The Hualapai Tribe has a 992,463 acre reservation, located in northwest Arizona along the south rim of the Grand Canyon. The 2000 Tribal census reports 1,928 residents (approximately 40% males, 60% females) living on the reservation, with 56% under the age of 16 years.
Local IHS (2006) and Hualapai Diabetes Program (2007) records reveal that among adults >18 years of age, > 43% have been diagnosed with type 2 diabetes mellitus (DM); and 30% of DM patients have cardiovascular disease or significant risk factors, such as high blood pressure.
In recent years, the age of DM diagnosis has declined. The average age at diagnosis is < 40 years and among adults >18 years of age, > 43% have been diagnosed with DM.
The Hualapai Tribe's Healthy Indian Country Initiative (HICI) project encompassed four events/activities:
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