美国印第安人中的冷漠与2型糖尿病：探索传统文化参与的保护作用
Apathy and Type 2 Diabetes among American Indians: Exploring the Protective Effects of Traditional Cultural Involvement.
作者信息
Carlson Amanda E, Aronson Benjamin D, Unzen Michael, Lewis Melissa, Benjamin Gabrielle J, Walls Melissa L
出版信息
J Health Care Poor Underserved. 2017;28(2):770-783. doi: 10.1353/hpu.2017.0073.
Abstract
In this study we examine relationships between traditional cultural factors, apathy, and health-related outcomes among a sample of American Indian adults with type 2 diabetes. Participants completed cross-sectional interviewer-assisted paper and pencil surveys. We tested a proposed model using latent variable path analysis in order to understand the relationships between cultural participation, apathy, frequency of high blood sugar symptoms, and health-related quality of life. The model revealed significant direct effects from cultural participation to apathy, and apathy to both health-related outcomes. No direct effect of cultural participation on either health-related outcome was found; however, cultural participation had a negative indirect effect through apathy on high blood sugar and positive indirect effects on health-related quality of life. This study highlights a potential pathway of cultural involvement to positive diabetes outcomes.
摘要
在本研究中，我们调查了患有2型糖尿病的美国印第安成年人样本中传统文化因素、冷漠与健康相关结果之间的关系。参与者完成了由访谈员协助的纸笔横断面调查。我们使用潜在变量路径分析来检验一个提出的模型，以了解文化参与、冷漠、高血糖症状频率和健康相关生活质量之间的关系。该模型显示了从文化参与到冷漠以及从冷漠到两个健康相关结果的显著直接影响。未发现文化参与对任何一个健康相关结果有直接影响；然而，文化参与通过冷漠对高血糖有负面间接影响，对健康相关生活质量有正面间接影响。本研究突出了文化参与对积极糖尿病结果的潜在途径。
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