Drug Use, Ethnicity, and Help Seeking among Rural Youth

农村青年的吸毒、种族和寻求帮助

• 批准号: 6926628
• 负责人: Cathleen E. Willging
• 金额: $ 23.85万
• 依托单位: BEHAVIORAL HEALTH RESEARCH CTR-SOUTHWEST
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-04-01 至 2007-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6926628
• 关键词: Hispanic Americans; adolescence (12-20); behavioral /social science research tag; caucasian American; child mental health service; clinical research; drug abuse; drug abuse prevention; drug abuse therapy; health behavior; health care policy; health care service utilization; health services research tag; high risk behavior /lifestyle; human subject; mental health personnel; patient oriented research; substance abuse related behavior

DESCRIPTION (provided by applicant): In the literature on the behavioral health treatment needs of minority populations, very little attention is given to drug-using youth, ages 13 to 21, living in impoverished, ethnically diverse, rural regions. We propose a two-year multi-method ethnographic project to examine contextual influences on the drug use activities and the pathways to behavioral health care for Hispanic and White youth in southwestern New Mexico. The rural and economically depressed character of this region may intensify social, financial, and psychological stress experienced by drug-using youth and their social supports, and exacerbate behavioral health care needs. This proposed research would identify critical differences in needs, help-seeking processes, and determinants of service utilization for Hispanic and White rural youth. The study's overall goal is to provide formative research that will support the development of culturally relevant, quality care for rural youth. Our ethnographic approach combines semi-structured interviews, Photovoice methods, and focus groups. We will implement this approach among providers, drug-using youth, and their social supports in four rural southwestern New Mexico counties. Our approach will assess how (1) social supports, (2) community norms and values regarding drug use, (3) formal and informal treatment systems, and (4) broader social, policy, and regulatory contexts influence the experience of behavioral health problems and treatment-seeking in this rural area. Our three specific aims are: (1) to examine the ways in which behavioral health providers conceptualize (a) the diagnostic, treatment, and referral needs of Hispanic and White rural drug-using youth, and (b) the effect of social, regulatory, and policy contexts on drug use and treatment services for these youth; (2) to examine the ways in which Hispanic and White rural drug-using youth and their social supports conceptualize (a) drug use problems among local youth, (b) psychosocial and contextual influences on drug use, (c) appropriate treatment for drug use problems in formal and informal sectors of care, and (d) need for specific treatment resources; and (3) to examine the help-seeking processes of Hispanic and White rural drug-using youth and their social supports as the youth actively engage in treatment-seeking, documenting both barriers to care and strategies for overcoming impediments. This study will provide new data on drug use and treatment issues for rural youth in ethnically diverse settings, which are essential to designing effective public health prevention and intervention programs. This data will include information on sociocultural factors that influence how and why people of different ethnicities seek and complete treatment, in addition to richly detailed descriptions of how social supports, community contexts, and institutional dynamics are implicated in the help-seeking processes of rural youth. This study also will lay the groundwork for future community-based participatory research on youth drug use and behavioral health care in southwestern New Mexico.

描述（由申请人提供）：在关于少数群体行为健康治疗需求的文献中，很少关注生活在贫困、种族多样的农村地区的13至21岁的吸毒青年。我们提出了一个为期两年的多方法人种学项目，以检查上下文对吸毒活动的影响，并在西南部新墨西哥州的西班牙裔和白色青年的行为健康护理的途径。该地区的农村和经济不景气的特点可能会加剧社会，财政和心理压力所经历的吸毒青年和他们的社会支持，并加剧行为卫生保健的需求。这项拟议中的研究将确定西班牙裔和白色农村青年的需求，寻求帮助的过程中，和服务利用的决定因素的关键差异。这项研究的总体目标是提供形成性研究，以支持为农村青年发展具有文化相关性的优质护理。我们的人种学方法结合了半结构化访谈，Photovoice方法和焦点小组。我们将在新墨西哥州四个农村县的提供者、吸毒青年及其社会支持者中实施这种方法。我们的方法将评估如何（1）社会支持，（2）社区规范和价值观有关的药物使用，（3）正式和非正式的治疗系统，（4）更广泛的社会，政策和监管环境影响的行为健康问题和寻求治疗的经验，在这个农村地区。我们的三个具体目标是：（1）检查行为健康提供者概念化（a）西班牙裔和白色农村吸毒青年的诊断、治疗和转诊需求，以及（B）社会、监管和政策环境对这些青年吸毒和治疗服务的影响的方式;（2）审查西班牙裔和白色农村吸毒青年及其社会支持如何概念化（a）当地青年中的吸毒问题，（B）对吸毒的社会心理和背景影响，（c）正规和非正规护理部门对吸毒问题的适当治疗，（d）对具体治疗资源的需要;（3）考察西班牙裔和白色农村吸毒青少年的求助过程及其积极寻求治疗时的社会支持，记录护理的障碍和克服障碍的战略。这项研究将为不同种族背景下的农村青年提供有关药物使用和治疗问题的新数据，这对于设计有效的公共卫生预防和干预方案至关重要。这些数据将包括社会文化因素的信息，这些因素影响不同种族的人如何以及为什么寻求和完成治疗，此外还将详细描述社会支持、社区背景和机构动态如何与农村青年的求助过程有关。这项研究也将奠定基础，为未来社区为基础的参与性研究，对青少年吸毒和行为保健在西南新墨西哥州。