A community-engaged approach to investigate cardiovascular-associated inflammation among American Indian women: A research protocol

Brooks, JL; Berry, DC; Currin, EG; Ledford, A; Knafl, GJ; Fredrickson, BL; Beeber, LS; Peden, DB; Corbie-Smith, GM; Brewer, R; Deese, BD; Jacobs, T; Locklear, K; Pevia, Kim; Rocco, PM; HAPPI Community Partnership Comm

HERO ID

5438865

Reference Type

Journal Article

Year

2019

Language

English

PMID

30924164

HERO ID 5438865
In Press No
Year 2019
Title A community-engaged approach to investigate cardiovascular-associated inflammation among American Indian women: A research protocol
Authors Brooks, JL; Berry, DC; Currin, EG; Ledford, A; Knafl, GJ; Fredrickson, BL; Beeber, LS; Peden, DB; Corbie-Smith, GM; Brewer, R; Deese, BD; Jacobs, T; Locklear, K; Pevia, Kim; Rocco, PM; HAPPI Community Partnership Comm
Journal Research in Nursing and Health
Volume 42
Issue 3
Page Numbers 165-175
Abstract American Indian women are more likely to die from cardiovascular disease (CVD) than White or African American women. Inflammatory processes may underlie CVD disparities by gender and race and may be critical to understanding population-specific drivers and potential buffers. Exposure to environmental air pollutants, especially particulate matter (PM), is known to be an important catalyst in CVD-associated inflammation. Positive psychological states, associated with low levels of inflammatory gene expression, could serve to moderate the inflammatory response to environmental air pollutants and ultimately lead to better cardiovascular health outcomes. The aim of the ongoing community-engaged and NIH-funded study described in this study protocol is to address the racial and gender gaps in CVD mortality by investigating the contextually relevant and culturally important determinants of health among American Indian women. In this paper we describe the procedures used to examine the relationship between environmental air pollutant exposures (PM10-2.5 and PM 2.5 ), psychological factors (e.g., depressive symptoms, posttraumatic stress symptoms, eudemonic well-being, and positive emotions), and cardiovascular-associated inflammation (hs-CRP, IL-6, Amyloid A, CBCs with differentials) in a sample of 150 women 18-50 years of age from the Lumbee Tribe in southeastern North Carolina. We describe lessons learned and strategies used in developing a community-engaged approach to enhance recruitment of American Indian women in biomedical research. The empirical data and community infrastructure resulting from this study will be foundational in designing and testing future interventions to reduce CVD-associated morbidity and mortality in American Indian women.
Doi 10.1002/nur.21944
Pmid 30924164
Wosid WOS:000465000800003
Is Certified Translation No
Dupe Override No
Is Public Yes
Language Text English
Keyword adulthood; community-based participatory research; cultural research; design development; environment; inflammation; physiological states; women's health