Addressing Health Disparities Among Recent Latinx Immigrants Using a Syndemic Approach

使用流行病方法解决近期拉丁裔移民的健康差异

• 批准号: 10361190
• 负责人: Vicky Vazquez-Barrios
• 金额: $ 1.52万
• 依托单位: FLORIDA INTERNATIONAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-02-01 至 2022-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10361190
• 关键词: Address; Adherence; Adult; Age; Alcohol consumption; Area; Automobile Driving; Central American; Climate; Communities; Country; Crime; Cross-Sectional Studies; Cuban; Data; Data Analyses; Data Analytics; Development; Discrimination; Emotional; Equation; Exposure to; Factor Analysis; Female; Florida; Frequencies; Fright; Funding; Gender; Gender Role; Guatemala; Health; Immigrant; Immigration; Intervention; Investigation; Knowledge; Language; Latinx; Link; Longitudinal Studies; Manuscripts; Mental Depression; Mental Health; Mentorship; Mexican; Minority Groups; Modeling; National Institute on Alcohol Abuse and Alcoholism; Outcome; PF4 Gene; Pattern; Politics; Population; Positioning Attribute; Postdoctoral Fellow; Poverty; Reporting; Research; Research Personnel; Research Project Grants; Research Training; Risk; Role; Sampling; Severities; Social Discrimination; Social support; South American; Stress; Techniques; Testing; Time; Training Activity; Trauma; United States; Venezuela; War; Woman; Writing; alcohol measurement; alcohol misuse; alcohol use disorder; binge drinking; depressive symptoms; design; drinking; epidemiology study; expectation; experience; health care availability; health disparity; high risk; male; men; migration; racial and ethnic; research study; responsible research conduct; skill acquisition; skills; stress symptom; stressor; symposium; syndemic; theories; trauma symptom; young adult

Project Summary/Abstract Over the past decade, there has been a shift in Latinx immigration patterns to the U.S. (76% increase of immigrants from Venezuela; 37% increase of immigrants from Guatemala). Seeking asylum from political unrest, many of these immigrants are disproportionately impacted by the compounding conditions of pre and post immigration- stress, trauma, depressive symptoms and alcohol misuse. Most investigations on the interrelations of these conditions have been conducted among mostly Mexican immigrants residing in the U.S. for an extended period of time. Far less is known about the dynamics of the cumulative effect of these conditions among recent Latinx immigrants (RLI). The proposed study will examine the interrelatedness and interactive effects of pre and post immigration stress, trauma, depressive symptoms and alcohol misuse among young adult RLI while considering the role of traditional gender roles. To address this objective, a cross-sectional secondary data analysis will be conducted using baseline data from a NIAAA funded longitudinal study examining drinking and driving trajectories of N= 540 (N= 271 males and N= 269 females) young adult RLI between the ages of 18-34 (M=27.46, SD=5.01) who immigrated to South Florida within the past 12 months. The proposed research study aims to (1) examine the cumulative effects of pre-migration stress/trauma and post-immigration stressors on the depressive symptoms and alcohol use severity of young adult RLI in the U.S., (2) evaluate if gender has a moderating effect on the aforementioned associations, (3) test if these conditions demonstrate to be a syndemic factor, and (4) determine the association between adherence to traditional Latinx gender roles and this proposed syndemic factor. The central hypothesis is that greater levels of pre-migration stress/trauma and post-immigration stressors will be positively associated with post-immigration depressive symptoms and alcohol use severity, and this association will be moderated by gender. Additionally, a single syndemic factor will explain the covariance between these conditions and greater adherence to Latinx traditional gender roles will be positively associated with this syndemic factor. The proposed research questions will be tested by employing hierarchical multiple regression (HMR), moderation analyses, confirmatory factor analysis (CFA), and Structural Equation Modeling (SEM). A strong mentorship team has been assembled with training activities designed to enhance the applicant’s knowledge and skills in the following areas: (1) alcohol use, trauma, gender roles, and mental health outcomes among recent Latinx immigrants, (2) quantitative data analytic techniques in epidemiological studies, (3) responsible conduct of research, and (4) professional development skills related to alcohol use research (grant and manuscript writing and conference presentations). The proposed research and training experience will successfully position the applicant towards becoming an independent researcher specializing in alcohol use in minority populations and provide essential skills to help her successfully compete for a post-doctoral research position.

项目摘要/摘要 在过去的十年中，拉丁裔移民模式向美国发生了转变（增长了76％ 来自委内瑞拉的移民；危地马拉移民增加了37％。寻求庇护与政治 动荡，这些移民中的许多受到前后复合条件的影响不成比例 后移民应力，创伤，抑郁症状和滥用酒精。大多数调查 这些条件的相互关系是在居住在美国的大多数墨西哥移民中进行的 长时间。关于这些累积效应的动力学知之甚少 最近的拉丁人移民（RLI）的条件。拟议的研究将检查相互关联性和 前后移民应力，创伤，抑郁症状和滥用酒精的交互作用 在年轻的成人RLI中，考虑了传统性别角色的作用。为了解决这个目标， 将使用来自资助的NIAAA的基线数据进行横断面次要数据分析 纵向研究检查了n = 540的饮酒和驾驶轨迹（n = 271名男性和n = 269位女性） 18-34岁的年轻成人RLI（M = 27.46，SD = 5.01），他们移民到南佛罗里达州内的南佛罗里达州。 过去12个月。拟议的研究旨在（1）检查前移民的累积影响 压力/创伤和移民后压力源对年轻人的抑郁症状和酒精使用严重程度 美国的成人RLI，（2）评估性别是否对相关关联有调节作用；（3） 测试这些疾病是否证明是联合因子，（4）确定 遵守传统的拉丁人性别角色和拟议的联合因子。中心假设是 移民前压力/创伤和移民后压力源的水平将与 移民后抑郁症状和酒精使用严重程度，这种关联将受到调节 性别。此外，单个联合因子将解释这些条件和更大的协方差 遵守拉丁文传统性别角色将与该综合因素呈正相关。这 提出的研究问题将通过采用层次多元回归（HMR），适度来测试 分析，确认因子分析（CFA）和结构方程建模（SEM）。强烈的心态 团队已经由旨在提高申请人的知识和技能的培训活动组成 以下领域：（1）最近拉丁裔的饮酒，创伤，性别角色和心理健康成果 移民，（2）流行病学研究中的定量数据分析技术，（3）负责行为 研究，以及（4）与酒精使用研究有关的专业发展技能（赠款和手稿写作 和会议演讲）。拟议的研究和培训经验将成功定位 申请人成为一名专门研究少数族裔人口饮酒的独立研究人员 提供基本技能，以帮助她成功竞争博士后研究职位。