城市美国原住民新成人的身体疼痛:社会文化风险和保护因素。

IF 2.9 3区 医学 Q2 PSYCHIATRY
Psychosomatic Medicine Pub Date : 2024-09-01 Epub Date: 2024-05-24 DOI:10.1097/PSY.0000000000001326
Shaddy K Saba, Anthony Rodriguez, Daniel L Dickerson, Lynette Mike, Kurt Schweigman, Virginia Arvizu-Sanchez, George Funmaker, Carrie L Johnson, Ryan A Brown, Nipher Malika, Elizabeth J D'Amico
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引用次数: 0

摘要

目的:美国印第安人/阿拉斯加原住民(AI/AN)的身体疼痛发生率很高。对居住在城市的美国印第安人/阿拉斯加原住民新成人的疼痛研究不足,这一群体具有独特的社会文化风险和保护因素。我们探讨了社会经济劣势、其他社会文化因素与城市亚裔/非裔新成人疼痛之间的关联:我们通过社交媒体招募了 18-25 岁的亚裔美国人/印第安人参与者(N = 417)。回归模型测试了社会经济劣势(收入和负担医疗保健的能力)与疼痛之间的关系,以及其他社会文化因素(歧视、历史损失、文化自豪感和归属感、访问部落土地)与疼痛之间的关系。多组回归模型检验了社会文化因素与疼痛之间的关联在社会经济条件较差的参与者和条件较差的参与者之间是否存在差异:在全样本中,低收入(b = 1.00 - 1.48,p < .05)、无力负担医疗费用(b = 1.00,p = .011)、歧视(b = 0.12,p = .001)和历史损失(b = 0.24,p = .006)与疼痛呈正相关,而访问部落土地与疼痛呈负相关(b = -0.86 - -0.42,p < .05)。在多组模型中,只有社会经济条件较差的组别中,访问部落土地 31 天以上与疼痛呈负相关(b = -1.48, p < .001):结论:社会经济状况不佳可能在一定程度上导致新成人亚裔美国人/印第安人的疼痛差异,并阻碍他们从访问部落土地中获益。研究结果支持采用生物-心理-社会方法来解决这一人群中的疼痛问题,包括应对社会经济挑战和制定具有文化背景的、基于优势的干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Physical Pain Among Urban Native American Emerging Adults: Sociocultural Risk and Protective Factors.

Objective: American Indian/Alaska Native (AI/AN) people have high rates of physical pain. Pain is understudied in urban-dwelling, AI/AN emerging adults, a group with unique sociocultural risk and protective factors. We explore associations between socioeconomic disadvantage, additional sociocultural factors, and pain among urban AI/AN emerging adults.

Methods: AI/AN participants aged 18-25 years ( N = 417) were recruited via social media. Regression models tested associations between socioeconomic disadvantage (income and ability to afford health care) and pain as well as additional sociocultural factors (discrimination, historical loss, cultural pride and belonging, visiting tribal lands) and pain. Multigroup regression models tested whether associations between sociocultural factors and pain differed between participants who were socioeconomically disadvantaged and those who were less disadvantaged.

Results: In the full sample, lower income ( b = 1.00-1.48, p < .05), inability to afford health care ( b = 1.00, p = .011), discrimination ( b = 0.12, p = .001), and historical loss ( b = 0.24, p = .006) were positively associated with pain, whereas visiting tribal lands was negatively associated with pain ( b = -0.86 to -0.42, p < .05). In the multigroup model, visiting tribal lands 31+ days was negatively associated with pain only among the less socioeconomically disadvantaged group ( b = -1.48, p < .001).

Conclusions: Socioeconomic disadvantage may, in part, drive pain disparities among AI/AN emerging adults and act as a barrier to benefitting from visiting tribal lands. Results support a biopsychosocial approach to targeting pain in this population, including addressing socioeconomic challenges and developing culturally informed, strengths-based interventions.

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来源期刊
Psychosomatic Medicine
Psychosomatic Medicine 医学-精神病学
CiteScore
5.10
自引率
0.00%
发文量
258
审稿时长
4-8 weeks
期刊介绍: Psychosomatic Medicine is the official peer-reviewed journal of the American Psychosomatic Society. The journal publishes experimental, clinical, and epidemiological studies on the role of psychological and social factors in the biological and behavioral processes relevant to health and disease. Psychosomatic Medicine is an interdisciplinary peer-reviewed journal devoted to high-quality science on biobehavioral mechanisms, brain-behavior interactions relevant to physical and mental disorders, as well as interventions in clinical and public health settings. Psychosomatic Medicine was founded in 1939 and publishes interdisciplinary research articles relevant to medicine, psychiatry, psychology, and other health-related disciplines. The print journal is published nine times a year; most articles are published online ahead of print. Supplementary issues may contain reports of conferences at which original research was presented in areas relevant to the psychosomatic and behavioral medicine.
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