VALES+Tú Targeting psychosocial stressors to reduce Latino Day Laborers injury disparities

摘要 拉丁裔临时工(LDL)是受新冠疫情影响最大的拉丁裔移民之一。到目前为止， 美国疾病控制与预防中心的数据显示，即使拉美裔仅占美国人口的18%，他们也占美国人口的26.9% 据报道，美国新冠肺炎有死亡病例。大流行对拉丁裔的不成比例的影响正在被更多地感受到 尤其是在那些移民和较少获得资源的人中，例如临时工。 低密度脂蛋白在社交、个人和工作生活中经历多重压力：作为移民，他们经历 经济不安全，周期性无家可归，粮食不安全，以及工作中面临剥削条件。在……里面 鉴于工作内外的压力，他们也报告患有焦虑症也就不足为奇了。 抑郁、孤独和孤立。我们假设新冠肺炎大流行将加剧他们的 压力源和这种经历将导致有害的心理健康影响，最终将影响他们的 能够采用新冠肺炎缓解做法。我们还将探讨社会和心理保护因素。 这可能会减轻压力源的影响。 考虑到健康的社会决定因素，这项拟议的混合方法研究将解决这一问题： 新冠肺炎疫情背景下的压力源和保护因素如何影响心理 拉丁裔临时工的健康状况，并影响他们遵守新冠肺炎缓解做法的能力？目标 我们研究的重点是：(1)描述影响拉丁裔临时工遵守 新冠肺炎缓解实践，以及(2)确定社会、经济和心理 应激源和保护因素影响低密度脂蛋白心理健康及其坚持新冠肺炎缓解的能力 练习。为了实现这些目标，我们将进行重点小组(2组×8个低密度脂蛋白)和基于角落的调查 (n=在35个随机选择的角落招募300个低密度脂蛋白)以生成主要数据来测试研究的主要 使用结构方程建模方法的问题。 探索拉丁裔临时工面临的脆弱性将有助于我们理解 大流行的压力和保护因素，影响他们预防COVID19的能力。我们预计这 工作将导致确定文化和背景适当的干预战略，这些战略可以 迅速适应支持低密度脂蛋白的努力，以保护自己免受大流行的影响。

Abstract Latino day laborers (LDL) are among the Latino immigrants most affected by the COVID 19 pandemic. To date, CDC data indicates that even when Latinos comprise only 18% of the US population, they account for 26.9% of reported US COVID-19 deaths. The disproportionate impact of the pandemic on Latinos is being felt more acutely among those who are immigrants and have less access to resources, such as day laborers. LDL experience multiple stressors in their social, personal and work lives: as immigrants, they experience economic insecurity, face periodic homelessness, food insecurity, and confront exploitive conditions at work. In light of the stress experienced on and off the job, it is not surprising that they also report suffering anxiety, depression, loneliness and isolation. We hypothesize that the COVID-19 pandemic will exacerbate their stressors and this experience will lead to detrimental mental health effects that will ultimately influence their ability to adopt COVID-19 mitigation practices. We will also explore social and psychological protective factors that may mitigate the impact of stressors. Informed by the social determinants of health, this proposed mixed methods study will address this question: How do stressors and protective factors within the context of the COVID-19 pandemic influence the mental health of Latino day laborers and impact their ability to adhere to COVID-19 mitigation practices?. The aims of our study are to (1) describe barriers and facilitators that influence Latino day laborers' adherence to COVID-19 mitigation practices, and (2) determine the extent to which social, economic, and psychological stressors and protective factors influence LDL mental health and their ability to adhere to COVID-19 mitigation practices. To achieve these aims we will conduct focus groups (2 groups x 8 LDL ) and a corner based survey (n=300 LDL recruited at 35 randomly selected corners) to generate primary data to test the study's primary question using a structural equation modeling approach. Exploring the vulnerabilities confronted by Latino day laborers will help us understand the influence of the pandemic on stressors and protective factors that impact their ability to prevent COVID 19. We expect that this work will lead to the identification of culturally and context-appropriate intervention strategies that can be quickly adapted to support LDL efforts to protect themselves against the unfolding pandemic.