VALES+Tú Targeting psychosocial stressors to reduce Latino Day Laborers injury disparities

摘要 拉丁裔日工（LDL）是受COVID 19大流行影响最严重的拉丁裔移民之一。到目前为止， CDC的数据显示，即使拉丁裔只占美国人口的18%，他们也占美国人口的26.9%。 报告了美国COVID-19死亡病例。大流行病对拉丁美洲人的不成比例的影响正在更多地感受到 在那些移民和获得资源较少的人中，如日工，这种情况尤为严重。 低密度脂蛋白在他们的社会，个人和工作生活中经历多重压力：作为移民，他们经历 经济无保障，面临周期性无家可归、粮食无保障，并在工作中面临剥削条件。在 考虑到工作上和工作外的压力，他们也报告患有焦虑症， 抑郁、孤独和孤立。我们假设COVID-19大流行将加剧他们的 压力源和这种经历将导致有害的心理健康影响，最终影响他们的健康。 采用COVID-19缓解措施的能力。我们还将探讨社会和心理保护因素 可以减轻压力源的影响。 根据健康的社会决定因素，这项拟议的混合方法研究将解决这一问题： 在COVID-19大流行的背景下，压力源和保护因素如何影响心理 拉丁美洲日工的健康，并影响他们遵守COVID-19缓解措施的能力？目标 我们的研究是（1）描述影响拉丁美洲日工坚持的障碍和促进因素， COVID-19缓解措施，以及（2）确定社会，经济和心理影响的程度 压力源和保护因素影响LDL心理健康及其坚持COVID-19缓解的能力 实践为了实现这些目标，我们将进行焦点小组（2组x 8 LDL）和角落调查 （在35个随机选择的角落招募了n=300名LDL），以生成原始数据， 使用结构方程建模方法的问题。 探索拉丁美洲日工所面临的脆弱性将有助于我们了解 影响其预防COVID 19能力的压力源和保护因素。我们期望这 工作将导致确定文化和背景适当的干预战略， 迅速适应，以支持低密度脂蛋白的努力，以保护自己对正在展开的流行病。

Abstract Latino day laborers (LDL) are among the Latino immigrants most affected by the COVID 19 pandemic. To date, CDC data indicates that even when Latinos comprise only 18% of the US population, they account for 26.9% of reported US COVID-19 deaths. The disproportionate impact of the pandemic on Latinos is being felt more acutely among those who are immigrants and have less access to resources, such as day laborers. LDL experience multiple stressors in their social, personal and work lives: as immigrants, they experience economic insecurity, face periodic homelessness, food insecurity, and confront exploitive conditions at work. In light of the stress experienced on and off the job, it is not surprising that they also report suffering anxiety, depression, loneliness and isolation. We hypothesize that the COVID-19 pandemic will exacerbate their stressors and this experience will lead to detrimental mental health effects that will ultimately influence their ability to adopt COVID-19 mitigation practices. We will also explore social and psychological protective factors that may mitigate the impact of stressors. Informed by the social determinants of health, this proposed mixed methods study will address this question: How do stressors and protective factors within the context of the COVID-19 pandemic influence the mental health of Latino day laborers and impact their ability to adhere to COVID-19 mitigation practices?. The aims of our study are to (1) describe barriers and facilitators that influence Latino day laborers' adherence to COVID-19 mitigation practices, and (2) determine the extent to which social, economic, and psychological stressors and protective factors influence LDL mental health and their ability to adhere to COVID-19 mitigation practices. To achieve these aims we will conduct focus groups (2 groups x 8 LDL ) and a corner based survey (n=300 LDL recruited at 35 randomly selected corners) to generate primary data to test the study's primary question using a structural equation modeling approach. Exploring the vulnerabilities confronted by Latino day laborers will help us understand the influence of the pandemic on stressors and protective factors that impact their ability to prevent COVID 19. We expect that this work will lead to the identification of culturally and context-appropriate intervention strategies that can be quickly adapted to support LDL efforts to protect themselves against the unfolding pandemic.