Policy as a Structural Barrier and Facilitator of Latinx Youth Mental Health

政策作为拉丁裔青少年心理健康的结构性障碍和促进者

• 批准号: 10644417
• 负责人: Carolina Villamil Grest
• 金额: $ 13.13万
• 依托单位: TEMPLE UNIV OF THE COMMONWEALTH
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-15 至 2027-12-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10644417
• 关键词: Academy; Adolescence; Adolescent; Affect; Alcohol consumption; Applications Grants; Area; Behavioral; Black race; Childhood; Communities; Complement; Data Set; Development; Development Plans; Dimensions; Discrimination; Environment; Epidemiology; Exposure to; Family; Feeling suicidal; Goals; Health; Health Promotion; Health behavior; Immigrant; Immigration; Individual; Inequity; Institution; Intervention; Latinx; Latinx population; Laws; Legal; Maps; Medicine; Mental Depression; Mental Health; Mental health promotion; Mentors; Methodology; Methods; Parents; Pathway interactions; Personal Satisfaction; Persons; Policies; Population; Prejudice; Prevention; Prevention program; Prevention strategy; Public Health; Public Policy; Quasi-experiment; Recommendation; Reduce health disparities; Research; Research Personnel; Resources; Risk; Risk Behaviors; Role; Shapes; Social Environment; Stress; Structure; Testing; Training; Translational Research; United States National Institutes of Health; Universities; Youth; behavioral health; career; career development; cocaine use; community engaged research; community engagement; critical developmental period; depressive symptoms; design; dissemination strategy; effective intervention; experience; health disparity; health equity; interdisciplinary collaboration; marijuana use; peer; perceived discrimination; programs; protective factors; skills; social; social culture; social factors; social health determinants; structural determinants; substance use; success; suicidal; symposium; therapy design

PROJECT SUMMARY/ABSTRACT Latinx adolescents experience higher rates of behavioral health risks compared to their non-Latinx Black and White peers, particularly for marijuana, alcohol, and cocaine use, depression, and suicidality. Poor mental health and substance use have been attributed to experiences of adversity, stress, and perceived interpersonal discrimination. Advances in the field of Latinx youth mental health research has been largely focused on individual and interpersonal determinants. Few studies examine the impact of social and environmental contexts, such as those related to immigration status, on Latinx youth mental health. Laws and policies at federal, state, and local levels, or the absence of such laws, also affect Latinx immigrant stress and access to resources, increasing mental health risk for Latinx adolescents. These policies shape anti-immigrant environments and prejudice toward Latinx youth, amplifying experiences of stress and mental health issues. Inclusive immigration policies increase access to health and social resources. Research examining pathways between state and local and the mental health of Latinx youth is needed. The proposed study will fill gaps by applying a transdisciplinary approach to understand and intervene a health disparity and equity issue. The objectives of this research are to: (1) construct a state-level dataset on interrelated policies that structure access for Latinx youth; (2) use quasi-experimental methods to quantitatively estimate the effects of state-level policies on Latinx youth mental health and qualitatively explore how policies shape the social lives of Latinx youth; and (3) develop community-informed recommendations for prevention and intervention solutions. With a focus on interdisciplinary collaboration, Temple University offers early career scholars the intellectual and practical resources to develop into successful independent investigators. The overarching training plan for this K01 application serves to consider the effects of macrolevel policies that either promote health or produce inequities related to mental health. The training plan is designed to develop the candidate’s skills in public health law research and legal epidemiology, quasi-experimental design methods and community-engaged research to develop ground-level recommendations for prevention and intervention. By engaging in coursework, trainings, applied experiences, and national conferences, complemented by a transdisciplinary team of mentors from law, public health, health behavior and translational research fields, Dr. Villamil Grest’s training and career development plan provides an opportunity to advance her interdisciplinary skills to understand the upstream, structural level factors that affect the health and well-being of Latinx youth. To achieve success as an independent scholar and researcher, this K01 will provide skills for the PI to become a multimethod investigator, examining the social and structural factors that contribute to Latinx youth mental health disparities, and to inform community-engaged prevention programs and policies.

项目摘要/摘要 与非latinx黑人相比，拉丁裔青少年的行为健康风险率更高 白人同龄人，特别是用于大麻，酒精和可卡因，抑郁和自杀性。心态差 健康和物质使用归因于冒险，压力和人际关系的经历 歧视。拉丁裔青年心理健康研究领域的进步主要集中在 个人和人际决定者。很少有研究研究社会和环境的影响 语境，例如与移民身份有关的环境，与拉丁裔青年心理健康有关。法律和政策 联邦，州和地方一级或缺乏此类法律，也会影响拉丁裔移民压力和接触 资源，增加了拉丁裔青少年的心理健康风险。这些政策塑造了反移民 环境和对拉丁裔青年的偏见，扩大了压力和心理健康问题的经历。 包容性移民政策增加了获得健康和社会资源的机会。研究途径 在州与地方之间以及拉丁裔青年的心理健康之间。拟议的研究将通过 采用跨学科方法来理解和干预健康差异和公平问题。这 这项研究的目标是：（1）在结构的相互关联政策上构建一个州级数据集 访问拉丁裔青年； （2）使用准实验方法定量估计状态级别的影响 关于拉丁裔青年心理健康的政策，并定性地探讨了政策如何塑造拉丁裔的社交生活 青年; （3）为预防和干预解决方案提出了社区信息的建议。与 坦普大学专注于跨学科合作，为早期的职业学者提供知识分子和 实用资源以发展成成功的独立研究人员。为此的总体培训计划 K01应用程序可以考虑促进健康或产生的宏观政策的影响 与心理健康有关的不平等。该培训计划旨在发展候选人在公众中的技能 卫生法研究和法律流行病学，准实验设计方法和社区参与 研究为预防和干预提出的地面建议。通过参与 课程工作，培训，应用经验和国家会议，由跨学科完成 Villamil Grest博士的法律，公共卫生，健康行为和转化研究领域的导师团队 培训和职业发展计划提供了一个将她的跨学科技能提高到的机会 了解影响拉丁裔青年健康和福祉的上游，结构性的因素。到 作为一名独立科学和研究人员取得成功，该K01将为PI提供技能 多方法研究者，研究了有助于拉丁人精神的社会和结构性因素 健康差异，并为社区参与的预防计划和政策提供信息。