Discrimination and racial socialization on Asian American parent and youth mental health

歧视和种族社会化对亚裔美国父母和青少年心理健康的影响

• 批准号: 10606570
• 负责人: CINDY H LIU
• 金额: $ 86.44万
• 依托单位: BRIGHAM AND WOMEN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-04-11 至 2027-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10606570
• 关键词: Address; Adolescence; Adolescent; Adolescent Development; Adult; Affect; Anxiety; Asian Americans; Attitude; Behavior; Belief; Biological; Biological Markers; COVID-19; Characteristics; Child; China; Chinese; Chinese American; Chronic stress; Climate; Clinical; Communities; Conscious; Consumption; Development; Discrimination; Emotional; Event; Exposure to; Family; Feeling suicidal; Goals; Hair; Hate; Health; Hydrocortisone; Individual; Intervention; Interview; Knowledge; Learning; Longitudinal Studies; Measures; Mediating; Mental Depression; Mental Health; Mental health promotion; Methods; Minority; Modeling; Modernization; Not Hispanic or Latino; Observational Study; Outcome; Parents; Politics; Process; Public Health; Race; Recording of previous events; Reporting; Research; Research Personnel; Risk; Science; Socialization; Source; Surveys; Symptoms; Testing; Time; Translations; United States; Violence; Virus; Well in self; Work; Youth; aged; anti-Asian; anxiety symptoms; bullying; combat; coronavirus disease; depressive symptoms; ethnic identity; evidence base; experience; flu; innovation; member; novel; parental role; peer; perceived discrimination; physical assault; psychological distress; public health relevance; racial bias; racial discrimination; racial population; racism; response; single episode major depressive disorder; social media; suicidal; theories; verbal; virtual

PROJECT SUMMARY/ABSTRACT The United States does not have sufficient science to mount an evidence-based response to combat the health detriments of present-day anti-Asian American (AA) hate. AA parents and children are struggling with a deeply troubling new sociopolitical context, a context with unprecedented levels of anti-Asian hate and violence fueled by references to COVID-19 as the “China virus.” Physical assaults against AAs skyrocketed by 145% in 2020 and have spiked to 164% in the first quarter of 2021. Among AA youth, 80% report being bullied or verbally harassed and 24% reported being shunned. Our evidence base for how racism impacts AA mental health under “normal” circumstances is insufficient and woefully inadequate. This R01 fills a critical gap in the science of how discrimination affects AA adolescent mental health, how adolescents respond to racial discrimination, and the agents involved in racial socialization processes involving AA adolescents. There are no longitudinal studies that investigate the effects of racial discrimination on AA adolescent mental health while also incorporating novel observational methods to determine how parents, peers, and social media are racial socializing AA adolescents. This project will follow 350 Chinese American adolescents (12-15 years), their Chinese heritage parent, and a peer to investigate the effects of discrimination experiences, discrimination responses, and racial socialization processes on adolescent mental health (depression, anxiety, suicidality) and on chronic stress (hair cortisol) over three timepoints. The long-term objective is to develop a biomedical evidence base focused on how parents, peers and social media can be leveraged to mitigate the negative health consequences of discrimination. Our multi-method approach (observation, survey, interview, biomarker) investigates the following aims: Aim 1. To assess how racial discrimination is associated with Chinese American adolescent (a) mental health (depression, anxiety, suicidality) and (b) biomarkers of chronic stress (hair cortisol) over three years. Aim 2. To determine how adolescent characteristics (internalization of the model minority myth, ethnic identity) moderate the association between discrimination and mental health/chronic stress. Aim 3. To (a) understand how parent characteristics (racial socialization, mental health, ethnic identity), moderate the association between adolescent discrimination and adolescent mental health/chronic stress (hair cortisol). We also consider “upwards socialization”; how adolescents are active agents in their own socialization and the socialization of those around them. Discrimination during adolescence has especially pernicious effects on concurrent and downstream adult health and understanding AA adolescent discrimination will help identify those at risk for problematic mental health. This study will inform urgently needed individual-, family- and peer-based interventions to address mental health for AA adolescents who are facing unprecedented risks to mental health at this time.

项目总结/摘要 美国没有足够的科学来建立一个以证据为基础的应对措施来对抗健康问题。 这是对当今反亚裔美国人（AA）仇恨的回应。AA的父母和孩子们正在努力与一个深刻的 令人不安的新社会政治背景，一个前所未有的反亚洲仇恨和暴力的背景， 将COVID-19称为“中国病毒”。2020年对AA的物理攻击飙升了145% 并在2021年第一季度飙升至164%。在AA青少年中，80%的人报告被欺负或口头上 被骚扰，24%的人报告被回避。我们关于种族主义如何影响AA心理健康的证据基础 在“正常”情况下是不够的，而且严重不足。R 01填补了科学上的一个关键空白 歧视如何影响AA青少年心理健康，青少年如何应对种族歧视， 以及参与AA青少年种族社会化过程的代理人。没有纵向 研究调查种族歧视对AA青少年心理健康的影响， 采用新颖的观察方法来确定父母，同龄人和社交媒体是如何种族化的 社交戒酒青少年该项目将跟踪350名华裔美国青少年（12-15岁）， 中国血统的父母，并调查了同龄人的歧视经验，歧视的影响， 反应和种族社会化过程对青少年心理健康的影响（抑郁、焦虑、自杀） 和慢性压力（头发皮质醇）在三个时间点。长期目标是发展生物医学 证据库侧重于如何利用父母、同龄人和社交媒体来减轻负面影响 歧视的健康后果。我们的多方法方法（观察，调查，访谈，生物标志物） 研究了以下目标：目标1。评估种族歧视如何与华人联系在一起 美国青少年（a）心理健康（抑郁、焦虑、自杀倾向）和（B）慢性压力的生物标志物 (hair皮质醇）超过三年。目标2.为了确定青少年的特征（ 模范少数民族神话，种族认同）缓和了歧视与心理 健康/慢性压力。目标3。（a）了解父母的特征（种族社会化，心理健康， 种族认同），调节青少年歧视与青少年心理健康之间的关联 健康/慢性压力（头发皮质醇）。我们还考虑“向上社会化”;青少年如何积极 在他们自己的社会化和他们周围的人的社会化。青少年时期的歧视 对并发和下游成人健康和对AA的理解具有特别有害的影响 对青少年的歧视将有助于确定那些有心理健康问题风险的人。这项研究将告知 迫切需要的个人，家庭和同伴为基础的干预措施，以解决AA青少年的心理健康 他们的心理健康正面临着前所未有的风险