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为什么这么多土著民族正在死亡,却没有人关注?抑郁症状以及“失去亲人”是造成和导致健康差距的原因和驱动力。

Why Are So Many Indigenous Peoples Dying and No One Is Paying Attention? Depressive Symptoms and "Loss of Loved Ones" as a Result and Driver of Health Disparities.

机构信息

School of Social Work, Tulane University, New Orleans, Louisiana, United States.

City, Culture, & Community Doctoral Program, Tulane University, New Orleans, Louisiana, United States.

出版信息

Omega (Westport). 2022 May;85(1):88-113. doi: 10.1177/0030222820939391. Epub 2020 Jul 7.

DOI:10.1177/0030222820939391
PMID:32635802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7853079/
Abstract

Indigenous peoples have not only experienced a devastating rate of historical loss of lives, they are more likely to experience mortality disparities. The purpose of this article is to examine Indigenous women's lived experiences of grief and loss in two Southeastern tribes and the relationship between depressive symptoms and recent loss of a loved one. Our exploratory sequential mixed-methods research was informed by the Indigenous based Framework of Historical Oppression, Resilience, and Transcendence (FHORT). We summarized key qualitative themes from ethnographic data from 287 female participants across the two tribes, collected through focus groups, family interviews, and individual interviews. We then quantitatively examined how these themes predicted depressive outcomes among 127 respondents. Specifically, we examined associations between depressive symptoms and components of historical oppression-historical loss, loss of lives, and the presence of PTSD symptoms-along with resilience and transcendence.

摘要

原住民不仅经历了历史上生命损失的毁灭性速度,而且更有可能经历死亡率的差异。本文的目的是探讨两个东南部部落的原住民妇女在悲伤和失落方面的生活经历,以及抑郁症状与最近失去亲人之间的关系。我们的探索性顺序混合方法研究是受基于原住民的历史压迫、韧性和超越框架(FHORT)启发。我们从两个部落的 287 名女性参与者的人种学数据中总结了关键的定性主题,这些数据是通过焦点小组、家庭访谈和个人访谈收集的。然后,我们定量研究了这些主题如何预测 127 名受访者的抑郁结果。具体来说,我们研究了抑郁症状与历史压迫的组成部分(历史损失、生命损失和 PTSD 症状的存在)以及韧性和超越之间的关联。

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Omega (Westport). 2022 May;85(1):88-113. doi: 10.1177/0030222820939391. Epub 2020 Jul 7.
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本文引用的文献

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Prayer and Faith: Spiritual Coping among American Indian Women Cancer Survivors.祈祷与信仰:美国印第安女性癌症幸存者的精神应对方式
Health Soc Work. 2018 Aug 1;43(3):185-192. doi: 10.1093/hsw/hly015.
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Prevalence of Depression Among Adults Aged 20 and Over: United States, 2013-2016.2013 - 2016年美国20岁及以上成年人中抑郁症的患病率
NCHS Data Brief. 2018 Feb(303):1-8.
4
Death of family members as an overlooked source of racial disadvantage in the United States.在美国,家庭成员的死亡是一个被忽视的种族劣势来源。
Proc Natl Acad Sci U S A. 2017 Jan 31;114(5):915-920. doi: 10.1073/pnas.1605599114. Epub 2017 Jan 23.
5
Early life trauma, post-traumatic stress disorder, and allostatic load in a sample of American Indian adults.美国印第安成年人样本中的早期生活创伤、创伤后应激障碍和应激负荷
Am J Hum Biol. 2017 May 6;29(3). doi: 10.1002/ajhb.22943. Epub 2016 Nov 30.
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"It will always continue unless we can change something": consequences of intimate partner violence for indigenous women, children, and families.“除非我们能改变某些事情,否则这种情况将持续下去”:亲密伴侣暴力对土著妇女、儿童和家庭的影响。
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