Multilevel Community-Based Mental Health Intervention to Address Structural Inequities and Adverse Disparate Consequences of COVID-19 Pandemic on Latinx Immigrants and African Refugees

基于社区的多层次心理健康干预措施，以解决结构性不平等以及 COVID-19 疫情对拉丁裔移民和非洲难民造成的不同不利后果

• 批准号: 10674390
• 负责人: JESSICA R GOODKIND
• 金额: $ 6.03万
• 依托单位: UNIVERSITY OF NEW MEXICO
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-16 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10674390
• 关键词: Address; Advocacy; Affect; African; Awareness; Behavioral; Black Populations; Black race; COVID-19; COVID-19 pandemic effects; Collaborations; Communities; Complex; Control Groups; Data; Disasters; Discrimination; Economics; Education; Effectiveness of Interventions; Enrollment; Essential worker; Exposure to; Face; Family; Goals; Grief reaction; Health Insurance; Housing; Immigrant; Immigration; Incidence; Individual; Insurance Coverage; Intervention; Interview; Language; Latinx; Latinx population; Learning; Legal; Low income; Mediating; Mental Health; Mental Health Services; Methods; Modeling; Occupations; Participant; Pathway interactions; Personal Satisfaction; Persons; Plant Roots; Policies; Probability Samples; Prognosis; Randomized; Refugees; Research; Research Design; Resources; Sampling; Science; Site; Social Change; Social support; Stress; System; Testing; Time; United States; Waiting Lists; Work; Youth; adverse outcome; barrier to care; base; community based participatory research; comparison group; comparison intervention; design; disparity reduction; economic impact; effectiveness testing; experience; food insecurity; health care availability; health care economics; health disparity; health economics; health service use; improved; innovation; intervention effect; marginalized population; mental health education; mutual learning; pandemic disease; peer; physical conditioning; primary outcome; protective factors; psychological distress; recruit; research study; response; secondary outcome; social; social determinants; socioeconomics; stressor; trauma exposure; treatment as usual; university student

PROJECT SUMMARY Graduate student Alejandra Lemus’ long-term goal is to become a NIH-funded researcher engaged in high impact, innovative research that examines the effects of multilevel interventions (including policy change) on reducing social inequities and mental health disparities experienced by Latinx immigrants. Almost 14% of the U.S. population are immigrants (28% of the population when including U.S.-born children of immigrants), with Latinx immigrants comprising 40% of the immigrant population. Due to long-standing structural inequities, the COVID-19 pandemic has disparately impacted immigrants, particularly those who are Latinx and low-income. The parent grant aims to test a multilevel approach to reduce adverse consequences of the COVID-19 pandemic with disparate impacts on Latinx and Black immigrants and refugees by observing and implementing three nested levels of intervention. This Diversity Supplement will further advance mental health disparities research through intersectional analyses of the mental health, daily stressors, and economic distress of Latina immigrant mothers, which is critical because recent research that has shown that women have experienced more severe mental health, daily stressor, and economic impacts of the pandemic. These disparities are likely due to multiple factors, such as higher caregiving responsibilities and lower income compared to men, and high rates of exposure to political, structural, and intimate partner violence. These gendered experiences highlight the importance of intersectional approaches which focus on gender and caregiving responsibilities, in addition to immigration status, SES, and race/ethnicity, to understand the pathways and intersecting positionalities that are contributing to mental health disparities. The longitudinal mixed methods data collected from 1140 Latinx immigrants for the parent study will be leveraged to conduct a mixed methods study with an innovative sequential design, in which initial quantitative analyses to describe gender disparities in mental health, daily stressors, and economic precarity among Latinx immigrants (Aim 1) will be followed by qualitative analyses of interviews conducted with a subsample of participants to provide explanation and elaboration on differences in these outcomes (Aim 2), and then subsequent quantitative analyses to test potential moderators and mechanisms suggested by the qualitative findings that may be contributing to gendered disparities (Aim 3). In addition to the proposed research activities, Ms. Lemus will engage in a comprehensive training plan that advances her expertise in 4 key areas: mixed methods and advanced qualitative and quantitative analyses; policy and structural analyses; community-engaged research; and intersectional transnational gender analyses. Guided by a primary mentor and 4 co-mentors, her training includes directed readings, coursework, mentored research activities, and writing and submission of 3 conference abstracts, 4 first-authored papers, a bilingual policy brief and community report, and a F32 application. In sum, the proposed research and training experiences will provide critical opportunities for Ms. Lemus and enhance the impact of the parent grant.

项目摘要 研究生亚历杭德拉·莱姆斯（Alejandra Lemus）的长期目标是成为NIH资助的研究人员 影响，创新的研究，研究了多层次干预措施（包括政策变化）对 减少拉丁裔移民遇到的社会不平等和心理健康差异。几乎14％ 美国人口是移民（包括美国出生的移民子女的28％）， 拉丁裔移民完成了40％的移民人口。由于长期存在的结构不平等， COVID-19-大流行对移民有不同影响的移民，尤其是那些是拉丁裔和低收入的移民。 父母赠款的目的是测试一种多级方法，以减少COVID-19的不利后果 通过观察和实施，大流行对拉丁裔和黑人移民和难民产生不同的影响 三个嵌套干预水平。这种多样性补充剂将进一步提高心理健康差异 通过对心理健康，日常压力源和拉丁裔经济困扰的交叉分析进行研究 移民母亲，这很重要，因为最近的研究表明妇女经历了 更严重的心理健康，日常压力和大流行的经济影响。这些差异可能是 由于多种因素（例如，与男性相比，较高的护理责任和较低的收入）以及高 暴露于政治，结构和亲密伴侣暴力的速度。这些性别经历突出了 另外 到移民地位，SES和种族/种族，以了解途径和相交的位置 有助于心理健康差异。从1140 Latinx收集的纵向混合方法数据 父母研究的移民将被利用以进行创新的混合方法研究 顺序设计，其中初始定量分析以描述心理健康中的性别分布，每天 压力源和拉丁裔移民之间的经济不稳定（AIM 1）将进行定性分析 与参与者的子样本进行的访谈，以提供有关差异的解释和阐述 这些结果（AIM 2），然后随后进行定量分析，以测试潜在的主持人和 定性发现可能导致性别差异提出的机制（AIM 3）。在 除了拟议的研究活动外，Lemus女士将制定一项全面的培训计划 在四个关键领域中提高了她的专业知识：混合方法以及高级定性和定量分析； 政策和结构分析；社区参与研究；和交叉跨国性别 分析。在主要的心理和4个联合官员的指导下，她的培训包括定向阅读，课程， 研究活动，撰写和提交3个会议摘要，第4篇是第4篇论文，一个 双语政策简介和社区报告，以及F32申请。总之，拟议的研究和培训 经验将为Lemus女士提供关键机会，并增强父母赠款的影响。