TY - JOUR
T1 - Cardiovascular Health among U.S. Indigenous Peoples
T2 - A Holistic and Sex-Specific Systematic Review
AU - McKinley, Catherine E.
AU - Ka’apu, Kristi
AU - Scarnato, Jennifer Miller
AU - Liddell, Jessica
N1 - Publisher Copyright:
© 2019, © 2019 Taylor & Francis.
PY - 2020/1/2
Y1 - 2020/1/2
N2 - Purpose: The purpose of this systematic review is to examine mental, sociocultural, behavioral, and physical risk and protective factors related to cardiovascular disease (CVD) and related outcomes among U.S. Indigenous peoples. Methods: A total of 51 articles met the inclusion criteria of research focusing factors for CVD among U.S. Indigenous peoples (Mental n = 15; Sociocultural, n = 17; Behavioral/Physical, n = 19). Results: This review reveals clear risks for CVD, which tended to be elevated for females. Mental health problems (depression, anxiety, PTSD/trauma, alcohol, and other drug (AOD) abuse) were clearly associated with CVD, along with enculturation, social support, and the social environment–including discrimination and trauma. Poor diet and obesity, diabetes, hypertension, cholesterol were behavioral or physical factors. Discussion: Overall, identified research was limited and in beginning stages, lacking more information on etiology of the interconnections across sex and the mental, sociocultural, and behavioral determinants of CVD.
AB - Purpose: The purpose of this systematic review is to examine mental, sociocultural, behavioral, and physical risk and protective factors related to cardiovascular disease (CVD) and related outcomes among U.S. Indigenous peoples. Methods: A total of 51 articles met the inclusion criteria of research focusing factors for CVD among U.S. Indigenous peoples (Mental n = 15; Sociocultural, n = 17; Behavioral/Physical, n = 19). Results: This review reveals clear risks for CVD, which tended to be elevated for females. Mental health problems (depression, anxiety, PTSD/trauma, alcohol, and other drug (AOD) abuse) were clearly associated with CVD, along with enculturation, social support, and the social environment–including discrimination and trauma. Poor diet and obesity, diabetes, hypertension, cholesterol were behavioral or physical factors. Discussion: Overall, identified research was limited and in beginning stages, lacking more information on etiology of the interconnections across sex and the mental, sociocultural, and behavioral determinants of CVD.
KW - Native American or American Indian or Alaska Native or Native Hawaiian
KW - cardiovascular disease
KW - cultural factors
KW - diabetes
KW - mental health
KW - social factors
UR - http://www.scopus.com/inward/record.url?scp=85081042780&partnerID=8YFLogxK
U2 - 10.1080/26408066.2019.1617817
DO - 10.1080/26408066.2019.1617817
M3 - Article
C2 - 32133411
AN - SCOPUS:85081042780
SN - 2640-8066
VL - 17
SP - 24
EP - 48
JO - Journal of Evidence-Based Social Work (United States)
JF - Journal of Evidence-Based Social Work (United States)
IS - 1
ER -