ArticleInternational journal of environmental research and public health2017
Stress Exposure and Physical, Mental, and Behavioral Health among American Indian Adults with Type 2 Diabetes.
Article in International journal of environmental research and public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systems, Social, and Individual Factors Influencing Glycemic Control Among American Indian/Alaska Native Adults with Type 2 Diabetes: A Systematic Review.Journal of racial and ethnic health disparities · 2026Pooled it
- Trial and Participant Characteristics of a Home-Visiting Diabetes Intervention: TheJournal of diabetes research · 2025Trial
- Effects of household and neighbourhood attributes on four definitions of multimorbidity: a comparative multilevel analysis of linked clinical and census data of Wales.BMJ public health · 2026Article
- Mediating Role of Delay Discounting in the Link Between Depressive Symptoms and Diabetes Onset: Findings from a Prospective Survey of a Community Sample.International journal of behavioral medicine · 2025Article
- Management of Type 2 Diabetes Mellitus in Native Americans and Alaska Natives: A Systematic Review.Journal of racial and ethnic health disparities · 2025Review
- American Indian women's perceptions of perinatal cannabis use.The American journal of drug and alcohol abuse · 2025Article
- Association of Social Support With Glycemic Control Among American Indians With Type 2 Diabetes: The Strong Heart Family Study.Diabetes spectrum : a publication of the American Diabetes Association · 2025Article
- Historical trauma and oppression: Associations with internalizing outcomes among American Indian adults with type 2 diabetes.Transcultural psychiatry · 2024Article
- Disparities in diabetes prevalence and management by race and ethnicity in the USA: defining a path forward.The lancet. Diabetes & endocrinology · 2023Review
- A longitudinal study of positive mental health and coping among Indigenous adults with type 2 diabetes.Anxiety, stress, and coping · 2023Article
- Food Stress and Diabetes-Related Psychosocial Outcomes in American Indian Communities: A Mixed Methods Approach.Journal of nutrition education and behavior · 2022Article
- Patterns of adverse childhood experiences and mental health outcomes among American Indians with type 2 diabetes.Child abuse & neglect · 2021Article
- Spiritual connectedness through prayer as a mediator of the relationship between Indigenous language use and positive mental health.Cultural diversity & ethnic minority psychology · 2021Article
- A longitudinal study of the stress of poor glucose control and diabetes distress.Journal of health psychology · 2021Article
- Stress and Cardiometabolic Disease Risk for Indigenous Populations throughout the Lifespan.International journal of environmental research and public health · 2021Article
- Centering the Strengths of American Indian Culture, Families and Communities to Overcome Type 2 Diabetes.Frontiers in public health · 2021Article
- Reliability, construct validity, and measurement invariance of the PROMIS Physical Function 8b-Adult Short Form v2.0.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020Article
- Adverse Childhood Experiences and Internalizing Symptoms Among American Indian Adults with Type 2 Diabetes.Journal of racial and ethnic health disparities · 2020Article
- Momentum and Longevity for Tribally Driven Health Equity Science: Evidence from the Gathering for Health Project.Human biology · 2020Article
- The Mediating Role of Diabetes Distress and Depressive Symptoms in Type 2 Diabetes Medication Adherence Gender Differences.Health education & behavior : the official publication of the Society for Public Health Education · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
American Indian (AI) communities experience disproportionate exposure to stressors and health inequities including type 2 diabetes. Yet, we know little about the role of psychosocial stressors for AI diabetes-related health outcomes. We investigated associations between a range of stressors and psychological, behavioral, and physical health for AIs with diabetes. This community-based participatory research with 5 AI tribes includes 192 AI adult type 2 diabetes patients recruited from clinical records at tribal clinics. Data are from computer-assisted interviews and medical charts. We found consistent bivariate relationships between chronic to discrete stressors and mental and behavioral health outcomes; several remained even after accounting for participant age, gender, and income. Fewer stressors were linked to physical health. We also document a dose-response relationship between stress accumulation and worse health. Findings underscore the importance of considering a broad range of stressors for comprehensive assessment of stress burden and diabetes. Policies and practices aimed at reducing stress exposure and promoting tools for stress management may be mechanisms for optimal health for AI diabetes patients.
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