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社会政治和创伤知情的公共卫生实践与拉丁裔家庭:概念框架和最佳实践。

Sociopolitically and Trauma-Informed Public Health Practice With Latinx Families: Conceptual Framework and Best Practices.

机构信息

Carmen R. Valdez is with the Department of Population Health, Dell Medical School, and the Steve Hicks School of Social Work, University of Texas, Austin. Kalina M. Brabeck is with the Department of Counseling, Educational Leadership and School Psychology, Rhode Island College, Providence. R. Gabriela Barajas-Gonzalez is with the Department of Population Health, Grossman School of Medicine, New York University, New York, NY. Cecilia Ayón is with the School of Public Policy, University of California, Riverside. Lisseth Rojas-Flores is with the School of Psychology and Marriage & Family Therapy, Fuller Theological Seminary, Pasadena, CA.

出版信息

Am J Public Health. 2024 Jul;114(S6):S485-S494. doi: 10.2105/AJPH.2024.307589.

Abstract

Public health practitioners working with Latinx families in the United States must consider the historical contexts of colonization and slavery that have created conditions of violence, displacement, and social and economic marginalization throughout Latin America. Although shared experiences of colonization, dispossession, and migration affect all Latinxs, diverse national histories and sociopolitical contexts, migration patterns, and intersecting identities (e.g., gender, social class, race) complicate efforts to develop a uniform approach to this heterogeneous population. We provide a critical analysis of (1) how past experiences contribute to collective trauma and motivate migration, and (2) how these experiences are replicated in the United States through immigration-related adversities that deprive and threaten children and families through marginalization, fear of detention and deportation, and family separation brought on by a parent's deportation. This knowledge is imperative to advance research, practice, and policymaking with US Latinx populations. We provide best practice recommendations for a sociopolitically and trauma- informed public health workforce interfacing with Latinxs in the United States. (. 2024;114(S6):S485-S494. https://doi.org/10.2105/AJPH.2024.307589) [Formula: see text].

摘要

美国从事拉丁裔家庭公共卫生工作的人员必须考虑到殖民主义和奴隶制的历史背景,这些历史背景导致拉丁美洲各地出现暴力、流离失所以及社会和经济边缘化的状况。尽管殖民、剥夺和移民的共同经历影响着所有拉丁裔人,但不同的民族历史、社会政治背景、移民模式以及相互交织的身份(例如性别、社会阶层、种族)使为这个多样化的人群制定统一方法的工作变得复杂。我们对(1)过去的经历如何导致集体创伤并促使移民,以及(2)这些经历如何通过与移民相关的逆境在美国复制,这些逆境通过边缘化、对拘留和驱逐的恐惧以及父母被驱逐带来的家庭分离,使儿童和家庭失去和受到威胁进行了批判性分析。这些知识对于推进与美国拉丁裔人群的研究、实践和政策制定至关重要。我们为与美国拉丁裔人群互动的具有社会政治意识和创伤意识的公共卫生工作者提供了最佳实践建议。(。2024 年;114(S6):S485-S494. https://doi.org/10.2105/AJPH.2024.307589)

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