Advancing Health Equity Through Multi-Level Cultural Determinants Research

通过多层次文化决定因素研究促进健康公平

• 批准号: 8875343
• 负责人: Flavio Francisco Marsiglia
• 金额: $ 29.17万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-25 至 2016-09-24
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8875343
• 关键词: Address; Affect; Area; Arizona; Award; Behavior; Child; Communities; Complement; Conflict (Psychology); County; Disease; Economic Conditions; Economic Recession; Economics; Emotional; Event; Faculty; Family; Family dynamics; Funding; Government Agencies; Health; Health Promotion; Health Services Accessibility; Health behavior; Healthcare; Immigration; Individual; Interdisciplinary Study; Knowledge; Latino; Life; Location; Mental Health; Mexico; Minority Groups; Mothers; Outcome; Parents; Personal Satisfaction; Pilot Projects; Policies; Population; Prevention; Problem behavior; Process; Productivity; Psychological Impact; Publications; Refugees; Research; Research Personnel; Research Project Grants; Research Training; Risk; Risk Behaviors; Role; Statutes and Laws; System; Time; Trauma; United States; Variant; Work; Youth; base; behavioral health; ethnic minority population; experience; health care service utilization; health disparity; health equity; innovation; intergenerational; meetings; migration; minority health; parent-child communication; parental influence; parental involvement; protective behavior; psychologic; public health relevance; racial and ethnic; resilience; social; social health determinants; socioeconomics

 DESCRIPTION (provided by applicant): The Southwest Interdisciplinary Research Center (SIRC), a NIMHD Exploratory Center of Excellence, aims to address knowledge gaps on the role of social determinants of health- including cultural processes-as factors in the creation, reduction and elimination of health disparities. SIRC aims to advance research by moving beyond the proximal causes of risk and protective behaviors to consider how factors at multiple levels such as the family, community, and culture influence health behaviors. With support leveraged from the Administrative and Research Cores, these two proposed pilot studies will enhance SIRC's current work and add knowledge that can result in specific improvements in the health and well-being of racial/ethnic minorities. The first pilot study, The Role of Refugee Mothers' Experiences with Trauma and Forced Migration on Child Emotional and Behavioral Health, explores how Vietnamese and Cambodian refugee parents' pre- and post-migration experiences influence family dynamics and youth behavioral and mental health outcomes. The second pilot study, Unintended Consequences for Minority Health at a Time of Changing Immigration Policy and Economic Conditions, seeks to understand how economic and socio-political change affects health care utilization for Latinos. These proposed pilot research projects will continue SIRC's work to advance social determinants of health to include sociocultural processes in the reduction and elimination of health disparities using a multilevel approach. By identifying ways in which cultural processes act as a social determinants and fundamental causes of disease, these pilot projects extend SIRC's aim to understand ethnic minorities' vulnerabilities and manifestations of risk and resilience behaviors.

 描述（由申请人提供）：西南跨学科研究中心（SIRC），卓越的NIMHD探索中心，旨在解决健康的社会决定因素的作用的知识差距-包括文化过程-在创建，减少和消除健康差距的因素。SIRC旨在通过超越风险和保护行为的近端原因来推进研究，以考虑家庭，社区和文化等多个层面的因素如何影响健康行为。在行政和研究核心的支持下，这两项拟议的试点研究将加强安全信息资源中心目前的工作，并增加知识，从而具体改善少数种族/族裔的健康和福祉。第一项试点研究“难民母亲的创伤和被迫移徙经历对儿童情绪和行为健康的作用”探讨了越南和柬埔寨难民父母在移徙前和移徙后的经历如何影响家庭动态以及青年的行为和心理健康结果。第二项试点研究，在移民政策和经济条件不断变化的时候，对少数民族健康的意外后果，旨在了解经济和社会政治变化如何影响拉丁美洲人的医疗保健利用。这些拟议的试点研究项目将继续开展SIRC的工作，以促进健康的社会决定因素，将社会文化进程纳入使用多层次方法减少和消除健康差距的工作。通过确定文化进程作为社会决定因素和疾病根本原因的方式，这些试点项目扩展了SIRC的目标，即了解少数民族的脆弱性以及风险和复原力行为的表现。