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美国印第安人在逆境中的心理健康:一种新的人口健康悖论的初步证据?

Psychological Wellbeing in the Face of Adversity among American Indians: Preliminary Evidence of a New Population Health Paradox?

作者信息

Walls Melissa, Pearson Cynthia, Kading Margarette, Teyra Ciwang

机构信息

Department of Biobehavioral Health & Population Sciences, University of Minnesota School of Medicine, USA.

Indigenous Wellness Research Institute, University of Washington School of Social Work, USA.

出版信息

Ann Public Health Res. 2016;3(1). Epub 2016 Jan 14.

Abstract

Our objective was to determine self-reported psychological wellbeing of American Indians (AIs). Data are from two surveys, a) 218 adults from the 2011 - 2012 Mino Giizhigad study including Ojibwe adults in Minnesota and Wisconsin, and b) 146 AI women aged 15 - 35 years from the 2011 Sacred Journey study residing in the Pacific Northwest. Reports of AI mental wellness/positive mental health were on par with or higher than found in previous studies with non-AI samples despite simultaneously disparate rates of AI anxiety, depressive symptoms, and differential exposure to sociohistorical stressors. Results are a paradoxical mismatch between mental wellness and mental stressors consistent across two separate, diverse samples of AI adults.

摘要

我们的目标是确定美国印第安人(AI)自我报告的心理健康状况。数据来自两项调查,a)2011 - 2012年米诺·吉齐加德研究中的218名成年人,包括明尼苏达州和威斯康星州的奥吉布瓦成年人,以及b)2011年神圣之旅研究中的146名年龄在15 - 35岁之间居住在太平洋西北部的AI女性。尽管AI人群中焦虑、抑郁症状的发生率以及接触社会历史压力源的情况各不相同,但AI人群心理健康/积极心理健康的报告与之前非AI样本的研究结果相当或更高。研究结果显示,在两个不同的AI成年人群体样本中,心理健康与心理压力源之间存在自相矛盾的不匹配。

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