Racialization and Cardiovascular Risk Factors among Latinos - An Intersectional Approach

拉丁美洲人的种族化和心血管危险因素 - 交叉方法

• 批准号: 10349849
• 负责人: Deshira Damilka Wallace
• 金额: $ 16.08万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-02-01 至 2027-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10349849
• 关键词: Accent; Acculturation; Address; Adult; Affect; Asian; Behavior; Behavioral; Belief; Biological Factors; Biological Markers; Biological Sciences; Black race; Boston; Cardiovascular Diseases; Cardiovascular system; Censuses; Cessation of life; Characteristics; Chronic; Cohort Studies; Complement; Country; Data; Data Collection; Development; Development Plans; Diet; Dimensions; Discrimination; Disease Progression; Doctor of Philosophy; Education; Employment; Equation; Ethnic Origin; Ethnic group; Evolution; Factor Analysis; Faculty; Focus Groups; Generations; Glucose; Goals; Growth; Health; Heart Diseases; Hypertension; Income; Individual; Intervention; Interview; K-Series Research Career Programs; Language; Latino; Latino Population; Measurement; Measures; Mentors; Methods; Modeling; National Heart, Lung, and Blood Institute; Non-Insulin-Dependent Diabetes Mellitus; North Carolina; Obesity; Outcome; Pattern; Perception; Plant Roots; Play; Population; Population Heterogeneity; Positioning Attribute; Prevalence; Prevention strategy; Process; Psychosocial Factor; Psychosocial Stress; Public Health; Puerto Rican; Qualitative Methods; Race; Religion; Reporting; Research; Research Design; Research Methodology; Research Personnel; Research Proposals; Research Training; Resources; Risk; Risk Factors; Role; Skin; Social Sciences; Sociology; Stigmatization; Stratification; Stress; Subgroup; Surveys; Techniques; Time; Training; United States; United States National Institutes of Health; Universities; Woman; Writing; base; cardiovascular health; cardiovascular risk factor; career development; cost estimate; design; disease disparity; epidemiologic data; epidemiology study; experience; health difference; health inequalities; heart disease risk; improved; interest; intersectionality; longitudinal analysis; multi-racial; novel; protective factors; racial and ethnic; racial difference; racial diversity; research study; skills; skin color; social epidemiology; social exclusion; social factors; theories; treatment strategy

PROJECT SUMMARY/ABSTRACT The goal of this application for the NHLBI K01 Faculty Diversity Mentored Career Development award is to provide Deshira Wallace, MSPH, PhD, with the essential training to become an independent researcher in cardiovascular health and health inequities affecting minoritized populations, specifically Black Latinos. Dr. Wallace puts forth a comprehensive research proposal and career development plan integrating training in and application of theories of racialization and intersectionality, social epidemiology, cardiovascular health, and advanced quantitative and qualitative methods. Cardiovascular disease (CVD) is highly prevalent among Latinos living in the United States (US). Studies have shown that CVD prevalence varies by Latino subgroup, and these within-group disparities may be driven by different exposures due to varying identities. For example, studies have established that within-group CVD disparities exist for Latinos by country of origin, nativity, and years residing in the US. However, there is limited research on subgroup analysis according to how Latinos are racialized in the US, despite Latinos simultaneously embodying both a race and ethnicity (intersectionality). Racialization is the process by which race is understood by and ascribed to an individual. To examine the racialized experiences of Latinos, the specific aims are to (1) Explore racialization experiences of Black Latinos in the US; (2) Construct a multi-item racialization variable; and (3) Compare trajectories of cardiovascular risk scores over time among Latinos to assess differences by racialization. Aim 1 will use in-depth interviews and focus groups to understand individual and collective beliefs and perceptions of factors influencing how Black Latino adults experience racialization in the US. Data collection will occur in North Carolina. Aim 2 (factor analysis) and Aim 3 (mixture models) will use data from the Boston Puerto Rican Health Study. To complement the scope of the proposed research study, the proposal includes four career-development and training goals: (1) Deepen theoretical understanding of intersectionality and racialization and apply them to qualitative and quantitative research methods; (2) Develop quantitative skills in latent class and mixture modeling analysis of longitudinal, epidemiological data; (3) Integrate social and biological science approaches to address causal factors that influence cardiovascular health; and (4) Strengthen scientific writing and grantsmanship skills. The proposed K01 supports the NHLBI’s focus on investigating factors that account for differences in health among populations. Findings from the proposed research will impact public health by using an intersectional approach to provide novel information about experiences of racialization and their impact on cardiovascular health among Black Latinos to inform tailored prevention and treatment strategies. This project will be carried out at the University of North Carolina at Chapel Hill, which offers exceptional resources and mentoring to train Dr. Wallace to execute the proposed K01; it also provides resources to augment faculty diversity to successfully transition as an independent researcher.

项目总结/摘要 本申请的目标为NHLBI K 01教师多样性指导职业发展奖是 提供Deshira Wallace，MSPH，博士，与必要的培训，成为一个独立的研究人员， 心血管健康和健康不平等影响少数群体，特别是拉丁美洲黑人。博士 华莱士提出了一个全面的研究建议和职业发展计划， 种族化和交叉性理论的应用，社会流行病学，心血管健康， 先进的定量和定性方法。心血管疾病（CVD）在以下人群中高度流行： 生活在美国的拉丁美洲人（US）。研究表明，心血管疾病的患病率因拉丁美洲亚组而异， 而这些群体内的差异可能是由于不同的身份造成的不同暴露所驱动的。比如说， 研究已经确定，拉丁美洲人在原籍国、出生地和性别方面存在组内CVD差异。 多年居住在美国。然而，根据拉丁美洲人如何进行亚组分析的研究有限。 种族化在美国，尽管拉丁美洲人同时体现了种族和民族（交叉性）。 种族化是种族被个人理解和归因于个人的过程。审查 拉丁裔的种族化经历，具体目的是（1）探讨拉丁裔黑人的种族化经历 （2）构建多项种族化变量;（3）比较心血管风险的轨迹 分数随着时间的推移在拉丁美洲人之间评估种族化的差异。目标1将使用深入访谈， 焦点小组，以了解个人和集体的信念和看法的因素，影响如何黑人 拉丁裔成年人在美国经历种族化。数据收集将在北卡罗来纳州进行。目标2（因素 目标3（混合模型）将使用波士顿波多黎各健康研究的数据。以补充 拟议研究的范围，建议包括四个职业发展和培训目标： (1)加深对交叉性和种族化的理论理解，并将其应用于定性和定量分析， 定量研究方法;（2）发展潜在类和混合建模分析的定量技能， 纵向流行病学数据;（3）整合社会和生物科学方法，以解决因果关系 影响心血管健康的因素;（4）加强科学写作和写作技巧。的 拟议的K 01支持NHLBI的重点调查因素，占健康的差异， 人口。拟议研究的结果将通过使用交叉方法影响公共卫生 提供关于种族化经历及其对心血管健康影响的新信息 在拉丁裔黑人中开展宣传，为量身定制的预防和治疗战略提供信息。该项目将在 位于查佩尔山的北卡罗来纳州大学提供了特殊的资源和指导，以培养博士。 华莱士执行拟议的K 01;它还提供资源，以增加教师的多样性，成功地 作为一名独立的研究人员。