Abstract:
: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.
journal_name
Int J Environ Res Public Healthauthors
Walls ML,Sittner KJ,Aronson BD,Forsberg AK,Whitbeck LB,al'Absi Mdoi
10.3390/ijerph14091074subject
Has Abstractpub_date
2017-09-16 00:00:00issue
9eissn
1661-7827issn
1660-4601pii
ijerph14091074journal_volume
14pub_type
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