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Population-Specific Eating Disorder Risk Factors in Sexual Minority Women

性少数女性特定人群饮食失调的危险因素

基本信息

批准号：
10470306
负责人：
Melissa Simone
金额：
$ 12.26万
依托单位：
UNIVERSITY OF MINNESOTA
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：
2021-08-16 至 2023-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10470306
关键词：
Affect Age Appearance Award Behavior Behavior Disorders Case-Control Studies Communities Data Data Collection Data Set Discrimination Eating Disorders Ecological momentary assessment Emotions Environmental Risk Factor Ethnic Origin Event Foundations Funding Goals Guidelines Health Health Disparities Research Heterogeneity Heterosexuals Homophobia Individual Intervention Knowledge Lesbian Link Literature Measures Mental Health Mental disorders Mentors Mentorship Methods Minority Modeling Outcome Pathway interactions Pattern Phase Population Population Surveillance Positioning Attribute Prevention Prevention Guidelines Process Property Protocols documentation Psychometrics Race Reduce health disparities Research Research Methodology Research Personnel Resource-limited setting Resources Risk Risk Behaviors Risk Factors Role Sampling Secure Sex Behavior Sexual and Gender Minorities Shapes Social support Stress Structure Subgroup Symptoms Testing Thinking Time Training United States National Institutes of Health Woman base career career development case control clinical development cognitive interview community engaged research decision research design diaries disorder prevention disorder risk ethnic diversity ethnic identity experience gender minority group health equity high risk improved innovation member minority stress mortality multidisciplinary novel peer perceived discrimination pressure prevent programs queer racial and ethnic racial diversity racial identity reduced food intake research study response sexual identity sexual minority sexual minority community sexual minority group sexual minority health sexual minority men sexual minority women social social culture social factors stressor tool treatment guidelines young adult

项目摘要

PROJECT SUMMARY Eating disorders have the highest mortality rate of all psychiatric illnesses and profound health consequences for those affected. Relative to their heterosexual peers, sexual minority women are at heightened risk of developing an eating disorder, yet little is known about the risk factors contributing to this disparity. The overarching goal of this Pathway to Independence Award is to gain advanced training and mentorship required to launch Dr. Simone's career as an independent investigator who rigorously investigates the mechanisms contributing to disparities in sexual minority populations. To achieve this goal, a multifaceted training plan including coursework, training, mentorship, and research is proposed in: (1) community-based and community- engaged research, (2) mixed-methods design and analysis, and (3) sexual minority health equity research. The knowledge derived from this training plan will prepare Dr. Simone to execute the proposed research, including three research aims and two data collection efforts. During the K99 phase, a mixed-methods case-control study will gain a broad scope of population-specific eating disorder risk factors in sexual minority women (Aim 1) through rich quantitative assessments about eating disorder symptoms, sociocultural pressures and minority stress, and video diaries that capture the response to discrimination, social pressure, and eating disorder episodes in real time. The results from Aim 1 and the community stakeholder advisory board (n=6) will inform the scope of the subsequent research. A well-known limitation of health disparity research is a lack of validated measures for use with minority samples. In line with NIH priorities, during the R00 phase, a population-specific measure of eating disorder risk factors will be developed (Aim 2) with guidance from the community advisory board and pertinent themes from Aim 1. Cognitive interviews with 30 sexual minority women will elucidate the content validity of each item. The psychometric properties of the scale will be derived from the Aim 3 sample. Finally, the temporality of associations between population-specific risk factors and eating disorder behaviors and the extent to which such relations differ by sexual identity (e.g., queer, lesbian), race, and ethnicity (Aim 3) by employing a daily process ecological momentary assessment in a case-control study. The proposed novel mixed-methods research will elucidate population-specific eating disorder risk factors in an understudied population, sexual minority women. Identification of population-specific risk factors and their associations with eating disorder symptoms in racially and ethnically diverse sexual minority women will produce guidelines for community programs and intervention efforts to rectify disparities, and the proposed measure will enhance surveillance of population-specific eating disorder risk and advance future research of such mechanisms. This award will launch the PI's independence by laying a foundation for a career in innovative multi-method research that may be applied to additional mental health outcomes wherein disparities are present and with other diverse sexual and gender minority populations.

项目总结饮食失调是所有精神疾病中死亡率最高的，并对健康产生深远的影响。对于那些受影响的人。相对于她们的异性恋同龄人，性少数群体妇女患上患有进食障碍，但人们对导致这种差异的风险因素知之甚少。这个这一独立之路奖的首要目标是获得所需的高级培训和指导为了开启西蒙博士作为一名独立调查员的职业生涯，他严格地研究这些机制加剧了性少数群体的不平等。为了实现这一目标，一个多方面的培训计划包括课程作业、培训、指导和研究：(1)以社区为基础和社区- 参与研究；(2)混合方法设计与分析；(3)性别少数民族健康公平研究。这个从这项培训计划中获得的知识将为西蒙博士执行拟议的研究做好准备，包括三个研究目标和两个数据收集工作。在K99阶段，采用混合方法病例对照研究将获得性别少数民族女性特定人群饮食障碍风险因素的广泛范围(目的 1)通过丰富的关于进食障碍症状、社会文化压力和少数民族的量化评估压力，以及捕捉对歧视、社会压力和饮食失调的反应的视频日记实时播放的剧集。Aim 1和社区利益相关者咨询委员会(n=6)的结果将通知后续研究的范围。健康差距研究的一个众所周知的局限性是缺乏经过验证的少数民族样品的使用措施。根据国家卫生研究院的优先事项，在R00阶段，针对特定人群在社区咨询的指导下，将制定饮食失调风险因素的衡量标准(目标2)。来自Aim 1的董事会和相关主题。对30名性少数族裔女性的认知访谈将阐明每一项的内容有效性。量表的心理测量学特性将从Aim 3的样本中得出。最后，人群特有的危险因素和饮食失调行为之间的联系的暂时性以及这种关系因性别认同(例如，同性恋)、种族和民族而不同的程度(目标3) 通过在病例对照研究中采用每日过程生态学瞬时评估。拟写的小说混合方法研究将阐明未被研究的人群特定饮食障碍的危险因素人口，性少数族裔妇女。确定特定人群的危险因素及其与不同种族和民族的性别少数民族妇女的进食障碍症状将制定指南社区方案和干预努力，以纠正差距，拟议的措施将加强监测特定人群的饮食失调风险，并推进此类机制的未来研究。这该奖项将通过为创新的多方法职业生涯奠定基础，从而启动PI的独立性可应用于其他心理健康结果的研究，其中存在差异，并与其他不同的性和性别少数群体。