Biopsychosocial Pathways Linking Discrimination and Adolescent Health

连接歧视和青少年健康的生物心理社会途径

• 批准号: 10164064
• 负责人: Aprile Dawn Benner
• 金额: $ 7.13万
• 依托单位: UNIVERSITY OF TEXAS AT AUSTIN
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-08-01 至 2022-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10164064
• 关键词: Achievement; Address; Adolescence; Adolescent; Adult; Alcohol or Other Drugs use; Anxiety; Asian Americans; Attention; Buffers; COVID-19; COVID-19 pandemic; Case Study; Color; Data; Data Collection; Data Sources; Development; Discourse analysis; Discrimination; E-learning; Economics; Emotions; Encounter Groups; Ethnic Origin; Etiology; Event; Exposure to; Face; Family; Federal Government; Financial Hardship; Friends; Fright; Future; Goals; Growth; Health; Immigration; Infection; Influentials; Internet; Intervention; Interview; Investigation; Life; Life Experience; Linear Models; Link; Loneliness; Manuals; Mental Depression; Mental Health; Modeling; Motivation; Nature; Occupations; Parents; Pathway interactions; Personal Satisfaction; Phase; Policies; Population; Positioning Attribute; Process; Race; Reading; Recovery; Research; Research Project Grants; Rest; Risk; Sampling; School Teachers; Schools; Shelter facility; Skin; Sleep; Sleep disturbances; Social Class; Social Distance; Social Interaction; Social stratification; Stress; Surveys; System; Testing; Texas; Time; Uncertainty; Virus; Weather; Well in self; Youth; adolescent health; biodemography; biopsychosocial; burden of illness; cognitive ability; coping mechanism; design; diaries; eighth grade; eleventh grade; ethnic discrimination; ethnic minority population; experience; falls; health disparity; innovation; meetings; mortality; news; ninth grade; pandemic disease; peer; physical conditioning; prospective; racial and ethnic; resilience; social; social media; socioeconomics; stem; stress management; stressor; teacher; tenth grade; traumatic event; twelfth grade; violence perpetration

PROJECT SUMMARY: Incidents of discrimination are part of the everyday life experiences of adolescents of color, yet we know almost nothing about how discrimination gets under the skin to influence adolescent health. Although discrimination (the focus of the original K01) is a clear stressor in the lives of youth, with the COVID- 19 pandemic, an unexpected and potent new stressor has been introduced to adolescents’ daily lives. Moreover, the stark inequities in health and disease burden borne by the poor and racial/ethnic minorities in the U.S. have been laid bare by the COVID-19 pandemic, and certain groups are encountering discriminatory treatment tied directly to the pandemic. As such, the COVID-19 pandemic, along with the discrimination experienced by adolescents both within and outside the context of COVID-19, could initiate or further contribute to health disparities tied to race/ethnicity and social class observed in adult populations. Adolescence is a key time to study these stress processes since the social-cognitive ability to recognize discriminatory treatment emerges in the second decade of life, as do effective coping mechanisms for dealing with major life stressors, such as those tied to the current pandemic. My proposed competitive revision targets biodemography and the pathways by which COVID-19 stress/stressors influence developmental trajectories of adolescent health and well-being. In addition to integrating COVID-19 stressors into the biopsychosocial model tested in my original K01 (Aim 1), I introduce two new primary aims for my research project as part of the K01 competitive revision: (1) Document the extent to which COVID-19 is influencing all aspects of the daily lives of adolescents and (2) Examine the extent to which COVID-19 is disrupting trajectories of well-being. To address these new research aims, I will leverage three waves of rich longitudinal data from a racially/ethnically and socioeconomically diverse sample collected pre-pandemic (annually from 8th to 10th grades) with three new data collection waves collected during the pandemic (11th and 12th grade). These data will allow me to document how COVID-19 may be disrupting trajectories and psychological well-being, physical health, and academics, the extent to which these disruptions are temporary (denoting recovery) versus long-lasting, who is more likely to recover, and how relationships with important others (families, teachers/schools, friends) might mitigate disruptions. Along with these survey data, I will integrate interviews to delve deeply into COVID-19 and the lived experiences of adolescents during the pandemic as well as daily diaries to capture how daily processes, social interactions, and well-being are influenced by COVID-19 stressors. Texas relaxed social distancing requirements May 1, 2020 without reaching goals for adequate COVID-19 testing, and it thus provides an important backdrop for understanding how this global pandemic is compromising adolescents’ trajectories in real-time. This will provide invaluable information for those designing and implementing interventions for adolescents as they weather major life stressors and larger sociohistorical events.

项目摘要：歧视事件是#年青少年日常生活经验的一部分。 然而，我们对皮肤下的歧视是如何影响青少年健康的几乎一无所知。 尽管歧视(最初的K01的焦点)是年轻人生活中的一个明显的压力源，但有了COVID- 19大流行，一种意想不到的、强有力的新压力源被引入青少年的日常生活。 此外，#年穷人和种族/族裔少数群体在健康和疾病负担方面的严重不平等 美国因新冠肺炎疫情而暴露无遗，某些群体正面临歧视 治疗与大流行直接相关。正因如此，新冠肺炎的大流行与歧视一起 新冠肺炎内外的青少年所经历的，可以发起或进一步 导致在成年人中观察到的与种族/族裔和社会阶层有关的健康差距。 青春期是研究这些压力过程的关键时期，因为社会认知能力 歧视性待遇出现在人生的第二个十年，有效的应对机制也是如此 主要的生活压力来源，比如那些与当前大流行有关的压力。我建议的竞争修订目标 生物人口学和新冠肺炎应激/应激源影响儿童发育轨迹的途径 青春期健康和幸福。除了将新冠肺炎应激源整合到生物心理社会模型中 在我最初的K01(目标1)中进行了测试，作为K01的一部分，我为我的研究项目引入了两个新的主要目标 竞争性修订：(1)记录新冠肺炎正在影响人们日常生活的方方面面 和(2)研究新冠肺炎在多大程度上破坏了人们的幸福感轨迹。致信地址 这些新的研究目标，我将利用三波丰富的纵向数据，来自种族/民族和 大流行前收集的社会经济多样性样本(每年从8年级到10年级)，有三个新的 在大流行期间收集的数据收集波(11年级和12年级)。这些数据将使我能够 记录新冠肺炎可能如何扰乱轨迹和心理健康、身体健康，以及 学者们，这些中断的程度是暂时的(表示复苏)还是长期的，谁是 更有可能康复，以及与重要他人(家庭、教师/学校、朋友)的关系可能会如何 减少中断。与这些调查数据一起，我将结合采访深入钻研新冠肺炎和 青少年在大流行期间的生活经历以及记录日常生活的日记 过程、社交和幸福感都会受到新冠肺炎应激源的影响。德克萨斯州放松的社交 距离要求2020年5月1日，没有达到适当的新冠肺炎测试目标，因此 为了解这一全球流行病如何危及青少年的 实时的轨迹。这将为设计和实施人员提供宝贵的信息 在青少年经受住重大生活压力和更大的社会历史事件时，对他们进行干预。