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Mental Health and Acculturation Among Latino Youth 6 Months After 9/11 Pamela Cespedes

Mental Health and Acculturation Among Latino Youth 6 Months After 9/11 Pamela Cespedes Gregorio Luperon H.S Mentor : Cristiane S. Duarte, PhD, MPH. Division of Child and Adolescent Psychiatry Columbia University. Background.

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Mental Health and Acculturation Among Latino Youth 6 Months After 9/11 Pamela Cespedes

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  1. Mental Health and Acculturation Among Latino Youth 6 Months After 9/11 Pamela Cespedes Gregorio Luperon H.S Mentor: Cristiane S. Duarte, PhD, MPH Division of Child and Adolescent Psychiatry Columbia University

  2. Background There is evidence that Latino populations, including children, are at higher risk of experiencing several health problems, such as: overweight, obesity, diabetes, asthma, caries, untreated disease, etc. Studies show that at least one in five children and adolescents have a mental health disorder. Drinking, smoking, poor birth outcome and illicit drug use have all been related to acculturation. The relationship between acculturation and illicit drug use has been observed in adults, pregnant women, and adolescents as well.

  3. Aim The purpose of this project is to determine if Latino youth’s acculturation to the American culture is related to mental health problems six months after the September 11, 2001 attack on the World Trade Center.

  4. Acculturation • Changes resulting from direct and continuous contact between individuals having different cultures. • Includes: • Language • Food choice • Dress • Music • Sports • Involves adopting, abandoning, and/or blending an individual’s original culture with that of the another society

  5. Hypothesis Higher acculturation level is related to more mental health problems

  6. Methods World Trade Center – Board of Education – New York City School study (Principal Investigator: Christina Hoven, DrPH) • Students enrolled in 94 public schools in NYC, interviewed 6 months after 9/11 (total N=8,236). • Grades 4 -12 • Ages 9 -21

  7. Data Analysis • Selection of a sub-sample: Students of Latino/Hispanic ethnicity • Development of an acculturation scale • Description and statistical analysis of the data • Sample • N=2,936 participants of the original study who self-identified as of Latino or Hispanic ethnicity.

  8. Measures • Acculturation scale • Any emotional disorders

  9. Questions asked about acculturation: • What language is mainly spoken in your home? • Can your mother speak English well? • Can your father speak English well?

  10. Acculturation Scale

  11. Results

  12. Results

  13. Results

  14. Results

  15. Chi-square test=0.30; p=0.9599 Results

  16. Discussion • Other factors would explain Latino youth emotional disorders after 9/11, such as level of exposure to the WTC attack. • The measurement of acculturation only included the language dimension. • Importance of studying ethnic disparities in health outcomes.

  17. References • Redfield R, Linton R, Herskovits MJ. R. American Anthropologist. 1936;38:149-152. • Lara M, Gamboa C, Kahramanian MI, Morales LS, Hayes Bautista DE. Acculturation and Latino Health in the United States: A Review of the Literature and its Sociopolitical Context. Annu. Rev. Public Health. 2005;26:367-397. • Vega WA, Kolody B, Aguilar-Gaxiola S, Alderete E, Catalano R, Caraveo-Anduaga J. Lifetime Prevalence of DSM-III-R Psychiatric Disorders Among Urban and Rural Mexican Americans in California. Arch Gen Psychiatry. 1998;55:771-778. • Hoven CW, Duarte CS, Lucas CP, Wu P, Mandell DJ, Goodwin RD, Cohen M, Balaban V, Woodruff BA, Bin F, Musa GJ, Mei L, Cantor PA, Aber JL, Cohen P, Susser E. Psychopathology Among New York City Public School Children 6 Months After September 11. Arch Gen Psychiatry. 2005;62:545-551. • Flores G, Fuentes-Afflick E, Barbot O, Carter-Pokras O, Claudio L, Lara M, McLaurin JA, Pachter L, Gomez FR, Mendoza F, Valdez RB, Villarruel AM, Zambrana RE, Greenberg R, Weitzman M. The Health of Latino Children Urgent Priorities, Unanswered Questions, and a Research Agenda. JAMA. 2002;288:82-90. • U.S. Department of Health and Human Services. (1999). Mental Health: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services.

  18. Acknowledgements • Cristiane S. Duarte, PhD, MPH • Christina W. Hoven, DrPH • Cleo N. Long • Fan Bin • Dr. Sat Bhattacharya • Harlem Children Society THANK YOU ALL!!!

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