title: Stress burden and diabetes in two American Indian reservation communities.
abstract: OBJECTIVE
  To examine the association between psychosocial stress and diabetes in two American Indian reservation communities (Northern Plains and Southwest).
  
  
  METHODS
  The American Indian Services Utilization, Psychiatric Epidemiology, Risk and Protective Factors Project (AI-SUPERPFP), a cross-sectional probability sample survey, interviewed 3,084 randomly selected members of two American Indian tribal groups. Included were a psychiatric epidemiological interview, a physical health problems checklist, and an extensive sociodemographic section.
  
  
  RESULTS
  Stress was common in these reservation communities, and the stress burden was greater among those with diabetes. After adjusting for sociodemographic characteristics, early-life interpersonal trauma and community family dysfunction were significantly associated with increased odds of diabetes in the Northern Plains, while discrimination and community addiction problems were significantly associated with increased odds of diabetes in the Southwest.
  
  
  CONCLUSIONS
  A number of psychosocial stresses were significantly associated with increased odds of self-reported diabetes in these two American Indian communities.
authors: American Indian and Alaska Native Programs, University of Colorado Denver, MS F800, P.O. Box 6508, Aurora, CO 80045-0508, USA. luohua.jiang@uchsc.edu
authors: Luohua
authors: L
authors: Jiang
authors: Janette
authors: J
authors: Beals
authors: Nancy R
authors: NR
authors: Whitesell
authors: Yvette
authors: Y
authors: Roubideaux
authors: Spero M
authors: SM
authors: Manson
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000208:ethnology / Q000209:etiology*; D006801:Humans; D007198:Indians, North American / Q000706:statistics & numerical data*; D008875:Middle Aged; D013315:Stress, Psychological / Q000150:complications*