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《分裂的家庭》[Divided Families]:跨国家庭分离与无证拉丁裔移民健康。

Familias Divididas [divided families]: Transnational family separation and undocumented Latinx immigrant health.

机构信息

Department of Psychiatry.

Department of Psychology.

出版信息

J Fam Psychol. 2022 Jun;36(4):513-522. doi: 10.1037/fam0000975. Epub 2022 Feb 24.

Abstract

Undocumented Latinx immigrants (ULIs) comprise a large segment of the U.S. population, yet they remain at high risk for diminished health outcomes due to increased exposure to adverse experiences and context. Transnational family separation and the distress that accompanies it is an example of a common adverse experience that is chronic and that impacts the lives of many ULIs. However, despite how chronic and central transnationalism is to the lives of ULIs, little is known about its relation to the health outcomes of ULIs. To that end, this study examined the relation between distress due to transnational family separation and the physical and mental health of ULIs. To do so, the study utilized respondent-driven sampling and path analysis methodologies to cross-sectionally examine how distress from transnational separation was related to the physical and mental health of ULIs ( = 229). Results revealed that as distress from transnational family separation increased so too did participant's depressive (β = .25, < .001), anxiety (β = .18, = .006), and physical symptoms (β = .24, < .0001). Distress from transnational family separation was also more strongly related to physical and depressive symptoms than to anxiety symptoms. Considering these results, important systemic changes to our approach to healthcare delivery and access among ULIs communities are needed to promote the well-being of this at-risk population. Recommendations for doing so are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

无证拉丁裔移民(ULIs)在美国人口中占很大比例,但由于接触到更多的不良经历和环境,他们的健康状况仍然不佳。跨国家庭分离及其伴随的痛苦就是一个常见的不良经历,这种经历是慢性的,会影响许多 ULIs 的生活。然而,尽管跨国主义对 ULIs 的生活有多么慢性和核心,但人们对其与 ULIs 的健康结果的关系知之甚少。为此,本研究考察了因跨国家庭分离而产生的痛苦与 ULIs 身心健康之间的关系。为此,该研究利用受访者驱动抽样和路径分析方法,横截面地研究了跨国分离的痛苦与 ULIs 的身心健康之间的关系(n = 229)。结果表明,随着跨国家庭分离的痛苦增加,参与者的抑郁(β=.25,p <.001)、焦虑(β=.18,p =.006)和身体症状(β=.24,p <.0001)也随之增加。与焦虑症状相比,跨国家庭分离的痛苦与身体和抑郁症状的关系更为密切。考虑到这些结果,需要对我们向 ULIs 社区提供医疗保健的方法进行重要的系统改变,以促进这一高危人群的健康。讨论了为此提出的建议。(PsycInfo 数据库记录(c)2022 APA,保留所有权利)。

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