dc.contributor.author | Walls, Melissa | |
dc.contributor.author | Sittner Hartshorn, Kelley J. | |
dc.contributor.author | Aronson, Benjamin | |
dc.contributor.author | Forsberg, Angie | |
dc.contributor.author | Whitbeck, Les | |
dc.contributor.author | al'Absi, Mustafa | |
dc.date.accessioned | 2019-09-25T18:24:43Z | |
dc.date.available | 2019-09-25T18:24:43Z | |
dc.date.issued | 2017-09-16 | |
dc.identifier | oksd_walls_stressexposure_2017 | |
dc.identifier.citation | Walls, M., Sittner Hartshorn, K. J., Aronson, B., Forsberg, A., Whitbeck, L., & al'Absi, M. (2017). Stress exposure and physical, mental, and behavioral health among American Indian adults with type 2 diabetes. International Journal of Environmental Research and Public Health, 14(9). https://doi.org/10.3390/ijerph14091074 | |
dc.identifier.uri | https://hdl.handle.net/11244/321440 | |
dc.description.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. | |
dc.format | application/pdf | |
dc.language | en_US | |
dc.publisher | MDPI | |
dc.rights | This material has been previously published. In the Oklahoma State University Library's institutional repository this version is made available through the open access principles and the terms of agreement/consent between the author(s) and the publisher. The permission policy on the use, reproduction or distribution of the material falls under fair use for educational, scholarship, and research purposes. Contact Digital Resources and Discovery Services at lib-dls@okstate.edu or 405-744-9161 for further information. | |
dc.title | Stress exposure and physical, mental, and behavioral health among American Indian adults with type 2 diabetes | |
osu.filename | oksd_walls_stressexposure_2017.pdf | |
dc.description.peerreview | Peer reviewed | |
dc.identifier.doi | 10.3390/ijerph14091074 | |
dc.description.department | Sociology | |
dc.type.genre | Article | |
dc.type.material | Text | |
dc.subject.keywords | american indian | |
dc.subject.keywords | native american | |
dc.subject.keywords | diabetes | |
dc.subject.keywords | stress | |