Mental Health and Mexico-U.S. Migration

心理健康与墨西哥-美国

• 批准号: 7775024
• 负责人: JOSHUA A BRESLAU
• 金额: $ 39.59万
• 依托单位: UNIVERSITY OF CALIFORNIA AT DAVIS
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-02-23 至 2011-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7775024
• 关键词: Address; Adolescent; Adult; Affect; Aftercare; Age; Alcohol or Other Drugs use; Anxiety; Asian Americans; Birth; Caring; Child; Communities; Comorbidity; Country; DSM-IV; Data; Data Set; Diagnostic; Disease; Dropout; Drops; Education; Employment; Environmental Risk Factor; Epidemiologic Studies; Epidemiology; Etiology; Family; Family member; Funding; General Population; Health; Health Surveys; Healthcare; Immigrant; Immigration; Impulse Control Disorders; Institutes; International; International Migrations; Interview; Interviewer; Latino; Life; Medical; Mental Health; Mental Health Services; Mental disorders; Methodology; Methods; Mexican; Mexican Americans; Mexico; Michigan; Moods; Morbidity - disease rate; National Institute of Mental Health; Nomads; Pattern; Policies; Policy Research; Population; Population Group; Prevalence; Psychopathology; Publishing; Recording of previous events; Relative (related person); Remittance; Request for Proposals; Research; Respondent; Return Migrations; Risk; Risk Factors; Sampling; Services; Side; Social Network; Source; Subgroup; Surveys; Testing; Time; Time Study; Training; Underserved Population; United States; Universities; Work; base; care seeking; comparison group; disorder control; experience; high risk; improved; instrument; interest; lifetime risk; member; migration; population based; population survey; public health relevance; response; sex; social; theories; willingness

DESCRIPTION (provided by applicant): This application is submitted in response to PA-07-082 (Risk Factors for Psychopathology Using Existing Data Sets) to examine the relationship between migration to the US and mental health in the transnational Mexican- origin population. Previous epidemiological studies have shown that in this population immigration to the US is associated with large increases in risk for psychiatric disorders. At the same time, studies of mental health service use have found significant disparities in the treatment Mexican-Americans receive relative to the majority US population. However, studies conducted in the US are limited in their ability to understand the impact of immigration because of the lack of data on the immigrant source population. Moreover, the Mexican- origin population is a transnational one, tied together across the international border through return migrations, cash remittances sent to families in Mexico, and well maintained social networks that transmit mutual cultural and social influences. Our preliminary work, now in press, suggests that migration to the US has a large impact on mental health in the Mexican population. We propose to construct and analyze a cross-national dataset on mental health and mental health service use in the transnational Mexican-origin population, taking advantage of a unique situation where population based surveys of psychiatric disorders have recently been completed in a nationally representative sample of Mexico and in a nationally representative sample of the Mexican- American population of the US during the same time period, using the same survey instrument, consistent interview methodologies, and uniform interviewer training standards. The research team is comprised of a group in the US with extensive experience studying mental health among Mexican-Americans and a group in Mexico with extensive experience studying mental health in Mexico. Using this unique dataset we will describe patterns of current mental health and mental health service use associated with migration to the US in this transnational population. We will then examine the impact of migration on mental health on both sides of the border, by testing whether migration to the US is associated with risk for psychiatric disorders among the Mexican-American population of the US and whether return migration or transnational family networks are associated with increased risk among those in Mexico. We will also examine whether migration to the US affects the cultural orientation to mental health problems as issues of medical concern, using data on actual service use, perceived need for care and willingness to seek treatment for a mental health problem. Results of these analyses will contribute to etiological understanding of psychiatric disorders by directly examining the relationship between migration and mental health in the context of the largest international migration in the world today and to policy studies that aim to improve mental health care for this underserved population. PUBLIC HEALTH RELEVANCE: Risk for psychiatric disorders and use of mental health services vary dramatically across countries and between immigrants to the US and their US-born descendants, but no studies have yet compared the mental health of immigrants to the US with the population of their country of origin. We propose to fill this gap by combining data from two recent mental health surveys that used consistent methodologies, one on the Mexican population and the other on Mexican-Americans in the US. This study will help identify environmental factors in the etiology of psychiatric disorders and inform policies that aim to improve mental health care for underserved communities in both Mexico and the US.

描述（由申请人提供）：此申请是针对PA-07-082（使用现有数据集的精神病理学风险因素）提交的，以检查跨国墨西哥人人口中向美国迁移到美国与心理健康之间的关系。先前的流行病学研究表明，在该人口中，美国的人口移民与精神疾病的风险大大增加有关。同时，对精神卫生服务使用的研究发现，相对于美国大多数人口，墨西哥裔美国人接受的治疗差异很大。但是，由于缺乏对移民源人群的数据，在美国进行的研究能够理解移民影响的能力有限。此外，墨西哥人人口是一个跨国人口，通过返回移民，派往墨西​​哥家庭的现金汇款以及维护良好的社交网络，通过传播相互的文化和社会影响力的社交网络并列在一起。我们的初步工作（现在是新闻界）表明，向美国移民对墨西哥人口的心理健康有很大影响。我们建议在跨国墨西哥 - 奥基基因人群中构建和分析有关心理健康和心理健康服务使用的跨国数据集，利用一种独特的情况，在这些情况下，在全国代表性的墨西哥以及在全国代表性的培训中，在全国代表性的墨西哥培训中，在全国代表性的墨西哥人培训中，使用了同一访问的我们的墨西哥人培训，并在墨西哥人的同一时期内完成了基于人口的精神疾病的调查，并在同一情况下完成了调查。标准。该研究团队由美国的一个团体组成，具有丰富的墨西哥裔美国人心理健康和墨西哥群体的精神健康的经验，并具有在墨西哥进行心理健康的丰富经验。使用这个独特的数据集，我们将描述当前心理健康和心理健康服务的使用模式，该模式与迁移到美国的跨国人群中有关。然后，我们将通过测试迁移到美国的迁移是否与美国墨西哥裔美国人人口中的精神疾病风险有关，以及墨西哥墨西哥返回移民还是跨国家庭网络是否与风险增加有关，我们将研究移民对心理健康对边界两侧的影响。我们还将研究向美国的迁移是否会影响到心理健康问题的文化取向，因为医学关注问题，使用有关实际服务使用的数据，对护理的感知需求以及为精神健康问题寻求治疗的意愿。这些分析的结果将在当今世界上最大的国际移民的背景下直接研究移民与心理健康之间的关系，从而有助于对精神疾病的病因理解，并为旨在改善这个贫困人群的心理保健保健的政策研究。公共卫生相关性：精神疾病的风险和心理健康服务的使用风险在各个国家以及美国及其出生于美国的后裔之间的风险差异很大，但尚无研究将移民对美国的心理健康与其原籍国的人口进行比较。我们建议通过结合两项使用一致方法论的精神健康调查的数据来填补这一空白，其中一种是墨西哥人口，另一个是在美国的墨西哥裔美国人。这项研究将有助于确定精神疾病病因的环境因素，并告知旨在改善墨西哥和美国服务不足社区的心理保健的政策。