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

项目摘要/摘要 该提案旨在调查社会关系(包括社会支持、社会融合和 负面人际互动)影响后玛丽亚·波多黎各患者的行为健康寻求治疗 里根移民。波多黎各人是美国第二大拉丁裔群体，拥有 拉丁裔遗传群体中行为健康(BH)障碍的比例最高。有证据表明这一点 可能是由于拥有美国公民身份的波多黎各人造成的循环移民模式，这 导致社交网络频繁中断。与此同时，Latinx使用BH服务的费率低于 非拉丁裔，表明有重大的未得到满足的治疗需求。这项研究将调查社会如何 后玛丽亚波多黎各移民的关系1)影响感知的治疗需求2)影响 服务利用率。这项研究的结果可以用来为文化一致性的外展工作和BH提供信息 并建议减少未来拉美裔移民人口的BH治疗差距的途径。这个 拟议的研究将包括定量和定性两个部分。它将使用来自以下方面的预期调查数据 家长研究-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随后将深入探讨 在量化目标中发现社会关系和BH治疗结果之间的关联。在……里面 除了拟议的研究外，该奖学金的培训计划将提供各种机会 发展成为一名全面的、社区参与的卫生服务研究人员。这些机会包括 以跨学科团队为基础的高级课程工作，以发展实质性和方法论知识 在与社区咨询委员会有效合作方面的研究经验和指导实践。这个 赞助商和联合赞助商都在拉丁裔人群方面拥有广泛的专业知识，包括行为健康 (赞助商)和系统导航(共同赞助商)。它们得到了中国的制度环境的支持 波士顿学院社会工作学院，该学院有一批专注于拉丁裔和移民的研究人员 人口和进行社区参与研究的丰富资源。赞助商团队和 制度环境是完成该奖学金拟议的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.