Navajo Veterans: A Study of Changing Values. Cambridge Mass.: Papers of the Peadbody Museum of American Archeology and Ethnology, Vol 41, Number 1.
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This study was supported by grant No. 1R01 AG03403 from the National Institute on Aging. we are grateful to Tracy Andrews, Donald Callaway, Chena Dupuy, Eric Henderson, and Dennis Parker for the fieldwork; Dianna Strickland and William Martens for data processing; Charles L. Odoroff for statistical advice; and William H. Barker and Nancy Hildreth for commenting upon an early version of the mauscript.
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Kunitz, S.J., Levy, J.E. The prevalence of hypertension among elderly Navajos: A test of the acculturative stress hypothesis. Cult Med Psych 10, 97–121 (1986). https://doi.org/10.1007/BF00156579
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DOI: https://doi.org/10.1007/BF00156579