Post Maria Puerto Rican Families Relocated to Florida: A Multisite Study of Alcohol Misuse and Mental Health Problems

玛丽亚后波多黎各家庭搬迁到佛罗里达州：酒精滥用和心理健康问题的多地点研究

• 批准号: 10186560
• 负责人: Eric C Brown
• 金额: $ 59.91万
• 依托单位: UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-08-14 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10186560
• 关键词: Address; Adult; Area; Categories; Characteristics; Child; Communities; Coupled; Data; Development; Disasters; Discrimination; Distant; Electricity; Ensure; Epidemiology; Evidence based intervention; Evidence based program; Family; Florida; Food; Future; Goals; Guidelines; Health; Home; Hurricane; Internet; Intervention; Interview; Island; Journalism; Knowledge; Language; Latino; Lead; Left; Longitudinal Surveys; Mental Health; Migrant; Minority; Mission; Natural Disasters; Outcome; Parents; Participant; Pilot Projects; Population; Populations at Risk; Portraits; Public Health; Puerto Rican; Puerto Rico; Rain; Recommendation; Recording of previous events; Research; Risk; Site; Stress; Structure; Subgroup; Survivors; Symptoms; Telephone; Testing; Translating; Trauma; United States; Water; Work; Youth; alcohol measurement; alcohol misuse; base; bilingualism; design; epidemiology study; experience; health disparity; insight; migration; prevent; prospective; public health relevance; stem; stressor; theories; therapy development; traumatic event

Project Summary/Abstract In the aftermath of Hurricane Maria, tens of thousands of Puerto Ricans sought refuge on the US mainland, with the majority relocating to South and Central Florida. More than one year after the hurricane, frontline journalism and our preliminary research make clear that many post-Maria survivors plan to stay on the US mainland for the foreseeable future. And yet, at present, our understanding of displaced Puerto Ricans remains very limited. Data from our pilot studies and our ongoing work suggests that, among the myriad issues faced by this population, alcohol misuse and mental health problems are particularly serious challenges. Of concern, in particular, is that stress and trauma caused by the storm will lead to greater alcohol misuse and mental health problems among Puerto Rican adults and their children, especially when coupled with the migration-related cultural stress stemming from an unplanned, abrupt, and long-term displacement from the island territory with its distinct culture and language. The proposed study is oriented around three objectives designed to build in a programmatic fashion. The first objective relates to the emerging public health needs of migrants in the aftermath of the storm; namely, to provide an epidemiologic portrait of the characteristics, experiences, and needs of post-Maria Puerto Rican families who relocated to Florida. The second objective focuses on broader theoretical issues related to post-disaster migration and adaptation; namely, to examine the prospective association between [a] trauma, cultural stress, family functioning and [b] alcohol misuse and mental health problems, and to conduct a differential test of cultural stress theory in South and Central Florida to inform intervention development in each region. Based on our prior research and cultural stress theory, our central hypothesis is that families relocating to South Florida (a bilingual region where Latino cultural influences are celebrated) will experience less migration-related cultural stress and, consequently, enjoy greater family functioning and fewer alcohol misuse and mental health problems compared to those in Central Florida (an area with a relatively recent uptick in Puerto Rican and other Latino migration). The third objective focuses on ensuring—via engagement with stakeholders and participants—that study findings are effectively translated to real world practice. The scientific premise for this study is to inform efforts to support displaced Puerto Ricans and advance theorizing on disaster-related migration and health. We will pursue the following specific aims: [1] Describe the characteristics, experiences, and needs post-Maria Puerto Rican families in Florida; [2] Examine prospective relationships to test cultural stress theory across distinct resettlement contexts; and [3] Engage with stakeholders and participants to develop guidelines, best practices, and intervention recommendations for dissemination and testing in future research. The contribution of this study is significant because it lays groundwork for the development of evidence-based interventions for the needs of an at-risk group, and promises to answer context-specific questions central to the advancement of cultural stress theory and broader theorizing around migrant adaptation and key outcomes.

项目总结/摘要 在飓风玛丽亚之后，成千上万的波多黎各人在美国大陆寻求庇护， 大多数人搬到了佛罗里达南部和中部。飓风过后一年多， 我们的初步研究清楚地表明，许多后玛丽亚幸存者计划留在美国本土， 可预见的未来然而，目前，我们对流离失所的波多黎各人的了解仍然非常有限。数据 我们的试点研究和正在进行的工作表明，在这一群体面临的无数问题中， 酗酒和心理健康问题是特别严重的挑战。尤其令人关切的是， 风暴造成的压力和创伤将导致更多的酒精滥用和心理健康问题， 波多黎各成年人及其子女，特别是在加上与移徙有关的文化压力时 这是一种无计划的、突然的、长期的、从具有独特文化的岛屿领土上迁移出来的现象 和语言拟议的研究是围绕三个目标，旨在建立一个方案 时尚.第一个目标涉及风暴过后移徙者新出现的公共卫生需求; 也就是说，提供一个流行病学画像的特点，经验，和需要后玛丽亚波多黎各 搬迁到佛罗里达的波多黎各家庭。第二个目标重点关注与以下相关的更广泛的理论问题 灾后迁移和适应;即，检查创伤， 文化压力、家庭功能和[B]酗酒和精神健康问题，并进行区分 在佛罗里达南部和中部测试文化压力理论，以告知每个地区的干预发展。 根据我们先前的研究和文化压力理论，我们的中心假设是，家庭搬迁到南方， 佛罗里达（一个双语地区，拉丁美洲文化的影响是庆祝）将经历较少的移民有关 文化压力，因此享有更多的家庭功能，减少酗酒和精神健康 与佛罗里达中部（波多黎各和其他地区最近相对上升的地区）相比， 拉丁裔移民）。第三个目标侧重于确保--通过与利益攸关方的接触， 参与者-研究结果有效地转化为真实的世界实践。科学的前提是 这项研究旨在为支持流离失所的波多黎各人的努力提供信息，并推进与灾害有关的移民理论 与健康我们将追求以下具体目标：[1]描述特点，经验和需求 佛罗里达的后玛丽亚波多黎各家庭; [2]检查未来的关系以测试文化压力理论 [3]与利益攸关方和参与者一起制定指导方针， 最佳做法和干预建议，以便在今后的研究中传播和测试。的 这项研究的贡献是重要的，因为它奠定了基础，发展循证医学， 针对高危人群的需求采取干预措施，并承诺回答 文化压力理论的进步和围绕移民适应和关键成果的更广泛的理论。