The 3E Study: Economic and Educational Contributions to Emerging Adult Cardiometabolic Health

3E 研究：经济和教育对新兴成人心脏代谢健康的贡献

• 批准号: 10818939
• 负责人: Alison Cohen
• 金额: $ 1.18万
• 依托单位: FORDHAM UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-15 至 2025-12-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10818939
• 关键词: Academic support; Address; Behavior; Behavioral; Blood Pressure; COVID-19 pandemic; California; Cardiovascular Diseases; Cellular Phone; Color; Complex; Data Reporting; Diet; Disease Outcome; Eating Disorders; Economics; Education; Eligibility Determination; Ensure; Environment; Ethics; Ethnic Origin; Family; Financial Hardship; Gender Identity; Goals; Grant; Health; Incidence; Income; Institution; Intervention; Longitudinal cohort; Measures; Obesity; Outcome; Overweight; Participant; Patient Self-Report; Physical activity; Population; Race; Reduce health disparities; Reporting; Research; Research Personnel; Review Literature; Risk; Sampling; Sleep; Smoking; Social status; Social support; Socioeconomic Status; Stress; Student recruitment; Students; Time; Underrepresented Students; Weight; cardiometabolism; college; emerging adult; ethnic diversity; insight; interest; low socioeconomic status; protective factors; racial diversity; racial identity; recruit; social health determinants; socioeconomics; stressor; student retention; success; undergraduate student; university student; young adult

PROJECT SUMMARY/ABSTRACT College is a time of changing socioeconomic position (SEP) that is not often clearly captured in health research, despite strong ties between SEP and health. Over one-third of college students report being overweight or obese, and the incidence of cardiovascular disease outcomes among young adults has been an increasing cause of concern. This risk is exacerbated for low-SEP students, and students of color, especially since the COVID-19 pandemic began. The proposed longitudinal research addresses these important scientific gaps by creating and studying a de novo, longitudinal cohort of 4,000 racially, ethnically, and socioeconomically diverse young adult college students recruited as first-year students from two HSIs in California and followed over three years, regardless if they leave or stay in college. To best recruit and retain students, an undergraduate student researcher from the population of interest will provide insight into how best recruit and retain study participants. They will conduct a literature review on how best to recruit and retain students from racially diverse campuses with high proportions of students who are pell grant eligible and the first in their family to go to college and assist in creating and modifying recruitment and retention materials that are culturally appropriate, ethical and effective. The study will incorporate anthropometric, institutional administrative, smartphone, behavioral, and self-reported data. The specific aims are: (1) To determine the contribution of emerging adults’ economic stressors (e.g.,income, wealth, financial stress, basic needs, residential environment, subjective social status) to cardiometabolic health outcomes (e.g., weight-related measures, blood pressure) over time; (2) To determine the contribution of educational protective factors (e.g., use of social supports, academic supports, basic needs supports) to cardiometabolic health outcomes over time; (3) examine weight-related behaviors (i.e., sleep, physical activity, diet, disordered eating, smoking) as mechanisms of associations between economic stress, educational protective factors, and cardiometabolic health. This large, diverse sample will allow us to examine how racialized and gendered identities may modify associations between economic and educational exposures and cardiometabolic outcomes, which will help increase understanding of the complex interplay between different social determinants of health and help inform potential interventions to reduce health disparities.

项目总结/摘要 大学是社会经济地位变化的时期（SEP），而这一点在大学教育中往往没有明确体现出来。 卫生研究，尽管公共教育部与卫生之间有着密切的联系。超过三分之一的大学生 报告超重或肥胖，以及心血管疾病结局的发生率 在年轻人中，这是一个越来越令人担忧的问题。这一风险加剧， 低SEP学生和有色人种学生，特别是自COVID-19大流行开始以来。的 拟议的纵向研究通过创建和 研究了一个从种族、民族和社会经济角度出发的4,000人的纵向队列， 从加州的两个HSIs招募的不同的年轻成人大学生作为一年级学生 并跟踪了三年，不管他们是离开还是留在大学。最好的招聘和 留住学生，一个本科生研究人员从人口的利益将 深入了解如何最好地招募和留住研究参与者。他们将举办一场文学 审查如何最好地招募和留住来自种族多样化校园的学生， 有资格获得佩尔助学金的学生和家中第一个上大学的学生的比例 并协助创建和修改招聘和保留材料， 适当、道德和有效。这项研究将结合人体测量，机构 管理、智能手机、行为和自我报告的数据。具体目标是：（1） 确定新兴成年人的经济压力因素（例如，收入财富 经济压力、基本需求、居住环境、主观社会地位）， 心脏代谢健康结果（例如，体重相关指标、血压）随时间的变化;（2） 确定教育保护因素的作用（例如，利用社会支持， 学术支持，基本需求支持）随着时间的推移对心脏代谢健康结果的影响;（3） 检查与体重相关的行为（即，睡眠、体力活动、饮食、饮食失调、吸烟） 作为经济压力，教育保护因素， 心脏代谢健康这个庞大而多样的样本将使我们能够研究种族化和 性别身份可能会改变经济和教育接触之间的联系， 心脏代谢结果，这将有助于增加对复杂相互作用的理解 健康的不同社会决定因素之间的差异，并帮助告知潜在的干预措施， 减少健康差距。