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: 10833954
• 负责人: Alison Cohen
• 金额: $ 4.44万
• 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: 2023-09-01 至 2025-12-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10833954
• 关键词: Address; Adoption; Adult; Age; American; Behavior; Biological; Birth; Blood Pressure; Categories; Cause of Death; Cellular Phone; Child; Childhood; Cohort Studies; Communities; Complex; Data; Diet; Discrimination; Domestic Violence; Economics; Education; Environment; Ethnic Population; Exposure to; Foundations; Frequencies; Functional disorder; Funding; Future; Goals; Health; Health Insurance; Health behavior; Health behavior and outcomes; High Prevalence; Hispanic-serving Institution; Home; Household; Immigration; Individual; Inequity; Institution; Intervention; Interview; Latinx; Latinx population; Life; Life Cycle Stages; Longitudinal cohort; Marketing; Measures; Mentally Ill Persons; Mothers; Obesity; Outcome; Parents; Personal Satisfaction; Persons; Physical activity; Police; Population; Population Heterogeneity; Positioning Attribute; Post-Traumatic Stress Disorders; Poverty; Pregnancy; Pregnant Women; Process; Qualitative Methods; Qualitative Research; Quality of life; Research; Research Personnel; Risk; Risk Factors; Role; Safety; Sampling; Security; Sexual abuse; Shapes; Sleep; Smoking; Social Network; Stress; Stressful Event; Students; Surveys; Symptoms; Teenagers; Time; Training; Trauma; United States; United States National Institutes of Health; Weight; Work; adverse childhood events; aged; antepartum depression; bullying; cardiometabolism; cardiovascular risk factor; career; community violence; diaries; early life adversity; emerging adult; emerging adulthood; emotional abuse; ethnic difference; experience; health inequalities; higher education; improved; insight; marginalized population; member; neglect; parent grant; peer; perceived stress; physical abuse; protective factors; racial difference; racial minority population; racial population; racism; recruit; resilience; social culture; social determinants; stressor; substance abuser; suicidal; supportive environment; teacher; traumatic event; young adult

PROJECT SUMMARY/ABSTRACT Adverse Childhood Experiences (ACEs) may contribute to inequities in cardiometabolic health disproportionately experienced by Latinx emerging adults. With the increased use of ACE measures in health research, there is a need to consider how well the measures work in diverse populations and whether ACEs categories need to be expanded to include community-level adversity. First, although existing ACE measures have been used to understand how adversity early in life impacts the adoption of risky health behaviors and long-term health, the original measures were developed with a population that had health insurance and was largely white and well-educated; they do not necessarily reflect the diversity of adverse childhood experiences that may be disproportionately experienced by some communities (e.g., immigration-related traumas, policing-related traumas). More work needs to be done to understand how applicable they are to more diverse populations. Second, Dr. Felitti’s original ACEs measures, typically referred to as “conventional ACEs,” were focused on household-level adversity (psychological, physical or sexual abuse; domestic violence against the mother; or living with household members who were substance abusers, mentally ill or suicidal, or ever imprisoned). Increasingly, researchers recognize that experiences outside the home also shape the lives of children and influence health and health behavior, especially for people from minoritized racial/ethnic groups and/or those living in poverty, and are calling for expanded ACE measures that address interpersonal and community-level adversity. Expanded ACE measures can include experiences of poverty, racism, discrimination, bullying, immigration-specific adversity, and community violence. In addition to expanding ACEs to include community level adversity, it may be useful to consider the framework of resilience or positive childhood experiences. Narayan et al. developed the Benevolent Childhood Experiences (BCE) scale that focuses on promotive factors. Measures include positive experience with parents, peers, teachers, and extended social networks, a supportive environment, and a predictable routine. The objectives of this diversity supplement are 1) to develop an ACE scale specific to community level stressors (poverty, racism, discrimination, bullying, immigration specific adversity and community violence), 2) to quantify ACEs and BCEs in the 3E study’s cohort of diverse emerging adults, and 3) to use qualitative methods to document and contextualize how adversity impacts cardiometabolic behaviors (diet, physical activity, sleep, and smoking) and cardiometabolic health (weight and blood pressure). The evidence generated from this work could inform future community-level interventions targeting determinants of cardiometabolic health and will position the candidate to have an impactful career as an independent researcher investigating the impact of community level adverse childhood experiences on cardiometabolic health in diverse populations.

项目摘要/摘要 不良童年经历(ACE)可能导致心脏代谢性健康中的不平等 拉丁裔新兴成年人经历的不成比例。随着血管紧张素转换酶措施在健康领域的使用增加 研究表明，有必要考虑这些措施在不同人群中的效果如何，以及ACEs 需要扩大类别，将社区层面的逆境包括在内。第一，虽然现有的ACE措施 已经被用来理解生命早期的逆境如何影响危险健康行为的采用，以及 为了长期健康，最初的措施是在拥有医疗保险的人口中制定的，并且 主要是白人和受过良好教育的人；他们不一定反映出不利童年经历的多样性 这可能是一些社区经历的不成比例的(例如，与移民有关的创伤， 与警务有关的创伤)。需要做更多的工作来了解它们在多大程度上适用于更多样化的产品 人口。其次，费利蒂博士最初的ACES衡量标准，通常被称为“传统ACES”，是 侧重于家庭一级的逆境(心理、身体或性虐待；针对 母亲；或与滥用药物、患有精神病或有自杀倾向的家庭成员一起生活，或曾经 被监禁)。研究人员越来越多地认识到，户外经历也塑造了 并影响健康和健康行为，特别是少数族裔群体的健康和健康行为 和/或生活在贫困中的人，并呼吁扩大ACE措施，解决人际关系和 社区层面的逆境。扩大的ACE措施可包括贫困、种族主义、 歧视、欺凌、移民特有的逆境和社区暴力。除了扩展ACE 为了包括社区一级的逆境，考虑复原力或积极因素的框架可能是有用的 童年经历。Narayan等人。开发了慈善童年经历(BCE)量表， 注重促进因素。措施包括与家长、同龄人、老师和 广泛的社交网络、支持性的环境和可预测的日常生活。 本多样性补充资料的目标是：1)制定专门针对社区层面的ACE量表 压力源(贫穷、种族主义、歧视、欺凌、移民特有的逆境和社区暴力)，2) 在3E研究的不同新兴成年人队列中量化A和BCE，以及3)使用定性的 记录和分析逆境如何影响心脏代谢行为的方法(饮食、身体 运动、睡眠和吸烟)和心脏代谢健康(体重和血压)。 这项工作产生的证据可以为未来社区一级的干预措施提供依据 心脏代谢健康的决定因素，并将使应聘者有一个有影响力的职业生涯 独立研究人员调查社区层面不良童年经历对 不同人群的心脏代谢健康。