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Latino Migrant Laborers' Use of Drug Abuse Recovery Houses

拉丁裔移民劳工使用药物滥用康复中心

基本信息

批准号：
8895904
负责人：
Anna L Pagano
金额：
$ 20.73万
依托单位：
PACIFIC INSTITUTE FOR RES AND EVALUATION
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-08-01 至 2017-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8895904
关键词：
Age Alcohol dependence Alcohol or Other Drugs use Alcoholics Anonymous Anxiety Disorders Applications Grants California Case Study Central American Client Cocaine Data Drug abuse El Salvador Elements Eligibility Determination Emergency Situation Emotional Employment Ethnography Familiarity Family Goals Guatemala Health Health Insurance Health Personnel Health Policy Honduras Hour House Staffs Housing Immigrant Immigration Income Individual Injury Interview Knowledge Language Latino Limited English Proficiency Literature Marital Status Mental Depression Methamphetamine Mexican Mexican Americans Mexico Modeling Nomads Participant Pathway interactions Perception Policies Population Prevalence Programming Languages Qualitative Methods Recording of previous events Recovery Research Research Methodology Residential Treatment Resources Ritual compulsion Services Shapes Structure Substance Use Disorder Substance abuse problem System Time United States Variant Waiting Lists Work alcohol and other drug base binge drinking cost cost effective cultural competence design experience farm worker help-seeking behavior high risk innovation male meetings men migration novel peer programs social stigma

项目摘要

DESCRIPTION (provided by applicant): Mexican and Central American migrant laborers (both urban day laborers and farmworkers) are at high risk for developing substance use disorders (SUDs). When they seek treatment for severe SUDs, they encounter substantial barriers (e.g., employment demands, limited English proficiency, lack of health insurance, non- eligibility due to citizenship status). Given the significant size of the Latino migrant laborer population in the U.S. (estimated at around 3 million), their importance to the US economy, and the high cost of substance use- related health problems, it is critically important to identify SUD recovery resources that are cost-effective, culturally accepted, and accessible for migrant laborers with SUDs. The proposed exploratory study will investigate a transnational recovery model that is widely used by Mexican and Central American migrant laborers, but is absent from the literature: anexos (annexes). The anexo is a modified Mexican recovery program that was introduced into the U.S. twenty years ago by migrant laborers struggling with SUDs. These residential, mutual-help recovery programs provide a structured daily routine, peer support, and daily Spanish- language Alcoholics Anonymous (AA) meetings that incorporate specific language, rituals, and other cultural elements from AA in Mexico. The proposed qualitative R21 study will explore (1) the structure and practices of these transnational recovery programs, and (2) how and why Latino migrant laborers access them. The specific aims of this exploratory study are: (1) to identify the individual-level factors (e.g., age, marital status, migration histoy, income), program-level factors (e.g., program language and rituals), and structural factors (e.g., immigration policy, health access policy, labor conditions) that shape the help-seeking pathways of Mexican and Central American migrant laborers who use anexos; (2) to examine the recovery-promoting practices (e.g., AA meetings, peer support, rules, daily routine) of U.S.-based anexos and identify variations in practices (if any) across the anexos; and (3) to ascertain clients' perceptions of the benefits (e.g., low cost, Spanish language, cultural familiarity) and possible drawbacks (e.g., overcrowding, wait list, non-professional staff) of the anexos. We will use ethnographic research methods (participant observation, exploratory interviewing, and case studies) to gather qualitative exploratory data at 3 California anexos. Our long-term goal is to use our exploratory findings to design and conduct a nationwide study of anexos, thereby refining knowledge of low-cost, culturally accepted and accessible SUD treatment options for Latino migrant laborers.

描述（由申请人提供）：墨西哥和中美洲的移民劳工（城市日工和农场工人）是发展物质使用障碍（SUD）的高风险。当他们寻求治疗严重的SUD时，他们会遇到很大的障碍（例如，就业需求，有限的英语能力，缺乏健康保险，由于公民身份而不符合资格）。鉴于拉丁美洲移民劳工人口在美国的重要性（估计约为300万），他们对美国经济的重要性，以及与物质使用相关的健康问题的高成本，确定具有成本效益，文化上可接受的SUD恢复资源对于SUD移民劳工来说至关重要。拟议的探索性研究将调查墨西哥和中美洲移民劳工广泛使用的跨国复苏模式，但文献中没有：anexos（附件）。anexo是一个修改后的墨西哥恢复计划，20年前由与SUD作斗争的移民劳工引入美国。这些住宅，互助恢复计划提供了一个结构化的日常生活，同伴支持，和每日西班牙语的匿名酗酒者（AA）会议，结合特定的语言，仪式，和其他文化元素，从AA在墨西哥。拟议的定性R21研究将探讨（1）这些跨国恢复计划的结构和做法，以及（2）如何以及为什么拉丁美洲移民劳工访问它们。本探索性研究的具体目的是：（1）识别个体水平的因素（例如，年龄、婚姻状况、移民历史、收入），程序级因素（例如，程序语言和仪式），以及结构因素（例如，移民政策，健康准入政策，劳动条件），塑造了使用anexos的墨西哥和中美洲移民劳工寻求帮助的途径;（2）检查促进恢复的做法（例如，AA会议，同行支持，规则，日常工作）的美国-基于anexos，并识别在anexos之间的实践变化（如果有的话）;以及（3）确定客户对好处的看法（例如，低成本、西班牙语、文化熟悉度）和可能的缺点（例如，过度拥挤、等候名单、非专业工作人员）。我们将使用人种学研究方法（参与者观察、探索性访谈和案例研究），在3个加州anexos收集定性探索性数据。我们的长期目标是利用我们的探索性研究结果来设计和进行一项全国性的anexos研究，从而为拉丁美洲移民劳工提供低成本，文化上可接受和可获得的SUD治疗方案。