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020 ▼a 9781085772662
035 ▼a (MiAaPQ)AAI13884884
040 ▼a MiAaPQ ▼c MiAaPQ ▼d 247004
0820 ▼a 157
1001 ▼a Gutierrez, Angela P.
24510 ▼a Trauma, Psychological Distress, and Pre-Clinical Markers of Cardiometabolic Disease among Us Latinos.
260 ▼a [S.l.]: ▼b University of California, San Diego., ▼c 2019.
260 1 ▼a Ann Arbor: ▼b ProQuest Dissertations & Theses, ▼c 2019.
300 ▼a 102 p.
500 ▼a Source: Dissertations Abstracts International, Volume: 81-04, Section: B.
500 ▼a Advisor: Gallo, Lina C.
5021 ▼a Thesis (Ph.D.)--University of California, San Diego, 2019.
506 ▼a This item must not be sold to any third party vendors.
520 ▼a Trauma exposure and psychological distress are associated with poor cardiometabolic health. US Latinos suffer from cardiometabolic health disparities and may be at increased risk for trauma exposure and distress. The extent to which psychological distress contributes to the association between trauma exposure and cardiometabolic disease remains unclear, and there is scant research examining this topic among Latinos. The purpose of this dissertation was to evaluate the prevalence and correlates of trauma exposure among Latinos, and the cross-sectional associations between trauma exposure, psychological distress, and C-Reactive Protein (CRP) and Metabolic Syndrome (MetS). The study used cross-sectional data from the Hispanic Community Health Study/Study of Latinos and from the Sociocultural Ancillary Study, a large sample of US Latinos (N = 5,313) who completed medical examinations and psychosocial questionnaires. Prevalence and correlates of trauma exposure were calculated using weighted frequencies and Chi-square tests. The prevalence of lifetime trauma exposure was 85% for men and 77% for women, and 37% of the sample reported experiencing three or more traumatic events. Several risk factors for trauma exposure emerged: being born outside of the US 50 states, preferring English, identifying as Puerto Rican, South American or more than one background, and immigrating to the US prior to age 18. Structural equation models (SEM) examined the associations among trauma exposure, psychological distress (latent variable), CRP and MetS (latent variable), while accounting for demographic and immigration/acculturation covariates. Model fit was evaluated using common descriptive fit indices: CFI, RMSEA, SRMR. Results from SEM models indicated that lifetime trauma count was not directly associated with CRP (棺 = -.01, p = .90) or MetS (棺 = -.01, p = .97).
590 ▼a School code: 0033.
650 4 ▼a Hispanic American studies.
650 4 ▼a Endocrinology.
650 4 ▼a Clinical psychology.
690 ▼a 0737
690 ▼a 0622
690 ▼a 0409
71020 ▼a University of California, San Diego. ▼b Clinical Psychology (Joint Doctoral with SDSU).
7730 ▼t Dissertations Abstracts International ▼g 81-04B.
773 ▼t Dissertation Abstract International
790 ▼a 0033
791 ▼a Ph.D.
792 ▼a 2019
793 ▼a English
85640 ▼u http://www.riss.kr/pdu/ddodLink.do?id=T15491401 ▼n KERIS ▼z 이 자료의 원문은 한국교육학술정보원에서 제공합니다.
980 ▼a 202002 ▼f 2020
990 ▼a ***1816162
991 ▼a E-BOOK