健康状况的预测因素与美国印第安人。
Predictors of wellness and American Indians.
作者信息
Hodge Felicia S, Nandy Karabi
机构信息
School of Nursing, University of California, Los Angeles, Los Angeles, CA 90095-1702, USA.
出版信息
J Health Care Poor Underserved. 2011 Aug;22(3):791-803. doi: 10.1353/hpu.2011.0093.
Wellness is an important American Indian (AI) concept, understood as being in balance with one's body, mind, and environment. Wellness predictors are reported in this paper within the context of health. A cross-sectional randomized household survey of 457 AI adults at 13 rural health care sites in California was conducted. Measures included wellness perceptions, barriers, health status/health conditions, spirituality, cultural connectivity, high-risk behaviors and abuse history. Statistical analysis obtained the best predictive model for wellness. Predictors of wellness were general health status perception, participation in AI cultural practices and suicide ideation. Significant differences in wellness status were observed depending on experience of adverse events in childhood and adulthood (neglect, physical abuse, and sexual abuse). Cultural connectivity (speaking tribal language, participating in AI practices, and feeling connected to community) was also associated with perceptions of wellness. Recommendations are for culturally-appropriate education and interventions emphasizing community and cultural connectivity for improving wellness status.
健康是美国印第安人（AI）的一个重要概念，被理解为与身体、思想和环境保持平衡。本文在健康背景下报告了健康预测因素。对加利福尼亚州13个农村医疗保健点的457名成年美国印第安人进行了一项横断面随机家庭调查。测量内容包括健康认知、障碍、健康状况/健康问题、精神性、文化联系、高危行为和虐待史。统计分析得出了健康的最佳预测模型。健康的预测因素是总体健康状况认知、参与美国印第安文化习俗和自杀意念。根据童年和成年期不良事件（忽视、身体虐待和性虐待）的经历，观察到健康状况存在显著差异。文化联系（说部落语言、参与美国印第安文化习俗以及感觉与社区有联系）也与健康认知相关。建议开展注重社区和文化联系的文化适宜教育和干预措施，以改善健康状况。
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