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Sociocultural Risk Factors of Non-Insulin Diabetes Mellitus Among Middle Class African Americans in Central Ohio

Robinson, Jacquelyn Patricia Price
http://rave.ohiolink.edu/etdc/view?acc_num=osu1047487253

Abstract Details

2003, Doctor of Philosophy, Ohio State University, Anthropology.
Slavery, as an innovation in human cultural development, not only caused disequilibria in culture, ecology and biology, but also produced by-products that affect health and mortality and stimulated selection for metabolic adjustment to health and environmental imbalances. That the adjustment may have programmed slaves’ descendants to the present type II diabetes epidemic, forms the basis for this dissertation. Its purpose is to develop an etiology of diabetes that uses a global structural analysis of folklore, biohistory, and socio-political hegemony for interpreting anthropometry and sociocultural variables that may contribute to type II diabetes. Statistical analyses suggested: obesity and anthropometry predict plasma glucose; the influence of sociocultural risk factors on the dependent variable is minimal; and the relationship between total dietary cholesterol and post-load glucose is highly significant. The cholesterol/post-load glucose relationship has important implications. Global structural analysis provides confirmatory evidenct that “masters” manipulation of slaves’ diets by adding fats to increase energy for maximum labor output, has impacted the dietary habits and soul food cuisine of slaves’ descendants today as social inheritance. Analysis of data from the Central Ohio Study of Diabetes and Aging (COSDA) and global structure resulted in development of a diabetes profile, the Anabolic-Catabolic- Homeostasis Etiology of Diabetes Mellitus (ACHED). It focuses on energy metabolism and selection of “high-performance genotypes,” those adjusted to prolonged catabolism, under-cum-deficient nutrition, excesses in energy dissipation, morbidity, life stresses, and fat consumption. Analysis of environmental disequilibria experienced by slaves and their descendants show two periods of intergenerational food scarcity, one was prolonged and followed by another shorter and more severe. These periods occurred with excessive morbidity, life stresses, energy output and fat consumption as precursors to type II diabetes when obesity prone “high-performance genotypes” become physically inactive and overweight but can’t maintain metabolic homeostasis following food scarcity periods.
Douglas Crews (Advisor)
252 p.
metabolic homeostasis; food scarcity; malnutrition; thrifty-genotypes; type II diabetes; non-insulin dependent diabetes; slavery; African Americans; African slaves; Etiology of diabetes mellitus; soul food; slave food; obesity; global structure; environme

Recommended Citations

Citations

  • Robinson, J. P. P. (2003). Sociocultural Risk Factors of Non-Insulin Diabetes Mellitus Among Middle Class African Americans in Central Ohio [Doctoral dissertation, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1047487253

    APA Style (7th edition)

  • Robinson, Jacquelyn. Sociocultural Risk Factors of Non-Insulin Diabetes Mellitus Among Middle Class African Americans in Central Ohio. 2003. Ohio State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1047487253.

    MLA Style (8th edition)

  • Robinson, Jacquelyn. "Sociocultural Risk Factors of Non-Insulin Diabetes Mellitus Among Middle Class African Americans in Central Ohio." Doctoral dissertation, Ohio State University, 2003. http://rave.ohiolink.edu/etdc/view?acc_num=osu1047487253

    Chicago Manual of Style (17th edition)

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This open access ETD is published by The Ohio State University and OhioLINK.