Pineros-Leano María, Parchment Tyrone M, Calvo Rocío
Boston College, School of Social Work. 140 Commonwealth Avenue, Chestnut Hill, MA 02467140 Commonwealth Avenue, Chestnut Hill, MA 02467, USA.
Child Youth Serv Rev. 2023 Feb;145. doi: 10.1016/j.childyouth.2022.106756. Epub 2022 Dec 9.
The Latinx population is the largest and fastest-growing segment of the U.S. While the vast majority of Latinx children are U.S.-born, over half are growing up in a family where they live with at least one foreign-born parent. Despite research showing that Latinx immigrants are less likely to experience mental, emotional, and behavioral (MEB) health issues (e.g., depression, conduct disorder, substance misuse), their children have one of the country's highest rates of MEB disorders. To address the MEB health of Latinx children and their caregivers, culturally grounded interventions have been developed, implemented, and tested to promote MEB health. The purpose of this systematic review is to identify these interventions and summarize their findings.
We searched PubMed, PsycINFO, ERIC, Cochrane Library, Scopus, HAPI, ProQuest, and ScienceDirect databases from 1980 through January 2020 as part of a registered protocol (PROSPERO) following PRISMA guidelines. Our inclusion criteria were randomized controlled trials of family interventions among a predominantly Latinx sample. We assessed the risk of bias in the included studies using the Cochrane Risk of Bias Tool.
Initially, we identified 8,461 articles. After going through the inclusion criteria, 23 studies were included in the review. We found a total of 10 interventions, with Familias Unidas and Bridges/Puentes having the most information available. Overall, 96% of studies demonstrated their effectiveness in addressing MEB health, namely substance use, alcohol and tobacco use, risky sexual behaviors, conduct disorder, and internalizing symptoms among Latinx youths. Most interventions focused on improving parent-child relationships as the main mechanism to improve MEB health among Latinx youths.
Our findings show that family interventions can be effective for Latinx youths and their families. It is likely that including cultural values such as and issues related to the Latinx experience such as immigration and acculturation can help the long-term goal of improving MEB health in Latinx communities. Future studies investigating the different cultural components that may influence the acceptability and effectiveness of the interventions are warranted.
拉丁裔人口是美国最大且增长最快的群体。虽然绝大多数拉丁裔儿童在美国出生，但超过半数是在至少有一位外国出生的父母的家庭中长大。尽管研究表明拉丁裔移民较少出现心理、情感和行为（MEB）健康问题（如抑郁症、品行障碍、药物滥用），但其子女却是美国MEB障碍发生率最高的群体之一。为解决拉丁裔儿童及其照料者的MEB健康问题，已开发、实施并测试了基于文化的干预措施以促进MEB健康。本系统评价的目的是识别这些干预措施并总结其结果。
作为遵循PRISMA指南的注册方案（PROSPERO）的一部分，我们检索了1980年至2020年1月期间的PubMed、PsycINFO、ERIC、Cochrane图书馆、Scopus、HAPI、ProQuest和ScienceDirect数据库。我们的纳入标准是在以拉丁裔为主的样本中进行的家庭干预随机对照试验。我们使用Cochrane偏倚风险工具评估纳入研究中的偏倚风险。
最初，我们识别出8461篇文章。经过纳入标准筛选后，23项研究被纳入本评价。我们共发现10种干预措施，其中“联合家庭”和“桥梁”有最多可用信息。总体而言，96%的研究证明其在解决拉丁裔青少年的MEB健康问题方面有效，即药物使用、酒精和烟草使用、危险性行为、品行障碍以及内化症状。大多数干预措施将改善亲子关系作为改善拉丁裔青少年MEB健康的主要机制。
我们的研究结果表明，家庭干预对拉丁裔青少年及其家庭可能有效。纳入诸如[此处原文缺失相关文化价值观内容]等文化价值观以及与拉丁裔经历相关的问题（如移民和文化适应）可能有助于实现改善拉丁裔社区MEB健康的长期目标。有必要开展未来研究，调查可能影响干预措施可接受性和有效性的不同文化因素。
