The Impact of Racism on Trajectories of Substance Use, Mental Health and Legal System Contact from Adolescence to Young Adulthood

种族主义对从青春期到青年期的药物使用、心理健康和法律系统接触轨迹的影响

• 批准号: 10474915
• 负责人: MARINA TOLOU-SHAMS
• 金额: $ 76.55万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-05-15 至 2027-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10474915
• 关键词: Adolescence; Adolescent; Adolescent Risk Behavior; Adolescent and Young Adult; Adult; Age; Caregivers; Complex; Criminal Justice; Data; Data Reporting; Development; Discrimination; Distress; Economics; Enrollment; Ethnic Origin; Family; Future; Gender; HIV/STD; Health; Health system; Individual; Inequality; Intercept; Intervention; Interview; Justice; Legal; Legal system; Life Cycle Stages; Longitudinal Studies; Measurement; Measures; Mental Health; Outcome; Participant; Patient Self-Report; Population; Public Health; Race; Reproductive Health; Research; Risk; Risk Behaviors; Risk Factors; Sampling; Science; Services; Sexism; Sexual Health; Shapes; Socioeconomic Status; Structural Racism; Subgroup; System; Time; Woman; Youth; adjudication; adolescent substance use; behavioral health; convict; court; ethnoracial minority; experience; follow up assessment; health care availability; health disparity; health inequalities; indexing; intergenerational; juvenile justice system; lens; longitudinal dataset; multidisciplinary; primary outcome; prospective; protective factors; psychiatric symptom; public health research; racial and ethnic; racial disparity; racism; recidivism; service utilization; sex; substance misuse; substance use; theories; traumatic stress; treatment services; young adult

PROJECT SUMMARY Data consistently demonstrate alarming racial disparities among youth and adults impacted by the legal system, and multiple studies have documented that justice-impacted youth have substantially higher rates of psychiatric needs, substance use and HIV/STI risk behaviors than youth who have not had juvenile legal system contact. However, research elucidating the impact of structural, cultural and individual racism on the health and legal outcomes and disparities of justice-impacted ethnoracial minoritized youth and families is nascent. This study will advance the science in structural racism and discrimination (SRD) and its influence on public health and legal inequities by leveraging an existing statewide longitudinal dataset from Project EPICC as well as following up with 300 previously enrolled youth and caregivers (N=300 dyads or 600 participants total) to conduct once annual follow-up assessments and life course interviews. Informed by Ecodevelopmental Theory, Project EPICC followed 401 youth and an involved caregiver (55% ethnoracial minoritized youth) for two years starting from the time of first ever youth contact with the juvenile legal system. Data are available on the longitudinal trajectories of substance use, psychiatric symptoms, HIV/STI risk behaviors and recidivism and the multiple contributing risk and protective influences (individual, family and extrafamilial) on youth trajectories. Project EPICC-2 will expand the Ecodevelopmental Framework to study the longitudinal impact of structural racism and discrimination on trajectories of ethnoracial minoritized youth’s substance use, psychiatric, sexual and reproductive health and legal outcomes during adolescence and into young adulthood. Using statewide administrative data, we will expand original primary outcomes to include substance use and psychiatric services utilization to understanding more about direct influence of structural racism and discrimination on justice-impacted young adult healthcare services access and equity. Annual life course interviews with a stratified random subsample of 50 young adults and 50 caregivers will provide a more nuanced qualitative and contextual understanding of the impact of structural racism on adolescent, young adult and family experiences and trajectories. EPICC-2 will leverage an existing longitudinal dataset, pre-existing relationships with a large sample of justice-impacted families, an ecodevelopmental and intersectional (race, ethnicity, sex, gender, socioeconomic status) framework, an intergenerational approach and an accomplished multidisciplinary study team to answer critically important questions in the field of adolescent and young adult health disparities.

项目摘要 数据一致表明，受法律的影响的青年和成年人之间存在令人震惊的种族差异。 多项研究表明，受司法影响的年轻人有更高的犯罪率。 精神病需要，物质使用和艾滋病毒/性传播感染的危险行为比青少年谁没有青少年法律的 系统联系人。然而，阐明结构性、文化性和个人种族主义对种族主义的影响的研究， 健康和法律的结果以及受司法影响的少数民族青年和家庭的差距， 新生的这项研究将推进结构性种族主义和歧视（SRD）及其对人类社会的影响的科学。 公共卫生和法律的不平等，利用现有的全州纵向数据集从项目EPICC 以及随访300名先前登记的青年和照顾者（N=300对或600名参与者 每年进行一次后续评估和生命历程访谈。由生态发展组织提供信息 理论，EPICC项目跟踪了401名青年和一名参与的照顾者（55%的少数民族青年）， 从青少年第一次接触少年法律的制度之时起算，为期两年。可用数据 药物使用、精神症状、艾滋病毒/性传播感染风险行为和累犯的纵向轨迹， 对青年的多重风险和保护性影响（个人、家庭和家庭外） 轨迹EPICC-2项目将扩大生态发展框架，以研究 结构性种族主义和歧视对少数民族青年药物使用轨迹的影响， 精神、性和生殖健康以及法律的结果。 利用全州范围内的行政数据，我们将扩大原来的主要成果，包括物质使用， 精神病服务的利用，以了解更多的结构性种族主义的直接影响， 对司法的歧视影响了年轻人获得保健服务的机会和公平。年生命历程 对50名年轻人和50名照顾者的分层随机子样本进行访谈， 对结构性种族主义对青少年、年轻人、 家庭经历和轨迹。EPICC-2将利用现有的纵向数据集， 与大量受司法影响的家庭样本的关系，一个生态发展和交叉（种族， 种族、性、性别、社会经济地位）框架、代际办法和已完成的 一个多学科研究小组，回答青少年和年轻人领域的重要问题 健康差距。