title: Cumulative Trauma Among Mayas Living in Southeast Florida.
abstract: Mayas, having experienced genocide, exile, and severe poverty, are at high risk for the consequences of cumulative trauma that continually resurfaces through current fear of an uncertain future. Little is known about the mental health and alcohol use status of this population. This correlational study explored t/he relationship of cumulative trauma as it relates to social determinants of health (years in the United States, education, health insurance status, marital status, and employment), psychological health (depression symptoms), and health behaviors (alcohol use) of 102 Guatemalan Mayas living in Southeast Florida. The results of this study indicated that, as specific social determinants of health and cumulative trauma increased, depression symptoms (particularly among women) and the risk for harmful alcohol use (particularly among men) increased. Identifying risk factors at an early stage before serious disease or problems are manifest provides room for early screening leading to early identification, early treatment, and better outcomes.
authors.affiliation: Florida Atlantic University Community Health Center, Christine E. Lynn College of Nursing, 1650 Osceola Drive, West Palm Beach, FL, 33409, USA. emillend@fau.edu.
authors.forename: Eugenia I
authors.initials: EI
authors.lastname: Millender
authors.affiliation: Christine E. Lynn College of Nursing, Florida Atlantic University, 777 Glades Road, BLDG AZ 79, Boca Raton, FL, 33431, USA.
authors.forename: John
authors.initials: J
authors.lastname: Lowe
mesh_terms: D000069:Acculturation; D000293:Adolescent; D000328:Adult; D000368:Aged; D000437:Alcoholism / Q000208:ethnology*; D015992:Body Mass Index; D003863:Depression / Q000208:ethnology*; D005260:Female; D005431:Florida / Q000453:epidemiology; D006166:Guatemala / Q000208:ethnology; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D007407:Interviews as Topic; D007802:Language; D008297:Male; D008603:Mental Health / Q000208:ethnology; D008875:Middle Aged; D000067073:Psychological Trauma / Q000208:ethnology*; D064890:Social Determinants of Health / Q000208:ethnology*; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology; D055815:Young Adult
keywords: Alcohol; Cumulative trauma; Depression; Guatemala; Hispanic; Indigenous population of Guatemala; Maya