Socio-Cultural Stress Profiles, Stress Responses, and Health in Mexican American Adolescents

墨西哥裔美国青少年的社会文化压力概况、压力反应和健康

• 批准号: 10246683
• 负责人: SU YEONG KIM
• 金额: $ 19.56万
• 依托单位: UNIVERSITY OF TEXAS AT AUSTIN
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-23 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10246683
• 关键词: Adolescence; Adolescent; Adult; Affect; Alcohol or Other Drugs use; Behavioral; COVID-19; COVID-19 pandemic; Child; Data; Data Collection; Economically Deprived Population; Educational Status; Emergency Situation; Ensure; Face; Family; Foundations; Future; Goals; Grant; Health; Health Insurance; Hydrocortisone; Immigrant; Individual; Individual Differences; Infection; Intervention; Language; Latino; Legal; Life; Life Cycle Stages; Linguistics; Link; Low income; Measures; Mediating; Mediation; Mediator of activation protein; Mental Depression; Mexican; Mexican Americans; Occupations; Outcome; Parents; Pattern; Physiological; Population; Poverty; Process; Public Health; Research; Research Personnel; Resources; Risk; Sampling; Sampling Studies; Shapes; Sleep; Stress; Surveys; Testing; Texas; Time; Translating; Uncertainty; Variant; Vulnerable Populations; Wages; Work; Youth; barrier to care; base; biological adaptation to stress; burden of illness; diaries; emerging adult; experience; health disparity; high risk; high school; junior high school; pandemic disease; physical conditioning; prospective; psychosocial; racial discrimination; resilience; response; social culture; stressor; success; traumatic event; young adult

This competitive revision application examines ways in which the COVID-19 pandemic disrupts the daily lives of Mexican-origin adolescents who are making the transition to young adulthood. This unique sample of low- income emerging adults from immigrant families are language brokers, who translate and interpret both linguistically and culturally for their English-limited parents. The COVID-19 pandemic has amplified the socio- cultural stressors and health disparities they face on a daily basis. It is critical to capture how COVID-19 related stressors may potentially alter their health trajectories, as periods of transition (e.g., from high school to young adulthood) and environmental uncertainty (e.g., COVID-19) provide opportunities to examine where in the life course individual differences become apparent and how changes in health trajectories take shape. The three waves of data on adolescents collected from early to late adolescence before the onset of the COVID-19 pandemic will be linked to two additional waves of online data collected after the onset of COVID-19. We first examine the impact of COVID-19 stress profiles on health outcomes. We then test how COVID-19 related stress profiles influence stress responses both behaviorally and physiologically to influence health outcomes. Specifically, whether adaptive responses to COVID-19 related stressors provide avenues of resilience in health outcomes, whereas the opposite may be the case for those who experience COVID-19 socio-cultural stressors in maladaptive ways. Further, we propose to test whether the associations from socio-cultural stress profiles to stress responses to health outcomes are exacerbated or mitigated through various moderators. Physiological stress responses will be assessed via cortisol. Through a four-day daily diary study, day-to-day cortisol, sleep, and substance use responses to COVID-19 related stressors will be measured. The original sample of Mexican-origin early adolescents were sampled first as middle schoolers (Wave 1) and again one year later (Wave 2). The goal of the first year of the R21 was to re-sample the same set of adolescents after their transition to high school, in order to test how early adolescent experiences of socio-cultural stressors longitudinally influence stress responses and health outcomes. By March 2020, largely before the onset of the COVID-19 pandemic in the U.S., we completed the proposed W3 data collection to reach the stated goals of Year 1 of the R21. In Year 2 of the R21, which starts in the summer of 2020, the adolescents in the study will be making the transition from high school to young adulthood. The supplement will coincide with Year 2 of the R21 grant, a critical juncture for capturing the health trajectories of emerging adults, and an opportune time to lay the foundation for determining the COVID-19 pandemic’s long-term influence on their adult health. This project has the potential to uncover processes and practices that can reduce persistent health disparities in Mexican immigrant families that may result from COVID-19.

这项竞争性修订申请考试了Covid-19的大流行破坏正在过渡到年轻成年的墨西哥 - 裔青少年的日常生活的方式。这个来自移民家庭的低收入新兴成年人的独特样本是语言经纪人，他们为其英语有限的父母在语言和文化上翻译和解释。 COVID-19大流行已经扩大了他们每天面临的社会压力源和健康差异。捕获相关压力源如何可能改变其健康轨迹是至关重要的，因为过渡期（例如，从高中到成年期）和环境不确定性（例如，Covid-199）提供了机会，提供了研究生活过程中的个人差异以及健康轨迹的变化形式的显而易见的情况。在COVID-19大流行病开始之前，从早期至晚期收集的青少年数据浪潮将与Covid-19发作后收集的另外两波浪潮有关。我们首先研究了Covid-19压力谱对健康结果的影响。然后，我们测试COVID-19相关压力曲线如何在行为和身体上影响压力反应以影响健康结果。具体而言，对Covid-19相关压力源的适应性反应是否提供了健康成果的韧性途径，而对于那些以不良适应性方式经历Covid-19社会文化压力源的人来说，情况恰恰相反。此外，我们建议测试通过各种主持人加剧或减轻社会文化压力概况到对健康结果的压力反应的关联。生理压力反应将通过皮质醇评估。通过一项为期四天的日记研究，将测量日常皮质醇，睡眠和对COVID-19相关压力源的受试者使用反应。墨西哥 - 原始青少年的原始样本首先被作为中学生（第1波）和一年后（第2波）采样。 R21第一年的目标是在过渡到高中后重新样本相同的青少年，以测试社会文化压力源的早期青少年经历纵向影响压力反应和健康成果。到2020年3月，大部分时间在美国共同19日大流行开始之前，我们完成了拟议的W3数据收集，以达到R21年级的既定目标。从2020年夏季开始的R21的第二年，研究中的青少年将从高中过渡到年轻人。该补充剂将与R21赠款的第二年相吻合，这是捕获新兴成年人健康轨迹的关键关键，以及为确定Covid-19-19大流行对成人健康的长期影响而奠定基础的机会。该项目有可能发现可能由Covid-19造成的墨西哥移民家庭的持续健康差异的过程和实践。