Adolescent Stress, Critical Consciousness, and Resilience Trajectories in the Context of Structural Racism

结构性种族主义背景下的青少年压力、批判意识和复原力轨迹

• 批准号: 10463806
• 负责人: Laura Kathleen Clary
• 金额: $ 66.87万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-06 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10463806
• 关键词: Address; Adolescence; Adolescent; Adult; Age; Awareness; Baltimore; Behavioral; Black Populations; Black race; COVID-19; Caregivers; Cessation of life; Characteristics; Cities; Communities; Conscious; Coronavirus; Data; Development; Emotional; Enrollment; Ethnic group; Exposure to; Family; Financial Hardship; Funding; Goals; Health; Immigration; Individual; Institutional Racism; Intervention; Interview; Interviewer; Latinx; Link; Longitudinal Studies; Low income; Measures; Mental Depression; Mental Health; Methods; Modeling; National Institute of Child Health and Human Development; Outcome; Participant; Personal Satisfaction; Persons; Police; Police officer; Policies; Policy Developments; Positioning Attribute; Problem behavior; Procedures; Race; Randomized Clinical Trials; Reporting; Research; Research Personnel; Resources; Risk; Role; Sampling; Schools; Social Justice; Stress; Stress and Coping; Structural Racism; Surveys; System; Target Populations; Telephone; Testing; Time; Training; Trauma; Trust; Twin Multiple Birth; United States; Urban Community; Well in self; Work; Youth; base; behavior test; behavioral health; coronavirus disease; critical developmental period; efficacy trial; eighth grade; emotion regulation; ethnic diversity; experience; food insecurity; health disparity; health equity; high risk; insight; loved ones; multidisciplinary; ninth grade; pandemic coronavirus; pandemic disease; programs; protective factors; racism; recruit; resilience; social; sociodemographics; stem; stressor; substance use; theories; therapy development; traumatic stress

ABSTRACT. Systemic racism exposes Black and Latinx adolescents to a range of traumatic stressors, including publicized instances of police brutality toward Black people, stressful personal interactions with hostile police officers, and oppressive immigration policies. The combination of systemic racism and the coronavirus-19 pandemic (COVID-19)--termed the “twin pandemics”—are placing Black and Latinx adolescents, especially those in under-resourced communities, at particularly high risk for family financial strain, food insecurity, school disruption, and illnesses and deaths of loved ones. Cumulative stressors during the critical developmental period of adolescence increase risk for long-term emotional and behavioral problems into adulthood; thus, it is urgent that we: (1) understand the impact of cumulative race-related stress on marginalized adolescents during and after the pandemic and (2) identify protective factors that promote their resilience and wellbeing. Researchers have theorized that one protective factor may be critical consciousness, or the awareness of societal inequities and activism to promote social justice. We lack rigorous longitudinal research, however, on the development of critical consciousness among marginalized youth, its association over time with emotional and behavioral health (EBH), and its potential to protect again harmful effects of race- related stress. The proposed longitudinal study will assess race-related stress, critical consciousness, and EBH among Black, Latinx, and White adolescents in Baltimore. We will leverage participants and data from an NICHD-funded trial with longitudinal data collected at four time points prior to COVID with ethnically diverse adolescents in Baltimore City. We will augment this sample by recruiting additional Baltimore adolescents, for a total sample of 650 young people ages 14-18, with approximately equal numbers of Black, Latinx, and White participants. We will follow these young people over four years (until ages 18-22). Participants will complete online surveys twice per year assessing race-related stress exposures, critical consciousness, and three domains of EBH (emotional wellness, mental health problems, and substance use). We will conduct in-depth interviews with a subset of Black and Latinx youth and, separately, with their caregivers to gain more insight into how youth engage in critical consciousness/activism and its effects. Qualitative themes will enrich our quantitative analyses on critical consciousness and its potential protection against the harms of race-related stress. We will develop a Youth Advisory Board to engage input from young people in our target population at all stages of this research. Using procedures effective in our prior work, we will also train young people to conduct the qualitative interviews with adolescent participants to enhance trust and rapport. Study analyses will be critical for expanding theory on risk and resilience among marginalized adolescents transitioning into adulthood. Findings will also directly inform policy and intervention strategies to promote youth mental health equity, including interventions to promote youth critical consciousness and social justice activism.

抽象的。系统性种族主义使黑人和拉丁裔青少年暴露于一系列创伤性压力源， 包括公开警察对黑人的暴行的情况，与个人互动的强调 敌对的警察和压迫性移民政策。系统性种族主义与 Coronavirus-19大流行（COVID-19） - 称为“双胞胎大流行” - 放置黑色和拉丁裔 青少年，尤其是资源不足社区的青少年，家庭财务的风险尤其高 紧张，粮食不安全，学校中断以及亲人的疾病和死亡。累积压力源 青少年的关键发展时期增加了长期情绪和行为问题的风险 成年；因此，我们迫切需要：（1）了解与种族相关的压力对 在大流行期间和之后，边缘化的青少年和（2）确定了促进其促进其的受保护因素 弹性和福祉。研究人员认为，一个受保护的因素可能是批判意识， 或对社会不平等和行动主义促进社会正义的认识。我们缺乏严格的纵向 但是，研究边缘化青年的批判意识的发展，其关联 随着时间的流逝，情绪和行为健康（EBH）及其再次保护种族有害影响的潜力 - 相关压力。拟议的纵向研究将评估与种族有关的压力，批判意识和 在巴尔的摩的黑色，拉丁裔和白人青少年中的EBH。我们将利用参与者和数据 NICHD资助的试验，在与种族化的大潜水员共同之前，在四个时间点收集了纵向数据 巴尔的摩市的青少年。我们将通过招募其他巴尔的摩青少年来增强该样本 总样本的650名14-18岁的年轻人，黑色，拉丁和白色的数量大约相等 参与者。我们将在四年中跟随这些年轻人（直到18-22岁）。参与者将完成 在线调查每年两次评估与种族有关的压力暴露，批判意识和三个 EBH的领域（情绪健康，心理健康问题和药物使用）。我们将深入进行 采访黑人和拉丁裔青年的子集，并分别及其护理人员获得更多见解 青年如何参与批判意识/行动主义及其影响。定性主题将丰富我们的 对批判意识及其对种族相关危害的潜在保护的定量分析 压力。我们将建立一个青年顾问委员会，以参与目标人群中年轻人的意见 这项研究的所有阶段。使用在我们先前的工作中有效的程序，我们还将培训年轻人 与青少年参与者进行定性访谈，以增强信任和融洽的关系。研究分析将 对于扩大边缘化青少年过渡到风险和韧性的理论至关重要 成年。调查结果还将直接为促进青年心理健康的政策和干预策略提供信息 公平，包括促进青年批判意识和社会正义活动的干预措施。