Promoting health by understanding the dynamic interplay between internalizing symptoms and substance use among Latinx youth in rural and small-town communities in the United States

通过了解美国农村和小镇社区拉丁裔青年内化症状与药物使用之间的动态相互作用来促进健康

• 批准号: 10608879
• 负责人: Katarina Guttmannova
• 金额: $ 10.88万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-08-01 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10608879
• 关键词: Acculturation; Adolescence; Adolescent and Young Adult; Alcohols; Anxiety; Area; Communities; Conflict (Psychology); Consultations; Data; Data Collection; Development; Doctor of Philosophy; Drug abuse; Etiology; Family; Funding; Future; Generations; Goals; Grant; Health; Health Disparities Research; Health Promotion; Immigrant; Individual; Interest Group; Intervention; Latinx; Link; Mental Depression; Mental Health; Mentorship; Methodology; Modeling; Population; Prevention; Research; Research Personnel; Risk Behaviors; Risk Factors; Role; Rural; Science; Sex Differences; Site; Supervision; Symptoms; Testing; Time; Training Activity; Underserved Population; United States; United States National Institutes of Health; Writing; Youth; base; career; comparison group; depressive symptoms; faculty research; health care availability; health equity promotion; lens; marginalized population; meetings; multidisciplinary; parent grant; parent project; protective factors; rural area; statistics; substance misuse; substance use; symptomatology; young adult

This application is a supplement to the Latinx Health in Rural Areas project (R01DA048827) that applies prevention science paradigm to examine etiology of substance use and related individual, family, and community risk and protective factors among rural Latinx adolescents and young adults. The supplement will extend the parent project into the area of mental health and examine the dynamic interplay between depression and anxiety and substance use over the course of adolescence and young adulthood among rural Latinx youth, an underserved and marginalized population that has grown rapidly in recent years. The long- term career goal of the candidate, Ms. Griselda Martinez, is to become an independent investigator that integrates developmental models of substance misuse and factors that promote health equity in this population. The primary objective of this supplement is to understand the developmental links between substance use and mental health using a cultural-developmental lens to inform potential prevention and intervention targets and their timing. These objectives will be accomplished in two specific aims that: (1) examine the reciprocal and longitudinal associations between depressive symptoms and substance use over the course of adolescence, and the extent to which there are differences in these associations between rural Latinx youth from immigrant vs. U.S.-born (3rd gen) families and between 3rd generation rural Latinx youth and non-Latinx Whites. Sex differences, externalizing symptomatology, and risk and protective factors from multiple domains will be tested. For instance, family-level factors, including family bonding and family conflict that may change with acculturation will be examined. (2) Examine links between internalizing symptomatology (depression and anxiety) and substance use in young adulthood and determine the extent to which there are differences in the comparison groups of interest. Systemic barriers such as lack of access to healthcare will also be examined. The candidate will conduct the research under the supervision of Dr. Katarina Guttmannova, PhD, and the parent grant’s team of Co-Is across three multidisciplinary sites to gain expertise in developmental models of substance misuse beyond alcohol and health disparities research, deepen her proficiency with longitudinal methodologies, and lay groundwork for future independent research funding. Training activities include mentorship meetings, advanced statistics seminars, consultation with leading researchers on etiology of substance misuse and related health risk behaviors, and grant writing. This supplement will allow the candidate to dedicate her time to the proposed activities aimed at establishing independence as an investigator, which will thereby increase the number of underrepresented research faculty conducting research in the field of drug abuse research.

该申请是适用于农村地区项目（R01DA048827）的拉丁裔健康的补充 预防科学范式检查物质使用和相关个人，家庭和 粗糙的拉丁裔青少年和年轻人中的社区风险和受保护因素。补充会 将父项目扩展到心理健康领域，并检查 在农村的青少年和成年期间，抑郁，焦虑和物质使用 近年来，拉丁裔青年是一个服务不足和边缘化的人群。长期 候选人格里塞尔达·马丁内斯（Griselda Martinez）女士的职业生涯目标是成为一名独立调查员 滥用物质的综合发展模型和促进健康公平的因素 人口。该补充的主要目的是了解 使用文化发展的镜头使用物质使用和心理健康，以告知潜在的预防和 干预目标及其时间。这些目标将以两个具体的目的来实现：（1） 检查抑郁症状与使用物质之间的互惠和纵向关联 青少年的过程以及这些关联之间存在差异的程度 来自移民与美国出生（第三代）家庭的拉丁裔青年以及第三代粗糙的拉丁裔青年和 非LATINX白人。性别差异，外在症状学以及来自多个的风险和保护因素 域将进行测试。例如，家庭层面的因素，包括家庭纽带和家庭冲突，可能 将检查适应的变化。 （2）检查内在症状之间的联系 （抑郁和动画）和成年年轻的物质使用，并确定有多大程度 感兴趣的比较组的差异。系统性障碍，例如无法获得医疗保健 也可以检查。候选人将在Katarina博士的监督下进行研究 Guttmannova博士和父母赠款在三个多学科站点上的合作团队，以获得专业知识 在开发滥用酒精和健康差异研究的滥用物质的模型中，使她加深了 精通纵向方法，并为未来的独立研究资金奠定基础。 培训活动包括Mentalship会议，高级统计系统，与领先的咨询 研究人员关于滥用物质的病因和相关的健康风险行为以及授予写作。这 补充剂将使候选人能够将她的时间用于旨在建立的拟议活动 独立作为研究者，从而增加代表性不足的研究教师的数量 在药物滥用研究领域进行研究。