Whose Depression Are We Measuring?: Considering the role of place on Black women’s depression outcomes

我们在测量谁的抑郁症？：考虑地点对黑人女性抑郁症结果的作用

• 批准号: 10818149
• 负责人: GREGORY E. SIMON
• 金额: $ 21.74万
• 依托单位: KAISER FOUNDATION RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-23 至 2024-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10818149
• 关键词: Address; Affect; African American; Area; Belief; Biological Aging; Black race; Body mass index; Categories; Censuses; Characteristics; Clinic; Coping Behavior; Crime; Data; Databases; Decision Making; Diagnosis; Disparity; Distress; Electronic Health Record; Environment; Environmental Hazards; Equation; Familiarity; Food; Funding; Funding Opportunities; Future; Genetic Transcription; Geographic Information Systems; Geography; Grant; Health; Health Professional; Health Status; Health system; Hour; Income; Interview; Knowledge; Lead; Licensing; Life Cycle Stages; Location; Manuscripts; Maps; Measurable; Measurement; Measures; Mediator; Mental Depression; Mental Health; Mentors; Mentorship; Methodology; Modeling; National Institute of Mental Health; Nature; Neighborhoods; Obesity; Outcome; Participant; Pathway interactions; Patient Recruitments; Patient Self-Report; Patients; Publications; Qualitative Methods; Research; Research Activity; Research Personnel; Restaurants; Role; Safety; Sampling; Sociology; Stress; Structure; Testing; Training; Transportation; Underrepresented Populations; Weather; Woman; Women' s Health; Work; Writing; black women; career; career development; data infrastructure; data resource; depressive symptoms; deprivation; design; experience; follow-up; hazard; health disparity; indexing; landfill; member; nutrition; physical conditioning; premature; racial disparity; response; skills; social health determinants; statistics; symposium; theories; tool; treatment strategy

PROJECT SUMMARY/ABSTRACT This proposed work will examine how place-based characteristics and other social determinants of health contribute to racial disparities in the experience and expression of depression, considering obesity as a mediator and moderator of that relationship. This and analyzing narratives from semi-structured interviews. This supplemental work will employ qualitative methods and new quantitative data resources regarding social determinants of health to address two specific aims. In the first aim, multi-level structural equation modeling (SEM) will be used to examine the longitudinal relationships among place-based social determinants of health, obesity, and the experience and expression of depression among Black women. Moreover, analyses will allow measurement of cross-lagged effects of depression symptoms (measured by PHQ-9 and BMI) and the effect that moving locations has on health outcomes. In Aim 2, using a grounded theory approach, 20 semi- structured interviews with a subsample of Aim I’s patients will be conducted and analyzed to capture how lived experiences of Black women affect experience of and expression of depression. Semi-structured interviews will cover topics including 1.) stress exposure over the life course, 2.) current (self-reported) mental and physical health status, 4.) decision-making about food choices, 3.) interactions with the health system, including mental health professionals, 4.) coping behaviors, and 5.) values and beliefs about health. Wilson will use her training in sociology and mixed methodologies to lead all research activities. Additionally, Wilson will undergo training and mentoring to: 1.) develop Geographic Information Systems (GIS) mapping and spatial analysis skills, 2.) increase knowledge and familiarity of the research tools available from VDW and MHRN, and 3.) enhance grant writing skills including identifying appropriate NIMH grants at her career stage. Dr. Wilson will disseminate findings from the proposed work at two conferences and submit a manuscript for publication during the supplemental period. Dr. Wilson’s overall career development will be enhanced by the increased proficiency and knowledge of tools for using electronic health records and census-based databases, mentorship, and research activities. Moreover, as a Black/African-American woman, Dr. Wilson is part of an underrepresented group, both in the pool of applicants and awardees of NIMH investigator-initiated funding. The proposed work will strengthen Dr. Wilson’s profile as a candidate on investigator-initiated proposals submitted to NIMH R01 and other funding announcements.

项目总结/摘要 这项拟议的工作将研究基于地点的特征和其他健康的社会决定因素如何影响健康， 有助于种族差异的经验和抑郁症的表达，考虑肥胖作为一个 调解人和调解人关系。这和分析半结构化采访的叙述。 这项补充工作将采用定性方法和新的定量数据资源， 健康的决定因素，以解决两个具体目标。在第一个目标中，多层次结构方程模型 (SEM)将被用来研究基于地点的社会决定因素之间的纵向关系， 健康，肥胖，以及黑人女性抑郁症的经历和表达。此外，分析 将允许测量抑郁症状的交叉滞后效应（通过PHQ-9和BMI测量）， 迁移对健康的影响。在目标2中，使用扎根理论方法，20 将对Aim I的患者进行半结构化访谈， 黑人女性的生活经历如何影响抑郁症的经历和表达。半结构 采访将涵盖的主题包括1.）在生命过程中的压力暴露，2.）当前（自我报告）心理 身体健康状况（4）关于食物选择的决定，3。与卫生系统的互动， 包括心理健康专业人员，4。（5）行为;关于健康的价值观和信念。 威尔逊将利用她在社会学和混合方法的培训，领导所有的研究活动。此外，本发明还 威尔逊将接受培训和指导：1。开发地理信息系统制图， 空间分析能力（2）增加知识和熟悉VDW提供的研究工具， MHRN和3.）提高赠款写作技能，包括在她的职业生涯阶段确定适当的NIMH赠款。 博士威尔逊将在两次会议上传播拟议工作的结果，并提交一份手稿， 在补充期间出版。威尔逊博士的整体职业发展将得到加强， 提高使用电子健康记录和普查数据库工具的熟练程度和知识， 指导和研究活动。此外，作为一名黑人/非洲裔美国妇女，威尔逊博士是一名 代表性不足的群体，无论是在申请人和获奖者的NIMH赞助商发起的资金池。 拟议的工作将加强威尔逊博士作为候选人的形象， 提交给NIMH R 01和其他资金公告。

项目成果

Reframing the Key Questions Regarding Screening for Suicide Risk.

重新构建有关自杀风险筛查的关键问题。

• DOI: 10.1001/jama.2023.7241
• 发表时间: 2023
• 期刊: JAMA
• 作者: Simon,GregoryE;Richards,JulieE;Whiteside,Ursula
• 通讯作者: Whiteside,Ursula

Using natural language processing to identify child maltreatment in health systems.

使用自然语言处理来识别卫生系统中的儿童虐待行为。

• DOI: 10.1016/j.chiabu.2023.106090
• 发表时间: 2023
• 期刊: Child abuse & neglect
• 影响因子: 4.8
• 作者: Negriff,Sonya;Lynch,FrancesL;Cronkite,DavidJ;Pardee,RoyE;Penfold,RobertB
• 通讯作者: Penfold,RobertB

Pre-pregnancy weight loss associations with prenatal and postpartum mental health conditions: A retrospective cohort study.

孕前减肥与产前和产后心理健康状况的关联：一项回顾性队列研究。

• DOI: 10.21203/rs.3.rs-3232490/v1
• 发表时间: 2023
• 期刊: Research square
• 作者: Ferber,Megan;Chrusciel,Timothy;Cantwell,Sophia;Salas,Joanne;Christopher,KaraM
• 通讯作者: Christopher,KaraM

Clinical implementation of suicide risk prediction models in healthcare: a qualitative study.

• DOI: 10.1186/s12888-022-04400-5
• 发表时间: 2022-12-14
• 期刊: BMC psychiatry
• 影响因子: 4.4

Patient expectations of and experiences with a suicide risk identification algorithm in clinical practice.

• DOI: 10.1186/s12888-022-04129-1
• 发表时间: 2022-07-23
• 期刊: BMC psychiatry
• 影响因子: 4.4