权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Neighborhoods, Sexual Orientation, Race/Ethnicity & Smoking Across the Adult Lifespan: A Multilevel Intersectional Assessment

社区、性取向、种族/民族

基本信息

批准号：
10320479
负责人：
Kasim S. Ortiz
金额：
$ 6.46万
依托单位：
UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-01-01 至 2022-10-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10320479
关键词：
Adult Advertisements Age Aging Attention Behavior Black race Buffers Censuses Cessation of life Clinical Collaborations Consult Correlation Studies Coupled Data Data Set Dementia Disease Ethnic Origin Exhibits Funding Gender General Population Health Health Expenditures Health Promotion Health Status Health behavior Heterogeneity Heterosexuals Household Individual Institute of Medicine (U.S.)Intervention Knowledge Latino Lesbian Gay Bisexual Transgender Life Expectancy Link Longevity Measures Mediating Methodology Modeling National Institute on Aging Neighborhoods Nerve Degeneration Older Population Pathway interactions Pattern Persons Population Prevalence Process Production Quality of life Race Reporting Research Research Design Research Personnel Role Same-sex Sampling Sex Orientation Sexual and Gender Minorities Sexuality Shapes Smoking Smoking Behavior Social Conditions Social Justice Social Network Social Processes Stigmatization Techniques Training United States Variant Woman age group aged attributable mortality base cigarette smoking cognitive function cohort ethnic difference ethnic identity gender minority health data health disparity health equity promotion healthy aging individual variation interest invention men mortality multilevel analysis multiple data sources neighborhood disadvantage novel perceived discrimination preventable death productivity loss public health relevance racial and ethnic residential segregation resilience sexual minority sexual minority group social social determinants tobacco exposure trend

项目摘要

Abstract/Project Summary Recent estimates indicate that 11.3 million adults in the United States identify as sexual and/or gender minorities (SGMs) and of these 2.3 million are aged 50 and older. Demographic estimates also indicate that the proportion of the U.S. populous identifying as older sexual and gender minorities will exponentially grow by 2030, with projections indicating roughly 6.0 million adults aged 50 and older will identify as sexual and gender minorities. Cigarette smoking represents one of the most deleterious health behaviors that shapes a multitude of health disease processes, including dementias, neurodegenerative cognitive functioning, and overall increasing mortality that jeopardizes longevity and quality of life for aging populations. Across the adult lifespan, sexual minorities exhibit elevated rates of smoking compared to their heterosexual counterparts, with neighborhood contexts increasingly shaping smoking behaviors. Inconclusive evidence suggests concentrations of older SMs in residential neighborhoods may boost social networks enhancing resiliency, conversely buffering against experiences of discrimination. Yet, most research on SGM older populations has not thoroughly considered neighborhood contexts in shaping smoking behaviors across the adult lifespan; particular racial/ethnic variations. This project fills this gap with three aims. The first aim will focus on constructing a novel measure of age-specific patterns of residential segregation among sexual minority populations, residing in a gayborhood or not, using Census data and social demographic techniques. This will help identify racial/ethnic variations among sexual minorities across the adult lifespan with respect to residential configurations in urban centers. The second aim will focus on documenting cohort-specific racial/ethnic variations, among sexual minorities, in neighborhood disadvantage drawing upon Census data. The third aim will combine contextual data with individual-level health data form two national samples of adult sexual minorities (aged 18-90) to employ inventive intersectional multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA). Evidence derived from this study is necessary to identify key stages across the adult lifespan to minimize smoking behaviors among persons with multiple stigmatized identities; evidence to inform optimizing clinical and/or population-level interventions aimed at eliminating the deleterious impacts of cigarette smoking. Building upon strong training in aging health-related research, enhancing feasibility, the proposed study will contribute knowledge on populations understudied in aging focused disparities research. Moreover, the novel measure of residential segregation will appeal to the cadre of investigators interested in assessing the mediating influence of neighborhood contexts in compromising healthy aging trajectories.

摘要/项目摘要最近的估计表明，美国有1130万成年人认为自己是性和/或性别歧视者。少数民族（SGM），其中230万人年龄在50岁及以上。人口估计数还表明，到2030年，美国人口中被认定为老年性和性别少数群体的比例将呈指数级增长，预计约有600万50岁及以上的成年人将被认为是性和性别少数群体吸烟是最有害健康的行为之一，健康疾病过程，包括痴呆，神经退行性认知功能，死亡率增加，危及老龄人口的寿命和生活质量。在成年人的一生中，与异性恋者相比，性少数群体的吸烟率更高，邻里环境越来越多地塑造吸烟行为。不确定的证据表明居民区中的老年SM可能会促进社交网络增强弹性，相反，反对歧视的经历。然而，大多数关于SGM老年人群的研究并不彻底，考虑到邻里环境在塑造吸烟行为在整个成人寿命;特别是种族/民族差异。该项目通过三个目标填补了这一空白。第一个目标将集中在构建一个小说性少数群体人口中按年龄分列的居住隔离模式，无论是否是同性恋，使用人口普查数据和社会人口统计技术。这将有助于确定种族/民族性少数群体在整个成年期内与城市住宅配置有关的变化中心.第二个目标将侧重于记录特定群体的种族/族裔差异，根据人口普查数据，少数民族处于社区劣势。第三个目标是将联合收割机的背景数据与个人层面的健康数据，形成两个国家样本的成年性少数群体（18-90岁），以雇用个体异质性和判别准确性的创造性交叉多水平分析（MAIHDA）。从这项研究中获得的证据对于确定成年人生命周期的关键阶段是必要的，具有多重污名化身份者的吸烟行为;为优化临床提供信息的证据和/或旨在消除吸烟有害影响的人口干预措施。建筑经过在老龄化健康相关研究方面的强有力培训，提高了可行性，拟议的研究将有助于在以老龄化为重点的差距研究中，对人口的了解不足。此外，居住隔离将吸引有兴趣评估中介影响的调查人员邻里环境的影响，损害健康的老龄化轨迹。