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Discrimination, Social Cognitive Processes, and CVD Risk among African American Women

非裔美国女性的歧视、社会认知过程和心血管疾病风险

基本信息

批准号：
10643797
负责人：
Amber Johnson
金额：
$ 14.75万
依托单位：
CALIFORNIA STATE UNIVERSITY LONG BEACH
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：
2021-09-03 至 2025-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10643797
关键词：
18 year old Acceleration Address African American Aging Award Cardiovascular Diseases Cognitive Diagnosis Discrimination Ecological momentary assessment Emotional Emotional Stress Emotions Ethnic Origin Event Experimental Designs Fostering Future Gender Goals Health behavior Hydrocortisone Institutionalization Interleukin-6 Laboratories Length Link Mentors Methodology Methods Minority Morbidity - disease rate Pathway interactions Physiological Pilot Projects Population Prevention strategy Productivity Protocols documentation Psychophysiology Race Recurrence Reporting Research Research Methodology Research Support Risk Factors Sample Size Sampling Shame Social status Stress Time Training United States National Institutes of Health Weather Woman aged allostatic load alpha-amylase biological adaptation to stress cardiovascular disorder risk cognitive control cognitive process data collection methodology disease disparity disparities in morbidity evidence base experience faculty research improved innovation mortality mortality disparity perceived discrimination programs psychologic research study response self esteem sleep behavior social telomere

项目摘要

PROJECT SUMMARY/ABSTRACT Cardiovascular disease morbidity and mortality disparities have persisted among African American women despite advances in evidence-based strategies to reduce cardiovascular disease risk factors. African American women often report discrimination-related stress, warranting continued exploration of the mechanisms that link to discrimination to cardiovascular disease. Thus, the long-term research goal is to reduce cardiovascular disease among African American women by elucidating and targeting unique psychophysiological correlates of cardiovascular disease in this population. The overall objective of the pilot project is to examine the overall feasibility of a research protocol to examine associations between discrimination, social cognitive processes, and CVD risk using ecological momentary assessment [EMA] to account for ecological variability and reduce recall bias. The central study hypothesis posits that African American women’s long-term experiences of discrimination contribute to maladaptive schemas and cognitive appraisal that heighten perceived discrimination events. Frequent experiences of discrimination elicit recurrent emotional and physiological stress responses that over time contribute to sustained physiological dysregulation. The study seeks to examine these associations in a sample of 90 African American women aged 18 years and older by accomplishing the following aims: Aim 1. Examine cross-sectional associations between discrimination (e.g., racial, gender), social cognitive processes (e.g., early maladaptive schemas, cognitive appraisal), negative emotion, and sustained physiological dysregulation (allostatic load, telomere length). Aim 2: Examine longitudinal associations (7-days) between discrimination, social cognitive processes, and emotional and physiological reactivity using EMA. The overarching goal of this SC-2 application is to promote the applicant’s long-term NIH research involvement by supporting: a) mentored minority faculty research enhancement and b) training and research productivity in EMA and psychophysiological research methodology. This innovative program of research, building on the applicants’ current training and research expertise, will further elucidate discrimination-related cardiovascular disease risk factors and methodology that accounts for ecological variability among African American women. Findings from this research program have the potential better to inform cardiovascular disease risk prevention strategies among African American women.

项目总结/文摘