METHODS: Our community-based participatory research (CBPR), mixed-methods study explored migration-related trauma and PTSD among Latinx immigrant parents in a restrictive immigration climate during the COVID-19 pandemic. We conducted 145 surveys with Latinx parents in mixed-status families and conducted multivariable linear analyses to test if immigration policy vulnerability strengthened the relationship between migration-related trauma and PTSD symptoms. Then, we conducted 15 interviews with frontline workers serving Latinx immigrant families to contextualize the relationships between migration-related trauma, immigration-related policies, and PTSD during the COVID-19 pandemic.
RESULTS: Parent surveys revealed was no observed relationship between premigration-related trauma and PTSD symptoms (β = 0.12, p = .15). However, increases in policy vulnerability was associated with PTSD symptoms (β = 0.25, p < .01) and strengthened the relationship between postmigration trauma and PTSD symptoms (β = 0.19, p = .03). Frontline workers described how social isolation due to immigration-related policies worsened under the COVID-19 pandemic and deportation fears remained a constant stressor.
CONCLUSIONS: Results from our CBPR study highlight the need for policies and practices that address compounding effects of migration-related trauma, policy vulnerability, and the COVID-19 pandemic to promote mental health equity among Latinx immigrant families. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
方法:我们基于社区的参与式研究(CBPR),混合方法研究探讨了在COVID-19大流行期间,在限制性移民环境中,拉丁裔移民父母与移民相关的创伤和创伤后应激障碍。我们对混合状态家庭的Latinx父母进行了145次调查,并进行了多变量线性分析,以测试移民政策脆弱性是否加强了与移民有关的创伤与PTSD症状之间的关系。然后,我们对服务拉丁裔移民家庭的一线工人进行了15次采访,以了解移民相关创伤之间的关系,移民相关政策,和创伤后应激障碍在COVID-19大流行期间。
结果:父母调查显示,迁移前相关创伤与PTSD症状之间没有观察到的关系(β=0.12,p=.15)。然而,政策脆弱性的增加与PTSD症状相关(β=0.25,p<.01),并加强了迁移后创伤与PTSD症状之间的关系(β=0.19,p=.03)。前线工作人员描述了在COVID-19大流行下,与移民相关的政策导致的社会孤立如何恶化,驱逐的恐惧仍然是一个持续的压力源。
结论:我们的CBPR研究结果突出表明,需要制定政策和实践来解决与迁移相关的创伤的复合影响,政策脆弱性,和COVID-19大流行,以促进拉丁裔移民家庭的心理健康平等。(PsycInfo数据库记录(c)2024APA,保留所有权利)。