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Kicks Hurt Less: Discrimination Predicts Distress Beyond Trauma Among Undocumented Mexican Immigrants

机译:踢较少:歧视预测无证件墨西哥移民超越创伤的困扰

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Objective: This study aimed to assess for the prevalence of interpersonal discrimination among undocumented Mexican immigrants residing in high-risk neighborhoods near the California-Mexico border, identify relevant vulnerabilities, and determine its association with clinically significant psychological distress after controlling for sociodemographics, immigration characteristics, and history of trauma. Method: Respondent-driven sampling was used in this cross-sectional study to collect and analyze data from clinical interviews with 246 undocumented Mexican immigrants. The 53-item Brief Symptom Inventory was used as the primary outcome measure to assess for clinically significant psychological distress. For all analyses, inferential statistics accounted for design effects and sample weights to produce weighted estimates. Logistic regression was used in the multivariate analyses. Results: In all, 69% of the participants reported interpersonal discrimination due to being undocumented with significant differences observed across sex, educational attainment, and income. Among participants with a history of interpersonal discrimination due to their undocumented status, 52% met criteria for clinically significant psychological distress with significant differences observed across age groups, years living in the United States, and history of trauma. After controlling for relevant covariates, having experienced interpersonal discrimination due to being undocumented was the strongest significant predictor of clinically significant psychological distress, odds ratio = 5.47, 95% confidence interval [2.56, 11.7], p < .001, even beyond history of trauma. Conclusion: Overall, our findings emphasize the need for policies, advocacy, and the development and provision of contextually sensitive interventions to address the high prevalence of interpersonal discrimination and its negative health effects among undocumented Mexican immigrants.
机译:目的:本研究旨在评估居住在加利福尼亚 - 墨西哥边境附近的高风险社区中的无证件墨西哥移民之间的人际歧视率,确定相关漏洞,并确定其与临床上严重的心理困扰相关的社会人工特征,移民特征,移民特征,移民特征,和创伤历史。方法:在这项横断面研究中使用了受访者驱动的抽样,以收集和分析246名无证件墨西哥移民的临床访谈中的数据。 53项简介症状清单被用作评估临床上重要心理困扰的主要结果指标。对于所有分析,推论统计数据涉及设计效果和样品权重以产生加权估计值。逻辑回归用于多元分析。结果:总共有69%的参与者报告了人际歧视,原因是在性别,教育程度和收入中观察到的显着差异。在由于其无证地位而具有人际歧视史的参与者中,有52%的参与者符合临床上重要的心理困扰标准,并且在整个年龄段,居住在美国的年龄段和创伤史上都观察到了显着差异。在控制了相关的协变量之后,由于未记录了未记录,经历了人际关系歧视是临床上意义上的心理困扰的最重要预测指标,优势比= 5.47,95%的置信区间[2.56,11.7],P <.001,甚至超出了创伤史。 。结论:总的来说,我们的发现强调了对政策,倡导以及对上下文敏感的干预措施的发展和提供,以解决人际关系歧视的高流行及其对无证件墨西哥移民的负面影响。

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