Discrimination and racial socialization on Asian American parent and youth mental health

歧视和种族社会化对亚裔美国父母和青少年心理健康的影响

• 批准号: 10418994
• 负责人: CINDY H LIU
• 金额: $ 86.23万
• 依托单位: BRIGHAM AND WOMEN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-04-11 至 2027-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10418994
• 关键词: Address; Adolescence; Adolescent; Adolescent Development; Adult; Affect; Anxiety; Asian; Asian Americans; Attitude; Behavior; Belief; Biological; Biological Markers; COVID-19; Characteristics; Child; China; Chinese; Chinese American; Chronic stress; Climate; Clinical; Communities; Conscious; Consumption; Development; Discrimination; Emotional; Event; Exposure to; Family; Feeling suicidal; Goals; Hair; Hate; Health; Hydrocortisone; Individual; Intervention; Interview; Knowledge; Longitudinal Studies; Measures; Mediating; Mental Depression; Mental Health; Methods; Minority; Modeling; Modernization; Not Hispanic or Latino; Observational Study; Outcome; Parents; Process; Public Health; Race; Recording of previous events; Reporting; Research; Research Personnel; Risk; Science; Socialization; Source; Suicide; Surveys; Symptoms; Testing; Time; Translations; United States; Violence; Virus; Well in self; Work; Youth; aged; anxiety symptoms; base; bullying; combat; coronavirus disease; depressive symptoms; ethnic identity; evidence base; experience; flu; innovation; member; novel; parental role; peer; perceived discrimination; physical assault; psychological distress; public health relevance; racial bias; racial discrimination; racism; response; single episode major depressive disorder; social media; theories; virtual

PROJECT SUMMARY/ABSTRACT The United States does not have sufficient science to mount an evidence-based response to combat the health detriments of present-day anti-Asian American (AA) hate. AA parents and children are struggling with a deeply troubling new sociopolitical context, a context with unprecedented levels of anti-Asian hate and violence fueled by references to COVID-19 as the “China virus.” Physical assaults against AAs skyrocketed by 145% in 2020 and have spiked to 164% in the first quarter of 2021. Among AA youth, 80% report being bullied or verbally harassed and 24% reported being shunned. Our evidence base for how racism impacts AA mental health under “normal” circumstances is insufficient and woefully inadequate. This R01 fills a critical gap in the science of how discrimination affects AA adolescent mental health, how adolescents respond to racial discrimination, and the agents involved in racial socialization processes involving AA adolescents. There are no longitudinal studies that investigate the effects of racial discrimination on AA adolescent mental health while also incorporating novel observational methods to determine how parents, peers, and social media are racial socializing AA adolescents. This project will follow 350 Chinese American adolescents (12-15 years), their Chinese heritage parent, and a peer to investigate the effects of discrimination experiences, discrimination responses, and racial socialization processes on adolescent mental health (depression, anxiety, suicidality) and on chronic stress (hair cortisol) over three timepoints. The long-term objective is to develop a biomedical evidence base focused on how parents, peers and social media can be leveraged to mitigate the negative health consequences of discrimination. Our multi-method approach (observation, survey, interview, biomarker) investigates the following aims: Aim 1. To assess how racial discrimination is associated with Chinese American adolescent (a) mental health (depression, anxiety, suicidality) and (b) biomarkers of chronic stress (hair cortisol) over three years. Aim 2. To determine how adolescent characteristics (internalization of the model minority myth, ethnic identity) moderate the association between discrimination and mental health/chronic stress. Aim 3. To (a) understand how parent characteristics (racial socialization, mental health, ethnic identity), moderate the association between adolescent discrimination and adolescent mental health/chronic stress (hair cortisol). We also consider “upwards socialization”; how adolescents are active agents in their own socialization and the socialization of those around them. Discrimination during adolescence has especially pernicious effects on concurrent and downstream adult health and understanding AA adolescent discrimination will help identify those at risk for problematic mental health. This study will inform urgently needed individual-, family- and peer-based interventions to address mental health for AA adolescents who are facing unprecedented risks to mental health at this time.

项目摘要/摘要 美国没有足够的科学来实现基于证据的反应来对抗健康 当今的反亚裔美国人（AA）仇恨的损害。 AA父母和孩子在深深地挣扎 令人不安的新社会政治背景，这种背景具有前所未有的反亚洲仇恨和暴力的环境 通过提到Covid-19作为“中国病毒”。 2020年对AAS的物理攻击在2020年飙升了145％ 并在2021年第一季度飙升至164％。在AA青年中，有80％的人报告被欺负或口头 受到骚扰，有24％的人报告被回避。我们关于种族主义如何影响AA心理健康的证据基础 在“正常”情况下，情况不足，不足。此R01填补了科学的关键空白 歧视如何影响AA青少年心理健康，青少年如何应对种族歧视， 参与种族社会化过程的代理人涉及AA青少年。没有纵向 研究种族歧视对AA青春期心理健康的影响的研究 结合新颖的观察者方法来确定父母，同伴和社交媒体如何种族 社交AA青少年。该项目将跟随350名美国青少年（12 - 15年），他们 中国遗产父母，以及研究歧视经历的影响，歧视的同伴 对青少年心理健康的反应和种族社会化过程（抑郁，动画，自杀） 以及在三个时间点上的慢性压力（皮质溶胶）。长期目标是开发生物医学 证据基础的重点是如何利用父母，同伴和社交媒体来减轻负面 歧视的健康后果。我们的多方法方法（观察，调查，访谈，生物标志物） 调查以下目的：目标1。评估种族歧视如何与中国 美国青少年（a）心理健康（抑郁，动画，自杀）和（b）慢性压力的生物标志物 （头发皮质醇）三年。目标2。确定青少年特征如何（内在化 模型少数族裔神话，种族身份）调节歧视与精神之间的关联 健康/慢性压力。目标3。（a）了解父母的特征（种族社会化，心理健康， 种族身份），调节青少年歧视与青少年精神之间的关联 健康/慢性压力（皮质醇）。我们还考虑“向上社会化”；青少年如何活跃 代理人自己的社会化和周围人的社会化。青少年期间的歧视 对并发和下游的成人健康特别有害影响，并了解AA 青少年歧视将有助于确定有问题心理健康风险的人。这项研究将告知 迫切需要基于家庭，家庭和同伴的干预措施来解决AA青少年的心理健康 他们目前面临着空前的心理健康风险。