Neighborhood Change: Impact on Sleep and Obesity-Related Health Disparities
社区变化:对睡眠和肥胖相关健康差异的影响
基本信息
- 批准号:9412184
- 负责人:
- 金额:$ 79.46万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2015
- 资助国家:美国
- 起止时间:2015-01-15 至 2019-12-31
- 项目状态:已结题
- 来源:
- 关键词:AccelerometerAdultAffectAfrican AmericanBehaviorBusinessesCardiovascular DiseasesCharacteristicsClassificationCohort StudiesControl GroupsCrimeDataDietEconomicsEstheticsFundingGoalsGreen spaceHealthHealth behaviorHealthy People 2020Home environmentIndividualInterventionInvestmentsLinkLiteratureLongitudinal StudiesLow incomeMeasurableMeasuresMediatingMediator of activation proteinMinorityModelingMonitorMorbidity - disease rateNatural experimentNeighborhoodsObesityObstructive Sleep ApneaOutcomePathway interactionsPatient Self-ReportPerceptionPhysical activityPlayPoliciesPopulationPopulations at RiskProcessPublic HousingResearchResearch DesignResearch InfrastructureRiskRoleSafetyServicesSleepSleep DisordersSleep disturbancesSocial EnvironmentSolidStrategic PlanningStressSupermarketTestingTimeUnited States National Institutes of Healthactigraphybasebuilt environmentcohesioncohortcommunity based participatory researchdisparities in morbidityexperiencegroup interventionhealth disparityhigh riskimprovedmortalityneighborhood disadvantageneighborhood safetynovelpolicy implicationpublic health relevanceracial disparityscreeningsleep healthsleep qualitysocialsocioeconomic disadvantagesocioeconomic disparitysocioeconomics
项目摘要
DESCRIPTION (provided by applicant): Individuals living in socioeconomically disadvantaged neighborhoods have disproportionately high rates of obesity and obesity-related morbidity, including increased risk for physical role limitations and cardiovascular diseases (CVD). Studies of potential mechanisms linking neighborhood disadvantage with health outcomes have primarily focused on daytime health behaviors, including diet or physical activity. However, sleep is a critical health behavior that is associated with neighborhood disadvantage, and may play a causal role in explaining the links between neighborhood disadvantage and health. However, the extant research on neighborhood disadvantage and sleep is based exclusively on cross-sectional data, using self-reports of sleep and neighborhood characteristics. Building on the existing research infrastructure developed by our team's previously funded, ongoing studies, we have a unique and important opportunity to study whether changes in the built and social environment, stimulated by substantial economic investment improves sleep, and in turn, reduces obesity-related health disparities. The study cohort includes a randomly selected cohort of 1100 low- income, African American adults, from two urban neighborhoods, one of which is undergoing a dramatic revitalization over the next 5 years (i.e., the intervention neighborhood), and the other (the sociodemographically-matched control neighborhood) is not undergoing any such changes. We will add longitudinal assessments of sleep using actigraphy, self-reports, and in a subsample of 300, objective, in-home monitoring of obstructive sleep apnea, to provide a rich characterization of sleep profiles before, during, and, after neighborhood changes. Evidence gained from this study would have substantial scientific and policy implications for identifying novel individual-level and neighborhood level factors that contribute to striking and pervasive racial and socioeconomic disparities in health.
描述(由申请人提供):生活在社会经济不利地区的个人肥胖率和肥胖相关发病率高得不成比例,包括身体角色限制和心血管疾病(CVD)的风险增加。将邻里劣势与健康结果联系起来的潜在机制的研究主要集中在白天的健康行为上,包括饮食或体力活动。然而,睡眠是一种关键的健康行为,它与邻里劣势有关,并可能在解释邻里劣势与健康之间的联系方面发挥因果作用。然而,现有的关于邻里劣势和睡眠的研究完全是基于横断面数据,使用睡眠和邻里特征的自我报告。在我们团队之前资助的、正在进行的研究开发的现有研究基础设施的基础上,我们有一个独特而重要的机会来研究在大量经济投资的刺激下,建筑和社会环境的变化是否改善了睡眠,进而减少了与肥胖相关的健康差距。研究队列包括从两个城市社区随机选择的1100名低收入非裔美国成年人,其中一个社区在未来5年内正在经历戏剧性的复兴(即干预社区),而另一个社区(社会人口统计学上匹配的对照社区)没有经历任何这样的变化。我们将增加对睡眠的纵向评估,使用活动描记、自我报告,并在300个子样本中对阻塞性睡眠呼吸暂停进行客观的家庭监测,以提供对社区变化之前、期间和之后的睡眠状况的丰富表征。从这项研究中获得的证据将对确定新的个人层面和社区层面的因素具有重大的科学和政策意义,这些因素有助于在健康方面造成显著和普遍的种族和社会经济差异。
项目成果
期刊论文数量(3)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Sleep Health: An Opportunity for Public Health to Address Health Equity.
- DOI:10.1146/annurev-publhealth-040119-094412
- 发表时间:2020-04-02
- 期刊:
- 影响因子:20.8
- 作者:Hale L;Troxel W;Buysse DJ
- 通讯作者:Buysse DJ
Recent Updates in the Social and Environmental Determinants of Sleep Health.
- DOI:10.1007/s40675-015-0023-y
- 发表时间:2015-12
- 期刊:
- 影响因子:1.8
- 作者:Hale L;Emanuele E;James S
- 通讯作者:James S
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Tamara Dubowitz其他文献
Tamara Dubowitz的其他文献
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{{ truncateString('Tamara Dubowitz', 18)}}的其他基金
Longitudinal Examination of Neighborhood Disadvantage, Cognitive Aging, and Alzheimer's Disease Risk in Disinvested, African American Neighborhoods
对投资撤资的非裔美国人社区的社区劣势、认知老化和阿尔茨海默病风险进行纵向调查
- 批准号:
10370185 - 财政年份:2022
- 资助金额:
$ 79.46万 - 项目类别:
Longitudinal Examination of Neighborhood Disadvantage, Cognitive Aging, and Alzheimer's Disease Risk in Disinvested, African American Neighborhoods
对投资撤资的非裔美国人社区的社区劣势、认知老化和阿尔茨海默病风险进行纵向调查
- 批准号:
10565869 - 财政年份:2022
- 资助金额:
$ 79.46万 - 项目类别:
Neighborhood Change: Impact on Sleep and Obesity-Related Health Disparities
社区变化:对睡眠和肥胖相关健康差异的影响
- 批准号:
9197333 - 财政年份:2015
- 资助金额:
$ 79.46万 - 项目类别:
Neighborhood Change: Impact on Sleep and Obesity-Related Health Disparities
社区变化:对睡眠和肥胖相关健康差异的影响
- 批准号:
8817924 - 财政年份:2015
- 资助金额:
$ 79.46万 - 项目类别:
Impact of Greenspace Improvement on Physical Activity in a Low Income Community
绿地改善对低收入社区体育活动的影响
- 批准号:
8831611 - 财政年份:2012
- 资助金额:
$ 79.46万 - 项目类别:
Impact of Greenspace Improvement on Physical Activity in a Low Income Community
绿地改善对低收入社区体育活动的影响
- 批准号:
8658050 - 财政年份:2012
- 资助金额:
$ 79.46万 - 项目类别:
Impact of Greenspace Improvement on Physical Activity in a Low Income Community
绿地改善对低收入社区体育活动的影响
- 批准号:
8372695 - 财政年份:2012
- 资助金额:
$ 79.46万 - 项目类别:
Impact of Greenspace Improvement on Physical Activity in a Low Income Community
绿地改善对低收入社区体育活动的影响
- 批准号:
8508210 - 财政年份:2012
- 资助金额:
$ 79.46万 - 项目类别:
Does a New Supermarket Improve Dietary Behaviors of Low-income African Americans?
新超市能否改善低收入非裔美国人的饮食行为?
- 批准号:
8631389 - 财政年份:2010
- 资助金额:
$ 79.46万 - 项目类别:
Does a New Supermarket Improve Dietary Behaviors of Low-income African Americans?
新超市能否改善低收入非裔美国人的饮食行为?
- 批准号:
8451233 - 财政年份:2010
- 资助金额:
$ 79.46万 - 项目类别:
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