The Behavioral Health of Venezuelan Families in Diaspora: A Cross-National Study of Migration-Related Stress and Resilience

散居海外的委内瑞拉家庭的行为健康： 移民相关压力和复原力的跨国研究 项目摘要 联合国估计，自2015年以来，已有近500万委内瑞拉人逃离祖国。在… 目前，委内瑞拉人是美国增长最快的移民群体之一，他们申请了两次 美国每年以任何其他国家公民身份提出的庇护申请数量。值得注意的是，几乎没有 系统的研究--不包括我们的形成性工作--检查了#年委内瑞拉家庭的幸福状况。 散居者。我们对委内瑞拉青年的横断面形成性研究的结果 父母们表示，抑郁症和酗酒是这一人群面临的严峻挑战，而且许多人 委内瑞拉危机移民在移民前后都面临着很大的压力。要解决这个问题 关键的研究差距，我们的目标是对在美国的委内瑞拉侨民进行最终研究， 哥伦比亚的比较样本--一项研究将提供对解决眼前和 委内瑞拉危机移民家庭的长期需求，并为应对未来的危机提供信息。比较 与在哥伦比亚的委内瑞拉人在一起，对于确定美国生活的方方面面是必不可少的，这些方面可能对 在危机移民中承担风险，并提供针对具体情况和跨国家的半球解决方案 危机。基于文化压力理论，我们考察了移民前的因素和移民后的文化 压力影响家庭功能，进而影响父母和青少年的行为健康结果(即，抑郁， 酒精滥用)。我们还研究了关键保护因素(例如，种族自豪感、家族主义)如何缓冲 假想的压力源。本研究项目围绕三个具体目标展开： [1]确定与抑郁症和酗酒有关的移民前后风险和保护因素 委内瑞拉危机移民青年及其父母，在美国(n=500)和哥伦比亚(n=250)招募二人组。 [2]：确定移徙前因素(如长期饥饿、心理社会压力)和 移民后的文化压力对委内瑞拉危机移民的抑郁和酒精滥用的影响。我们 假设移民前的逆境将放大移民后文化压力对家庭的影响 这会增加委内瑞拉年轻人和父母患抑郁症和酗酒的风险。 [3]通过双语报告传播调查结果，以加快支持委内瑞拉危机移民家庭的努力 以及面对面和在线研讨会，以帮助临床和卫生服务提供者改进实践。 我们的团队处于拉丁美洲危机移民研究的前沿。自2017年以来，我们已经采访了1000+ 委内瑞拉危机移民，目前领导了一项针对因飓风玛丽亚而流离失所的波多黎各家庭的研究。 我们设计了一项研究，将为解决委内瑞拉危机移民的需求提供关键的见解 家人马上过来。此外，它还将产生与实践相关的知识，这些知识可以在此基础上进行概括 人口作为危机移民是一种反复出现的现象。我们的研究可以作为一个重要的案例例子 科学家、从业者和政策制定者寻求了解和回应危机移民的需求。

The Behavioral Health of Venezuelan Families in Diaspora: A Cross-National Study of Migration-Related Stress and Resilience Project Summary The United Nations estimates that nearly 5 million Venezuelans have fled their home country since 2015. At present, Venezuelans are among the fastest-growing immigrant groups in the United States (US), filing two times the number of US asylum applications annually as citizens from any other country. Remarkably, almost no systematic research—excluding our formative work—has examined the wellbeing of Venezuelan families in diaspora. Findings from our cross-sectional formative research with convenience samples of Venezuelan youth and parents suggest that depression and alcohol misuse are critical challenges for this population, and that many Venezuelan crisis migrants are exposed to high levels of stress both before and after migrating. To address this critical research gap, we aim to conduct the definitive study of the Venezuelan diaspora in the US with a comparison sample in Colombia—a study that will provide knowledge vital to addressing the immediate and longer-term needs of Venezuelan crisis migrant families, and inform responses to future crises. The comparison with Venezuelans in Colombia is essential for identifying aspects of life in the US that may uniquely contribute to risk among crisis migrants, and for informing context-specific and cross-national solutions to a hemispheric crisis. Grounded in cultural stress theory, we examine how pre-migration factors and post-migration cultural stress influence family functioning and, in turn, parent and youth behavioral health outcomes (i.e., depression, alcohol misuse). We also examine how key protective factors (e.g., ethnic pride, familismo), buffer the effects of hypothesized stressors. This research project is oriented around three specific aims: [1] Identify pre- and post-migration risk and protective factors related to depression and alcohol misuse among Venezuelan crisis migrant youth and their parents, recruiting dyads in the US (n = 500) and Colombia (n = 250). [2]: Determine the mechanisms by which pre-migration factors (e.g., chronic hunger, psychosocial stress) and post-migration cultural stress impact depression and alcohol misuse among Venezuelan crisis migrants. We hypothesize that pre-migration adversity will amplify the impact of post-migration cultural stress on family functioning and, in turn, increase risk of depression and alcohol misuse among Venezuelan youth and parents. [3] Disseminate findings to accelerate efforts to support Venezuelan crisis migrant families, via bilingual reports and in-person and online workshops to help clinical and health providers to improve practice. Our team is at the forefront of Latin American crisis migrant research. Since 2017, we have interviewed 1000+ Venezuelan crisis migrants, and currently lead a study with Puerto Rican families displaced by Hurricane Maria. We have designed a study that will provide critical insight to address the needs of Venezuelan crisis migrant families immediately. Moreover, it will yield practice-relevant knowledge generalizable beyond this specific population as crisis migration is a recurring phenomenon. Our study can serve as an important case example as scientists, practitioners, and policymakers seek to understand and respond to the needs of crisis migrants.