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.

项目摘要/摘要 这项拟议的工作将研究以地点为基础的特征和其他健康的社会决定因素 在抑郁症的经历和表现上造成种族差异，认为肥胖是一种 这一关系的调解人和调解人。这和分析来自半结构化访谈的叙述。 这项补充工作将采用定性方法和新的定量数据资源 健康的决定因素涉及两个具体目标。第一个目标是多层次结构方程建模 (结构方程)将被用来检验基于地点的社会决定因素之间的纵向关系 黑人女性的健康、肥胖以及抑郁的经历和表现。此外，分析了 将允许测量抑郁症状的交叉滞后影响(由PHQ-9和BMI测量)和 搬迁地点对健康结果的影响。在目标2中，使用扎根的理论方法，20 将对Aim I的患者进行半结构化访谈，并对其进行分析，以获取 黑人女性的生活经历如何影响抑郁的体验和表达。半结构化 访谈的主题包括1。)生命过程中的压力暴露，2.)当前(自我报告)心理 和身体健康状况，4.)关于食物选择的决策，3.)与卫生系统的互动， 包括心理健康专业人员，4.)应对行为和应对方式。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论方面的培训来领导所有研究活动。另外， 威尔逊将接受培训和指导，以：1)开发地理信息系统(GIS)地图绘制和 空间分析技能，2.)增加对VDW提供的研究工具的了解和熟悉 MHRN和3)提高助学金撰写技巧，包括在职业生涯阶段确定合适的NIMH助学金。 威尔逊博士将在两个会议上传播拟议工作的发现，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通过 提高对使用电子健康记录和普查数据库的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/非裔美国女性，威尔逊博士是 在NIMH研究人员发起的资助的申请者和获奖者池中，代表不足的群体。 拟议的工作将加强威尔逊博士作为调查员发起的提案候选人的形象 提交给NIMH R01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