美国拉美裔移民的生理压力指标随时间变化的轨迹：文化适应压力因素和社会心理复原力的影响。

IF 4.9 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Social Science & Medicine Pub Date : 2024-10-18 DOI:10.1016/j.socscimed.2024.117429

R.M. Gonzalez-Guarda , W. Pan , P. Buzelli , B. Mack , B.E. McCabe , A. Stafford , A. Tana , J.K.L. Walker

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引用次数: 0

摘要

目的：拉美裔移民在适应美国生活的过程中会面临文化适应压力。然而，随着时间的推移，人们对文化适应压力和社会心理复原力对生理反应和健康的影响知之甚少。本研究的目的是考察拉美裔成年人生理压力指标随时间变化的轨迹，并研究文化适应压力因素和社会心理复原力因素对这些不同轨迹的影响：我们对北卡罗来纳州的拉丁裔成年移民（391 人）进行了一项为期两年的社区纵向研究。在基线、12 个月和 24 个月的随访期间，对 10 种不同类型的文化适应压力源（如职业、家庭、医疗保健、歧视）和社会心理复原因素（个人复原力、应对能力、民族自豪感、家庭主义和社会支持）进行了自我报告测量，并采集了尿液样本。对尿液中的生理压力生物标志物（炎症细胞因子白细胞介素-6（IL-6）、IL-8、IL-18 和 C 反应蛋白（CRP））进行了测量。为达到研究目的，进行了多变量潜类增长分析、线性混合模型和未调整的双变量分析：参与者平均年龄 39 岁（SD = 6.94），大部分为女性（68.8%），讲西班牙语（83%）。研究发现了生理压力标记轨迹的三个潜在类别：复原力、快速增加的压力和慢性升高的压力。这些潜在类别在性别、种族、应对方式、民族自豪感和父母文化适应压力因素方面存在显著差异：本研究的结果确定了特定类型的文化适应压力因素和社会心理复原因素，这些因素是针对拉丁裔移民的健康促进和疾病预防计划的重要目标。

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Trajectories of physiological stress markers over time among Latinx immigrants in the United States: Influences of acculturative stressors and psychosocial resilience

Aims

Latinx immigrants are exposed to acculturative stressors as they adapt to the U.S. However, little is known about the impact of acculturative stressors and psychosocial resilience on physiological responses and health over time. The purpose of this study was to examine trajectories of physiological stress markers among Latinx adults over time and examine the influence of acculturative stressors and psychosocial resilience factors on these different trajectories.

Methods

A community-based, longitudinal study was conducted with adult Latinx immigrants in North Carolina (N = 391) over a two-year period. Self-reported measures of ten different types of acculturative stressors (e.g., occupational, family, healthcare, discrimination) and psychosocial resilience factors (individual resilience, coping, ethnic pride, familism, and social support) along with urine samples were taken at baseline and 12- and 24-month follow-up periods. Biomarkers of physiological stress (inflammatory cytokines interleukin-6 (IL-6), IL-8 and IL-18 and C-Reactive Protein (CRP)) were measured in urine. Multivariate latent class growth analysis, linear mixed models, and unadjusted bivariate analyses were conducted to address the study aims.

Results

Participants were an average of 39 years of age (SD = 6.94) and mostly women (68.8%) and Spanish speakers (83%). Three latent classes of physiological stress marker trajectories were identified: resilient, rapidly increasing stress, and chronic elevated stress. These latent classes had significant differences in gender, race, coping styles, ethnic pride, and parental acculturative stressors.

Conclusions

The findings from this study identify specific types of acculturative stressors and psychosocial resilience factors that are important targets for health promotion and disease prevention programs for Latinx immigrants.

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来源期刊

Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

9.10

自引率

5.60%

发文量

762

审稿时长

38 days

期刊介绍： Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.