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Stress Exposure and Physical, Mental, and Behavioral Health among American Indian Adults with Type 2 Diabetes

American Indian (AI) communities experience disproportionate exposure to stressors and health inequities including type 2 diabetes. Yet, we know little about the role of psychosocial stressors for AI diabetes-related health outcomes. We investigated associations between a range of stressors and psyc...

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Autores principales: Walls, Melissa L., Sittner, Kelley J., Aronson, Benjamin D., Forsberg, Angie K., Whitbeck, Les B., al’Absi, Mustafa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5615611/
https://www.ncbi.nlm.nih.gov/pubmed/28926940
http://dx.doi.org/10.3390/ijerph14091074
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author Walls, Melissa L.
Sittner, Kelley J.
Aronson, Benjamin D.
Forsberg, Angie K.
Whitbeck, Les B.
al’Absi, Mustafa
author_facet Walls, Melissa L.
Sittner, Kelley J.
Aronson, Benjamin D.
Forsberg, Angie K.
Whitbeck, Les B.
al’Absi, Mustafa
author_sort Walls, Melissa L.
collection PubMed
description American Indian (AI) communities experience disproportionate exposure to stressors and health inequities including type 2 diabetes. Yet, we know little about the role of psychosocial stressors for AI diabetes-related health outcomes. We investigated associations between a range of stressors and psychological, behavioral, and physical health for AIs with diabetes. This community-based participatory research with 5 AI tribes includes 192 AI adult type 2 diabetes patients recruited from clinical records at tribal clinics. Data are from computer-assisted interviews and medical charts. We found consistent bivariate relationships between chronic to discrete stressors and mental and behavioral health outcomes; several remained even after accounting for participant age, gender, and income. Fewer stressors were linked to physical health. We also document a dose–response relationship between stress accumulation and worse health. Findings underscore the importance of considering a broad range of stressors for comprehensive assessment of stress burden and diabetes. Policies and practices aimed at reducing stress exposure and promoting tools for stress management may be mechanisms for optimal health for AI diabetes patients.
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spelling pubmed-56156112017-09-30 Stress Exposure and Physical, Mental, and Behavioral Health among American Indian Adults with Type 2 Diabetes Walls, Melissa L. Sittner, Kelley J. Aronson, Benjamin D. Forsberg, Angie K. Whitbeck, Les B. al’Absi, Mustafa Int J Environ Res Public Health Article American Indian (AI) communities experience disproportionate exposure to stressors and health inequities including type 2 diabetes. Yet, we know little about the role of psychosocial stressors for AI diabetes-related health outcomes. We investigated associations between a range of stressors and psychological, behavioral, and physical health for AIs with diabetes. This community-based participatory research with 5 AI tribes includes 192 AI adult type 2 diabetes patients recruited from clinical records at tribal clinics. Data are from computer-assisted interviews and medical charts. We found consistent bivariate relationships between chronic to discrete stressors and mental and behavioral health outcomes; several remained even after accounting for participant age, gender, and income. Fewer stressors were linked to physical health. We also document a dose–response relationship between stress accumulation and worse health. Findings underscore the importance of considering a broad range of stressors for comprehensive assessment of stress burden and diabetes. Policies and practices aimed at reducing stress exposure and promoting tools for stress management may be mechanisms for optimal health for AI diabetes patients. MDPI 2017-09-16 2017-09 /pmc/articles/PMC5615611/ /pubmed/28926940 http://dx.doi.org/10.3390/ijerph14091074 Text en © 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Walls, Melissa L.
Sittner, Kelley J.
Aronson, Benjamin D.
Forsberg, Angie K.
Whitbeck, Les B.
al’Absi, Mustafa
Stress Exposure and Physical, Mental, and Behavioral Health among American Indian Adults with Type 2 Diabetes
title Stress Exposure and Physical, Mental, and Behavioral Health among American Indian Adults with Type 2 Diabetes
title_full Stress Exposure and Physical, Mental, and Behavioral Health among American Indian Adults with Type 2 Diabetes
title_fullStr Stress Exposure and Physical, Mental, and Behavioral Health among American Indian Adults with Type 2 Diabetes
title_full_unstemmed Stress Exposure and Physical, Mental, and Behavioral Health among American Indian Adults with Type 2 Diabetes
title_short Stress Exposure and Physical, Mental, and Behavioral Health among American Indian Adults with Type 2 Diabetes
title_sort stress exposure and physical, mental, and behavioral health among american indian adults with type 2 diabetes
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5615611/
https://www.ncbi.nlm.nih.gov/pubmed/28926940
http://dx.doi.org/10.3390/ijerph14091074
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