Development of a theory-based framework and measures of acculturation for African immigrants.

为非洲移民制定基于理论的框架和文化适应措施。

• 批准号: 10514296
• 负责人: Ernest Kaninjing
• 金额: $ 42.6万
• 依托单位: GEORGIA COLLEGE AND STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-12 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10514296
• 关键词: Acculturation; Address; Affect; Africa; African; African ancestry; Age; Behavior; Behavioral; Behavioral Model; Behavioral Research; Belief; Black Populations; Body Weight; Categories; Chronic Disease; Code; Complex; Coping Skills; Data; Data Analyses; Data Collection; Development; Device or Instrument Development; Diagnosis; Diet; Dimensions; Disease; Early Diagnosis; Environment; Ethnic group; Event; Florida; Generations; Goals; Growth; Health; Health behavior; Heterogeneity; Immersion; Immigrant; Immigration; Incidence; Individual; Intervention; Interview; Knowledge; Length of Stay; Life Style; Link; Literature; Malignant Neoplasms; Malignant neoplasm of prostate; Masks; Measures; Methods; Modeling; Modification; Nature; Nigerian; Outcome; Participant; Pattern; Physical activity; Pilot Projects; Politics; Population; Process; Race; Reduce health disparities; Religion and Spirituality; Reporting; Research; Research Methodology; Research Personnel; Research Training; Risk; Risk Factors; Sampling; Screening for Prostate Cancer; Social Environment; Students; Symptoms; Techniques; Testing; Time; Training; Translating; United States; Validation; Validity and Reliability; aged; base; behavior measurement; black men; cancer health disparity; college; design; experience; field study; health disparity; health seeking behavior; innovation; insight; instrument; lifestyle factors; men; pilot test; prostate cancer risk; racial and ethnic; research study; screening; theories; tool; undergraduate student; university student

Project Summary/Abstract Men of African ancestry are disproportionately burdened by prostate cancer (CaP) compared to other racial/ethnic groups, yet the main drivers of disparate outcomes are poorly understood. Research studies often categorize men of African ancestry in the United States (US) as a homogenous group (Blacks) which hinders understanding about the unique health practices, behaviors and culture of subpopulations that contribute to or exacerbate disparities. For example, a recent study found that sub-Saharan African immigrants (SSAI) compared to US-born Blacks have a 1.5 times higher incidence rate for prostate cancer. Therefore, it is important to understand the unique health practices and behaviors that may contribute to disparities in health outcomes. Acculturation or the nature and extent to which SSAI modify their, beliefs, values, diet and other lifestyle patterns may impact early detection of prostate cancer. For the purposes of this study, we define SSAI as individuals immigrating from the region of the African continent located south of the Saharan desert. To date, three measures exist to assess acculturation among African-descent populations. However, none of these measures incorporate lifestyle factors despite research that suggest a change in environment and diet is associated with prostate cancer risk. Moreover, existing scales on acculturation do not capture the contextual features of acculturation, such as events and circumstances preceding immigration and the political and social climate of the US upon arrival. The specific aims of this study are: 1) develop conceptual frameworks illuminating acculturation, CaP screening and lifestyle factors among first-generation SSAI men in the US diagnosed with CaP and healthy first- generation SSAI men; 2) Create measures to assess acculturation, CaP screening and early detection among SSAI men in the US; and 3) train a cadre of student-researchers in behavioral research aimed at reducing health disparities. To address Aim 1, we will conduct in-depth interviews with 32 SSAI men aged 40-70 years to identify and illuminate specific components of acculturation and how they affect health behaviors. We will identify acculturation constructs missing in current scales. To achieve Aim 2, we will generate content and items for a scale informed by the categories that we develop in Aim 1. We will seek input from an advisory board of content experts and refine the scale before field testing and pilot testing of the measures. To achieve Aim 3, we will involve students in data collection, data analysis, field and pilot testing of the instrument. We will employ mixed- methods combining qualitative and quantitative approaches to gain a deeper understanding of the mechanisms that underlie links between acculturation and health behavior among SSAI men in the US. The short-term goal of this study is a contribution to the literature of theory-guided measures to assess acculturation, CaP screening and behavioral factors among SSAI men in the US. The long-term goal is that knowledge gained from this research will translate to the development of new, innovative, and culturally-based interventions aimed at reducing prostate cancer disparities.

项目摘要/摘要 与其他人相比 种族/族裔群体，但是不同结果的主要驱动因素却鲜为人知。研究经常 在美国（美国）将非洲血统的人归类为一个阻碍的同质群体（黑人） 了解有助于或 加剧差异。例如，最近的一项研究发现，撒哈拉以南非洲移民（SSAI）比较 对于美国出生的黑人，前列腺癌的发病率提高了1.5倍。因此，重要的是 了解可能导致健康结果差异的独特健康实践和行为。 适应性或SSAI修改其信念，价值观，饮食和其他生活方式模式的性质和程度 可能会影响前列腺癌的早期发现。出于本研究的目的，我们将SSAI定义为个人 从位于撒哈拉沙漠以南的非洲大陆地区移民。迄今为止，三项措施 存在用于评估非洲兴旺人群的适应性。但是，这些措施均未包含 尽管研究表明环境和饮食的变化与前列腺有关 癌症风险。此外，现有的适应量表不会捕获适应的上下文特征， 例如移民之前的事件和情况，以及美国的政治和社会氛围 到达。这项研究的具体目的是：1）开发概念框架，以阐明适应，上限 美国第一代SSAI男子的筛查和生活方式因素被诊断出患有CAP和健康的第一代男性 Ssai代人； 2）制定措施评估适应，盖帽筛查和早期检测 美国的SSAI男子； 3）培训旨在减少健康的行为研究的学生研究人员 差异。要解决AIM 1，我们将对32岁的40-70岁的SSAI男子进行深入的访谈 并照亮适应性的特定组成部分及其如何影响健康行为。我们将确定 当前量表中缺少适应构造。为了实现目标2，我们将生成内容和项目 根据我们在目标1中开发的类别所告知的比例。我们将向内容咨询委员会寻求意见 专家并在对措施的现场测试和试点测试之前进行完善规模。为了实现目标3，我们将 让学生参与仪器的数据收集，数据分析，现场和试点测试。我们将采用混合 结合定性和定量方法以更深入了解机制的方法 这是美国SSAI男子的适应和健康行为之间的联系。短期目标 这项研究是对理论指导措施评估文化的文献的贡献 在美国的SSAI男子中的行为因素。长期目标是从中获得的知识 研究将转化为旨在的新，创新和基于文化的干预措施的发展 减少前列腺癌差异。