THE PEOPLE OF

Jia Lu Dietetic Intern Spring 2014

OBJECTIVES
The State of Oaxaca Learn about specific Oaxacan Food Become familiar with folk medicine practices Research health concerns and prevalence of obesity Meet Carmelita Discuss counseling and interviews Conclusion

OAXACA

OAXACA

OAXACA

FOOD

MOLE

MOLE

ATOLE
DESAYUNO
Thick, sweet corn beverage served with chocolate or sweet bread.

ALMUERZO
Eggs, tortillas, beans, meat, fruit

TLAYUDA

CHAPULINES

CURANDEROS

One third of Latinos have see curanderos sometime in their lives Sustos/Empacho/Mal de Ojo/Nervos Behavioral, spiritual, psychosocial healers Use herbs, massage, prayers Curanderos blame processed foods for the prevalence of obesity

BRUJERIA

Limpia de huevo Patty from WIC Animal sacrifices, tarot cards, calling of saints Brujos/brujas are thought to get their power from the devil

HEALTH CONCERNS
Diabetes - 3rd leading cause of death in Mexico

Maternal abdominal obesity and stunting

Some MDs will prescribe medication and tonic Oaxaqueos rely too heavily on medication for cure Private about chronic disease Carmelita

CARMELITA

It couldnt be more untrue, as a Oaxaqueo we are very hard working people. We have a lot of pride and we are resourceful. I felt bad that they would say that, but Im not either of those things. Carmelita

COUNSELING
Storytelling : A persuasive, familiar strategy for engagement in the Latino community. Help select interventions for children

Some households are very male dominant

Multiple family members may be present Dont tell them their food is bad for them!

COUNSELING Oaxaqueos are very resourceful. They are the only ones who make panecitos using baby cerealno other Latinas know how to make it! [Non-Oaxacans] Ask me, but I honestly dont know how they make it. Bibiana

COUNSELING
Sometimes the very obese children can be difficult to counsel. Deep
down part of me knows that some of these kids will never recover from

the excessive weight theyve gained and will always carry it with them,
as well as the poor dietary habits that caused it. It is a sad truth, but

some of the children I see will wind up pre-diabetic by the time they
are in high school. Thomas Brand RD

LOCAL COMMUNITY

centrobinacional.org
Madera has the largest populations of Oaxacans Oaxacan radio station Sunday from 10 am to 2 pm 91.5 FM

radiobilingue.org

OAXACA

GUELAGUETZA

SUMMARY
Oaxaqueos have characteristics specific to their culture, may not be

fluent in Spanish
Short stature, maternal obesity Child stunting They are very prideful people, who adhere to their roots Very resourceful

Make them laugh, smile, try to connect with them

References
1. John P. Schmal. OaxacaL A Land of Diversity. Available at: http://www.houstonculture.org/mexico/oaxaca.html Accessed on: 3/13/14 2. Visit Mexico Website. Available at: http://www.visitmexico.com/en/oaxaca. Accessed on: 4/12/14 3. J. Mendoza Interview. Recorded on April 22nd, 2014. 4. Cooks Info.Com. Mole. Available at: http://www.cooksinfo.com/mole Accessed on: 4/22/14 5. Rick Baylesss Oaxacan Black Mole from Mexico State Dinner. Huffington Post. Available at: http://www.huffingtonpost.com/2010/05/20/bayless-black-molerecipe_n_583397.html Accessed on: 4/22/14 6. Cohen, J. S., N., Montiel-ishino, F. . (2009). Chapulines and Food Choices in Rural Oaxaca. Gastronomica: The Journal of Food and Culture, 9(1), 61-65. 7. Carmelia Mendoza Interview. Recorded on April 15th, 20114. 8. University of Wisconsin Population Health Institute. County Health Rankings 2013. Available at: http://www.countyhealthrankings.org/sites/default/files/states/CHR2013_CA_0.pd f Accessed on: 4/13/2014

References
9. Clark, L., Bunik, M., & Johnson, S. L. (2010). Research opportunities with curanderos to address childhood overweight in Latino families. Qual Health Res, 20(1), 4-14. doi: 10.1177/1049732309355285 10. Risser, A. L., & Mazur, L. J. (1995). Use of folk remedies in a Hispanic population. Archives of Pediatrics and Adolescent Medicine, 149(9), 978-981. 11. Mei, Z., Scanlon, K. S., Grummer-Strawn, L. M., Freedman, D. S., Yip, R., & Trowbridge, F. L. (1998). Increasing preva- lence of overweight among U.S. lowincome preschool chil- dren: Centers for Disease Control and Prevention pediatric nutrition surveillance, 1983 to 1995. Pediatrics, 101, E12. 12. Ogden, C. L., Carroll, M. D., Curtin, L. R., McDowell, M. A., Tabak, C. J., & Flegal, K. M. (2006). Prevalence of over- weight and obesity in the United States, 1999-2004. JAMA, 295, 1549-1555. 13. Sherry, B., Mei, Z., Scanlon, K. S., Mokdad, A. H., & Grummer- Strawn, L. M. (2004). Trends in state specific prevalence of overweight and underweight in 2- through 4year-old children from low-income families from 1989 through 2000. Archives of Pediatrics & Adolescent Medicine, 158, 1116-1124.

References
14. Anthony Polanco. University of Arizona. Brujeria and Self-Identity: How My Past Influenced My Research. Available at:http://eapolanco.com/brujeria-and-selfidentity-how-my-past-influenced-my-research/ Accessed on 4/23/14. 15. Everett, M. (2011). They say it runs in the family: diabetes and inheritance in Oaxaca, Mexico. Soc Sci Med, 72(11), 1776-1783. doi: 10.1016/j.socscimed.2011.02.021 16. Everett, M., & Wieland, J. N. (2012). Diabetes among Oaxaca's Transnational Population: An Emerging Syndemic. Annals of Anthropological Practice, 36(2), 295311. 17. Barquera, Simo n, Karen E. Peterson, Aviva Must, Beatrice L. Rogers, Mario Flores, Robert Houser, Eric Monterrubio, and Juan A. Rivera-Dommarco 2007 Coexistence of Maternal Central Adiposity and Child Stunting in Mexico. International Journal of Obesity 31:601607 18. Cruz-Manjarrez, A. (2013). Children of Oaxacan Zapotec. Estudios sobre las Culturals Contemporneas, 19(1), 51-73. 19. Bibiana Gonzales Interview. Recorded on April 16th, 2014 20. Thomas Brand Interview. Recorded on Feburary 14, 2014.

References
http://upload.wikimedia.org/wikipedia/commons/thumb/8/83/Oaxaca_in_Mexico.svg/2029pxOaxaca_in_Mexico.svg.png http://www.journeymexico.com/wp-content/uploads/2013/04/oaxaca-alebrije-2.jpg http://www.visitmexico.com/work/models/VisitMexico30/WebPage/OAX_Festvals_ac/photoEscudo_OAX_Festv als_ac_OaxacaGuelaguetza.jpg http://cache4.asset-cache.net/gc/sb10069740k-001-mexico-oaxaca-istmo-group-portrait-ofgettyimages.jpg?v=1&c=IWSAsset&k=2&d=BA5FtYFgbjfkNDKP%2FC1of8Ay%2F0u3vLOY3qdeCxgucNcHHAvvsEW PMVDkcwYtaNud http://www.foodrepublic.com/sites/default/files/imagecache/enlarge/singlepage/7molesofoaxaca.jpg http://mayantrip.com/wp-content/uploads/2012/02/Puerto-Carazilillo-Beach.jpg http://www.oaxacamtb.org/Images/GreenMountains400x150.jpg http://hotelcasantica.com/wp-content/uploads/2013/07/Mole-Negro.jpg http://1.bp.blogspot.com/iBzuh15LcsQ/TlhZDehtmUI/AAAAAAAAOEU/hmdGVFSapSo/s1600/amarillo+mole+enchiladas.jpg http://img.food.com/img/recipes/24/08/22/large/picgiZI1o.jpg http://4.bp.blogspot.com/GrVgM8Qas_4/TWsi0yK73jI/AAAAAAAAEUI/6wC_uv2da9A/s1600/verdes_abuelita2.JPG http://2.bp.blogspot.com/_Ms61NYMx8qM/S7JGU80KdII/AAAAAAAAAVs/FzUpnSA81uc/s1600/17+1097.jpg http://50.22.11.10/~txavarri/blog/wp-content/uploads/2012/01/chichilo--800x367.jpg http://www.bolivianisima.com/danzas/00153-MED.jpg http://www.mexicodesconocido.com.mx/assets/images/notas/medicina-tradicional-curanderos.jpg http://www.oaxaca.gob.mx/wp-content/uploads/2011/11/Diabetes-oax.jpg