ArticleBMJ open2018
Examining protective and buffering associations between sociocultural factors and adverse childhood experiences among American Indian adults with type 2 diabetes: a quantitative, community-based participatory research approach.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed, 45 citations in OpenAlex.
- Cerebrovascular Risk Factors for Body Mass Index, Diabetes, and Atherosclerosis in a Wisconsin Native American Population: A Cross-Sectional Observation Study.Journal of the American Heart Association · 2026Observational
- Culturally Engaged REcovery - MOms connected through Native CommunitY (CEREMONY): An Implementation Study to Evaluate the Adaptation and Implementation of an Integrated Perinatal SUD Clinical Model for Pregnant and Postpartum Native People.Substance use & addiction journal · 2026Article
- Knowledge Connects Our Hearts and Lands: A Qualitative Research Study on Stewarding Indigenous Traditional Ecological Knowledges for Community Well-Being.International journal of environmental research and public health · 2025Article
- Individualism and Collectivism as Moderators of Relations between Adverse Childhood Experiences and Adolescent Aggressive Behavior.Research on child and adolescent psychopathology · 2025Article
- Indigenous Cultural Identity Protects Against Intergenerational Transmission of ACEs Among Indigenous Caregivers and Their Children.Journal of racial and ethnic health disparities · 2024Article
- The resounding influence of benevolent childhood experiences.Transcultural psychiatry · 2024Article
- Resilience and health in American Indians and Alaska Natives: A scoping review of the literature.Development and psychopathology · 2023Article
- Creating a Virtual Indigenist Community-Based Participatory Approach: Lessons Learned from Centering Urban Native Young Women in Research.Adversity and resilience science · 2023Article
- Adverse childhood experiences and living in the socially deprived areas in adulthood: a cross-sectional study of the nationwide data in Japan.BMC public health · 2023Article
- "Make Stories That Will Always Be There": Eagle Books' Appeal, Sustainability, and Contributions to Public Health, 2006-2022.Preventing chronic disease · 2023Article
- Graduate Medical Education Training and the Health of Indigenous Peoples.Journal of graduate medical education · 2023Article
- The Social Determinants of Adverse Childhood Experiences: An Intersectional Analysis of Place, Access to Resources, and Compounding Effects.International journal of environmental research and public health · 2022Article
- Relationships among adverse childhood experiences, delay discounting, impulsivity, and diabetes self-management.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022Article
- Examining Adverse Childhood Experiences (ACEs) within Indigenous Populations: a Systematic Review.Journal of child & adolescent trauma · 2022Article
- Getting to Know: American Indian Elder Health Seeking in an Under-funded Healthcare System.SSM. Qualitative research in health · 2021Article
- Patterns of adverse childhood experiences and mental health outcomes among American Indians with type 2 diabetes.Child abuse & neglect · 2021Article
- A longitudinal study of the stress of poor glucose control and diabetes distress.Journal of health psychology · 2021Article
- Understanding measures of racial discrimination and microaggressions among American Indian and Alaska Native college students in the Southwest United States.BMC public health · 2021Article
- Cultural Sources of Strength and Resilience: A Case Study of Holistic Wellness Boxes for COVID-19 Response in Indigenous Communities.Frontiers in sociology · 2021Article
- Adverse childhood experiences and adult cardiometabolic risk factors and disease outcomes: Cross-sectional, population-based study of adults in rural Uganda.Journal of global health · 2021Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesThe purpose of this study was to determine the frequency of select adverse childhood experiences (ACEs) among a sample of American Indian (AI) adults living with type 2 diabetes (T2D) and the associations between ACEs and self-rated physical and mental health. We also examined associations between sociocultural factors and health, including possible buffering processes.
designSurvey data for this observational study were collected using computer-assisted survey interviewing techniques between 2013 and 2015.
settingParticipants were randomly selected from AI tribal clinic facilities on five reservations in the upper Midwestern USA.
participantsInclusion criteria were a diagnosis of T2D, age 18 years or older and self-identified as AI. The sample includes n=192 adults (55.7% female; mean age=46.3 years). PRIMARY MEASURES: We assessed nine ACEs related to household dysfunction and child maltreatment. Independent variables included social support, diabetes support and two cultural factors: spiritual activities and connectedness. Primary outcomes were self-rated physical and mental health.
resultsAn average of 3.05 ACEs were reported by participants and 81.9% (n=149) said they had experienced at least one ACE. Controlling for gender, age and income, ACEs were negatively associated with self-rated physical and mental health (p<0.05). Connectedness and social support were positively and significantly associated with physical and mental health. Involvement in spiritual activities was positively associated with mental health and diabetes-specific support was positively associated with physical health. Social support and diabetes-specific social support moderated associations between ACEs and physical health.
conclusionsThis research demonstrates inverse associations between ACEs and well-being of adult AI patients with diabetes. The findings further demonstrate the promise of social and cultural integration as a critical component of wellness, a point of relevance for all cultures. Health professionals can use findings from this study to augment their assessment of patients and guide them to health-promoting social support services and resources for cultural involvement.
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