CRISOL: Building Community Resilience and Integrating Efforts to Understand and Address Syndemic Health Conditions Afflicting Young LatinoImmigrants

CRISOL：建立社区复原力并整合努力以了解和解决困扰年轻拉丁裔移民的流行病健康状况

• 批准号: 9883052
• 负责人: Ana P Martinez-Donate
• 金额: $ 22.71万
• 依托单位: DREXEL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-03-01 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9883052
• 关键词: AIDS/HIV problem; Acculturation; Address; Affect; Alcohol abuse; Alcohol or Other Drugs use; Anxiety; Area; Central American; Characteristics; Cities; Climate; Collaborations; Communities; Community Services; Community Surveys; Country; Cultural Diversity; Data; Discrimination; Drug abuse; Education; Elements; Exposure to; Face; Familiarity; Fright; Future; HIV; HIV Infections; Health; Health Insurance; Health Personnel; Health Services; Health Services Accessibility; Home environment; Human; Immigrant; Immigration; Intervention; Interview; Knowledge; Latino; Legal; Maps; Mental Depression; Mental Health; Methods; Mexican Americans; Modeling; Nature; Neighborhoods; Pathway Analysis; Philadelphia; Policies; Population; Poverty; Prejudice; Prevalence; Prevention; Puerto Rican; Research; Research Personnel; Resources; Risk; Role; Services; Sex Behavior; Sexually Transmitted Diseases; Social Network; Social Work; Stress; Structure; Subgroup; Substance abuse problem; Surveys; Syndrome; Time; Variant; Violence; Vulnerable Populations; Work; base; bilingualism; community building; contextual factors; experience; health care availability; informant; injection drug use; migration; multidisciplinary; post-traumatic stress; prevention service; racial and ethnic; residence; resilience; service utilization; sexual HIV transmission; social; social determinants; socioeconomic disadvantage; socioeconomics; stem; study population; theories; transmission process; treatment services; violence exposure; violence victimization

PROJECT SUMMARY Latinos make up 47% of immigrants living in the U.S. and represent one of the most socioeconomically disadvantaged and marginalized populations. Data suggest that some Latino immigrant groups experience a disproportionate burden of substance abuse, exposure to domestic and community violence, and HIV/STIs. Studies have also shown high rates of depression, anxiety, and post-traumatic stress syndrome among Latino immigrants. These conditions have been found to cluster, interact synergistically, and stem from common socio-ecological determinants within certain communities, thereby creating a syndemic. Support has begun to emerge for a syndemic model of Substance Abuse, Violence victimization, HIV/AIDS, and poor MEntal health (SAVAME) among Latinos and other vulnerable populations. Yet, syndemic research specifically focused on Latino immigrants has been scarce and little is known about the role of social, cultural, and contextual factors on Latino immigrants' risk of SAVAME. Evidence regarding effective approaches to tackle the syndemic, including increasing prevention and treatment service utilization, is also sorely lacking. This community- academic collaboration is aimed at increasing our understanding of the scope and determinants of the SAVAME syndemic among Latino immigrants in the City of Philadelphia, which is home to a small but fast- growing and increasingly diverse Latino immigrant community. This formative study also seeks to expand the evidence on strategies to address the factors contributing to this syndemic, with emphasis on promoting collaboration and partnerships between Latino immigrant-serving organizations to increase utilization of SAVAME prevention and treatment services among the Latino immigrant community. Over a 2-year period, we will complete in-depth interviews (N=30), key informant interviews (N=30), and a community survey (N=400) to characterize the extent and impact of the SAVAME syndemic among Latino immigrants in Philadelphia and to identify socio-ecological determinants that may serve as targets of future multilevel interventions. We will also implement a community resource survey (N=40) to identify, map, and characterize community services and other resources that can be engaged, mobilized, and leveraged to address the SAVAME syndemic afflicting Latino immigrants in the future. We will use social network analyses to investigate the level, nature, and role of collaborations across organizations and agencies that provide health, social, legal, and other support services to Latino immigrants –a key element of community resilience. Findings from this study will inform a future R01 or R34 application aimed at developing, implementing, and evaluating a communitywide intervention to strengthen interagency collaboration, increase access to prevention and treatment services, and reduce the prevalence and impact of SAVAME on Latino immigrants.

项目概要 拉丁裔占美国移民的 47%，是社会经济地位最高的群体之一 数据表明，一些拉丁裔移民群体经历了困难。 药物滥用、家庭暴力和社区暴力以及艾滋病毒/性传播感染的负担过重。 研究还显示拉丁裔中抑郁、焦虑和创伤后应激综合症的发病率很高 人们发现，这些条件是聚集在一起、协同作用的，并且源于共同点。 某些社区内的社会生态决定因素，从而产生了一种支持综合症。 药物滥用、暴力受害、艾滋病毒/艾滋病和心理健康状况不佳的综合症模型的出现 （SAVAME）在拉丁裔和其他弱势群体中，然而，综合症研究特别关注。 拉丁裔移民一直稀缺，而且人们对社会、文化和背景因素的作用知之甚少 关于拉丁裔移民患 SAVAME 的风险的证据，有关解决该综合症的有效方法， 包括增加预防和治疗服务的利用率，也是非常缺乏的。 学术合作的目的是增进我们对范围和决定因素的理解 费城拉丁裔移民中存在 SAVAME 综合症，该市是一个规模虽小但发展迅速的群体的所在地。 这项形成性研究还旨在扩大拉丁裔移民社区的发展和日益多样化。 关于解决导致该综合征的因素的策略的证据，重点是促进 拉丁美洲移民服务组织之间的合作和伙伴关系，以提高对 我们在两年内为拉丁裔移民社区提供 SAVAME 预防和治疗服务。 将完成深度访谈（N=30）、关键知情人访谈（N=30）和社区调查（N=400） 描述费城拉丁裔移民中 SAVAME 综合症的程度和影响，并 我们还将确定可作为未来多层次干预措施目标的社会生态决定因素。 实施社区资源调查 (N=40)，以识别、绘制和描述社区服务和 可以调动、调动和利用其他资源来解决困扰 SAVAME 综合征的问题 未来我们将利用社交网络分析来调查拉丁裔移民的水平、性质和作用。 提供健康、社会、法律和其他支持服务的组织和机构之间的合作 拉丁裔移民——社区复原力的一个关键要素，这项研究的结果将为未来的 R01 提供信息。 或 R34 应用程序，旨在开发、实施和评估社区范围的干预措施，以 加强机构间合作，增加获得预防和治疗服务的机会，并减少 SAVAME 对拉丁裔移民的流行率和影响。