在COVID-19期间,东南地区的拉丁裔父母中,移民相关的创伤和PTSD在COVID-19期间发生
Yesnely Anacari Flores1, Emily Lemon1, Carla Santiago2
1Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University.
概括
移民政策的脆弱性,而不是移民前的创伤,拉丁裔移民父母的PTSD症状增加. 在COVID-19大流行期间,加剧社会隔离和驱逐恐惧的政策恶化了心理健康.
科学领域:
- 公共卫生 公共卫生
- 移民研究 移民研究
- 心理健康研究 心理健康研究
背景情况:
- 拉丁裔移民面临与移民有关的创伤,增加创伤后应激障碍 (PTSD) 的风险.
- 有无证件成员的混合身份家庭容易受到威胁分离和支持排斥的政策的影响.
- 了解这些动态对于治疗创伤性压力的医生来说至关重要.
研究的目的:
- 在COVID-19大流行期间,在限制性移民气候下,探索拉丁裔移民父母的移民相关创伤和PTSD.
- 检查移民政策脆弱性对移民相关创伤和创伤后应激障碍症状之间关系的缓解作用.
- 通过前线工作者的视角将这些关系置于背景中.
主要方法:
- 基于社区的参与型研究 (CBPR) 混合方法研究.
- 145项调查涉及混合身份家庭的拉丁裔父母.
- 与服务拉丁美洲移民家庭的前线工作者进行了15次采访.
- 多变量线性分析,以测试政策脆弱性的缓解效应.
主要成果:
- 在移民前创伤和PTSD症状之间没有发现显著的关系 (β = 0.12,p = .15).
- 增加的政策脆弱性与更高的PTSD症状相关 (β = 0.25,p < .01).
- 政策脆弱性加强了移民后创伤和PTSD症状之间的关联 (β = 0.19,p = .03).
- 前线工作者报告说,由于COVID-19大流行期间的移民政策,社会隔离和持续的驱逐恐惧恶化.
结论:
- 政策和实践必须解决与移民有关的创伤,政策脆弱性和COVID-19大流行病的复合影响.
- 促进拉丁美洲移民家庭的心理健康平等需要系统性干预.
- 解决社会孤立和驱逐出境的恐惧对于减轻这一群体的PTSD至关重要.
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