Advancing Health Equity Through Multi-Level Cultural Determinants Research

 描述(由申请者提供)：西南跨学科研究中心(SIRC)是NIMHD的一个卓越探索性中心，旨在解决关于健康的社会决定因素--包括文化过程--作为创造、减少和消除健康差距的因素的作用的知识空白。SIRC旨在通过超越风险和保护性行为的近端原因来推动研究，以考虑家庭、社区和文化等多个层面的因素如何影响健康行为。在行政和研究核心的支持下，这两项拟议的试验性研究将加强SIRC目前的工作，并增加能够具体改善少数族裔的健康和福祉的知识。第一项试点研究名为《难民母亲遭受创伤和被迫移民的经历对儿童情绪和行为健康的作用》，探讨越南和柬埔寨难民父母在移民前后的经历如何影响家庭动态以及青少年的行为和心理健康结果。第二项试验性研究题为《移民政策和经济条件变化对少数群体健康的意外后果》，旨在了解经济和社会政治变化如何影响拉美裔人的医疗保健利用。这些拟议的试点研究项目将继续SIRC的工作，以推动健康的社会决定因素，以便将社会文化进程纳入使用多层次方法减少和消除健康差距的工作中。通过确定文化进程作为疾病的社会决定因素和根本原因的方式，这些试点项目扩展了SIRC的目标，即了解少数民族的脆弱性以及风险和复原力行为的表现。

 DESCRIPTION (provided by applicant): The Southwest Interdisciplinary Research Center (SIRC), a NIMHD Exploratory Center of Excellence, aims to address knowledge gaps on the role of social determinants of health- including cultural processes-as factors in the creation, reduction and elimination of health disparities. SIRC aims to advance research by moving beyond the proximal causes of risk and protective behaviors to consider how factors at multiple levels such as the family, community, and culture influence health behaviors. With support leveraged from the Administrative and Research Cores, these two proposed pilot studies will enhance SIRC's current work and add knowledge that can result in specific improvements in the health and well-being of racial/ethnic minorities. The first pilot study, The Role of Refugee Mothers' Experiences with Trauma and Forced Migration on Child Emotional and Behavioral Health, explores how Vietnamese and Cambodian refugee parents' pre- and post-migration experiences influence family dynamics and youth behavioral and mental health outcomes. The second pilot study, Unintended Consequences for Minority Health at a Time of Changing Immigration Policy and Economic Conditions, seeks to understand how economic and socio-political change affects health care utilization for Latinos. These proposed pilot research projects will continue SIRC's work to advance social determinants of health to include sociocultural processes in the reduction and elimination of health disparities using a multilevel approach. By identifying ways in which cultural processes act as a social determinants and fundamental causes of disease, these pilot projects extend SIRC's aim to understand ethnic minorities' vulnerabilities and manifestations of risk and resilience behaviors.