Characterizing the influence of COVID-19, Racial Trauma, and Social Networks on CV Health Factors among young Black women in the South

描述 COVID-19、种族创伤和社交网络对南方年轻黑人女性心血管健康因素的影响

• 批准号: 10764625
• 负责人: Gayenell Smith Magwood
• 金额: $ 20.15万
• 依托单位: UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-15 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10764625
• 关键词: Adult; Affect; Age; Area; Atherosclerosis; Behavior; Behavioral Model; Black race; COVID-19; COVID-19 impact; COVID-19 pandemic; COVID-19 survivors; Cardiovascular Diseases; Cardiovascular system; Cessation of life; Characteristics; Chronic; Climate; Clinical Research; Communities; Coping Skills; Data; Data Collection; Development; Diet; Disparity; Event; Focus Groups; Future; Guidelines; Health; Health behavior; Heart Diseases; Hospitalization; Hypertension; Individual; Intervention; Interview; Mentors; Methods; Morbidity - disease rate; Names; Network-based; Parents; Participant; Pattern; Physical activity; Population; Population Intervention; Process; Psychosocial Factor; Psychosocial Influences; Psychosocial Stress; Quality of life; Race; Randomized; Recommendation; Reporting; Research; Research Methodology; Risk Factors; Role; SARS-CoV-2 infection; Series; Sleep; Social Distance; Social Network; Social isolation; Social support; Source; Stress; Stress and Coping; Stressful Event; Support System; Surveys; Time; Trauma; United States National Institutes of Health; Woman; Work; atherosclerosis risk; biobehavior; black women; cardiovascular disorder prevention; cardiovascular disorder risk; cardiovascular health; cohort; critical period; data integration; design; experience; follow-up; functional status; health communication; health equity; improved; lens; member; mortality; novel; pandemic disease; pandemic impact; parent grant; perceived stress; post-COVID-19; premature; psychosocial stressors; racial discrimination; racial disparity; racism; recruit; social; social culture; social health determinants; stressor; structural determinants; therapy development; young adult; young woman

Abstract Cardiovascular-related morbidity and mortality among young adults are rising, and disparities are stark among young Black women compared to White women. Psychosocial factors, such as racism, perceived stress, and lack of social support, contribute to racial inequities in cardiovascular disease. Psychosocial factors also negatively influence physical activity and other behaviors essential for optimal cardiovascular health (CVH), but few interventions focus on these critical factors. Most recently, the social upheaval during the COVID-19 pandemic, as well as a surge in events placing a spotlight on racism in America, amplified the psychosocial stress experienced by many Black women. At the same time, social distancing required by the pandemic may have frayed social networks, disrupting support systems and typical coping strategies. There is a pressing need for culturally tailored, biobehavioral interventions to mitigate what research suggests will be an uptick in cardiovascular disease related to the COVID-19 pandemic, but first, an assessment of the impacts of the pandemic and racial stressors on CVH behaviors is needed, and rigorous data on the social networks. The proposed study builds on an existing randomized dyadic intervention for Black adults hospitalized with a COVID-19 infection (R01NR020127). By focusing on young Black women (ages 18 – 39) with hypertension or other cardiovascular disease risk factors who are COVID-19 survivors but were not hospitalized, we will provide comparison data from a non-hospitalized cohort. We will use a concurrent triangulation mixed methods design to assess the influence of structural and social determinants of health and the COVID-19 pandemic on quality of life and CVH behaviors (e.g., physical activity, diet, and sleep) (aim 1). In addition, we will characterize the social networks of young Black women, including the processing of stressful experiences, sources of strain, and perceived opportunities for future network/dyadic interventions (aim 2). The proposed research will contribute to the parent study by analyzing variables already being collected (e.g., social support) and proposing new data collection on social networks, including dyadic relationships. This study is novel in its focus on CVD prevention in young adulthood and rigorous assessment of stress coping, including racism, within social networks using quantitative methods to inform future tailored, biobehavioral interventions.

摘要 年轻人中与血管相关的发病率和死亡率正在上升， 与白色女性相比，年轻黑人女性的性别差异很明显。社会心理因素，如 种族主义、感受到的压力和缺乏社会支持，助长了种族不平等， 心血管疾病心理社会因素也对身体活动产生负面影响， 其他行为对最佳心血管健康（CVH）至关重要，但很少有干预措施关注 这些关键因素。最近，COVID-19大流行期间的社会动荡， 以及美国种族主义事件的激增，放大了心理社会 许多黑人妇女经历的压力。与此同时， 一场大流行可能已经磨损了社交网络，扰乱了支持系统和典型的应对方式 战略布局迫切需要有文化针对性的生物行为干预措施，以减轻 研究表明，与COVID-19相关的心血管疾病将增加， 大流行，但首先，评估大流行和种族压力对CVH的影响 行为和社交网络上的严格数据。 这项研究建立在现有的黑人成年人随机二元干预的基础上 因COVID-19感染住院（R 01 NR 020127）。通过关注年轻的黑人女性 (ages患有高血压或其他心血管疾病风险因素的COVID-19患者 幸存者，但没有住院，我们将提供比较数据，从一个非住院 队列。我们将使用一个并发三角测量混合方法设计来评估 健康的结构和社会决定因素以及COVID-19大流行对生活质量的影响， CVH行为（例如，身体活动、饮食和睡眠）（目标1）。此外，我们将描述 年轻黑人女性的社交网络，包括处理压力经历， 压力的来源，以及未来网络/二元干预的预期机会（目标2）。 拟议的研究将有助于通过分析变量已经被父母的研究 收集的（例如，社会支持），并建议在社交网络上收集新的数据，包括 二元关系这项研究是新颖的，其重点是在年轻的成年人CVD预防， 在社交网络内，利用量化指标， 为未来定制的生物行为干预提供信息的方法。