ArticleAmerican Indian and Alaska native mental health research (Online)2019
Sources of Stress Among Midwest American Indian Adults with Type 2 Diabetes.
Article in American Indian and Alaska native mental health research (Online), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- "Am I Not Native Enough?" A Qualitative Exploration of Experienced Discrimination Among American Indian/Alaska Native Emerging Adults.Journal of racial and ethnic health disparities · 2026Article
- Explaining the Self-Care Behaviors in Type 2 Diabetic Patients Based on Adverse Childhood Experiences, Subjective Socioeconomic Status, and Mindfulness in Isfahan, Iran.Health science reports · 2025Article
- Trends in American Indian/Alaskan native self-reported stroke prevalence and associated modifiable risk factors in the United States from 2011-2021.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2024Article
- Development and validation of the Clinical Aspects of Historical Trauma Questionnaire in Rwandan genocide survivors.Journal of traumatic stress · 2022Article
- Association of stress and resilience with cardiometabolic health among American Indian and Alaska Native adults.Preventive medicine reports · 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
- Centering the Strengths of American Indian Culture, Families and Communities to Overcome Type 2 Diabetes.Frontiers in public health · 2021Article
- 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
- Stress Exposure and Physical, Mental, and Behavioral Health among American Indian Adults with Type 2 Diabetes.International journal of environmental research and public health · 2017Article
Corrections and comments
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Authors and funding
3 authors.
Funding
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.
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