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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

基本信息

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
项目类别：
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

项目摘要

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.

项目总结/文摘