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Yearly and Daily Discrimination-Related Stressors and Mexican Youth's Mental Health and Sleep: Insights From the First Wave of a Three-Wave Family Study.
Alegría, Margarita; Cruz-Gonzalez, Mario; Yip, Tiffany; Wang, Lijuan; Park, Irene J K; Fukuda, Marie; Valentino, Kristin; Giraldo-Santiago, Natalia; Zhen-Duan, Jenny; Alvarez, Kiara; Barrutia, Ximena A; Shrout, Patrick E.
Afiliação
  • Alegría M; Massachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts. Electronic address: malegria@mgh.harvard.edu.
  • Cruz-Gonzalez M; Massachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.
  • Yip T; Fordham University, Bronx, New York.
  • Wang L; University of Notre Dame, Notre Dame, Indiana.
  • Park IJK; Indiana University School of Medicine-South Bend, South Bend, Indiana.
  • Fukuda M; Massachusetts General Hospital, Boston, Massachusetts.
  • Valentino K; University of Notre Dame, Notre Dame, Indiana.
  • Giraldo-Santiago N; Massachusetts General Hospital, Boston, Massachusetts.
  • Zhen-Duan J; Massachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.
  • Alvarez K; Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
  • Barrutia XA; Massachusetts General Hospital, Boston, Massachusetts.
  • Shrout PE; New York University, New York, New York.
Article em En | MEDLINE | ID: mdl-38367767
ABSTRACT

OBJECTIVE:

Research is needed to examine discrimination-related stressors and their social and psychological shaping of mental health and sleep outcomes of Latinx youth. The background, design, and methodology of a longitudinal study of Mexican families in Indiana and the initial findings of associations between discrimination-related stressors and youth mental health and sleep outcomes are presented.

METHOD:

Initiating wave 1 of a 3-wave (yearly) longitudinal study, investigators surveyed an ethnically homogeneous sample of 344 Mexican-origin adolescents (ages 12-15) and their primary caregivers, assessing risks and protective factors for mental health and sleep outcomes. Youth also completed a one-time 21-day daily diary after wave 1. Self-reported measures of youth mental health, sleep, and discrimination across wave 1 and the daily diary were evaluated to compare the cross-sectional (wave 1) and daily associations between discrimination and youth mental health and sleep outcomes.

RESULTS:

Of youth, 88.1% reported at least one incident of lifetime discrimination. Almost one-third had elevated depressive symptoms, 44.5% had probable generalized anxiety disorder, and 50.9% had poor sleep quality. Between-youth correlations at wave 1 and in the daily diary were consistent in that perceived racial discrimination was positively correlated with worse mental health and poorer sleep quality. Smaller within-youth correlations were observed in the daily diary, but there was striking variability in the effect of discrimination across youth.

CONCLUSION:

The present results illustrate the powerful methods of combining yearly and daily time data to investigate how and for whom discrimination-related stressors lead to adverse outcomes. DIVERSITY & INCLUSION STATEMENT We worked to ensure that the study questionnaires were prepared in an inclusive way. One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented racial and/or ethnic groups in science. One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented sexual and/or gender groups in science. We actively worked to promote inclusion of historically underrepresented racial and/or ethnic groups in science in our author group. While citing references scientifically relevant for this work, we also actively worked to promote inclusion of historically underrepresented racial and/or ethnic groups in science in our reference list. CLINICAL TRIAL REGISTRATION INFORMATION Seguimos Avanzando - Latino Youth Coping With Discrimination; https//clinicaltrials.gov/; NCT04875208.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE País/Região como assunto: Mexico Idioma: En Revista: J Am Acad Child Adolesc Psychiatry Assunto da revista: PEDIATRIA / PSIQUIATRIA Ano de publicação: 2024 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE País/Região como assunto: Mexico Idioma: En Revista: J Am Acad Child Adolesc Psychiatry Assunto da revista: PEDIATRIA / PSIQUIATRIA Ano de publicação: 2024 Tipo de documento: Article País de publicação: Estados Unidos