La vida en la frontera: protocol for a prospective study exploring stress and health resiliencies among Mexican-origin individuals living in a US-Mexico border community.
La vida en la frontera: protocol for a prospective study exploring stress and health resiliencies among Mexican-origin individuals living in a US-Mexico border community.
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La Vida en la frontera：一项前瞻性研究的协议，探讨了居住在美国 - 墨西哥边境社区中的墨西哥 - 富有元素中的压力和健康韧性。
DOI：
10.1186/s12889-022-14826-x
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发表时间：
2022-12-27
影响因子：
4.5
通讯作者：
中科院分区：
文献类型：
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作者：
居住在美墨边境附近的墨西哥裔成年人经历着独特而普遍的社会和生态压力，包括贫困、感知到的歧视和环境危害，可能导致慢性病的沉重负担。然而，也有证据表明，与居住在其他地区的居民相比，墨西哥高密度社区的居民表现出较低的疾病患病率和相关死亡率。了解在社区范围内促进健康复原力的因素对于有效设计健康促进战略至关重要。La Vida en la Frontera是一项混合方法的参与性研究，将亚利桑那大学的一个多学科研究团队与Campeinos Sin Fronteras联系起来，Campeinos Sin Fronteras是由亚利桑那州圣路易斯市的社区卫生工作者创建的社区组织。本文描述了这项多方面调查的目标2和目标3的现行方案。在目标2中，将通过对圣路易斯和亚利桑那州萨默顿的社区进行挨家挨户的抽样，招募N≈300人的队列。参与者将在一年中的三个时间点接受调查，并接受健康和慢性压力指标的生物标记物评估。这群人中的一部分将被邀请参加目标3，在那里他们将接受采访，以进一步了解复原力和福祉的机制。这项研究考察了一个生态多样化的农村社区在较长时间内压力与健康之间关系的客观和主观机制，并阐明了影响这个医疗服务不足社区居民的健康差距。这项调查的结果通过加深我们对个人和社区一级的压力与慢性病风险之间的联系的理解，直接影响了参与者和社区。这项创新的研究使用了一种全面的方法来调查个人和社区层面上存在的压力和慢性病风险的途径。我们处理多种公共卫生问题，包括慢性病和精神疾病风险、墨西哥原住民之间与健康相关的差异，以及健康保护机制和行为。
Mexican-origin adults living near the U.S.-Mexico border experience unique and pervasive social and ecological stressors, including poverty, perceived discrimination, and environmental hazards, potentially contributing to the high burden of chronic disease. However, there is also evidence that residents in high-density Mexican-origin neighborhoods exhibit lower prevalence rates of disease and related mortality than those living in other areas. Understanding the factors that contribute to health resiliencies at the community scale is essential to informing the effective design of health promotion strategies. La Vida en la Frontera is a mixed-methods participatory study linking a multi-disciplinary University of Arizona research team with Campesinos Sin Fronteras, a community-based organization founded by community health workers in San Luis, Arizona. This paper describes the current protocol for aims 2 and 3 of this multi-faceted investigation. In aim 2 a cohort of N≈300 will be recruited using door-to-door sampling of neighborhoods in San Luis and Somerton, AZ. Participants will be surveyed and undergo biomarker assessments for indicators of health and chronic stress at three time points across a year length. A subset of this cohort will be invited to participate in aim 3 where they will be interviewed to further understand mechanisms of resilience and wellbeing. This study examines objective and subjective mechanisms of the relationship between stress and health in an ecologically diverse rural community over an extended timeframe and illuminates health disparities affecting residents of this medically underserved community. Findings from this investigation directly impact the participants and community through deepening our understanding of the linkages between individual and community level stress and chronic disease risk. This innovative study utilizes a comprehensive methodology to investigate pathways of stress and chronic disease risk present at individual and community levels. We address multiple public health issues including chronic disease and mental illness risk, health related disparities among Mexican-origin people, and health protective mechanisms and behaviors.
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DOI：
10.1038/nrg2881
发表时间：
2010-11
期刊：
Nature reviews. Genetics
影响因子：
--
作者：
通讯作者：
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影响因子：
20.8
作者：
Abraído-Lanza AF;Echeverría SE;Flórez KR
通讯作者：
Flórez KR
影响因子：
5.6
作者：
Isasi, Carmen R.;Parrinello, Christina M.;Jung, Molly M.;Carnethon, Mercedes R.;Birnbaum-Weitzman, Orit;Espinoza, Rebeca A.;Penedo, Frank J.;Perreira, Krista M.;Schneiderman, Neil;Sotres-Alvarez, Daniela;Van Horn, Linda;Gallo, Linda C.
通讯作者：
Gallo, Linda C.
影响因子：
12.7
作者：
Cacari-Stone, Lisa;Wallerstein, Nina;Minkler, Meredith
通讯作者：
Minkler, Meredith
2018 年美国成年人多种慢性病的患病率。
影响因子：
5.5
作者：
Boersma P;Black LI;Ward BW
通讯作者：
Ward BW