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Risk and Resilience Among Families in Urban AI/AN Communities: the Role of Young Adults.

ABSTRACT: Urban American Indian/Alaska Native (AI/AN) young adults and their families are often geographically or socially distant from tribal networks and traditional social support. Young adults can be especially vulnerable to cultural and social disconnection, so understanding how AI/AN family functioning can augment resilience and protect against risk is important. This research precedes a preventive substance use intervention study and explores urban Native family functioning, emphasizing the role of young adults by analyzing data from 13 focus groups with urban AI/AN young adults (n = 32), parents (n = 25), and health providers (n = 33). We found that young adults can and want to become agents of family resilience, playing active roles in minimizing risks and strengthening family functioning in both practical and traditional ways. Also, extended family and community networks played a vital role in shaping family dynamics to support resilience. These resilience pathways suggest potential targets for intervention.

SUBMITTER: Palimaru AI

PROVIDER: S-EPMC8812358 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature

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Risk and Resilience Among Families in Urban AI/AN Communities: the Role of Young Adults.

Palimaru Alina I AI Brown Ryan A RA Arvizu-Sanchez Virginia V Mike Lynette L Etz Kathleen K Johnson Carrie L CL Dickerson Daniel L DL D'Amico Elizabeth J EJ

Journal of racial and ethnic health disparities 20220203 2

Urban American Indian/Alaska Native (AI/AN) young adults and their families are often geographically or socially distant from tribal networks and traditional social support. Young adults can be especially vulnerable to cultural and social disconnection, so understanding how AI/AN family functioning can augment resilience and protect against risk is important. This research precedes a preventive substance use intervention study and explores urban Native family functioning, emphasizing the role of ...[more]

PMID: 35118610

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Project description:IntroductionWith age, patients with a congenital heart defect are under higher risk of cardiovascular diseases and more complex selfcare requirements.Aim of the studyThe analysis of the mediation role of health-oriented behaviours in the relation between mental resilience and the cardiovascular risk in young adults with congenital heart defects.Materials and methodsThis is an observational study with a cross-sectional design. The research was based on the examination of 201 patients with congenital heart defects using the medical record analysis, the method of estimating and the diagnostic survey method. The other examination tools included the Cardiovascular Disease Risk Factors Scale, the Resilience Assessment Scale (SPP-25) and the Health Behaviour Inventory (HBI).ResultsThe examination confirmed that 50% of patients were susceptible to a cardiovascular disease due to the prevalence of three risk factors. The general indicator of the intensity of health-related behaviours amounted to 83.16 ± 12.94. The lowest intensity of all health behaviours was observed for eating habits (3.14 ± 0.83). The highest score of mental resilience was reported in terms of openness to new experience and sense of humour (15.31 ± 3.05), whereas the lowest was related to optimism and mobilization capability in difficult situations (12.97 ± 3.46). The higher the perseverance and determination (β = -0.16; p < 0.001), openness and sense of humour (β = -0.09; p < 0.01), tolerance to failure and perceiving life as a challenge (β = -0.09; p < 0.01), optimism and the mobilization capability in difficult situations (β = -0.08; p < 0.01) and overall mental resilience scale measurement (β = -0.11; p < 0.001), the lower the cardiovascular risk. In short, higher psychological resilience was associated with higher intensity of health-related behaviours. Greater intensity of health behaviours and higher indices of eating habits, prophylactic behaviours and health practices fostered lower risk of CVDs.ConclusionsHealth-related behaviours play a mediation role between mental resilience and the cardiovascular risk in the group of young adults with congenital heart defects. Psychological resilience as a preventive and promotional factor of mental health appears to be of a very essential value while developing health promoting programmes aimed at decreasing the cardiovascular risk in patients with a congenital heart defect. The evaluation of mental resilience may provide better understanding of the patient and ensure proper health care.

Dataset Information

Risk and Resilience Among Families in Urban AI/AN Communities: the Role of Young Adults.

Publications

Risk and Resilience Among Families in Urban AI/AN Communities: the Role of Young Adults.

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