Immigration Policy Enforcement and Latinx Adolescent Mental Health

移民政策执行和拉丁裔青少年心理健康

• 批准号: 10410564
• 负责人: Emily Lemon
• 金额: $ 4.41万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-06-01 至 2023-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10410564
• 关键词: Address; Adolescent; Affect; Alcohol consumption; Anxiety; Attention; Award; Child Welfare; Climate; Cognitive; Communities; Data; Depression and Suicide; Development; Distress; Environment; Environmental Risk Factor; Equilibrium; Estimation Techniques; Exposure to; Face; Family; Feeling suicidal; Future; Goals; Grant; Immigrant; Immigration; Individual; Intervention; Interview; Knowledge; Latinx; Link; Mediating; Mediator of activation protein; Mental Depression; Mental Health; Methods; Outcomes Research; Participant; Perception; Personal Satisfaction; Policies; Policy Analysis; Process; Public Health; Research; Research Methodology; Role; Sampling; Suicide attempt; Testing; Youth; child depression; community based participatory research; depressive symptoms; design; experience; health disparity; health equity; innovation; novel; social; social determinants

ABSTRACT Latinx adolescents face significant mental health disparities including high levels of depressive symptoms (34%), suicide ideation (14%), and attempted suicide (8%). State immigration policy climate and immigration enforcement raises serious public health concerns regarding Latinx adolescents' mental health. We explore the potential role of collective efficacy and connectedness to reduce depression and suicidal ideation related to anti-immigrant climate and immigration policy enforcement among Latinx adolescents. We propose a convergent mixed methods design with three aims: 1) Applying a difference-in-difference estimation technique within an SEM framework, and using data from the Fragile Families and Family Wellbeing Study, examine if connectedness and collective efficacy mediate the relationship of immigration policy climate and enforcement to depression and suicidal ideation, 2) Using photovoice, an YPAR method, explore adolescents' perspectives and experiences of the immigration policy climate and enforcement and its relationship to depression and suicidal ideation, and 3) we will explore adolescent perceptions and experiences of connectedness and collective efficacy in the YPAR process, using qualitative in-depth interviews with YPAR participants. These formative, qualitative data will serve to inform future development of YPAR as a potential community-level intervention that integrates strategies to build on connectedness, collective efficacy, and additional emergent social cognitive factors as targeted mechanisms of change. This mixed-method approach balances the generalizability of national estimates with contextualized adolescent perspectives to understand relevant structural factors and mechanisms that impact Latinx adolescent mental health and identify potential intervention strategies to promote mental health equity. These aims are expected to 1) Address gap in knowledge of social cognitive mechanisms that link structural environment factors and Latinx adolescent depression and suicidal ideation nationally and in context; 2) Better understanding of YPAR processes that can target social cognitive mechanisms that can be included in future interventions to reduce the burden of adolescent depression and suicidal ideation.

摘要 拉丁裔青少年面临着显着的心理健康差异，包括高水平的抑郁症状 (34自杀意念（14%）和自杀未遂（8%）。国家移民政策气候和移民 执法引起了对拉丁裔青少年心理健康的严重公共卫生问题。我们探索 集体效能和连通性在减少抑郁和自杀意念方面的潜在作用 拉丁裔青少年中的反移民气氛和移民政策执行。我们提出了一个 收敛混合方法设计有三个目标：1）应用差分估计技术 在SEM框架内，并使用脆弱家庭和家庭幸福研究的数据，检查是否 连通性和集体效能调解移民政策气候和执行的关系 （2）采用YPAR方法，探讨青少年对抑郁和自杀意念的看法 和经验的移民政策的气候和执法及其关系，抑郁症和 自杀意念，和3）我们将探讨青少年的看法和经验的连通性， 在YPAR过程中的集体效能，使用定性深入访谈YPAR参与者。这些 形成性的定性数据将为YPAR未来的发展提供信息， 一种整合策略的干预，以建立在连通性，集体效能和额外的紧急 社会认知因素作为有针对性的变化机制。这种混合方法平衡了 国家估计数的普遍性，并结合青少年的具体情况， 影响拉丁裔青少年心理健康的结构因素和机制，并确定潜在的 促进心理健康公平的干预策略。这些目标预计将：（1）解决 社会认知机制的知识，连接结构性环境因素和拉丁裔青少年 抑郁症和自杀意念的国家和背景; 2）更好地了解YPAR过程，可以 目标社会认知机制，可以包括在未来的干预措施，以减少负担， 青少年抑郁症和自杀念头。