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Self\u2010rated health and depression, the symptoms of PTSD, two facets of acculturative stress and ethnolinguistic discrimination were assessed by questionnaires. The data were analyzed using binary logistic regression models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The symptoms of PTSD and acculturative stress experienced in the workplace were significantly associated with a higher risk of poor self\u2010rated health, adjusted for various socio\u2010demographic characteristics. Acculturative stress, discouragement of language use, language avoidance and ethnolinguistic discrimination were related to a higher risk of depression and PTSD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Our research implies that ethnic and linguistic discrimination, acculturative stress and the memory of harm linked to being Indigenous reflected in the symptoms of PTSD, are important predictors of poorer health and depression among Nahua groups in Mexico. These adverse effects could be significantly counteracted by effective dealing with stigmatization and discrimination against Indigenous people in Mexico and by replacing strong assimilation pressures with integrational approaches that respect ethnolinguistic diversity and reduce socioeconomic marginalization.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajpa.24745","type":"journal-article","created":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T10:09:37Z","timestamp":1681553377000},"page":"364-378","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The spiral of disadvantage: Ethnolinguistic discrimination, acculturative stress and health in <scp>Nahua<\/scp> indigenous communities in <scp>Mexico<\/scp>"],"prefix":"10.1002","volume":"181","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3726-3184","authenticated-orcid":false,"given":"Justyna","family":"Olko","sequence":"first","affiliation":[{"name":"Center for Research and Practice in Cultural Continuity, Faculty of \u201cArtes Liberales\u201d University of Warsaw  Warsaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7879-9735","authenticated-orcid":false,"given":"Andrzej","family":"Galbarczyk","sequence":"additional","affiliation":[{"name":"Department of Environmental Health, Faculty of Health Sciences Jagiellonian University Medical College  Krakow Poland"},{"name":"Department of Human Behavior, Ecology and Culture Max Planck Institute for Evolutionary Anthropology  Leipzig Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8415-4143","authenticated-orcid":false,"given":"Joanna","family":"Maryniak","sequence":"additional","affiliation":[{"name":"Center for Research and Practice in Cultural Continuity, Faculty of \u201cArtes Liberales\u201d University of Warsaw  Warsaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5010-8923","authenticated-orcid":false,"given":"Karolina","family":"Krzych\u2010Mi\u0142kowska","sequence":"additional","affiliation":[{"name":"Department of Environmental Health, Faculty of Health Sciences Jagiellonian University Medical College  Krakow Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Humberto Iglesias","family":"Tepec","sequence":"additional","affiliation":[{"name":"Instituto de Educaci\u00f3n Media Superior de la Ciudad de M\u00e9xico  Ciudad de M\u00e9xico Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"de la Cruz","sequence":"additional","affiliation":[{"name":"Center for Research and Practice in Cultural Continuity, Faculty of \u201cArtes Liberales\u201d University of Warsaw  Warsaw Poland"},{"name":"Instituto de Docencia e Investigaci\u00f3n Etnol\u00f3gica de Zacatecas  Zacatecas Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elwira","family":"Dexter\u2010Sobkowiak","sequence":"additional","affiliation":[{"name":"Center for Research and Practice in Cultural Continuity, Faculty of \u201cArtes Liberales\u201d University of Warsaw  Warsaw Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8716-6342","authenticated-orcid":false,"given":"Grazyna","family":"Jasienska","sequence":"additional","affiliation":[{"name":"Department of Environmental Health, Faculty of Health Sciences Jagiellonian University Medical College  Krakow Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,4,15]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.5379\/urbani-izziv-en-2012-23-01-006"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1590\/s0104-71832002000200011"},{"key":"e_1_2_10_4_1","unstructured":"Aguirre Beltr\u00e1n G.(1973).Regiones de Refugio: El Desarrollo de la Comunidad Y El Proceso Dominical en Mestizo Am\u00e9rica. 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