Free to read. Despite alarming health disparities among American Indians AIs and acknowledgement that stressors negatively influence health, conceptualization of the full spectrum of stressors that impact Indigenous communities is underdeveloped. A Continuum of American Indian Stressor Model was constructed from categorization of nineteen stressor categories within four domains. We further identified poverty, genocide, and colonization as fundamental causes of contemporary stress and health outcomes for AIs and conclude that stressors are generally experienced as chronic, regardless of the duration of the stressor. This work on AI-specific stressors informs future health research on the stress burden in AI communities and identifies target points for intervention and health promotion. Proper conceptualization of stressor exposure is a critical component for further research on estimating the contribution of stressor exposure on health outcomes Turner, This qualitative exploratory study builds upon the strong foundation of theoretical and empirical evidence from Indigenous and sociological scholars to systematically map a vast array of social stressors identified by a sample of American Indians AIs living with a chronic disease: type 2 diabetes T2D. Our efforts are one important step toward identifying the AI stress universe and, more distally, addressing longstanding health challenges in Indian Country.
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