Socio-cultural integration and holistic health among Indigenous young adults.

Socio-cultural integration and holistic health among Indigenous young adults.
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土著青年的社会文化融合和整体健康。

DOI:
10.1186/s12889-022-13395-3
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发表时间:
2022-05-18
期刊:
影响因子:
4.5
通讯作者:
Ozhaawashkodewe'iganiikwe Williams S
Ozhaawashkodewe'iganiikwe Williams S
中科院分区:
医学2区
文献类型:
--
作者:
Walls M;Hautala D;Cole A;Kosobuski L;Weiss N;Hill K;Ozhaawashkodewe'iganiikwe Williams S

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关于社会融合和福祉之间关系的研究有望为促进健康的政策和实践目标提供信息。然而,对社会关系的研究过于频繁地依赖过于简单化的衡量标准,对不同群体的社会融合的表现和意义没有给予足够的关注。我们使用社会文化融合一词来描述对归属和联系的社会和文化方面的扩展评估。我们考察了7个不同的社会文化融合指标,使用潜在概况分析确定了这些指标的不同反应模式,并使用来自美国和加拿大土著社区的调查数据确定了它们与幸福感的相关性。幸福感是通过自评身体、情感和精神健康的整体评级来衡量的。潜伏期分析(LPA)对7个社会文化融合变量的反应产生了一个三级模型,我们将其标记为低、中、高融合。自评的生理、心理和精神健康的平均得分与LPA特征显著相关,低融合组的自测健康得分最低,而高融合组的健康得分最高。除了低度和中度融合概况之间的文化认同度相似外,对不同社会文化融合措施的反应模式在3个潜在概况中有很大差异。结果强调了扩大我们对社会融合的评估的重要性,并关注家庭、社区、文化和我们的环境之间的相互关系。这些概念与土著的福祉概念相一致,并与跨文化的健康相关。更具体地说,本研究中使用的社会文化融合指标(例如,文化认同、与自然或家庭的联系、给予或接受社会支持)是纳入健康促进倡议的可塑性目标。
Research on associations between social integration and wellbeing holds promise to inform policy and practice targets for health promotion. Yet, studies of social connection too frequently rely on overly simplistic measures and give inadequate attention to manifestation and meanings of social integration across diverse groups. We use the term socio-cultural integration to describe expanded assessment of both social and cultural aspects of belonging and connection. We examined 7 distinct indicators of socio-cultural integration, identified heterogeneous patterns of responses across these indicators using latent profile analysis, and determined their relevance for wellbeing using survey data from a study with Indigenous communities in the U.S. and Canada. Wellbeing was measured using holistic ratings of self-rated physical, emotional, and spiritual health. Latent profile analysis (LPA) of responses to the 7 socio-cultural integration variables yielded a 3-class model, which we labeled low, moderate, and high integration. Mean scores on self-rated physical, mental and spiritual health were significantly associated with LPA profiles, such that those in the low integration group had the lowest self-rated health scores and those in the high integration group had the highest health scores. With the exception of similar ratings of cultural identification between low and moderate integration profiles, patterns of responses to the diverse socio-cultural integration measures varied significantly across the 3 latent profiles. Results underscore the importance of expanding our assessment of social integration with attention to the interrelationships of family, community, culture, and our environment. Such concepts align with Indigenous conceptions of wellbeing, and have relevance for health across cultures. More concretely, the indicators of socio-cultural integration used in this study (e.g., cultural identity, having a sense of connectedness to nature or family, giving or receiving social support) represent malleable targets for inclusion in health promotion initiatives.
DOI: 10.1037/amp0000326
发表时间: 2019-01-01
影响因子: 16.4
作者:
Hartmann, William E.;Wendt, Dennis C.;Gone, Joseph P.
通讯作者: Gone, Joseph P.
DOI: 10.1093/cercor/bhs352
发表时间: 2014-03-01
期刊: CEREBRAL CORTEX
影响因子: 3.7
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DOI: 10.1002/ajcp.12372
发表时间: 2019-09-04
影响因子: 3.1
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Kading, Margarette L.;Gonzalez, Miigis B.;Walls, Melissa L.
通讯作者: Walls, Melissa L.
DOI: 10.1037/amp0000103
发表时间: 2017-09
期刊: The American psychologist
影响因子: --
作者:
Holt-Lunstad J;Robles TF;Sbarra DA
通讯作者: Sbarra DA
DOI: 10.1371/journal.pmed.1000316
发表时间: 2010-07-27
期刊: PLoS medicine
影响因子: 15.8
作者:
Holt-Lunstad J;Smith TB;Layton JB
通讯作者: Layton JB