Trajectories of cultural stressors and effects on mental health and substance use among Hispanic immigrant adolescents.

Trajectories of cultural stressors and effects on mental health and substance use among Hispanic immigrant adolescents.
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DOI:
10.1016/j.jadohealth.2014.12.011
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发表时间:
2015-04
影响因子:
7.6
通讯作者:
Szapocznik, Jose
Szapocznik, Jose
中科院分区:
医学2区
文献类型:
--
作者:
Schwartz, Seth J.;Unger, Jennifer B.;Baezconde-Garbanati, Lourdes;Zamboanga, Byron L.;Lorenzo-Blanco, Elma I.;Rosiers, Sabrina E. Des;Romero, Andrea J.;Cano, Miguel Angel;Gonzales-Backen, Melinda A.;Cordova, David;Pina-Watson, Brandy M.;Huang, Shi;Villamar, Juan A.;Soto, Daniel W.;Pattarroyo, Monica;Szapocznik, Jose

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我们试图确定文化压力源(歧视、负面接受环境和双文化压力)的初始水平和随时间变化轨迹对最近移民的西班牙裔青少年的幸福感、内化症状、行为问题和健康风险行为的预测程度。为了实现这一研究目标,需要为文化压力源创建一个潜在因素,建立该因素随时间的不变性,估计该因素随时间的增长曲线,并检查文化压力源的初始水平(截距)和轨迹(斜率)对青少年结果的影响。我们从迈阿密(在美国生活1年)和洛杉矶(在美国生活3年)的公立学校招募了302名最近移民的西班牙裔青少年作为样本,在3年的时间里对他们进行了6次评估。感知歧视、接受环境和双文化压力在前五个时间点中的每一个都被加载到一个潜在因素中。在前五个时间点上对这一因素进行的增长曲线显著预示着更低的自尊和乐观,更多的抑郁症状,更大的攻击行为和破坏规则,以及更大的醉酒和吸食大麻的可能性。目前的结果可能对西班牙裔移民儿童和青少年,包括目前无人陪伴的儿童移民浪潮中的儿童和青少年设计干预措施很重要。结果表明,在干预中针对文化压力源可能有可能改善这一人群的福祉,减少外化行为和物质使用。
We sought to determine the extent to which initial levels and over-time trajectories of cultural stressors (discrimination, negative context of reception, and bicultural stress) predicted well-being, internalizing symptoms, conduct problems, and health risk behaviors among recently immigrated Hispanic adolescents. Addressing this research objective involved creating a latent factor for cultural stressors, establishing invariance for this factor over time, estimating a growth curve for this factor over time, and examining the effects of initial levels (intercepts) and trajectories (slopes) of cultural stressors on adolescent outcomes. A sample of 302 recently immigrated Hispanic adolescents in Miami (Mdn 1 year in the US at baseline) and Los Angeles (Mdn 3 years in the US at baseline) was recruited from public schools and assessed 6 times over a 3-year period. Perceived discrimination, context of reception, and bicultural stress loaded onto a latent factor at each of the first five timepoints. A growth curve conducted on this factor over the first five timepoints significantly predicted lower self-esteem and optimism, more depressive symptoms, greater aggressive behavior and rule breaking, and increased likelihood of drunkenness and marijuana use. The present results may be important in designing interventions for Hispanic immigrant children and adolescents, including those within the current wave of unaccompanied child migrants. Results indicate targeting cultural stressors in interventions may have potential to improve well-being and decrease externalizing behaviors and substance use within this population.
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