Understanding the needs of Post Maria PR Migrants in New Growth Communities

了解新增长社区中玛丽亚后公关移民的需求

• 批准号: 10380238
• 负责人: Eric C Brown
• 金额: $ 6.55万
• 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/10380238
• 关键词: Address; Child; Climate; Communities; Data; Data Analyses; Development; Diagnosis; Evidence based intervention; Exposure to; Family; Family Relationship; Florida; Goals; Hispanic; Housing; Hurricane; Intervention; Interview; Island; Latin American; Latino Population; Location; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Methods; Migrant; Natural Disasters; Occupations; Outcome; Parents; Population; Post-Traumatic Stress Disorders; Process; Puerto Rican; Qualitative Research; Recording of previous events; Research; Resources; Risk; Stress; Surveys; Survivors; Testing; Time; Work; Youth; aged; alcohol misuse; design; experience; health disparity; improved; innovation; migration; new growth; post-traumatic stress; prospective; psychological distress; theories; urban area

Project Summary More than three years after Hurricane Maria, close to 130,000 Puerto Ricans—4% of the island’s population— have permanently relocated to the U.S., with the majority settling in Florida. Many Maria survivors are relocating to new-growth communities in Florida in search of better job opportunities and affordable housing. Previous research has shown that rates of psychiatric disorders are markedly elevated among Puerto Ricans and a clear mental health disparity exists between Puerto Ricans and other Hispanic/Latino groups in the U.S. Research with Puerto Ricans living in Central Florida indicates that higher levels of cultural stress are associated with increased risk of psychological distress and depression. Initial evidence suggests that the mental health of survivors has been negatively impacted by the hurricane and the process of resettling in the U.S. Recent research has found that survivors who relocated to Florida had significantly higher rates of posttraumatic stress and were more likely to meet the criteria for PTSD diagnosis, compared to those who remained on the island. Hurricane Maria survivors are also more likely to experience cultural stress, strained family relations, and diminished access to resources. Yet, pressing questions remain regarding the mental health impact of the hurricane and displacement to the U.S., particularly among the Puerto Ricans relocating to new-growth communities outside of large urban areas. Through this study we will advance our understanding of Hurricane Maria survivor families by addressing the following aims: Aim 1: Use qualitative research to examine the mental health care needs of Maria survivor families, by location. We will conduct in-depth qualitative interviews with parent-youth (aged 10-20) dyads in new-growth communities and in communities with a history of Puerto Rican/Latin American migration. Aim 2: Employ prospective surveys to compare the mental health care needs of Maria survivor families living in new-growth communities to those in communities with a history of Puerto Rican/Latin American migration, thereby facilitating a test of cultural stress theory. Aim 3: Engage with mental health practitioners and community leaders in new-growth communities to disseminate our findings in an effort to address the mental health care needs of Maria survivor families. This study will use a convergent mixed- methods design to compare qualitative and quantitative data. We will collect quantitative and qualitative data simultaneously (in parallel), and conduct the data analyses separately. We will compare the quantitative and qualitative results to produce an integrated analysis and identify whether there was convergence or divergence between the results obtained. The overall goal of this proposal is to inform the development of evidence-based interventions to reduce mental health and alcohol misuse disparities among families who have been exposed to natural disasters. Given the expected rise in climate-related migration in the coming years, this work is particularly relevant and timely.

项目摘要 飓风玛丽亚三年多后，近13万波多黎各人-占该岛人口的4%- 已永久迁往美国，其中大部分人定居在佛罗里达州。许多玛丽亚幸存者正在重新安置 到佛罗里达州的新增长社区，寻找更好的工作机会和负担得起的住房。上一首 研究表明，在波多黎各人中，精神障碍的发生率明显上升，而且很明显 波多黎各人和美国其他拉美裔/拉丁裔群体之间存在心理健康差距 居住在佛罗里达州中部的波多黎各人表明，更高水平的文化压力与 增加心理困扰和抑郁的风险。初步证据表明，老年人的心理健康 最近，幸存者受到飓风和美国重新安置过程的负面影响 研究发现，搬迁到佛罗里达州的幸存者有明显更高的创伤后应激障碍发生率 与留在岛上的人相比，他们更有可能满足创伤后应激障碍的诊断标准。 飓风玛丽亚幸存者也更有可能经历文化压力，紧张的家庭关系，以及 减少了获取资源的机会。然而，关于精神健康影响的紧迫问题仍然存在 飓风和流离失所到美国，特别是在搬迁到新增长的波多黎各人中 大城市以外的社区。通过这项研究，我们将加深对飓风的理解 玛丽亚幸存者家庭通过解决以下目标：目标1：使用定性研究来检查精神 按地点分列的玛丽亚幸存者家庭的卫生保健需求。我们将对以下人员进行深入的定性采访 新成长社区和有波多黎各历史的社区中的亲子-青年(10-20岁) 里干/拉丁美洲移民。目标2：采用前瞻性调查来比较精神卫生保健需求 生活在新增长社区的玛丽亚幸存者家庭到那些有波多黎各历史的社区的家庭 里干/拉丁美洲的移民，从而促进了对文化压力理论的测试。目标3：参与心理活动 健康从业者和新成长社区的社区领袖努力传播我们的研究成果 以满足玛丽亚幸存者家庭的精神卫生保健需求。这项研究将使用收敛的混合- 方法设计比较定性和定量数据。我们将收集定量和定性的数据 同时(并行)，并分别进行数据分析。我们将比较数量和 定性结果以产生综合分析，并确定是否存在趋同或分歧 在所获得的结果之间。这项提案的总体目标是为循证医学的发展提供信息 减少接触过酒精的家庭的心理健康和酒精滥用差异的干预措施 自然灾害。鉴于未来几年与气候有关的移民预计会增加，这项工作是 特别是相关性和及时性。