Post Maria Puerto Rican Families Relocated to Florida: A Multisite Study of Alcohol Misuse and Mental Health Problems

玛丽亚后波多黎各家庭搬迁到佛罗里达州：酒精滥用和心理健康问题的多地点研究

• 批准号: 10597280
• 负责人: Eric C Brown
• 金额: $ 12.5万
• 依托单位: UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-08-14 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10597280
• 关键词: Address; Adult; Area; Categories; Characteristics; Child; Communities; Coupled; Data; Development; Disasters; Discrimination; Distant; Electricity; Ensure; Epidemiology; Evidence based intervention; Evidence based program; Family; Florida; Food; Future; Goals; Guidelines; Health; Home; Hurricane; Internet; Intervention; Interview; Island; Journalism; Knowledge; Language; Latino; Lead; Left; Longitudinal Surveys; Mental Health; Migrant; Minority; Mission; National Institute on Minority Health and Health Disparities; Natural Disasters; Outcome; Parents; Participant; Pilot Projects; Population; Populations at Risk; Portraits; Public Health; Puerto Rican; Puerto Rico; Rain; Recommendation; Recording of previous events; Research; Risk; Site; Stress; Structure; Subgroup; Survivors; Symptoms; Telephone; Testing; Translating; Trauma; United States; Water; Work; Youth; alcohol measurement; alcohol misuse; base; bilingualism; design; epidemiology study; experience; health disparity; insight; migration; prevent; prospective; public health relevance; stem; stressor; theories; therapy development; traumatic event

Project Summary/Abstract In the aftermath of Hurricane Maria, tens of thousands of Puerto Ricans sought refuge on the US mainland, with the majority relocating to South and Central Florida. More than one year after the hurricane, frontline journalism and our preliminary research make clear that many post-Maria survivors plan to stay on the US mainland for the foreseeable future. And yet, at present, our understanding of displaced Puerto Ricans remains very limited. Data from our pilot studies and our ongoing work suggests that, among the myriad issues faced by this population, alcohol misuse and mental health problems are particularly serious challenges. Of concern, in particular, is that stress and trauma caused by the storm will lead to greater alcohol misuse and mental health problems among Puerto Rican adults and their children, especially when coupled with the migration-related cultural stress stemming from an unplanned, abrupt, and long-term displacement from the island territory with its distinct culture and language. The proposed study is oriented around three objectives designed to build in a programmatic fashion. The first objective relates to the emerging public health needs of migrants in the aftermath of the storm; namely, to provide an epidemiologic portrait of the characteristics, experiences, and needs of post-Maria Puerto Rican families who relocated to Florida. The second objective focuses on broader theoretical issues related to post-disaster migration and adaptation; namely, to examine the prospective association between [a] trauma, cultural stress, family functioning and [b] alcohol misuse and mental health problems, and to conduct a differential test of cultural stress theory in South and Central Florida to inform intervention development in each region. Based on our prior research and cultural stress theory, our central hypothesis is that families relocating to South Florida (a bilingual region where Latino cultural influences are celebrated) will experience less migration-related cultural stress and, consequently, enjoy greater family functioning and fewer alcohol misuse and mental health problems compared to those in Central Florida (an area with a relatively recent uptick in Puerto Rican and other Latino migration). The third objective focuses on ensuring—via engagement with stakeholders and participants—that study findings are effectively translated to real world practice. The scientific premise for this study is to inform efforts to support displaced Puerto Ricans and advance theorizing on disaster-related migration and health. We will pursue the following specific aims: [1] Describe the characteristics, experiences, and needs post-Maria Puerto Rican families in Florida; [2] Examine prospective relationships to test cultural stress theory across distinct resettlement contexts; and [3] Engage with stakeholders and participants to develop guidelines, best practices, and intervention recommendations for dissemination and testing in future research. The contribution of this study is significant because it lays groundwork for the development of evidence-based interventions for the needs of an at-risk group, and promises to answer context-specific questions central to the advancement of cultural stress theory and broader theorizing around migrant adaptation and key outcomes.

项目总结/文摘