Effects of Increasing Economic Resources and Obesity: A Quasi-Experimental Study

增加经济资源和肥胖的影响：一项准实验研究

• 批准号: 8782585
• 负责人: Jessica C Jones-Smith
• 金额: $ 17.14万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-12-08 至 2016-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8782585
• 关键词: Address; Adult; Affect; American Indian and Alaska Native; American Indians; Area; Award; Birth; Birth Records; Birth Weight; California; Child; Childhood; Collection; Communities; Community Developments; Community Health; Data; Data Analyses; Data Collection; Economically Deprived Population; Economics; Epidemiology; Etiology; Experimental Designs; Family; Food; Funding; Gestational Age; Goals; Health; Income; Individual; Infant; Intervention; Knowledge; Lead; Life; Life Cycle Stages; Link; Mediating; Mentors; Methods; Mining; Morbidity - disease rate; Natural experiment; Obesity; Observational Study; Outcome; Pathway interactions; Phase; Physical activity; Plague; Policies; Policy Maker; Population; Pregnancy; Price; Public Health; Publications; Reading; Records; Recreation; Research; Research Activity; Research Training; Resources; Risk; Role; Schools; Shock; Social Psychology; Social Welfare; Socioeconomic Status; Staging; Testing; Time; Training; Training Activity; United States; Variant; Vendor; Weight; Weight Gain; Woman; career; ethnic minority population; evidence base; feeding; fitness; gestational weight gain; health economics; improved; infancy; mortality; nutrition; obesity in children; obesity risk; population health; prevent; psychosocial; racial and ethnic; research study; skills; social; socioeconomics; stem; symposium; theories; tool; tribal member

Project Summary Obesity is a leading cause of morbidity and mortality and is inversely associated with economic resources in the US. Despite the well-documented correlation between decreased individual- and community-level eco- nomic resources and increased obesity, few existing studies have been capable of attributing a causal impact to the effect of economic resources on obesity, particularly among children. Determining the extent to which economic resources are causal antecedents to weight-related health outcomes is vitally important for informing structural approaches for improving population health. I am seeking the Pathway to Independence Award in order to gain the additional training required to accomplish my career goal: to establish an independent pro- gram of research that rigorously investigates socioeconomic inputs to health and productively bridges epidemi- ology, nutrition, public health, economics, and social psychology. The training portion of this project includes formal courses, directed readings, attendance of scholarly seminars, apprenticeships, and mentored career building activities to gain skills in the following key areas: 1) economics and econometrics, 2) social psycho- logical theories of SES-health relationships, 3) primary data collection and qualitative data analysis. The newly acquired knowledge and skills will be applied in the research component of the project. The research compo- nent of this project proposes a quasi-experimental approach to examine the extent to which increased eco- nomic resources are associated with maternal weight gain and childhood obesity. I propose that the introduc- tion of casino-style gaming to American Indian tribal lands offers a unique opportunity to determine how an ex- ogenous, sustained influx of economic resources to American Indian communities impacts population health. We will leverage existing geographically-linked vital records and school fitness testing records in combination with space-time variation in casino openings in the state of California to accomplish the following specific aims: 1) Determine the extent to which an exogenous increase in economic resources affects: a) excessive gesta- tional weight gain, b) large-for-gestational-age infant birth weight, and c) child obesity; 2) Assess how eco- nomic resources stemming from casinos may affect weight-related health through the collection of formative, qualitative data; 3) Collect quantitative data in order to assess mediating or moderating mechanisms between exogenous economic resources and weight-related health. The training and research activities will feed into publications and conference presentations, and will prepare me to compete successfully for R01 funding during the R00 phase of the project.

项目摘要 肥胖是发病率和死亡率的主要原因，与经济资源呈负相关， 美方尽管个人和社区一级生态环境恶化之间存在着有据可查的相关性， 经济资源和肥胖的增加，很少有现有的研究能够归因于因果关系的影响 经济资源对肥胖的影响，特别是在儿童中。确定在多大程度上 经济资源是与体重相关的健康结果的因果前因， 改善人口健康的结构性办法。我正在寻求独立之路奖， 为了获得完成我的职业目标所需的额外培训：建立一个独立的专业， 克的研究，严格调查社会经济投入的健康和富有成效的桥梁， 科学、营养学、公共卫生学、经济学和社会心理学。该项目的培训部分包括 正式课程，指导阅读，参加学术研讨会，学徒和指导职业生涯 建设活动，以获得以下关键领域的技能：1）经济学和计量经济学，2）社会心理学， SES-健康关系的逻辑理论; 3）原始数据收集和定性数据分析。新 所获得的知识和技能将用于项目的研究部分。研究机构- 该项目的nent提出了一种准实验方法，以检查在多大程度上增加生态， 经济资源与母亲体重增加和儿童肥胖有关。我建议介绍- 赌场式游戏到美国印第安部落的土地提供了一个独特的机会，以确定如何前， 经济资源持续流入美洲印第安人社区影响人口健康。 我们将结合利用现有的地理关联的生命记录和学校健康测试记录 在加州州的赌场开业的时空变化，以实现以下具体目标： 1)确定经济资源的外生增加在多大程度上影响：a）过度妊娠， 正常体重增加，B）大于胎龄婴儿出生体重，和c）儿童肥胖; 2）评估生态- 来自赌场的经济资源可能会通过收集形成性的， 定性数据; 3）收集定量数据，以评估 外源性经济资源和体重相关的健康。培训和研究活动将纳入 出版物和会议演讲，并将准备我成功地竞争R 01的资金， 项目的R 00阶段。