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.

项目概要/摘要 与非拉丁裔黑人和非拉丁裔青少年相比，拉丁裔青少年面临更高的行为健康风险。 白人同龄人，尤其是吸食大麻、酗酒和可卡因、抑郁和自杀的人，精神状况不佳。 健康和物质使用被归因于逆境、压力和感知的人际关系的经历 拉丁裔青少年心理健康研究领域的进展主要集中在歧视问题上。 很少有研究考察社会和环境的影响。 拉丁裔青少年心理健康方面的背景，例如与移民身份相关的背景。 联邦、州和地方各级，或缺乏此类法律，也会影响拉丁裔移民的压力和获得机会 资源，增加了拉丁裔青少年的心理健康风险。 对拉丁裔青年的环境和偏见，加剧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。 州和地方之间需要对拉丁裔青年的心理健康进行研究，拟议的研究将填补这一空白。 采用跨学科方法来理解和干预健康差异和公平问题。 本研究的目标是：(1) 构建一个国家级相关政策数据集，该数据集构建了 拉丁裔青年的访问权；（2）使用准实验方法定量估计州一级的影响 拉丁裔青少年心理健康政策，并定性探讨政策如何塑造拉丁裔社会生活 青年；(3) 制定社区知情的预防和干预解决方案建议。 天普大学注重跨学科合作，为早期职业学者提供知识和 培养成为成功的独立调查员的实用资源 总体培训计划。 K01 应用程序用于考虑促进健康或生产的宏观政策的影响 培训计划旨在培养候选人的公共技能。 卫生法研究和法律流行病学、准实验设计方法和社区参与 通过参与研究来制定预防和干预的基层建议。 课程作业、培训、应用经验和全国会议，并辅以跨学科 Villamil Grest 博士的导师团队来自法律、公共卫生、健康行为和转化研究领域 培训和职业发展计划提供了提高她的跨学科技能的机会 了解影响拉丁裔青年健康和福祉的上游结构性因素。 作为一名独立学者和研究人员取得成功，本 K01 将为 PI 提供成为一名 多方法调查员，研究影响拉丁裔青少年心理的社会和结构因素 健康差异，并为社区参与的预防计划和政策提供信息。