Culture, Context, and Mexican American Mental Health

文化、背景和墨西哥裔美国人的心理健康

• 批准号: 7880755
• 负责人: MARK W ROOSA
• 金额: $ 66.82万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-07-01 至 2014-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7880755
• 关键词: Acculturation; Adherence; Adolescence; Adolescent; Adult; Behavior; Belief; Biogenesis; Buffers; Censuses; Centers for Disease Control and Prevention (U.S.); Characteristics; Child; Child Mental Health; Communities; Conduct Disorder; Conflict (Psychology); Cultural Characteristics; Data; Development; Developmental Process; Diagnostic; Disadvantaged; Disease; Drug usage; Economics; Employment; Environment; Event; Family; Family Characteristics; Family Study; Foundations; Gender Role; Grant; Group Processes; Immigrant; Income; Individual; Knowledge; Left; Link; Longitudinal Studies; Low income; Mainstreaming; Measures; Mediating; Mediator of activation protein; Mental Depression; Mental Health; Mental disorders; Mexican; Mexican Americans; Modeling; National Institute of Drug Abuse; National Institute of Mental Health; Neighborhoods; Outcome; Parent-Child Relations; Parenting behavior; Parents; Pathway interactions; Peer Group; Performance; Persons; Phase; Population; Prevalence; Prevention program; Preventive Intervention; Process; Psychopathology; Public Health; Records; Recruitment Activity; Relative Risks; Research; Research Design; Resources; Risk; Risk Factors; Role; Sampling; Schools; Site; Social Change; Social Class; Social support; Source; Strategic Planning; Substance abuse problem; Testing; Time; Variant; Youth; boys; cohesion; contextual factors; cultural values; design; deviant; early adolescence; experience; girls; health disparity; high school; inner city; malleable risk; meetings; next generation; peer; psychologic; public health relevance; resilience; rural area; social; suburb; success; teacher; therapy design; time use

DESCRIPTION (provided by applicant): This proposal seeks 5 years of continued support for a longitudinal study of processes that contribute to the high levels of psychopathology experienced by Mexican American youth. Consistent with priorities in the NIMH Strategic Plan (2008), this study is designed to (1) chart mental illness trajectories of Mexican American youth, (2) increase our capacity to predict who in this population is at risk for mental illness by identifying individual, environmental, and social factors that contribute to both risk and resilience processes, (3) identify contributors to the mental health disparities experienced by Mexican Americans, and (4) provide a scientific foundation for the design of the next generation of preventive interventions for this population. Beginning with a diverse sample of 750 Mexican American families, this study tests hypotheses regarding how interactions of individuals' cultural orientations with characteristics of family, community, peer, and school contexts contribute to the mental health burden of this population. A unique aspect of this study is the assessment of cultural orientation (i.e., degree of endorsement of traditional Mexican cultural values and degree of endorsement of U.S. cultural values) of children and parents as well as the degree to which communities and schools support these cultural traditions. Children and their parents were assessed initially when children were in 5th and 7th grades. Results supported the specific aims: (1) changes in children's and parents' cultural orientations are related to greater risk for mental health disorders; (2) family characteristics, such as parent-child conflict, mediate the relation between cultural orientation mismatches and children's psychopathology; and (3) child and parent cultural orientations buffer relations between common risk factors (e.g., economic hardship) and children's mental health. The proposed continuation will assess this sample of children and their parents as youth experience the rapid developmental changes of middle adolescence (grades 10 and 12) when rates of psychopathology accelerate. The specific aims remain: (1) cultural mismatches between children and family, community, and school contexts will be related to risk for psychopathology; (2) family and peer group processes will mediate relations between cultural mismatches and psychopathology; and (3) cultural orientations of children and their parents will moderate relations between risk factors and psychopathology. Longitudinal tests of these aims will provide a strong foundation for the next generation of prevention programs to reduce mental health disparities for Mexican Americans. PUBLIC HEALTH RELEVANCE: This longitudinal study of 750 Mexican American adolescents and their parents is important from a public health standpoint because of the mental health disparities Mexican American adolescents experience, and the limited knowledge about factors that contribute to these disparities. This study is designed to (1) chart mental illness trajectories of Mexican American youth, (2) increase our capacity to predict who in this population is at risk for mental illness by identifying individual, environmental, and social factors that contribute to both risk and resilience processes, (3) identify contributors to the mental health disparities experienced by Mexican Americans, and (4) provide a firm scientific foundation for the design of the next generation of preventive interventions for this population in order to reduce the individual, family, and societal burden of psychopathology within this population.

描述（由申请人提供）：该提案寻求5年的持续支持，以纵向研究墨西哥裔美国青年经历的高水平精神病理学的过程。与NIMH战略计划（2008年）中的优先事项一致，这项研究旨在（1）绘制墨西哥裔美国青年的精神疾病轨迹，（2）通过识别有助于风险和弹性过程的个人，环境和社会因素，提高我们预测这一人群中谁有精神疾病风险的能力，（3）确定墨西哥裔美国人经历的心理健康差异的贡献者，以及（4）为该人群的下一代预防干预措施的设计提供科学基础。从750个墨西哥裔美国家庭的不同样本开始，本研究测试了关于个人的文化取向与家庭，社区，同伴和学校环境的特点如何相互作用的假设有助于这一人群的心理健康负担。这项研究的一个独特方面是对文化取向的评估（即，对传统墨西哥文化价值观的认可程度和对美国文化价值观的认可程度）以及社区和学校对这些文化传统的支持程度。孩子和他们的父母在孩子五年级和七年级时进行了初步评估。研究结果支持了以下具体目标：（1）儿童和父母文化取向的变化与更大的精神健康障碍风险有关;（2）家庭特征，如亲子冲突，介导了文化取向不匹配与儿童精神病理学之间的关系;（3）儿童和父母文化取向缓冲了常见风险因素（例如，经济困难）和儿童的心理健康。拟议的继续将评估这一样本的儿童和他们的父母作为青年经历的快速发展变化的中期青春期（10年级和12年级）时，精神病理学的速度加快。具体目标仍然是：（1）儿童与家庭、社区和学校环境之间的文化不匹配将与精神病理学风险相关;（2）家庭和同伴群体过程将介导文化不匹配与精神病理学之间的关系;（3）儿童及其父母的文化取向将调节风险因素与精神病理学之间的关系。这些目标的纵向测试将为下一代预防计划提供坚实的基础，以减少墨西哥裔美国人的心理健康差异。公共卫生关系：这项对750名墨西哥裔美国青少年及其父母的纵向研究从公共卫生的角度来看是很重要的，因为墨西哥裔美国青少年的心理健康差异的经验，以及有限的知识，有助于这些差异的因素。这项研究旨在（1）绘制墨西哥裔美国青年的精神疾病轨迹，（2）通过识别有助于风险和恢复过程的个人，环境和社会因素，提高我们预测这一人群中谁有精神疾病风险的能力，（3）确定墨西哥裔美国人经历的心理健康差异的贡献者，和（4）为设计针对这一人群的下一代预防干预措施提供坚实的科学基础，以减少这一人群中精神病理学的个人、家庭和社会负担。