美国印第安人的自杀意念与慢性疾病的关联。

IF 3.4 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ethnicity & Disease Pub Date : 2024-04-24 eCollection Date: 2023-09-01 DOI:10.18865/ed.33.4.150
Felicia Schanche Hodge, Rey Paolo Ernesto Roca, Christine Samuel-Nakamura, Wendie Robbins, Umme Shefa Warda
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引用次数: 0

摘要

目的探讨美国印第安人中慢性病、健康感知、不良经历和自杀意念之间的关联:在健康干预试验的第一阶段,13 个加利福尼亚州健康诊所登记处组成了随机家庭调查抽样框架(N=459)。调查内容包括社会人口统计学、健康状况、健康状况、自杀意念、文化连通性(讲部落语言、参与文化习俗、感觉与社区有联系),以及童年、青春期和成年期的身体虐待、性虐待、语言虐待和忽视史。卡方检验和费雪精确检验检验了未经调整的二元关系,而多元逻辑回归分析则检验了调整后的关系:结果:不良经历,特别是身体虐待和性虐待,与儿童期肥胖有关。文化连通性差与以下情况有明显关联:(1) 健康感知低;(2) 童年和青春期遭受身体虐待;(3) 童年、青春期和成年期遭受性虐待;(4) 成年期遭受辱骂和忽视。对健康的不良认知也与自杀意念相关:本文探讨了美国印第安人自杀意念、慢性疾病、连通性和健康感知之间的关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Suicide Ideation and the Association of Chronic Disease among American Indians.

Objective: To explore associations of chronic disease, perceived wellness, adverse experiences, and suicide ideation among American Indians.

Methods: Thirteen California health clinic registries formed the random household survey sampling frame (N=459) during the first stage of an intervention trial on wellness. Measures included sociodemographics, wellness status, health conditions, suicide ideation, cultural connectivity (speaking tribal language, participating in cultural practices, and feeling connected to the community), and history of physical, sexual, verbal abuse and neglect in childhood, adolescence, and adulthood. Chi square and Fisher exact tests examined bivariate, unadjusted relationships, while multiple logistic regression analysis examined adjusted associations.

Results: Adverse experiences, specifically physical abuse and sexual abuse, were associated with obesity in childhood. Having poor cultural connectivity was significantly associated with (1) low perceptions of wellness; (2) physical abuse in childhood and adolescence; (3) sexual abuse in childhood, adolescence, and adulthood; and (4) verbal abuse and neglect in adulthood. Poor perception of wellness was also correlated with suicide ideation.

Conclusions: The relationships between suicide ideation, chronic disease, connectivity, and perception of wellness among American Indians are explored in this article.

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来源期刊
Ethnicity & Disease
Ethnicity & Disease 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.30
自引率
0.00%
发文量
43
审稿时长
6-12 weeks
期刊介绍: Ethnicity & Disease is an international journal that exclusively publishes information on the causal and associative relationships in the etiology of common illnesses through the study of ethnic patterns of disease. Topics focus on: ethnic differentials in disease rates;impact of migration on health status; social and ethnic factors related to health care access and health; and metabolic epidemiology. A major priority of the journal is to provide a forum for exchange between the United States and the developing countries of Europe, Africa, Asia, and Latin America.
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