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一项旨在减轻拉丁裔移民女性抑郁和压力的试点社区健康工作者项目的结果。

Results from a pilot promotora program to reduce depression and stress among immigrant Latinas.

作者信息

Tran Anh N, Ornelas India J, Kim Mimi, Perez Georgina, Green Melissa, Lyn Michelle J, Corbie-Smith Giselle

机构信息

1Duke University Medical Center, Durham, NC, USA.

出版信息

Health Promot Pract. 2014 May;15(3):365-72. doi: 10.1177/1524839913511635. Epub 2013 Dec 13.

Abstract

The stressful experiences that Latino immigrants face throughout the migration process to the United States put them at increased risk for poor mental health. Latinas are at heightened risk due to stigma, limited access to mental health resources, domestic violence, and gender role expectations. In addition, for those who live in new immigrant settlement areas, such as the Southeast, these disparities are magnified by even fewer culturally appropriate services and limited social support. This study evaluates the impact of ALMA (Amigas Latinas Motivando el Alma/Latina Friends Motivating the Soul), a pilot promotora intervention offered in three North Carolina counties to improve mental health among Latinas by offering coping skills training. The intervention trained community-based promotoras to conduct outreach to Latina women in their social network (compañeras). Using a pre-post test design, we assessed the mental health outcomes of compañeras. Compañeras improved on the following outcomes: depressive symptoms, attitudes of depression treatment, perceived and acculturative stress, perceived social support, and positive coping responses. Our findings suggest that promotora interventions, such as ALMA, that focus on building self-care strategies can be valuable to reducing preclinical symptoms and addressing health care disparities that are exacerbated by unavailable or underused mental health services.

摘要

拉丁裔移民在整个移民到美国的过程中所面临的压力经历,使他们心理健康状况不佳的风险增加。由于耻辱感、获得心理健康资源的机会有限、家庭暴力以及性别角色期望,拉丁裔女性面临的风险更高。此外,对于那些生活在新移民聚居区(如东南部)的人来说,文化上合适的服务更少且社会支持有限,这些差异被进一步放大。本研究评估了ALMA(拉丁裔女性激励心灵/拉丁裔朋友激励灵魂)的影响,这是一项在北卡罗来纳州三个县开展的试点促进者干预措施,通过提供应对技能培训来改善拉丁裔女性的心理健康。该干预措施培训了社区促进者,让他们在自己的社交网络中(同伴)向拉丁裔女性进行外展服务。我们采用前后测试设计,评估了同伴的心理健康结果。同伴在以下方面有所改善:抑郁症状、对抑郁症治疗的态度、感知到的和文化适应压力、感知到的社会支持以及积极的应对反应。我们的研究结果表明,像ALMA这样侧重于构建自我护理策略的促进者干预措施,对于减少临床前症状以及解决因心理健康服务无法获得或未充分利用而加剧的医疗保健差异可能是有价值的。

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本文引用的文献

3
The health care home model: primary health care meeting public health goals.
Am J Public Health. 2012 Jun;102(6):1096-103. doi: 10.2105/AJPH.2011.300397. Epub 2012 Apr 19.
4
Promotoras in mental health: a review of English, Spanish, and Portuguese literature.
Fam Community Health. 2012 Apr-Jun;35(2):92-102. doi: 10.1097/FCH.0b013e3182464f65.
5
Community health workers can be a public health force for change in the United States: three actions for a new paradigm.
Am J Public Health. 2011 Dec;101(12):2199-203. doi: 10.2105/AJPH.2011.300386. Epub 2011 Oct 20.
6
The role of migration in the development of depressive symptoms among Latino immigrant parents in the USA.
Soc Sci Med. 2011 Oct;73(8):1169-77. doi: 10.1016/j.socscimed.2011.07.002. Epub 2011 Jul 29.
7
Outcomes and costs of community health worker interventions: a systematic review.
Med Care. 2010 Sep;48(9):792-808. doi: 10.1097/MLR.0b013e3181e35b51.
8
Use of preventive care services among Latino subgroups.
Am J Prev Med. 2010 Jun;38(6):610-9. doi: 10.1016/j.amepre.2010.01.029.

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