Stress and Cardiometabolic Disease Risk for Indigenous Populations throughout the Lifespan.
Stress and Cardiometabolic Disease Risk for Indigenous Populations throughout the Lifespan.
复制标题
DOI：
10.3390/ijerph18041821
复制
发表时间：
2021-02-13
影响因子：
--
通讯作者：
Warne D
中科院分区：
文献类型：
--
作者：
Lewis ME;Volpert-Esmond HI;Deen JF;Modde E;Warne D
背景资料：在美国，土著人的心脏代谢疾病差异最大，但高心脏代谢疾病风险因素并不能完全解释土著人心脏代谢疾病差异的程度。压力、创伤和种族主义在土著社区中发生率很高，尽管有新的文献，但尚未充分探讨其作为心脏代谢疾病差异的重要贡献者，因此将在此处进行描述。方法：这项描述性研究探讨了心脏代谢疾病风险与土著特异性压力源（例如，早期儿童压力和创伤，成年压力和创伤，以及历史和代际创伤）。土著特有的保护因素对心脏代谢疾病也进行了审查。结果越来越多的研究表明，土著特有的压力和创伤性生活经历与心脏代谢疾病风险增加之间存在关系。心理健康和心理生理学在这种关系中起着重要作用。降低土著社区心脏代谢疾病风险的有效干预措施侧重于通过使用特定文化的健康行为和活动来减轻这些压力因素的负面影响。结论：越来越多的证据表明，文化联系和文化适应是心脏代谢疾病的保护因素，并可能通过土著主导的培训，研究和政策变革来激发。
Background: Indigenous people experience the greatest cardiometabolic disease disparity in the Unites States, yet high cardiometabolic disease risk factors do not fully explain the extent of the cardiometabolic disease disparity for Indigenous people. Stress, trauma, and racism occur at high rates within Indigenous communities and have not been well explored as significant contributors to cardiometabolic disease disparities despite emerging literature, and therefore will be described here. Methods: This descriptive study explores the relationship between cardiometabolic disease risks and Indigenous-specific stressors (e.g., early childhood stress and trauma, adulthood stress and trauma, and historical and intergenerational trauma) using current literature. Indigenous-specific protective factors against cardiometabolic disease are also reviewed. Results. Increasing research indicates that there is a relationship between Indigenous-specific stressful and traumatic life experiences and increased cardiometabolic disease risk. Mental health and psychophysiology play an important role in this relationship. Effective interventions to reduce cardiometabolic disease risk in Indigenous communities focus on ameliorating the negative effects of these stressors through the use of culturally specific health behaviors and activities. Conclusions: There is increasing evidence that cultural connection and enculturation are protective factors for cardiometabolic disease, and may be galvanized through Indigenous-led training, research, and policy change.
登录
查看更多内容
影响因子：
--
作者：
Abramson, J;Berger, A;Vaccarino, V
通讯作者：
Vaccarino, V
影响因子：
3.3
作者：
Beckham, JC;Taft, CT;Calhoun, PS
通讯作者：
Calhoun, PS
影响因子：
2.5
作者：
Bombay, Amy;Matheson, Kimberly;Anisman, Hymie
通讯作者：
Anisman, Hymie
影响因子：
2.9
作者：
Bakshi, Salina;James, Aisha;Atkinson, Holly
通讯作者：
Atkinson, Holly
影响因子：
8
作者：
Anderson, Sarah E.;Gooze, Rachel A.;Whitaker, Robert C.
通讯作者：
Whitaker, Robert C.