Bi-cultural dynamics for risk and protective factors for cardiometabolic health in an Alaska Native (Yup’ik) population

Jacques Philip, Tove K. Ryman, Scarlett E. Hopkins, Diane M. O’Brien, Andrea Bersamin, Jeremy Pomeroy, Kenneth E. Thummel, Melissa A. Austin, Bert Boyer, Kirk Dombrowski

Research output: Contribution to journalArticle

Abstract

Alaska Native people experience disparities in mortality from heart disease and stroke. This work attempts to better understand the relationships between socioeconomic, behavioral, and cardiometabolic risk factors among Yup’ik people of southwestern Alaska, with a focus on the role of the socioeconomic, and cultural components. Using a cross-sectional sample of 486 Yup’ik adults, we fitted a Partial Least Squares Path Model (PLS-PM) to assess the associations between components, including demographic factors [age and gender], socioeconomic factors [education, economic status, Yup’ik culture, and Western culture], behavioral factors [diet, cigarette smoking and smokeless tobacco use, and physical activity], and cardiometabolic risk factors [adiposity, triglyceride-HDL and LDL lipids, glycemia, and blood pressure]. We found relatively mild associations of education and economic status with cardiometabolic risk factors, in contrast with studies in other populations. The socioeconomic factor and participation in Yup’ik culture had potentially protective associations with adiposity, triglyceride-HDL lipids, and blood pressure, whereas participation in Western culture had a protective association with blood pressure. We also found a moderating effect of participation in Western culture on the relationships between Yup’ik culture participation and both blood pressure and LDL lipids, indicating a potentially beneficial additional effect of biculturalism. Our results suggest that reinforcing protective effects of both Yup’ik and Western cultures could be useful for interventions aimed at reducing cardiometabolic health disparities.

Original languageEnglish (US)
Article numbere0183451
JournalPloS one
Volume12
Issue number11
DOIs
StatePublished - Nov 1 2017
Externally publishedYes

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Alaska Natives
Blood pressure
blood pressure
Health
Blood Pressure
risk factors
socioeconomic factors
Adiposity
adiposity
socioeconomic status
Lipids
Population
socioeconomics
education
lipids
smokeless tobacco
Education
triacylglycerols
Economics
tobacco use

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)

Cite this

Philip, J., Ryman, T. K., Hopkins, S. E., O’Brien, D. M., Bersamin, A., Pomeroy, J., ... Dombrowski, K. (2017). Bi-cultural dynamics for risk and protective factors for cardiometabolic health in an Alaska Native (Yup’ik) population. PloS one, 12(11), [e0183451]. https://doi.org/10.1371/journal.pone.0183451

Bi-cultural dynamics for risk and protective factors for cardiometabolic health in an Alaska Native (Yup’ik) population. / Philip, Jacques; Ryman, Tove K.; Hopkins, Scarlett E.; O’Brien, Diane M.; Bersamin, Andrea; Pomeroy, Jeremy; Thummel, Kenneth E.; Austin, Melissa A.; Boyer, Bert; Dombrowski, Kirk.

In: PloS one, Vol. 12, No. 11, e0183451, 01.11.2017.

Research output: Contribution to journalArticle

Philip, J, Ryman, TK, Hopkins, SE, O’Brien, DM, Bersamin, A, Pomeroy, J, Thummel, KE, Austin, MA, Boyer, B & Dombrowski, K 2017, 'Bi-cultural dynamics for risk and protective factors for cardiometabolic health in an Alaska Native (Yup’ik) population', PloS one, vol. 12, no. 11, e0183451. https://doi.org/10.1371/journal.pone.0183451
Philip, Jacques ; Ryman, Tove K. ; Hopkins, Scarlett E. ; O’Brien, Diane M. ; Bersamin, Andrea ; Pomeroy, Jeremy ; Thummel, Kenneth E. ; Austin, Melissa A. ; Boyer, Bert ; Dombrowski, Kirk. / Bi-cultural dynamics for risk and protective factors for cardiometabolic health in an Alaska Native (Yup’ik) population. In: PloS one. 2017 ; Vol. 12, No. 11.
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