The Role of Social Relationships in Behavioral Health Treatment-Seeking in Post-Maria Puerto Rican Migrants

项目概要/摘要 这项建议旨在调查社会关系（包括社会支持，社会融合， 消极的人际互动）影响后玛丽亚波多黎各的行为健康治疗寻求 波多黎各移民。波多黎各人是美国第二大拉丁裔群体， 行为健康（BH）障碍在拉丁裔群体中的发病率最高。有证据表明， 可能是由于波多黎各人拥有美国公民身份导致的循环移民模式， 需要频繁中断社交网络。与此同时，拉丁裔人利用BH服务的费率低于 非拉丁裔，表明存在显著未满足的治疗需求。这项研究将探讨如何社会 后玛丽亚波多黎各移民的关系1）影响对治疗的需求，2）影响 服务利用率这项研究的结果可用于告知文化一致的外联工作和波黑 服务和建议的路线，以减少未来的BH治疗与拉丁美洲（im）移民人口的差距。的 拟议的研究将包括定量和定性两个部分。它将使用来自 父母研究--Adelante Boricua项目--确定社会关系对BH的显著影响 治疗结果。为拟议研究进行的定性访谈将深入探讨 社会关系和BH治疗结果之间的关联在定量目标中发现。在 除了拟议的研究外，该研究金的培训计划将提供各种机会， 发展成为一个全面的，社区参与的卫生服务研究人员。这些机会包括 高级课程，以发展实质性和方法学知识，跨学科团队为基础 研究经验，并指导与社区咨询委员会有效合作的实践。的 赞助者和共同赞助者都有广泛拉丁裔人口的专业知识，包括行为健康 （共同提案国）和系统导航（共同提案国）。它们得到联合国机构环境的支持， 波士顿大学社会工作学院，该学院有一批专注于拉丁裔和移民的研究人员 人口和丰富的资源进行社区参与的研究。赞助团队和 机构环境是完成该研究金拟议学习和培训计划的理想条件。

PROJECT SUMMARY/ABSTRACT This proposal seeks to investigate how social relationships (including social support, social integration, and negative interpersonal interactions) impact behavioral health treatment-seeking among post-Maria Puerto Rican migrants. Puerto Ricans are the second-largest Latinx group in the United States (US) and have the highest rates of behavioral health (BH) disorders among Latinx heritage groups. There is evidence that this may be due to the circular migration patterns that result from Puerto Ricans having US citizenship, which entails frequent disruptions to social networks. At the same time, Latinxs utilize BH services at lower rates than non-Latinxs, suggested a significant unmet treatment need. This study will investigate how the social relationships of post-Maria Puerto Rican migrants 1) influence perceived need for treatment and 2) influence service utilization. The results of the study can be used to inform culturally-congruent outreach efforts and BH services and suggest routes to reduce future BH treatment gaps with Latinx (im)migrant populations. The proposed study will have both quantitative and qualitative components. It will use prospective survey data from the parent study – the Adelante Boricua project – to determine salient social relationship influences on BH treatment outcomes. Qualitative interviews conducted for the proposed study will then explore in depth the associations between social relationships and BH treatment outcomes found in the quantitative aims. In addition to the proposed study, the training plan for this fellowship will provide a variety of opportunities to develop as a well-rounded, community-engaged health services researcher. These opportunities include advanced coursework to develop substantive and methodological knowledge, interdisciplinary team-based research experience, and mentored practice in working effectively with community advisory boards. The sponsor and co-sponsor both have extensive expertise with Latinx populations, including behavioral health (sponsor) and systems navigation (co-sponsor). They are supported by the institutional environment of the Boston College School of Social Work, which has a cadre of researchers who focus on Latinx and immigrant populations and a wealth of resources for conducted community-engaged research. The sponsorship team and institutional environment are ideal for completing the proposed study and training plan for this fellowship.