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：歧视事件是青少年日常生活经历的一部分 颜色，但是我们几乎不知道歧视如何在皮肤下影响青少年健康。 尽管歧视（原始K01的重点）是青年生活中的明显压力源 19大流行，已经引入了青少年的日常生活中出乎意料的新压力源。 此外，健康和疾病中的鲜明不平等是由贫困和种族/族裔少数民族所燃烧的 美国的大流行揭露了美国，某些团体正在遇到歧视性 直接与大流行有关的治疗。因此，COVID-19大流行与歧视 由青少年在Covid-19的背景下和之外的青少年经历，可以启动或进一步 有助于与成人人群中观察到的种族/种族和社会阶层相关的健康差异。 青春期是研究这些压力过程的关键时机，因为社会认知能力识别 歧视性治疗在生命的第二个十年中出现，有效应对机制 与主要的生活压力源（例如与当前大流行有关的压力源）。我提出的竞争性修订目标 生物人口统计学以及共vid-19应力/应力影响的途径影响 青少年的健康和福祉。除了将共vid-19压力源整合到生物心理社会模型中 在我的原始K01（AIM 1）中测试，我为研究项目引入了两个新的主要目标，作为K01的一部分 竞争性修订：（1）记录Covid-19在影响日常生活的各个方面的程度 青少年和（2）研究Covid-19如何破坏幸福感的轨迹的程度。解决 这些新的研究目的是，我将利用大约/种族和种族的三波丰富的纵向数据浪潮 社会经济多样化的样本收集了大流行（每年从8年级到10年级），三个新的 大流行期（11年级和12年级）收集的数据收集波。这些数据将使我能够 记录Covid-19如何破坏轨迹和心理健康，身体健康和 学术界，这些干扰是暂时的（表示恢复）与持久的程度 更有可能康复，以及与他人（家庭，老师/学校，朋友）的关系如何 减轻干扰。除这些调查数据外，我将整合采访以深入研究Covid-19和 青少年在大流行期间和每日日记中的现场经历，以捕捉每天的方式 过程，社会互动和福祉受到19号压力源的影响。德克萨斯州放松社交 2020年5月1日疏远要求，没有达到适当的Covid-19测试的目标，因此 提供了一个重要的背景，以了解这种全球大流行如何损害青少年 实时轨迹。这将为那些设计和实施的人提供宝贵的信息 青少年在管理重大的生活压力和更大的社会历史事件时进行干预。