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Diabetes Prevention in Marshall Islands
In their 2001 article published in Health Education and Behavior, Cortes, Gittelson, Alfred, and Palafox presented the findings of their formative research conducted in the Marshall Islands concerning attitudes, beliefs, and statistics impacting the growth of diabetes in that population. The purpose of the study was to provide informed guidance in the development of a diabetes education and prevention program in the Marshall Islands. While the study was substantively enlightening and methodologically sound, some gaps in both substance and method call into question the viability of its practical implications.
The article was relatively thorough in its presentation of the background information justifying the study. It offered the necessary information concerning the rise of both obesity and diabetes in the general Marshallese population, and cited studies medically linking obesity and diabetes. However,...
For instance, the article separately states that both obesity and diabetes have increased in the Marshall Islands, that obesity is a known causal factor in the development of diabetes, and that dietary fat and preserved foods have increased in the Marshall Island diet concurrently with the rise in obesity and diabetes. However, it only implies that an increase in dietary fat and preserved foods contributes directly to diabetes; no studies addressing this specific link were presented. Additionally, an interesting paradox was presented in the article but not sufficiently addressed: that the increasing Westernization of the Marshall Islands has led to both a diet that encourages obesity and a cultural norm that discourages it.…
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