SOURCES OF STRESS AMONG MIDWEST AMERICAN INDIAN ADULTS WITH TYPE 2 DIABETES
SOURCES OF STRESS AMONG MIDWEST AMERICAN INDIAN ADULTS WITH TYPE 2 DIABETES
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DOI：
10.5820/aian.2601.2019.33
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发表时间：
2019-01-01
影响因子：
1.3
通讯作者：
Aronson, Benjamin D.
中科院分区：
文献类型：
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作者：
Elm, Jessica H. L.;Walls, Melissa L.;Aronson, Benjamin D.
尽管美洲印第安人（AI）之间的健康差距令人震惊，并承认压力因素对健康产生负面影响，但对影响土著社区的全方位压力因素的概念化还不发达。为了解决这一差距，我们分析了来自五个部落社区的AI成年2型糖尿病患者的焦点小组成绩单，并使用归纳/演绎分析方法对压力源进行分类。美洲印第安人的压力源模型的连续体被构建从四个领域内的19个压力源类别的分类。我们进一步确定了贫困，种族灭绝和殖民化是当代压力和健康结果的根本原因，并得出结论，压力源通常被认为是慢性的，无论压力源的持续时间如何。这项关于人工智能特定压力源的工作为未来关于人工智能社区压力负担的健康研究提供了信息，并确定了干预和健康促进的目标点。
Despite alarming health disparities among American Indians (AIs) and acknowledgement that stressors negatively influence health, conceptualization of the full spectrum of stressors that impact Indigenous communities is underdeveloped. To address this gap, we analyze focus group transcripts of AI adults with type 2 diabetes from five tribal communities and classify stressors using an inductive/deductive analytical approach. A Continuum of American Indian Stressor Model was constructed from categorization of nineteen stressor categories within four domains. We further identified poverty, genocide, and colonization as fundamental causes of contemporary stress and health outcomes for AIs and conclude that stressors are generally experienced as chronic, regardless of the duration of the stressor. This work on AI-specific stressors informs future health research on the stress burden in AI communities and identifies target points for intervention and health promotion.