Daily psychosocial stress and cardiometabolic health of older Chinese Americans

老年华裔美国人的日常心理社会压力和心脏代谢健康

• 批准号: 10646791
• 负责人: Yanping Jiang
• 金额: $ 24.12万
• 依托单位: RUTGERS BIOMEDICAL AND HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-06-12 至 2024-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10646791
• 关键词: Address; Adopted; Adverse effects; Affect; Area; Asian; Asian Americans; Asian population; Attenuated; Biological Markers; Blood; Blood Pressure; C-reactive protein; Cardiovascular Diseases; Cause of Death; Chinese; Chinese American; Data; Deterioration; Diabetes Mellitus; Disadvantaged; Ecological momentary assessment; Emotions; Equity; Ethnic Origin; Exposure to; Family; Fasting; Female; Future; Glucose; Grain; Health; Heterogeneity; High Density Lipoprotein Cholesterol; Hydrocortisone; Hypertension; Hypertriglyceridemia; Immigrant; Immigration; Individual; Interleukin-6; Intervention; Interview; Knowledge; Language; Limited English Proficiency; Measures; Metabolic syndrome; Methods; Minority; Mission; Modeling; National Institute on Minority Health and Health Disparities; New York; Not Hispanic or Latino; Participant; Penetration; Population; Process; Psychosocial Factor; Psychosocial Stress; Public Health; Research; Risk Factors; Role; Salivary; Sampling; Social isolation; Socioeconomic Status; Stereotyping; Stress; Structure; Symptoms; Testing; Time; Treatment/Psychosocial Effects; Underserved Population; United States; aged; anti-Asian; biopsychosocial; cardiometabolism; design; ethnic minority; experience; health equity promotion; high risk; low socioeconomic status; marginalization; member; metropolitan; novel; physical conditioning; positive emotional state; psychosocial; psychosocial stressors; public health intervention; racial discrimination; racial disparity; racism; response; social; sociocultural determinant; systemic inflammatory response; waist circumference

Project Summary Despite being one of the fastest-growing immigrant populations in the United States, older Chinese Americans remain understudied in health research. The penetration of the model minority stereotype has caused the overlook of significant disadvantages and health burdens experienced by older Chinese Americans, particularly foreign-born older Chinese Americans. The double disadvantage of being a member of an ethnic minority and foreign-born puts foreign-born older Chinese Americans at high risk of experiencing psychosocial stressors, including anti-Asian racism and social isolation. These psychosocial stressors are key risk factors for poor physical health, including poor cardiometabolic health. Indeed, existing studies have shown a fast decline in cardiometabolic health after immigrating to the United States among older Chinese immigrants. However, there is a lack of a fine-grained characterization of psychosocial stressors and the processes through which these psychosocial stressors affect cardiometabolic health in older Chinese immigrants. Existing studies on this topic were largely focused on non-Hispanic Whites or other ethnic minorities. To address this gap, we aim to adopt a mixed-methods approach, along with the ecological momentary assessment, to identify the key psychosocial stressors related to cardiometabolic health in a sample of 80 older Chinese immigrants. Specifically, our proposed aims are: Aim 1a: Investigate the intermediate role of daily emotion (negative and positive emotion) and salivary cortisol (a biological marker of stress) through which psychosocial stressors (e.g., racial discrimination) affect systemic inflammation (CRP, IL-6) and metabolic syndrome; Aim 1b: Explore whether key sociocultural factors (living in ethnic enclaves, English proficiency, socioeconomic status) will attenuate the associations examined in Aim 1a; and Aim 2: Identify additional cultural, environmental, family, and individual factors that further explain the association between psychosocial stress and cardiometabolic health through semi-structured interviews in a subsample of 16 participants from Aim 1. Findings from this proposed study will contribute to our understanding of key psychosocial stressors and related biopsychological processes contributing to poor cardiometabolic health in older Chinese immigrants. As a result, this project will guide the design of future culturally-tailored, time-sensitive, personalized psychosocial interventions that aim to reduce racial disparities in cardiometabolic health and promote healthy equity in older Chinese Americans.

项目摘要 尽管是美国增长最快的移民人口之一， 在健康研究中仍处于不足状态。模范少数民族刻板印象的渗透造成了 忽视了老年华裔美国人所经历的重大不利因素和健康负担，特别是 外国出生的华裔美国老人作为少数民族成员的双重不利处境， 在外国出生的华裔美国人面临着心理压力的高风险， 包括反亚裔种族主义和社会孤立。这些心理社会压力因素是穷人的主要风险因素。 身体健康，包括心脏代谢健康不良。事实上，现有的研究表明， 中国老年移民移民到美国后的心脏代谢健康状况。但 缺乏对心理社会压力源的精细描述，以及这些压力源 心理社会压力源对老年中国移民心脏代谢健康的影响关于这一专题的现有研究 主要集中在非西班牙裔白人或其他少数民族。为了解决这一差距，我们的目标是采用 混合方法方法，沿着生态瞬时评估，以确定关键的心理社会因素 80名老年中国移民心脏代谢健康相关应激源研究具体来说，我们 目标1a：研究日常情绪（消极情绪和积极情绪）的中介作用 和唾液皮质醇（压力的生物标志物），心理社会压力源（例如，种族 区分）影响全身炎症（CRP，IL-6）和代谢综合征;目的1b：探讨是否关键 社会文化因素（生活在种族飞地，英语水平，社会经济地位）将削弱 目标1a和目标2：确定更多的文化、环境、家庭和个人 进一步解释社会心理压力与心脏代谢健康之间关系的因素， 半结构化访谈的子样本的16名参与者从目标1。这项拟议研究的结果将 有助于我们理解关键的心理社会压力源和相关的生物心理过程 导致老年中国移民心脏代谢健康状况不佳。因此，该项目将指导 设计未来的文化定制，时间敏感，个性化的心理社会干预措施，旨在减少 心脏代谢健康的种族差异，促进老年华裔美国人的健康公平。