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

项目概要/摘要 该提案旨在调查社会关系（包括社会支持、社会融合和 消极的人际互动）影响玛丽亚港后的行为健康治疗寻求 黎加移民。波多黎各人是美国第二大拉丁裔群体，拥有 拉丁裔传统群体中行为健康 (BH) 障碍的发病率最高。有证据表明这 可能是由于波多黎各人拥有美国公民身份而导致的循环移民模式， 导致社交网络频繁中断。与此同时，拉丁裔使用 BH 服务的费率低于 非拉丁裔，表明治疗需求显着未得到满足。本研究将调查社会如何 后玛丽亚波多黎各移民的关系 1) 影响对治疗的感知需求 2) 影响 服务利用。研究结果可用于为文化一致性的外展工作和 BH 提供信息 服务并提出减少未来与拉丁裔（移民）移民人口的 BH 治疗差距的途径。的 拟议的研究将包括定量和定性部分。它将使用来自以下机构的前瞻性调查数据： 父级研究 – Adelante Boricua 项目 – 确定社会关系对 BH 的显着影响 治疗结果。然后针对拟议研究进行的定性访谈将深入探讨 定量目标中发现的社会关系与 BH 治疗结果之间的关联。在 除了拟议的研究之外，该研究金的培训计划还将提供各种机会 发展成为一名全面发展、参与社区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论知识，基于跨学科团队 研究经验，以及与社区咨询委员会有效合作的指导实践。的 赞助者和共同赞助者都拥有拉丁裔人群的广泛专业知识，包括行为健康 （赞助商）和系统导航（共同赞助商）。他们得到了制度环境的支持 波士顿学院社会工作学院，拥有一批专注于拉丁裔和移民的研究人员 人口和丰富的资源来进行社区参与的研究。赞助团队及 机构环境非常适合完成该奖学金拟议的学习和培训计划。

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.