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.

项目摘要/摘要 大学是一个改变社会经济地位(SEP)的时期，这一点在 健康研究，尽管SEP和健康之间有很强的联系。超过三分之一的大学生 报告超重或肥胖，以及心血管疾病结果的发生率 年轻人中的艾滋病问题日益引起人们的关注。这种风险加剧了 低SEP的学生，以及有色人种的学生，特别是自新冠肺炎疫情开始以来。这个 拟议的纵向研究通过创建和创建 从种族、民族和社会经济角度研究4000人的从头开始的纵向队列 不同的年轻成人大学生从加州的两个HSI招收为一年级学生 并跟踪了三年多的时间，无论他们是离开还是留在大学。为了最好地招募和 留住学生，一名本科生研究员将从感兴趣的人群中 洞察如何最好地招募和留住研究参与者。他们将进行一场文学表演 审查如何最好地从种族多元化的大学校园招收和留住学生 符合佩尔助学金资格的学生和他们家庭中第一个上大学的学生比例 并协助创建和修改具有文化内涵的招聘和留用材料 适当、合乎道德和有效的。这项研究将包括人体测量、机构研究 管理、智能手机、行为和自我报告数据。具体目标是：(1) 确定新兴成年人的经济压力来源(例如，收入、财富、 经济压力、基本需求、居住环境、主观社会地位)至 随时间推移的心脏代谢健康结果(例如与体重相关的测量、血压)；(2) 为了确定教育保护因素的贡献(例如，使用社会支持， 学术支持、基本需求支持)对心脏代谢健康的影响；(3) 检查与体重有关的行为(例如，睡眠、体力活动、饮食、饮食紊乱、吸烟) 作为经济压力、教育保护因素和 心脏代谢健康。这个庞大而多样的样本将使我们能够检查种族主义和 性别认同可能会改变经济和教育暴露之间的联系，并 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关系，并有助于为潜在的干预措施提供信息 缩小健康差距。