Immigration Policy Enforcement and Latinx Adolescent Mental Health

移民政策执行和拉丁裔青少年心理健康

• 批准号: 10410564
• 负责人: Emily Lemon
• 金额: $ 4.41万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-06-01 至 2023-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10410564
• 关键词: Address; Adolescent; Affect; Alcohol consumption; Anxiety; Attention; Award; Child Welfare; Climate; Cognitive; Communities; Data; Depression and Suicide; Development; Distress; Environment; Environmental Risk Factor; Equilibrium; Estimation Techniques; Exposure to; Face; Family; Feeling suicidal; Future; Goals; Grant; Immigrant; Immigration; Individual; Intervention; Interview; Knowledge; Latinx; Link; Mediating; Mediator of activation protein; Mental Depression; Mental Health; Methods; Outcomes Research; Participant; Perception; Personal Satisfaction; Policies; Policy Analysis; Process; Public Health; Research; Research Methodology; Role; Sampling; Suicide attempt; Testing; Youth; child depression; community based participatory research; depressive symptoms; design; experience; health disparity; health equity; innovation; novel; social; social determinants

ABSTRACT Latinx adolescents face significant mental health disparities including high levels of depressive symptoms (34%), suicide ideation (14%), and attempted suicide (8%). State immigration policy climate and immigration enforcement raises serious public health concerns regarding Latinx adolescents' mental health. We explore the potential role of collective efficacy and connectedness to reduce depression and suicidal ideation related to anti-immigrant climate and immigration policy enforcement among Latinx adolescents. We propose a convergent mixed methods design with three aims: 1) Applying a difference-in-difference estimation technique within an SEM framework, and using data from the Fragile Families and Family Wellbeing Study, examine if connectedness and collective efficacy mediate the relationship of immigration policy climate and enforcement to depression and suicidal ideation, 2) Using photovoice, an YPAR method, explore adolescents' perspectives and experiences of the immigration policy climate and enforcement and its relationship to depression and suicidal ideation, and 3) we will explore adolescent perceptions and experiences of connectedness and collective efficacy in the YPAR process, using qualitative in-depth interviews with YPAR participants. These formative, qualitative data will serve to inform future development of YPAR as a potential community-level intervention that integrates strategies to build on connectedness, collective efficacy, and additional emergent social cognitive factors as targeted mechanisms of change. This mixed-method approach balances the generalizability of national estimates with contextualized adolescent perspectives to understand relevant structural factors and mechanisms that impact Latinx adolescent mental health and identify potential intervention strategies to promote mental health equity. These aims are expected to 1) Address gap in knowledge of social cognitive mechanisms that link structural environment factors and Latinx adolescent depression and suicidal ideation nationally and in context; 2) Better understanding of YPAR processes that can target social cognitive mechanisms that can be included in future interventions to reduce the burden of adolescent depression and suicidal ideation.

抽象的 拉丁裔青少年面临重大的心理健康差异，包括高水平的抑郁症状 （34％），自杀念头（14％）和自杀未遂（8％）。国家移民政策气候和移民 执法对拉丁裔青少年的心理健康提出了严重的公共卫生问题。我们探索 集体功效和联系的潜在作用，以减少与 拉丁裔青少年的反移民气候和移民政策执法。我们提出了一个 融合混合方法设计具有三个目的：1）应用差异差异估计技术 在SEM框架内，并使用来自脆弱家庭和家庭健康研究的数据，检查是否是否 连接性和集体效能介导移民政策环境与执法的关系 抑郁和自杀念头，2）使用photovoice，一种YPAR方法，探索青少年的观点 以及移民政策环境和执法的经验及其与抑郁的关系以及 自杀念头，以及3）我们将探索青少年的联系和联系的经验 使用与YPAR参与者进行定性的深入访谈，在YPAR过程中的集体功效。这些 形成性的定性数据将有助于为未来的YPAR发展作为潜在的社区级别的发展 干预措施集成了建立联系，集体效力和其他新兴的策略 社会认知因素是针对性的变化机制。这种混合方法的方法平衡了 国家估计的概括性具有背景化的青少年观点，以了解相关 影响拉丁裔青少年心理健康并确定潜力的结构性因素和机制 促进心理健康公平的干预策略。这些目标有望1）解决差距 了解结构环境因素和拉丁裔青少年的社会认知机制的知识 在全国和背景下的抑郁和自杀念头； 2）更好地理解可以 目标社会认知机制可以包括在以后的干预措施中，以减轻 青春期抑郁症和自杀念头。