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Adolescent Stress, Critical Consciousness, and Resilience Trajectories in the Context of Structural Racism

结构性种族主义背景下的青少年压力、批判意识和复原力轨迹

基本信息

批准号：
10314385
负责人：
Laura Kathleen Clary
金额：
$ 68.35万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-08-06 至 2026-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10314385
关键词：
Address Adolescence Adolescent Adult Age Awareness Baltimore Behavioral COVID-19 Caregivers Cessation of life Characteristics Cities Communities Conscious Coronavirus Data Development Emotional Enrollment Ethnic group Exposure to Family Financial Hardship Funding Goals Health Immigration Individual Institutional Racism Intervention Interview Interviewer Latinx Link Longitudinal Studies Low income Measures Mental Depression Mental Health Methods Modeling National Institute of Child Health and Human Development Outcome Participant Personal Satisfaction Persons Police Police officer Policies Policy Developments Positioning Attribute Problem behavior Procedures Race Randomized Clinical Trials Reporting Research Research Personnel Resources Risk Role Sampling Schools Social Justice Stress Stress and Coping Structural Racism Structure Surveys System Target Populations Telephone Testing Time Training Trauma Trust Twin Multiple Birth United States Urban Community Well in self Work Youth base behavior test behavioral health coronavirus disease critical developmental period efficacy trial eighth grade emotion regulation ethnic diversity experience food insecurity health disparity health equity high risk insight loved ones multidisciplinary ninth grade pandemic disease programs protective factors racism recruit resilience social sociodemographics stem stressor substance use theories therapy development traumatic stress

项目摘要

ABSTRACT. Systemic racism exposes Black and Latinx adolescents to a range of traumatic stressors, including publicized instances of police brutality toward Black people, stressful personal interactions with hostile police officers, and oppressive immigration policies. The combination of systemic racism and the coronavirus-19 pandemic (COVID-19)--termed the “twin pandemics”—are placing Black and Latinx adolescents, especially those in under-resourced communities, at particularly high risk for family financial strain, food insecurity, school disruption, and illnesses and deaths of loved ones. Cumulative stressors during the critical developmental period of adolescence increase risk for long-term emotional and behavioral problems into adulthood; thus, it is urgent that we: (1) understand the impact of cumulative race-related stress on marginalized adolescents during and after the pandemic and (2) identify protective factors that promote their resilience and wellbeing. Researchers have theorized that one protective factor may be critical consciousness, or the awareness of societal inequities and activism to promote social justice. We lack rigorous longitudinal research, however, on the development of critical consciousness among marginalized youth, its association over time with emotional and behavioral health (EBH), and its potential to protect again harmful effects of race- related stress. The proposed longitudinal study will assess race-related stress, critical consciousness, and EBH among Black, Latinx, and White adolescents in Baltimore. We will leverage participants and data from an NICHD-funded trial with longitudinal data collected at four time points prior to COVID with ethnically diverse adolescents in Baltimore City. We will augment this sample by recruiting additional Baltimore adolescents, for a total sample of 650 young people ages 14-18, with approximately equal numbers of Black, Latinx, and White participants. We will follow these young people over four years (until ages 18-22). Participants will complete online surveys twice per year assessing race-related stress exposures, critical consciousness, and three domains of EBH (emotional wellness, mental health problems, and substance use). We will conduct in-depth interviews with a subset of Black and Latinx youth and, separately, with their caregivers to gain more insight into how youth engage in critical consciousness/activism and its effects. Qualitative themes will enrich our quantitative analyses on critical consciousness and its potential protection against the harms of race-related stress. We will develop a Youth Advisory Board to engage input from young people in our target population at all stages of this research. Using procedures effective in our prior work, we will also train young people to conduct the qualitative interviews with adolescent participants to enhance trust and rapport. Study analyses will be critical for expanding theory on risk and resilience among marginalized adolescents transitioning into adulthood. Findings will also directly inform policy and intervention strategies to promote youth mental health equity, including interventions to promote youth critical consciousness and social justice activism.

摘要。系统性的种族主义使黑人和拉丁裔青少年面临一系列创伤性压力，