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Disparities in Health among Floating Immigrant Populations

流动移民人口的健康差异

基本信息

批准号：
9912814
负责人：
Alice Cepeda
金额：
$ 63.31万
依托单位：
UNIVERSITY OF SOUTHERN CALIFORNIA
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-04-10 至 2023-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9912814
关键词：
Address Affect Alcohol abuse Alcohol or Other Drugs use Alcohols Back Biological Biological Markers Cardiovascular system Chronic Cities Collaborations Collection Communicable Diseases Communities Country Data Dependence Destinations Discrimination Disease Drug Addiction Drug usage Environment Environmental Risk Factor Etiology Exposure to Feasibility Studies Foundations Gap Junctions HIV HIV/STD Health Health Promotion Health Status Home environment Illicit Drugs Immigrant Immigration Individual Infection International Intervention Knowledge Latino Los Angeles Mediating Mental Health Metabolic Methods Mexican Mexico Mind Minority Modeling Outcome Pattern Phase Policies Population Poverty Predisposition Prevalence Process Public Health Race Recording of previous events Research Rest Risk Risk Behaviors Risk Reduction Rural Sampling Services Solid Stress Subgroup Substance abuse problem Testing Underrepresented Populations United States National Institutes of Health authority coping mechanism design drug misuse health disparity health equity high risk sexual behavior improved migration native born American physical conditioning recruit social social factors stressor success underserved minority

项目摘要

Project Abstract There exists a shortage of knowledge about how the health of US Mexican immigrants, a population of 12.3 million, is impacted by circular immigration patterns. This population is highly vulnerable to health risks and stress arising from poverty, discrimination, cultural differences, and immigration policy enforcement. Addressing this from a public health perspective requires an understanding of the conditions under which immigrant populations are exposed to health risks in their country of origin, while migrating, at their destination context or upon returning to their home country. The proposed international research collaboration has the potential to build a solid research foundation for developing interventions to achieve health equity for an underserved minority population of US immigrants. The research proposed aims to address this knowledge gap by examining the mechanisms by which immigration processes expose individuals to distinct environments, increases susceptibility to risk behaviors and contributes to mental and physical health disparities, infectious diseases and alcohol/drug dependence in the host or origin communities. Using the Symbiotic Model of Risk Reduction, this study proposes a concurrent mixed-methods nested design to recruit a sample of 600 that will include two subgroups of floating recent immigrants (within the past 5 years) that have arrived to Los Angeles and a group who have returned to Mexico City either voluntary or forced. The specific aims will: 1) Determine the prevalence of physical health (cardiovascular, metabolic dysregulation), mental health, infection, and substance abuse/dependence outcomes; 2) Identify and characterize the association between migration histories and health outcomes for the subgroups of floating populations; 3) Determine whether individual, social and environmental determinants mediate and/or moderate the relationships among the migration subgroups and varying health condition outcomes; 4) Characterize qualitatively the influence of culture and community context on strategies, practices and circumstances for maintaining safer (or riskier) health status and substance use.

项目摘要