美国印第安人从性健康的角度看待酒精使用问题：探讨与酒精使用相关的身体、行为和心理风险及保护因素。
American Indian Alcohol Use from a Sex-Specific Wellness Approach: Exploring Its Associated Physical, Behavioral, and Mental Risk and Protective Factors.
机构信息
School of Social Work, Tulane University , New Orleans, LA, USA.
Department of Social Work, University of South Dakota, 365 Health Science Center , Sioux Falls, SD, USA.
出版信息
J Evid Based Soc Work (2019). 2021 Jan-Feb;18(1):32-48. doi: 10.1080/26408066.2020.1799648. Epub 2020 Aug 11.
PURPOSE
The top causes of death for American Indians (AIs), including heart and liver disease, are associated with alcohol use. Using the culturally based Framework of Historical Oppression, Resilience, and Transcendence (FHORT), the purpose of this article was to examine AI alcohol use from a sex-specific wellness approach, exploring its associated physical, behavioral, and mental risk and protective factors.
METHOD
Data were drawn from a cross-sectional survey with 479 AI adults in South Dakota. We employed a series of multiple hierarchical regression analyses to assess the associations of demographic (sex, age, marital status, income, and educational attainment), physical (Body Mass Index and cardiovascular risk), behavioral (smoking and health self-efficacy) and mental (depressive symptoms) factors with alcohol use.
RESULTS
Results indicated that surveyed males tended to drink three times that of females, and depressive symptoms were associated with higher levels of alcohol use.
DISCUSSION
This study highlights the need to examine AI alcohol use with sex in mind.
目的
导致美洲印第安人（AI）死亡的主要原因，包括心脏病和肝病，与饮酒有关。本文运用基于文化的历史压迫、韧性和超越框架（FHORT），从性别健康的角度探讨 AI 饮酒问题，探讨其相关的身体、行为和心理风险和保护因素。
方法
数据来自南达科他州的一项横断面调查，共有 479 名 AI 成年人。我们采用一系列多重层次回归分析来评估人口统计学因素（性别、年龄、婚姻状况、收入和教育程度）、身体因素（体重指数和心血管风险）、行为因素（吸烟和健康自我效能感）和心理因素（抑郁症状）与饮酒的关联。
结果
结果表明，接受调查的男性饮酒量是女性的三倍，抑郁症状与饮酒量较高有关。
讨论
本研究强调需要考虑性别的因素来研究 AI 饮酒问题。
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