Health Inequalities: Social Isolation Among Rural Latinos

健康不平等：农村拉丁裔的社会孤立

• 批准号: 8631100
• 负责人: JEANNE-MARIE R STACCIARINI
• 金额: $ 8.56万
• 依托单位: UNIVERSITY OF FLORIDA
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-03-06 至 2016-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8631100
• 关键词: Adolescent; Adult; Affect; Anxiety; Child; Chronic; Church; Collaborations; Communities; Complex; Data; Destinations; Development; Discrimination; Emotional; Emotions; Environment; Ethnography; Faculty; Family; Feeling; Feeling suicidal; Florida; Friends; Future; Gap Junctions; Goals; Health Policy; Health Sciences; Health Services; Hispanics; Immigrant; Individual; International; Intervention; Interview; Latina; Latino; Lead; Left; Life; Linguistics; Manuals; Maps; Mental Depression; Mental Health; Mental health promotion; Mentored Research Scientist Development Award; Mentors; Methods; Minority; Mothers; Nurses; Outcome; Pain; Perception; Personal Satisfaction; Population; Prevention strategy; Psyche structure; Public Health; Research; Research Methodology; Research Personnel; Research Training; Risk; Role; Rural; Rural Community; Rural Population; Science; Scientist; Social Conditions; Social Environment; Social isolation; Students; Substance abuse problem; Surveys; Testing; Time; Training; Underserved Population; United States Dept. of Health and Human Services; Woman; Work; base; career; career development; community organizations; design; experience; health inequalities; high risk; intimate partner violence; men; modifiable risk; physical separation; positive emotional state; psychosocial; public health relevance; racism; role model; rural area; stressor

DESCRIPTION (provided by applicant): The candidate for this K01 Award, a Latina nurse researcher, is requesting support for career development training and research, to become an independent investigator in mental health promotion among rural minorities. The overall career goal is to advance science at the nexus of culture, mental health, and rurality. The long-term goals of the training are to (1) build a mental health promotion research agenda among rural minority populations to enable rural communities to implement and sustain healthy socio-emotional environments and (2) serve as a role model and mentor for minority students and junior faculty. Specific short- term goals are to (1) develop and apply expertise in advanced research methods that are critical to an understanding of minority rural populations which can lead to the development of related health policy, (2) understand the role of social isolation in th cultural adaptation of rural Latino families in order to develop culturally relevant interventions, (3) develop expertise in the design and implementation of a repertoire of individual, family, and community public health interventions that reduce social isolation among rural Latinos, and (4) conduct independent investigator-initiated community-based research on mental health promotion among rural Latinos. Social isolation among rural Latino immigrants increases the risk of poor mental health outcomes and is significantly related to depression and anxiety among adults and suicidal ideation in children and adolescents. Longer time spent in the U.S. is associated with higher risk of mental health problems among Latinos, yet early promotion of mental health has not been targeted among this population. The specific aims of the proposed research are to (1) explore the effect of Latino immigrants' perceptions of their rural social environment and social isolation on their mental well-being through ethnographic interviews, (2) evaluate protective factors and modifiable risks to mental well-being associated with social isolation and the social environment among Latino immigrants living in a rural area, and (3) design a culturally appropriate family centered intervention to strengthen significant intrafamilia and intercommunity networks and promote positive mental well-being. This exploratory study is guided by community engagement research principles and employs mixed-methods to unravel the complexities of social isolation and develop an intervention to promote mental well-being among rural Latino immigrants. In-depth ethnographic interviews (N=60) and a quantitative community assessment survey (N=100) will be conducted with Latino women and men living in the rural "new destinations" of north Florida. Findings and engagement with an established community advisory board will culminate in the development of a family centered intervention to promote mental well-being. A mentoring team of distinguished national and international scientists has been assembled to achieve the training and research goals. The K01 Award will lead to an R21 proposal to pilot the family centered intervention.

描述（由申请人提供）：该K01奖的候选人是拉丁裔护士研究员，他要求支持职业发展培训和研究，以成为农村少数民族心理健康促进的独立研究者。总体职业目标是在文化，心理健康和乡村的联系中发展科学。培训的长期目标是（1）在农村少数群体中建立心理健康促进研究议程，使农村社区能够实施和维持健康的社会情感环境，（2）为少数群体学生和初中教师提供榜样和导师。具体的短期目标是（1）在高级研究方法中发展和应用专业知识，这对于了解少数族裔农村人口至关重要，这可能导致相关卫生政策的制定，（2）了解社会隔离在农村拉丁裔家庭的文化适应中的作用，以发展与文化相关的干预措施，即 （3）在设计和实施个人，家庭和社区公共卫生干预措施的设计和实施方面发展了专业知识，这些干预措施减少了农村拉丁美洲裔的社会隔离，（4）（4）进行独立的研究人员，基于社区的基于社区的基于社区的心理健康促进研究。农村拉丁裔移民之间的社会隔离会增加心理健康状况不佳的风险，并且与成年人的抑郁和焦虑以及儿童和青少年的自杀念头显着有关。在美国花费的时间较长与拉丁美洲人中精神健康问题的较高风险有关，但是在该人群中，早期促进心理健康的促进并未成为针对性。拟议的研究的具体目的是（1）探索拉丁裔移民对他们的农村社会环境和社会隔离对他们通过人种学访谈的心理健康的看法的影响，（2）评估保护因素和可修改的心理健康风险，对与社会隔离和社会环境相关的精神健康的构成与社会环境相关的社会环境与生活中的社会环境相关，并在农村地区的构建中，并（3）构成了（3）的培养（3），并（3）构成（3）的构成（3）社区间网络并促进积极的心理健康。这项探索性研究以社区参与研究原则为指导，并采用混合方法来揭示社会隔离的复杂性，并开发一种干预措施，以促进农村拉丁裔移民的心理健康。深入的民族志访谈（n = 60）和定量社区评估调查（n = 100）将与居住在北佛罗里达州农村“新目的地”的拉丁裔男女进行。调查结果和与既定社区顾问委员会的互动将最终以家庭为中心的干预措施发展以促进心理健康。由杰出的国家和国际科学家组成的指导团队已经组装，以实现培训和研究目标。 K01奖将导致R21提出以家庭为中心的干预措施的提案。