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Descriptive statistics and adjusted regression models were employed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Sixty-nine percent of participants experienced lifetime trauma, reporting mean exposure to 2.5 different trauma types. Childhood physical and sexual abuse, and lifetime forced sexual assault rates were 34%, 25%, and 27%, respectively, exceeding general population rates. Women and men reported equivalent total mean exposure to different trauma types, as well as equal prevalence for every trauma type examined (e.g. sexual abuse\/assault). Confirming hypotheses, after controlling for key demographic and mental health risk factors, increased exposure to multiple trauma types uniquely associated with greater depression, anxiety, alcohol symptomology, and greater likelihood for needing treatment and using illicit substances.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Trauma is prevalent in NH\/PI populations and significantly impacts NH\/PI mental health; serving as an important but overlooked contributor to NH\/PI mental health disparities. Current findings fill critical gaps in our knowledge of NH\/PI trauma and mental health while revealing the importance of screening and treating NH\/PIs for trauma exposure to alleviate existing mental health disparities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00207640241236109","type":"journal-article","created":{"date-parts":[[2024,3,16]],"date-time":"2024-03-16T00:23:21Z","timestamp":1710548601000},"page":"861-873","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Trauma and mental health in Pacific Islanders"],"prefix":"10.1177","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6424-7668","authenticated-orcid":false,"given":"Andrew M","family":"Subica","sequence":"first","affiliation":[{"name":"School of Medicine, University of California, Riverside, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lolofi","family":"Soakai","sequence":"additional","affiliation":[{"name":"Motivating Action Leadership Opportunity, Pomona, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amen","family":"Tukumoeatu","sequence":"additional","affiliation":[{"name":"Empowering Pacific Islander Communities, Inc., Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taffy","family":"Johnson","sequence":"additional","affiliation":[{"name":"United Territories of Pacific Islanders Alliance, Kent, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nia","family":"Aitaoto","sequence":"additional","affiliation":[{"name":"United Territories of Pacific Islanders Alliance, Kent, WA, USA"},{"name":"Pacific Islander Center of Primary Care Excellence, San Leandro, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,3,15]]},"reference":[{"key":"bibr1-00207640241236109","unstructured":"AHRQ. 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