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.

这种有竞争力的修订会研究墨西哥人的日常生活，这些方式破坏了墨西哥人的日常生活，这些墨西哥人向年轻的成年人过渡，这是一种独特的收入成年人。在文化上，对于英国的父母和健康差异，Yeface每天都至关重要。年轻的成年和环境不确定性检查在生活中的差异以及健康轨迹的变化如何形成三个。同时，我们在线收集了Covid-19，我们首先检查了Covid-19的压力概况对健康结果的影响对Covid-19相关的压力源的自适应反应提供了健康的弹性途径，在何处可能会以疾病的方式经历Covid-19的社会文化压力。主持人将通过四天的透析研究，对墨西哥 - 原始青少年的原始样本进行评估。首先是中学生（Wave 1），并在一年后（第2波）。社会文化的青少年经验会在2020年3月在美国的压力和健康状况上产生压力。在2020年夏天，这项研究将从高中过渡到Younglthood，与R21 Grant的第二年相吻合。 -19大流行对杜尔特健康的长期影响。