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Historical Trauma, Contemporary Trau...

Jolley, Dorothy Ruth.

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Historical Trauma, Contemporary Trauma, and Type-2 Diabetes Self-Management Among American Indian/Alaska Native Women.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Historical Trauma, Contemporary Trauma, and Type-2 Diabetes Self-Management Among American Indian/Alaska Native Women./
Author:	Jolley, Dorothy Ruth.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2020,
Description:	229 p.
Notes:	Source: Dissertations Abstracts International, Volume: 82-04, Section: B.
Contained By:	Dissertations Abstracts International82-04B.
Subject:	Native American studies. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28150803
ISBN:	9798678184283

Historical Trauma, Contemporary Trauma, and Type-2 Diabetes Self-Management Among American Indian/Alaska Native Women.
Jolley, Dorothy Ruth.

Historical Trauma, Contemporary Trauma, and Type-2 Diabetes Self-Management Among American Indian/Alaska Native Women. - Ann Arbor : ProQuest Dissertations & Theses, 2020 - 229 p.

Source: Dissertations Abstracts International, Volume: 82-04, Section: B.

Thesis (Ph.D.)--Walden University, 2020.

This item must not be sold to any third party vendors.

Endemic Type-2 Diabetes Mellitus (T2DM) is one of the leading causes of mortality among American Indian/Alaska Natives (AI/ANs). Trauma and stress have been shown to impact the progression of diabetes that could negatively impact health-related behaviors. Previous studies have not examined the relationship between historical and contemporary trauma and T2DM self-management among AI/AN women. The purpose of this research was to examine the relationship between historical loss, historical loss associated symptoms, stressful life events, microaggressions (microinsults and microinvalidations), and T2DM self-management (glucose management, dietary control, physical activity, healthcare use) among AI/AN women with diabetes. Historical trauma theory was the basis of this study and explained the consequences of colonization resulting in contemporary trauma that affects physical and mental health. A cross-sectional survey design included data from a convenience sample of 209 AI/AN adult woman. Multiple regression analyses showed that greater experiences with microinvalidations predicted poorer glucose management, less physical activity, less healthcare use, and poorer overall T2DM self-management. The study demonstrated that contemporary trauma (stressful life events and microinvalidations) had a significant and negative impact on T2DM self-management among AI/AN women. These results could improve T2DM self-management and the high levels of mortality, morbidity, costs, and quality of life among AI/AN women. The findings may also be used by educators and healthcare providers to promote positive social change by integrating cultural-sensitive approaches to the treatment of AI/AN groups.

ISBN: 9798678184283Subjects--Topical Terms:

2122730
Native American studies.
Subjects--Index Terms:

American Indian/Alaska Natives

Historical Trauma, Contemporary Trauma, and Type-2 Diabetes Self-Management Among American Indian/Alaska Native Women.
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500 $a Source: Dissertations Abstracts International, Volume: 82-04, Section: B.
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520 $a Endemic Type-2 Diabetes Mellitus (T2DM) is one of the leading causes of mortality among American Indian/Alaska Natives (AI/ANs). Trauma and stress have been shown to impact the progression of diabetes that could negatively impact health-related behaviors. Previous studies have not examined the relationship between historical and contemporary trauma and T2DM self-management among AI/AN women. The purpose of this research was to examine the relationship between historical loss, historical loss associated symptoms, stressful life events, microaggressions (microinsults and microinvalidations), and T2DM self-management (glucose management, dietary control, physical activity, healthcare use) among AI/AN women with diabetes. Historical trauma theory was the basis of this study and explained the consequences of colonization resulting in contemporary trauma that affects physical and mental health. A cross-sectional survey design included data from a convenience sample of 209 AI/AN adult woman. Multiple regression analyses showed that greater experiences with microinvalidations predicted poorer glucose management, less physical activity, less healthcare use, and poorer overall T2DM self-management. The study demonstrated that contemporary trauma (stressful life events and microinvalidations) had a significant and negative impact on T2DM self-management among AI/AN women. These results could improve T2DM self-management and the high levels of mortality, morbidity, costs, and quality of life among AI/AN women. The findings may also be used by educators and healthcare providers to promote positive social change by integrating cultural-sensitive approaches to the treatment of AI/AN groups.
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