US Immigration Policy Stressors and Latinx Youth Mental Health.

Importance: The youth mental health crisis is exacerbated for Latinx adolescents, a group whose families are targets of anti-immigrant rhetoric and policy. Objective: To investigate how immigration-related stressors are associated with disruptions in parent-child relationships and, in turn, the mental health symptoms of Latinx adolescents. Design, Setting, and Participants: Data for this prospective cohort study of adolescent-mother dyads were derived from surveys completed at 3 time points spanning 4 years (time 1 [T1] in 2018, time 2 [T2] in 2020, and time 3 [T3] in 2022). Mediation analyses estimated paths from immigration-related stressors to parent-child relationship qualities to mental health symptoms from early to late adolescence. Multivariable and multivariate linear models within a structural equation modeling framework regressed mediators and outcome variables on their own T1 values, offering a scientifically rigorous test of mediation. The setting was a school district in suburban Atlanta, Georgia, and included Latinx adolescents (ages 11-16 years) randomly selected from grade and gender strata. Data were analyzed from June 2023 to March 2024. Exposures: The primary independent variables were T1 mother reports of anti-immigrant worry and behavioral modification and adolescent reports of family member detention or deportation. Mediating variables were the reports of parental support and parent-child conflict of T2 adolescents. Main Outcomes and Measures: T3 adolescent reports of past 6-month internalizing and externalizing symptoms. Results: A total of 547 Latinx adolescents (mean [SD] age, 13.3 [1.0] years; 303 female [55.4%]; 244 male [44.6%]) were included in this study. Response rates were 65.2% (547 of 839) among contacted parents and 95.3% (547 of 574) among contacted adolescents with parental permission. Four-year retention rates were 67% (366 of 547 adolescents) and 65% (177 of 271 mothers). Structural model results showed that T1 anti-immigrant worry and behavioral modification was associated with T3 increases in externalizing symptoms indirectly through T1 to T2 increases in parent-child conflict (ß = 0.03; SE = 0.02; 95% CI, 0-0.08). For girls, T1 family member deportation or detention was associated with T1 to T3 increases in internalizing and externalizing symptoms indirectly through T1 to T2 declines in parental support (internalizing: ß = 0.04; SE = 0.02; 95% CI, 0-0.08; externalizing: ß = 0.03; SE = 0.02; 95% CI, 0-0.07). Sensitivity analyses supported structural model findings. Conclusion and Relevance: Results of this cohort study suggest that legislative bodies, the health care system, and educational institutions should implement safeguards to mitigate potential harm conferred by anti-immigrant environments for parent-child relationships and, in turn, Latinx adolescents' mental health.

Typologies of cultural stressors and assets: Exploring differential associations with prosocial behaviors and depressive symptoms among Latino/a young adults.

OBJECTIVES: Scholars have demonstrated the consequences of cultural stressors on Latino/a adolescents' depressive symptoms and prosocial behaviors. However, there is little understanding of how different combinations of cultural stressors and assets might differentially relate to depressive symptoms and prosocial behaviors, particularly in young adulthood. This study used latent profile analysis to identify varying levels of cultural stressors (foreigner objectification and U.S. marginalization) and assets (family respect values and ethnic identity commitment) among Latino/a young adults. We then examined how profiles differentially relate to three forms of prosocial behaviors (care-based, altruistic, and public) and depressive symptoms. METHOD: Data derived from a national convenience sample of 1,288 U.S. Latino/a 18-21-year olds who completed a survey. Most were born in the United States (85%) and identified as women (72%). RESULTS: Latent profile analysis revealed three profiles: (1) low cultural stressors/moderate cultural assets, (2) moderate cultural stressors and assets, and (3) high cultural stressors and assets. Profile 3 reported higher care-based prosocial behaviors compared to those with Profile 1; yet, those with Profile 1 had higher care-based prosocial behaviors compared to those with Profile 2. For altruistic and public prosocial behaviors, Profile 1 had higher and lower scores, respectively, compared to the other two profiles. Profile 1 showed lower scores for depressive symptoms compared to the other two profiles. CONCLUSIONS: Results indicate a nuanced interrelated pattern of cultural stressors and assets that vary and differentially relate to prosocial behaviors and depressive symptoms in Latino/a young adults. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The Mediating Role of Home-School Dissonance in Linking Maternal Discrimination to Latin American-Origin Adolescent Academic Performance.

Latin American-origin parents play an important role in supporting the formal education of their youth, but cultural, linguistic, and systemic barriers make parent involvement difficult. The aim of the present study was to examine how Latina mothers' experiences with discrimination were associated with short-term changes in their adolescent children's academic performance, directly and indirectly through mothers' appraisal of home-school dissonance. Data were drawn from an ongoing longitudinal study of 547 mother-youth dyads in suburban Atlanta. Results showed a significant indirect relationship between mothers' experiences of discrimination and declines in adolescents' grade point average by way of increased home-school dissonance. Thus, Latina mothers' discriminatory experiences may have spillover effects on adolescent academic achievement through increasing proximal barriers to parent involvement.

A longitudinal test of acculturative family distancing theory explaining latino/a/x adolescents' adjustment.

According to acculturative family distancing theory, adolescents' perceptions of cultural incongruencies with parents can diminish the quality of parent-adolescent relationships and, as a result, harm adolescent adjustment. Using four time points of data for a sample of 547 diverse Latino/a/x adolescents, this study examined how parent-adolescent relationship quality and acculturative family distancing were associated with changes in adolescent school performance and internalizing symptoms. At baseline, the school-based sample ranged from 11- to 14-years-old (M = 12.78) and included slightly more females (55%) than males (45%). Cross-lagged structural equation model results indicated that adolescent reports of greater acculturative family distancing were associated with adolescent perceived increases in parent-adolescent conflict and decreases in parental support. Conflict mediated associations between acculturative family distancing and decreased school performance. Associations between parent-child relationship qualities and Latino/a/x adolescent adjustment were bidirectional.

Identifying Research Priorities among Patients and Families of Children with Rheumatic Diseases Living in the United States.

OBJECTIVE: To improve the quality and participation in pediatric rheumatology research, patient-prioritized studies should be emphasized. We collaborated with United States-based pediatric rheumatology advocacy organizations to survey patients and caregivers of children with rheumatic diseases to identify what research topics were most important to them. METHODS: We conducted Web-based surveys and focus groups (FG) of patients and caregivers of children with juvenile myositis (JM), juvenile arthritis (JA), and childhood-onset systemic lupus erythematosus (cSLE). Surveys were emailed to listservs and posted to social media sites of JM, JA, and cSLE patient advocacy organizations. An initial survey asked open-ended questions about patient/caregiver research preferences. Responses were further characterized through FG. A final ranking survey asked respondents to rank from a list of research themes the 7 most important to them. RESULTS: There were 365 JM respondents, 44 JA respondents, and 32 cSLE respondents to the final ranking survey. The top research priority for JM was finding new treatments, and for JA and cSLE, the priority was understanding genetic/environmental etiology. The 3 prioritized research themes common across all disease groups were medication side effects, disease flare, and disease etiology. CONCLUSION: Patient-centered research prioritization is recognized as valuable in conducting high-quality research, yet there is a paucity of data describing patient/family preferences, especially in pediatrics. We used multimodal methodologies to assess current patient/caregiver research priorities to help frame the agenda for the pediatric rheumatology research community. Patients and caregivers from all surveyed disease groups prioritized the study of medication side effects, disease flares, and disease etiology.

Family Strengths and Latinx Youth Externalizing Behavior: Modifying Impacts of an Adverse Immigration Environment.

In recent years, the federal administration has ramped up efforts to curb and enforce immigration laws, in essence redefining how immigration, particularly in the Latinx population, is viewed and dealt with in the United States. The aim of the present study was to examine Latinx family strengths in relation to youth externalizing behavior, considering the modifying impacts of the current anti-immigration environment. Data were drawn from a study of 547 mother-adolescent dyads. Adolescents were 12.80 years old (SD = 1.03) on average and 55% female; 88% were U.S. born. Adolescents completed measures of family strengths, including parental behavioral control, parental support, and respeto. They also reported on their own externalizing behavior. Mothers completed a measure of their affective and behavioral responses to immigration actions and news. Results showed that in families of mothers who reported adverse responses to the immigration context, parental behavioral control, parental support (boys only), and respeto were more strongly related to youth behavior. Results align with the family compensatory effects model, in which strengths at the family level help to offset adversities outside the home. Discussion focuses on ways to support families in establishing and maintaining high levels of protective processes and on the need to challenge anti-immigration rhetoric, practices, and policies that undermine healthy youth development in the Latinx population.

En años recientes, la administración federal ha cambiado las leyes de inmigración, en efecto creando e intensificando un contexto antiinmigratorio para los Latinos en los EEUU. El proposito de este estudio fue la investigación de los procesos familiares en relación al comportamiento de adolescentes, tomando en cuenta los efectos del contexto de inmigración. Utilizamos datos de 547 madres e hijos. Los adolescentes tenian un promedio de 12.80 años (SD = 1.03), 55% eran hembra, y 88% nacieron en los EEUU. Los adolescentes reportaron sobre los procesos familiares (control, apoyo y respeto) y su propio comportamiento. Las madres reportaron sobre los efectos del contexto de inmigración. Segun los resultados, los efectos del contexto de inmigración, el control de madres, el apoyo hacia los hijos (solo para varones), y el respeto fueron relacionados con el comportamiento de los adolescentes. Los resultados muestran que las caracteristicas familiares ayudan a los adolescentes a superar la adversidad. Es importante apoyar a los padres Latinos a establecer y mantener procesos familiares que protejen sus hijos. A la vez, es importante desafiar la retórica, las practicas y las leyes antiinmigratorias que debilitan la salud de los adolescentes.