Evaluating Microaggressions among Latinx Individuals with Obesity

评估拉丁裔肥胖人群的微攻击行为

• 批准号: 10725858
• 负责人: Brooke Y Redmond
• 金额: $ 61.12万
• 依托单位: UNIVERSITY OF HOUSTON
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-04 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10725858
• 关键词: Adult; Adverse effects; Affect; Area; Arousal; Behavior; Calories; Caring; Chest Pain; Chronic Disease; Clinical; Communities; Consumption; Dangerousness; Data; Discrimination; Disparity; Distress; Eating; Eating Behavior; Ecological momentary assessment; Esthesia; Ethnic Origin; Event; Exercise; Exposure to; Female; Fright; Funding; Future; Goals; Health Sciences; Heart; Heart Diseases; Heart Rate; Hyperphagia; Intervention; Investigation; Knowledge; Latinx; Latinx population; Life; Low Prevalence; Methodology; Minor; Mission; National Institute of Diabetes and Digestive and Kidney Diseases; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Outcome; Participant; Pathway interactions; Persons; Physical activity; Physiological; Population; Prevention; Process; Public Health; Race; Reporting; Research; Research Personnel; Research Project Grants; Risk Assessment; Risk Factors; Role; Sampling; Self Efficacy; Shortness of Breath; Stigmatization; Stress; Stressful Event; Stroke; Subgroup; Symptoms; Testing; Time; Treatment Efficacy; United States; Weight; Work; adult obesity; anxiety sensitivity; bodily sensation; demographics; disadvantaged background; efficacy testing; emotional eating; experience; food craving; health disparity; health disparity populations; improved; meetings; microaggression; minority stress; moderate-to-vigorous physical activity; neglect; non-verbal; physical inactivity; prospective; protective factors; public health priorities; racism; randomized, clinical trials; resilience; resilience factor; social stigma; stressor; therapy development; time use; verbal

PROJECT SUMMARY/ABSTRACT Despite being one of the largest and fastest-growing demographics in the United States, Latinx persons experience striking health disparities, particularly in terms of obesity. One possible reason for this disparity among Latinx persons is that this population is disproportionately affected by stressful life conditions, including discrimination, which may lead to higher rates of obesity-related clinical correlates (e.g., emotional eating, physical inactivity). Subtle discrimination related to ethnic status at the daily level, known as ethnic microaggressions (MAs), is common among Latinx persons, and may be an underrecognized factor that accounts for significant and unique variance in obesity-related eating and physical inactivity behaviors. The goal of this R21 project is to elucidate the concurrent and temporal role of ethnic MAs in obesity-related eating and physical inactivity behaviors among Latinx persons using time sampling methodology (over the course of 28 days). Participants (N = 150; 50% female) will be Latinx adults meeting criteria for obesity. Furthermore, the present proposal will determine whether anxiety sensitivity (fear of somatic sensations such as shortness of breath, racing heart, and chest pain) accounts for the relation between ethnic MAs and obesity-related eating behaviors (i.e., greater emotional eating, food cravings, loss of control while eating, and episodes of overeating) and physical inactivity behaviors (i.e., greater fears of exercise and perceived barriers to engage in physical activity [PA] and lower exercise self-efficacy and moderate-to-vigorous PA), and test theoretically driven risk and resilience factors, including components of familismo (i.e., familial support and obligations) and weight stigma. The current proposal directly aligns with the goals of # PAR-21-313 to support new investigators from groups nationally underrepresented within the field of health sciences (Brooke Kauffman, PI, is a female new investigator from a disadvantaged background) conducting research aligned with the scientific mission areas of the National Institute of Diabetes and Digestive and Kidney Diseases. The knowledge and experience gained from this proposal will be leveraged to guide intervention development and efficacy testing for future randomized clinical trials. Specifically, this study will enhance understanding and knowledge of precursors to obesity-related clinical correlates within the Latinx community and provide preliminary data needed to successfully compete for R01 funding as well as other independent research grants.

项目总结/摘要 尽管是美国最大和增长最快的人口之一，拉丁裔人 经历着惊人的健康差距，特别是在肥胖方面。造成这种差异的一个可能原因是 在拉丁裔人中，这一人群受到压力生活条件的不成比例的影响，包括 歧视，这可能导致肥胖相关临床相关因素的发生率更高（例如，情绪化进食， 身体活动不足）。日常生活中与族裔地位有关的微妙歧视， 微攻击（MA），是拉丁人中常见的，可能是一个未被认识到的因素， 解释了肥胖相关饮食和缺乏运动行为的显著和独特的差异。的 这个R21项目的目标是阐明种族MA在肥胖相关饮食中的并发和暂时作用 和身体活动不足的行为之间的拉丁人使用时间抽样方法（在整个过程中， 28天）。参与者（N = 150; 50%女性）将是符合肥胖标准的拉丁裔成年人。而且 目前的建议将确定是否焦虑敏感性（恐惧的躯体感觉，如短的 呼吸、心跳加速和胸痛）解释了种族MA和肥胖相关饮食之间的关系 行为（即，更大的情绪化进食，食物渴望，进食时失去控制，以及 暴饮暴食）和缺乏身体活动的行为（即，对运动的恐惧和参与运动的障碍 体力活动[PA]和较低的运动自我效能和中度到剧烈的PA），并从理论上进行测试 驱动的风险和复原力因素，包括家庭主义的组成部分（即，家庭支持和义务）， 体重耻辱当前提案直接符合# PAR-21-313的目标，以支持新的研究者 来自健康科学领域内全国代表性不足的团体（布鲁克考夫曼，PI，是一名女性）。 来自弱势背景的新研究者）进行与科学使命一致的研究 国家糖尿病、消化和肾脏疾病研究所。的知识和经验 从该提案中获得的信息将用于指导未来的干预开发和疗效测试。 随机临床试验。具体而言，这项研究将加强对前体的理解和知识， 肥胖相关的临床相关性在拉丁社区，并提供所需的初步数据， 成功地竞争R 01资金以及其他独立的研究赠款。