Disparities in Health among Floating Immigrant Populations

流动移民人口的健康差异

基本信息

批准号：
9912814
负责人：
Alice Cepeda
金额：
$ 63.31万
依托单位：
UNIVERSITY OF SOUTHERN CALIFORNIA
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-04-10 至 2023-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9912814
关键词：
Address Affect Alcohol abuse Alcohol or Other Drugs use Alcohols Back Biological Biological Markers Cardiovascular system Chronic Cities Collaborations Collection Communicable Diseases Communities Country Data Dependence Destinations Discrimination Disease Drug Addiction Drug usage Environment Environmental Risk Factor Etiology Exposure to Feasibility Studies Foundations Gap Junctions HIV HIV/STD Health Health Promotion Health Status Home environment Illicit Drugs Immigrant Immigration Individual Infection International Intervention Knowledge Latino Los Angeles Mediating Mental Health Metabolic Methods Mexican Mexico Mind Minority Modeling Outcome Pattern Phase Policies Population Poverty Predisposition Prevalence Process Public Health Race Recording of previous events Research Rest Risk Risk Behaviors Risk Reduction Rural Sampling Services Solid Stress Subgroup Substance abuse problem Testing Underrepresented Populations United States National Institutes of Health authority coping mechanism design drug misuse health disparity health equity high risk sexual behavior improved migration native born American physical conditioning recruit social social factors stressor success underserved minority

项目摘要

Project Abstract There exists a shortage of knowledge about how the health of US Mexican immigrants, a population of 12.3 million, is impacted by circular immigration patterns. This population is highly vulnerable to health risks and stress arising from poverty, discrimination, cultural differences, and immigration policy enforcement. Addressing this from a public health perspective requires an understanding of the conditions under which immigrant populations are exposed to health risks in their country of origin, while migrating, at their destination context or upon returning to their home country. The proposed international research collaboration has the potential to build a solid research foundation for developing interventions to achieve health equity for an underserved minority population of US immigrants. The research proposed aims to address this knowledge gap by examining the mechanisms by which immigration processes expose individuals to distinct environments, increases susceptibility to risk behaviors and contributes to mental and physical health disparities, infectious diseases and alcohol/drug dependence in the host or origin communities. Using the Symbiotic Model of Risk Reduction, this study proposes a concurrent mixed-methods nested design to recruit a sample of 600 that will include two subgroups of floating recent immigrants (within the past 5 years) that have arrived to Los Angeles and a group who have returned to Mexico City either voluntary or forced. The specific aims will: 1) Determine the prevalence of physical health (cardiovascular, metabolic dysregulation), mental health, infection, and substance abuse/dependence outcomes; 2) Identify and characterize the association between migration histories and health outcomes for the subgroups of floating populations; 3) Determine whether individual, social and environmental determinants mediate and/or moderate the relationships among the migration subgroups and varying health condition outcomes; 4) Characterize qualitatively the influence of culture and community context on strategies, practices and circumstances for maintaining safer (or riskier) health status and substance use.

项目摘要对于人口为 12.3 的美国墨西哥移民的健康状况缺乏了解百万，受到循环移民模式的影响。该人群极易受到健康风险的影响来自贫困、歧视、文化差异和移民政策执行的压力。从公共卫生的角度解决这个问题需要了解在什么条件下移民人口在原籍国和目的地国都面临健康风险背景或返回祖国后。拟议的国际研究合作为制定干预措施以实现健康公平奠定坚实的研究基础的潜力服务不足的美国少数族裔移民。拟议的研究旨在解决这一知识差距通过研究移民程序将个人暴露于不同环境的机制，增加对危险行为的敏感性，导致身心健康差异、传染性东道国或原籍社区的疾病和酒精/药物依赖。使用风险共生模型减少，本研究提出了一种并行混合方法嵌套设计来招募 600 个样本，包括已抵达洛杉矶的流动新移民（过去 5 年内）的两个亚群以及一群自愿或被迫返回墨西哥城的人。具体目标将： 1) 确定身体健康（心血管、代谢失调）、心理健康、感染和药物滥用/依赖结果； 2）识别和描述迁移历史之间的关联流动人口亚群的健康状况； 3) 确定个人、社会和环境决定因素调节和/或调节移民亚群之间的关系不同的健康状况结果； 4) 定性地描述文化和社区背景的影响关于维持更安全（或更危险）的健康状况和药物使用的策略、实践和情况。