Policy as a Structural Barrier and Facilitator of Latinx Youth Mental Health

政策作为拉丁裔青少年心理健康的结构性障碍和促进者

• 批准号: 10644417
• 负责人: Carolina Villamil Grest
• 金额: $ 13.13万
• 依托单位: TEMPLE UNIV OF THE COMMONWEALTH
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-15 至 2027-12-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10644417
• 关键词: Academy; Adolescence; Adolescent; Affect; Alcohol consumption; Applications Grants; Area; Behavioral; Black race; Childhood; Communities; Complement; Data Set; Development; Development Plans; Dimensions; Discrimination; Environment; Epidemiology; Exposure to; Family; Feeling suicidal; Goals; Health; Health Promotion; Health behavior; Immigrant; Immigration; Individual; Inequity; Institution; Intervention; Latinx; Latinx population; Laws; Legal; Maps; Medicine; Mental Depression; Mental Health; Mental health promotion; Mentors; Methodology; Methods; Parents; Pathway interactions; Personal Satisfaction; Persons; Policies; Population; Prejudice; Prevention; Prevention program; Prevention strategy; Public Health; Public Policy; Quasi-experiment; Recommendation; Reduce health disparities; Research; Research Personnel; Resources; Risk; Risk Behaviors; Role; Shapes; Social Environment; Stress; Structure; Testing; Training; Translational Research; United States National Institutes of Health; Universities; Youth; behavioral health; career; career development; cocaine use; community engaged research; community engagement; critical developmental period; depressive symptoms; design; dissemination strategy; effective intervention; experience; health disparity; health equity; interdisciplinary collaboration; marijuana use; peer; perceived discrimination; programs; protective factors; skills; social; social culture; social factors; social health determinants; structural determinants; substance use; success; suicidal; symposium; therapy design

PROJECT SUMMARY/ABSTRACT Latinx adolescents experience higher rates of behavioral health risks compared to their non-Latinx Black and White peers, particularly for marijuana, alcohol, and cocaine use, depression, and suicidality. Poor mental health and substance use have been attributed to experiences of adversity, stress, and perceived interpersonal discrimination. Advances in the field of Latinx youth mental health research has been largely focused on individual and interpersonal determinants. Few studies examine the impact of social and environmental contexts, such as those related to immigration status, on Latinx youth mental health. Laws and policies at federal, state, and local levels, or the absence of such laws, also affect Latinx immigrant stress and access to resources, increasing mental health risk for Latinx adolescents. These policies shape anti-immigrant environments and prejudice toward Latinx youth, amplifying experiences of stress and mental health issues. Inclusive immigration policies increase access to health and social resources. Research examining pathways between state and local and the mental health of Latinx youth is needed. The proposed study will fill gaps by applying a transdisciplinary approach to understand and intervene a health disparity and equity issue. The objectives of this research are to: (1) construct a state-level dataset on interrelated policies that structure access for Latinx youth; (2) use quasi-experimental methods to quantitatively estimate the effects of state-level policies on Latinx youth mental health and qualitatively explore how policies shape the social lives of Latinx youth; and (3) develop community-informed recommendations for prevention and intervention solutions. With a focus on interdisciplinary collaboration, Temple University offers early career scholars the intellectual and practical resources to develop into successful independent investigators. The overarching training plan for this K01 application serves to consider the effects of macrolevel policies that either promote health or produce inequities related to mental health. The training plan is designed to develop the candidate’s skills in public health law research and legal epidemiology, quasi-experimental design methods and community-engaged research to develop ground-level recommendations for prevention and intervention. By engaging in coursework, trainings, applied experiences, and national conferences, complemented by a transdisciplinary team of mentors from law, public health, health behavior and translational research fields, Dr. Villamil Grest’s training and career development plan provides an opportunity to advance her interdisciplinary skills to understand the upstream, structural level factors that affect the health and well-being of Latinx youth. To achieve success as an independent scholar and researcher, this K01 will provide skills for the PI to become a multimethod investigator, examining the social and structural factors that contribute to Latinx youth mental health disparities, and to inform community-engaged prevention programs and policies.

项目总结/摘要 拉丁裔青少年的行为健康风险率高于非拉丁裔黑人， 白色同龄人，特别是大麻，酒精和可卡因的使用，抑郁症和自杀倾向。不良的心理 健康和物质使用被归因于逆境、压力和感知的人际关系的经历。 歧视拉丁青年心理健康研究领域的进展主要集中在 个人和人际决定因素。很少有研究调查社会和环境的影响， 背景，如与移民身份有关的背景，对拉丁裔青年心理健康的影响。法律和政策 联邦，州和地方各级，或没有这样的法律，也影响拉丁裔移民的压力和获得 资源，增加拉丁裔青少年的心理健康风险。这些政策塑造了反移民 环境和对拉丁裔青年的偏见，放大了压力和心理健康问题的经历。 包容性移民政策增加了获得保健和社会资源的机会。研究路径 州和地方之间的关系以及拉丁裔青年的心理健康是必要的。拟议的研究将填补空白， 运用跨学科的方法来理解和干预健康差距和公平问题。的 本研究的目标是：（1）构建一个国家级的相关政策数据集， 访问拉丁青年;（2）使用准实验方法，定量估计国家一级的影响， 拉丁青年心理健康政策，并定性探讨政策如何塑造拉丁的社会生活 （3）为预防和干预解决方案制定社区知情的建议。与 注重跨学科合作，天普大学提供早期职业学者的知识和 实践资源，发展成为成功的独立调查员。这方面的总体培训计划 K 01应用程序用于考虑促进健康或生产的宏观政策的影响 与心理健康有关的不平等。培训计划旨在培养候选人在公共场合的技能 卫生法研究和法律的流行病学，准实验设计方法和社区参与 开展研究，以制定预防和干预的基层建议。通过从事 课程，培训，应用经验和国家会议，辅之以跨学科的 来自法律，公共卫生，健康行为和转化研究领域的导师团队，Villamil Grest博士的 培训和职业发展计划提供了一个机会，以提高她的跨学科技能， 了解影响拉丁裔青年健康和福祉的上游结构性因素。到 作为一个独立的学者和研究人员取得成功，这K 01将提供PI成为一个 多方法调查，研究社会和结构因素，有助于拉丁青年心理 健康差距，并为社区参与的预防方案和政策提供信息。