Association of stress and resilience with cardiometabolic health among American Indian and Alaska Native adults.
Association of stress and resilience with cardiometabolic health among American Indian and Alaska Native adults.
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DOI：
10.1016/j.pmedr.2021.101517
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发表时间：
2021-12
影响因子：
2.8
通讯作者：
Suchy-Dicey AM
中科院分区：
文献类型：
--
作者：
Nikolaus CJ;Sinclair K;Buchwald D;Suchy-Dicey AM
有证据表明，感知压力和心理弹性与心脏代谢疾病的存在和严重程度有关。尽管美国印第安人和阿拉斯加原住民（AI/AN）人群的压力和心脏代谢疾病负担增加，但这些因素之间的关系在这些人群中尚未得到很好的确定。本研究的目的是评估压力与五种心脏代谢健康指标的关系，并评估心理弹性是否在AI/AN成人中介导这些关系。496名AI/AN与会者在三个研讨会上接受了调查。问卷包括社会人口学项目、自我报告的肥胖、前驱糖尿病、糖尿病、高血压和高胆固醇问题、感知压力量表和简短弹性量表。在控制社会人口学特征的同时，采用多变量logistic回归模型测量健康指标与感知压力量表和简短恢复力量表得分的相关性。在受访者中，肥胖是最常见的心脏代谢健康指标（48%），其次是高血压、前驱糖尿病、糖尿病和高胆固醇。感知压力量表和短暂弹性量表的平均得分分别为16.1 （6.4 SD）和3.5 （0.7 SD）。感知压力量表得分越高，自我报告的前驱糖尿病和糖尿病的几率越大。简要弹性量表得分不作为中介。这些结果表明，在AI/AN成人中，感知压力与一些自我报告的心脏代谢健康指标相关，但研究结果受到方便样本、对自我报告的依赖和横断面设计的限制。未来的工作应利用具有全国代表性的数据、纵向设计和心脏代谢健康的客观测量。
Evidence suggests that perceived stress and psychological resilience are related to the presence and severity of cardiometabolic disease. Despite increased stress and cardiometabolic disease burden among American Indian and Alaska Native (AI/AN) people, the relationships between these factors are not well established in these populations. The objective of this study was to evaluate the relationships of stress with five cardiometabolic health indicators and to assess whether psychological resilience mediates these relationships in AI/AN adults. Four hundred and ninety-six AI/AN attendees were surveyed at three powwows. The questionnaire included sociodemographic items, questions on self-reported obesity, prediabetes, diabetes, high blood pressure, and high cholesterol, the Perceived Stress Scale, and the Brief Resilience Scale. Multivariable logistic regression models were used to measure associations of health indicators with Perceived Stress Scale and Brief Resilience Scale scores while controlling for sociodemographic characteristics. Among respondents, obesity was the most common cardiometabolic health indicator reported (48%), followed by high blood pressure, prediabetes, diabetes, and high cholesterol. Mean Perceived Stress Scale and Brief Resilience Scale scores were 16.1 (6.4 SD) and 3.5 (0.7 SD), respectively. Higher Perceived Stress Scale scores were associated with greater odds of self-reported prediabetes and diabetes. Brief Resilience Scale scores did not serve as a mediator. These results suggest that perceived stress is associated with some self-reported indicators of cardiometabolic health among AI/AN adults, but findings are limited by the convenience sample, reliance on self-report, and cross-sectional design. Future work should capitalize on nationally representative data, longitudinal designs, and objective measures of cardiometabolic health.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
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作者：
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通讯作者：
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DOI：
10.5820/aian.2601.2019.33
发表时间：
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影响因子：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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