原住民文化身份可防止原住民照顾者及其子女的 ACE 代际传播。

IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Racial and Ethnic Health Disparities Pub Date : 2024-12-01 Epub Date: 2023-09-11 DOI:10.1007/s40615-023-01795-z
Katie M Edwards, Emily A Waterman, Natira Mullet, Ramona Herrington, Sloane Cornelius, Skyler Hopfauf, Preciouse Trujillo, Lorey A Wheeler, Arielle R Deusch
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引用次数: 0

摘要

大量的实证研究表明,照顾者的不良童年经历(ACEs)预示着其子女的不良童年经历,这种现象被称为不良童年经历的代际传递。然而,尽管有越来越多的理论文献以及长老和传统知识守护者的智慧说明了土著社区中存在这种现象,以及土著文化身份在防止 ACE 代际传播中的保护作用,但很少有专门针对土著居民的实证研究。本研究的目的是对这一假设进行实证评估,特别是土著文化认同和社会支持对美国土著居民及其子女的 ACE 代际传播的保护作用。调查对象是南达科他州 106 名照顾 10 至 14 岁儿童的土著妇女,她们都填写了调查问卷。结果显示,原住民的文化认同调节了照顾者 ACE 与儿童 ACE 之间的关系。在文化认同程度较高的情况下,照顾者的 ACE 与儿童的 ACE 之间没有关联。然而,在土著文化认同程度较低的情况下,照顾者的 ACE 与儿童的 ACE 之间却存在着强烈的正相关关系。社会支持并没有缓和照顾者 ACE 与儿童 ACE 之间的关系。这些研究结果突出表明,有必要在土著照顾者中采取加强土著文化认同和社会支持的措施,以防止ACE的代际传播。
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Indigenous Cultural Identity Protects Against Intergenerational Transmission of ACEs Among Indigenous Caregivers and Their Children.

A large body of empirical research has demonstrated that caregiver adverse childhood experiences (ACEs) predict ACEs in one's child, a phenomenon known as the intergenerational transmission of ACEs. Little of this empirical research, however, has focused specifically on Indigenous peoples despite a growing body of theoretical literature and the wisdom of Elders and Traditional Knowledge Keepers that speaks to the presence of this phenomenon within Indigenous communities as well as the protective role of Indigenous cultural identity in preventing the intergenerational transmission of ACEs. The purpose of the current study was to conduct an empirical evaluation of this hypothesis, specifically that Indigenous cultural identity and social support protects against the intergenerational transmission of ACEs among Indigenous peoples and their children in the USA. Participants were 106 Indigenous women caregivers of children ages 10 to 14 in South Dakota who completed surveys. Results showed that Indigenous cultural identity moderated the association between caregiver ACEs and child ACEs. At high levels of cultural identity, there was no association between caregiver ACEs and child ACEs. At low levels of Indigenous cultural identity, however, there was a strong and positive relationship between caregiver ACEs and child ACEs. Social support did not moderate the association between caregiver ACEs and child ACEs. These findings underscore the need for initiatives that enhance Indigenous cultural identity and social support among Indigenous caregivers to prevent the intergenerational transmission of ACEs.

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来源期刊
Journal of Racial and Ethnic Health Disparities
Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.30
自引率
5.10%
发文量
263
期刊介绍: Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.
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