Sources of stress among midwest American Indian adults with type 2 diabetes

Jessica H.L. Elm, Melissa L Walls, Benjamin D. Aronson

Research output: Contribution to journalArticle

Abstract

Despite alarming health disparities among American Indians (AIs) and acknowledgement that stressors negatively influence health, conceptualization of the full spectrum of stressors that impact Indigenous communities is underdeveloped. To address this gap, we analyze focus group transcripts of AI adults with type 2 diabetes from five tribal communities and classify stressors using an inductive/deductive analytical approach. A Continuum of American Indian Stressor Model was constructed from categorization of nineteen stressor categories within four domains. We further identified poverty, genocide, and colonization as fundamental causes of contemporary stress and health outcomes for AIs and conclude that stressors are generally experienced as chronic, regardless of the duration of the stressor. This work on AI-specific stressors informs future health research on the stress burden in AI communities and identifies target points for intervention and health promotion.

Original languageEnglish (US)
JournalAmerican Indian and Alaska Native Mental Health Research
Volume26
Issue number1
DOIs
StatePublished - Jan 1 2019

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North American Indians
American Indian
Type 2 Diabetes Mellitus
chronic illness
Health
health
Genocide
community
genocide
Poverty
Health Promotion
Focus Groups
colonization
health promotion
American Indians
Type 2 Diabetes
poverty
cause
Research
Group

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Sources of stress among midwest American Indian adults with type 2 diabetes. / Elm, Jessica H.L.; Walls, Melissa L; Aronson, Benjamin D.

In: American Indian and Alaska Native Mental Health Research, Vol. 26, No. 1, 01.01.2019.

Research output: Contribution to journalArticle

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