Obesity and Diabetes in the Winnebago Tribe of Nebraska: From Community Engagement to Action, 2014-2019.

Larry Alonso,Ursula E Bauer,Lorelei Decora

doi:10.5888/pcd16.190181

Abstract

The Winnebago Tribe of Nebraska implemented interventions to promote the health of their people, focusing on community-selected and culturally adapted policies, systems, and environmental (PSE) improvements to reduce the prevalence of obesity and type 2 diabetes. The interventions were implemented as part of the Centers for Disease Control and Prevention’s (CDC’s) 2014–2019 Good Health and Wellness in Indian Country program. The Winnebago Tribe used CDC’s CHANGE community health assessment tool to prioritize and direct their interventions. They integrated findings from a community health assessment tool with observations from tribal working groups and implemented 6 new evidence-based PSE interventions. Their successful approaches — selected by the Winnebago community, culturally relevant, and driven by scientific assessment —demonstrate the value of flexibility in CDC grant programs.

Highlights

Of the 9.4% of the US population who had diabetes in 2015, most (90%–95%) had type 2 diabetes (1)
The Winnebago Tribe of Nebraska implemented interventions to promote the health of their people, focusing on community-selected and culturally adapted policies, systems, and environmental (PSE) improvements to reduce the prevalence of obesity and type 2 diabetes
The interventions were implemented as part of the Centers for Disease Control and Prevention’s (CDC’s) 2014–2019 Good Health and Wellness in Indian Country program

Summary

Introduction

Of the 9.4% of the US population who had diabetes in 2015, most (90%–95%) had type 2 diabetes (1). The Winnebago Tribe of Nebraska implemented interventions to promote the health of their people, focusing on community-selected and culturally adapted policies, systems, and environmental (PSE) improvements to reduce the prevalence of obesity and type 2 diabetes. The interventions were implemented as part of the Centers for Disease Control and Prevention’s (CDC’s) 2014–2019 Good Health and Wellness in Indian Country program.

Results

Conclusion