压力、迁移和适应负荷:基于俄亥俄州哥伦布市墨西哥移民的模型。

IF 3.3 4区 医学 Q1 PHYSIOLOGY
Alexandra C Tuggle, Jeffrey H Cohen, Douglas E Crews
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引用次数: 16

摘要

背景:移民是对健康具有多重影响的破坏性事件。压力源,包括家庭分离、文化适应、工作不安全、行动受限、滞留、危险的边境过境、污名化和边缘化,以我们才刚刚开始理清的方式影响着移民的健康。全世界有2亿多国际移民。2015年,美国有4320万移民,其中26.8%出生在墨西哥。调查压力如何影响移徙者的健康,有助于更好地了解他们的经历。方法:在这里,我们回顾了现有的关于压力和移民之间的适应负荷变化的研究,并特别关注在美国的墨西哥移民。接下来,我们将探索结合生物标志物和移民和定居叙事的研究,以检查居住在俄亥俄州哥伦布市的墨西哥移民的疾病风险。这种混合方法使我们能够研究社会压力源如何影响自我健康报告,而不是与评估歧视和健康生理生物标志物的关联。结果:这些数据来源无显著相关性。叙述和自我健康报告都不能为参与者的生理健康提供重要的代理。结论:我们提出,将客观评估的健康状况与移民叙述相结合,可以更好地说明移民面临的风险,同时使我们能够辨别未来可能出现的健康挑战的途径。对一个新国家的移民和文化适应是生物学和文化上根深蒂固的过程,压力和适应反应也是如此。要了解前者如何与后者协同变化,需要一种混合方法的生物人种学方法。多种社会和生理系统之间的差异会随着时间的推移影响个人健康。我们建议将生理生物标志物和适应负荷与移民的迁移叙述结合起来,以揭示文化适应与健康之间的复杂关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Stress, migration, and allostatic load: a model based on Mexican migrants in Columbus, Ohio.

Stress, migration, and allostatic load: a model based on Mexican migrants in Columbus, Ohio.

Background: Immigration is a disruptive event with multiple implications for health. Stressors, including family separation, acculturation, job insecurity, restricted mobility, sojourns, dangerous border crossings, stigmatization, and marginalization, shape immigrant health in ways we are only beginning to untangle. Around the world, there are over 200 million international migrants. In 2015, there were 43.2 million immigrants living in the US, 26.8% of whom were born in Mexico. Investigating how stress affects health among migrants facilitates better understanding of their experiences.

Methods: Here, we review existing research on stress and how allostatic load varies among migrants with specific attention to Mexican migrants in the US. Next, we explore research incorporating biomarkers of allostasis and narratives of migration and settlement to examine disease risks of Mexican migrants residing in Columbus, Ohio. This mixed-methods approach allowed us to examine how social stressors may influence self-reports of health differentially from associations with assessed discrimination and physiological biomarkers of health.

Results: These data sources are not significantly associated. Neither narratives nor self-reports of health provide significant proxies for participants' physiological health.

Conclusions: We propose, the pairing of objectively assessed health profiles with narratives of migration better illustrate risks migrants face, while allowing us to discern pathways through which future health challenges may arise. Immigration and acculturation to a new nation are biologically and culturally embedded processes, as are stress and allostatic responses. To understand how the former covary with the latter requires a mixed-methods bioethnographic approach. Differences across multiple social and physiological systems, affect individual health over time. We propose incorporating physiological biomarkers and allostatic load with migrants' narratives of their migration to unravel complex relationships between acculturation and health.

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来源期刊
自引率
6.50%
发文量
39
期刊介绍: Journal of Physiological Anthropology (JPA) is an open access, peer-reviewed journal that publishes research on the physiological functions of modern mankind, with an emphasis on the physical and bio-cultural effects on human adaptability to the current environment. The objective of JPA is to evaluate physiological adaptations to modern living environments, and to publish research from different scientific fields concerned with environmental impact on human life. Topic areas include, but are not limited to: environmental physiology bio-cultural environment living environment epigenetic adaptation development and growth age and sex differences nutrition and morphology physical fitness and health Journal of Physiological Anthropology is the official journal of the Japan Society of Physiological Anthropology.
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