Stress Measured by Allostatic Load Score Varies by Reason for Immigration: The Africans in America Study.

Stress Measured by Allostatic Load Score Varies by Reason for Immigration: The Africans in America Study.
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DOI:
10.1007/s40615-017-0368-7
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发表时间:
2018-04
影响因子:
3.9
通讯作者:
Sumner AE
Sumner AE
中科院分区:
医学4区
文献类型:
--
作者:
Utumatwishima JN;Baker RL Jr;Bingham BA;Chung ST;Berrigan D;Sumner AE

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移民作为一种生物压力的原因在非洲人中还没有得到研究。我们的目标是确定非洲移民的生物压力是否因移民原因而不同。使用先前与国家健康和营养检查调查(NHANES)数据一起开发的ALS来评估种族主义和土生土长的压力,计算了85名非洲移民(67%为男性,年龄42±10岁)的ALS。为了确认,我们测试了另外五个也是从NHANES构建的ALS。移民的两个原因一直是ALS最低的原因是家庭团聚和自己和直系亲属的彩票中奖。移民的其他原因,如:学习、庇护/难民和工作,ALS较高。由于ALS最低的移民原因促进了家庭团聚,他们被合并(组1),以其他原因来的非洲人被合并(组2)。ALS:1组为1.96±1.40,2组为2.94±1.87,P=0.03。生物压力因移民原因不同而不同,似乎可以通过保持家庭团聚来缓解。总体而言,移民原因是可能影响健康的重要传记数据。
Reason for immigration as a biological stress has not been studied in Africans. Our goal was to determine in African immigrants, if biological stress measured by allostatic load score (ALS) varies by reason for immigration. Using an ALS which had been previously developed with National Health and Nutrition Examination Survey (NHANES) data to assess stress due to racism and nativity, ALS was calculated in 85 African immigrants (67% male, age 42±10y). For confirmation, we tested five additional ALS also built from NHANES. The two reasons for immigration which consistently had the lowest ALS were family reunification and lottery winner for self and immediate family. The other reasons for immigration such as: study, asylum/refugee and work had higher ALS. As reasons for immigration with the lowest ALS promoted family unity, they were combined (Group-1) and the Africans who came for other reasons were combined (Group-2). ALS in Group-1 vs. Group-2 was: 1.96±1.40 vs. 2.94±1.87, P=0.03. Biological stress varies by reason for immigration and appears to be mitigated by maintaining family unity. Overall, reason for immigration is important biographical data likely to influence health.
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