亚利桑那州边境地区墨西哥人对压力与健康之间联系的认识是复原力的来源。

IF 2.6 2区 医学 Q2 INFORMATION SCIENCE & LIBRARY SCIENCE
Rebecca M Crocker, Karina R Duenas, Idolina Castro, Maia Ingram, Emma Torres, Scott C Carvajal
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引用次数: 0

摘要

移民到美国的墨西哥人承受着与移民过程以及美国社会和环境生活条件相关的巨大压力。鉴于长期承受压力与健康状况的发生有关,这些生态因素可能会增加他们健康状况不佳的风险。然而,与全国范围内监测到的情况相比,墨西哥人的健康状况却有许多积极的变化,因此了解这一人群可能的恢复力来源至关重要。在此,我们调查了墨西哥人应对压力的非专业健康知识,以此作为与健康相关的复原力的可能来源。健康知识被认为是实用知识、传统知识以及适应性智力模式的核心内容,对健康有着切实的影响。我们这个由大学和社区双语研究人员组成的混合团队采用以体现理论为基础的社区参与式研究设计,采访了居住在亚利桑那州西南部农村地区的墨西哥裔居民(30 人),了解他们如何体验和应对压力,并将压力纳入他们的病因学框架。主题分析表明,参与者密切关注压力在他们身体中的表现形式,这有助于他们了解压力对健康的潜在危害,并促使他们采用多种减压策略。我们的研究结果凸显了墨西哥人非专业健康知识的广泛性,从而挑战了关于墨西哥人健康知识普及率低的主流说法。我们可以利用研究结果来优化家庭和社区环境中潜在的健康保护作用,并为预防和临床干预措施提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Knowledge of the Stress-Health Link as a Source of Resilience Among Mexicans in the Arizona Borderlands.

Mexicans who migrate to the United States endure significant stressors related to the migration process and social and environmental conditions of life in the United States. Given that chronic stress exposure has been linked to the onset of health conditions, these ecological factors may expose them to increased risk for poor health. However, Mexicans have many positive health outcomes compared to those monitored nationally, making it crucial to understand possible sources of resilience in this population. Here, we investigate Mexicans' lay health knowledge in response to stress as a possible source of health-related resilience. Health knowledge is considered a central facet of practical and traditional knowledge as well as adaptive modes of intelligence and has a tangible impact on health. Using an ethnographically grounded community-based participatory research design informed by the theory of embodiment, our hybrid team of bilingual university and community-based researchers interviewed Mexican-origin residents (N = 30) living in rural southwestern Arizona about how they experienced and responded to stress and incorporated it into their etiological frameworks. Thematic analysis revealed that participants paid close attention to how stress presented itself in their bodies, which informed their understanding of its potentially harmful health impacts and motivated them to employ multiple stress reduction strategies. Our results highlight the breadth of Mexicans' lay health knowledge, thereby challenging dominant narratives about low rates of health literacy in this population. Findings can be harnessed to optimize potential health protective effects in home and community settings as well as to inform preventive and clinical interventions.

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来源期刊
CiteScore
6.80
自引率
6.20%
发文量
109
期刊介绍: QUALITATIVE HEALTH RESEARCH is an international, interdisciplinary, refereed journal for the enhancement of health care and to further the development and understanding of qualitative research methods in health care settings. We welcome manuscripts in the following areas: the description and analysis of the illness experience, health and health-seeking behaviors, the experiences of caregivers, the sociocultural organization of health care, health care policy, and related topics. We also seek critical reviews and commentaries addressing conceptual, theoretical, methodological, and ethical issues pertaining to qualitative enquiry.
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