The Effects of Discrimination and Sleep Disturbance on Health among Asian Youth

歧视和睡眠障碍对亚洲青少年健康的影响

• 批准号: 9329492
• 负责人: Tiffany Yip
• 金额: $ 18.83万
• 依托单位: FORDHAM UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-08-09 至 2020-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9329492
• 关键词: Adolescence; Adolescent; Adult; African American; Annual Reports; Anxiety; Area; Asian Americans; Asians; Biological; Buffers; Chronic; Chronic stress; Development; Dimensions; Discrimination; Ethnic group; Foundations; Funding; Health; Health Sciences; Latino; Link; Literature; Mediating; Methodology; Minority; Minority Groups; Mission; Modeling; Outcome; Pathway interactions; Physiological; Public Health; Reporting; Research; Research Personnel; Sampling; Science; Sleep; Sleep disturbances; Social Sciences; Stereotyping; Stress; Surveys; Symptoms; Time; United States; United States National Institutes of Health; Youth; actigraphy; acute stress; adolescent health; biopsychosocial; depressive symptoms; diaries; ethnic discrimination; ethnic identity; ethnic minority population; experience; health disparity; innovation; neglect; ninth grade; physical conditioning; psychologic; racial and ethnic; social; theories; twelfth grade

Adolescents are chronically sleep-deprived with 97% of 12th graders getting insufficient sleep. Unfortunately, sleep is one of several areas of health where ethnic minorities suffer disparities. Sleep has profound influences on adolescent socioemotional and physical health and development. Moreover, research finds that sleep and health share a link to racial/ethnic discrimination. Integrating these areas of research, the proposed study is the first to explore the associations between discrimination, sleep, and health in a unified and longitudinal approach. The study explores sleep disturbance as an explanatory physiological mechanism through which racial/ethnic discrimination leads to compromised health in the short and longer term. The 2-year study includes Asian/Asian American (A/AA) adolescents starting in the 9th grade. Despite reporting rates of discrimination comparable to, and even higher than, other minorities A/AA youth have been neglected in the research on discrimination. Taking a biopsychosocial approach, the study explores the biological (i.e., sleep), psychological (i.e., racial/ethnic identity), social (i.e., racial/ethnic discrimination) pathways to adolescent health. Through the innovative combination of sleep actigraphy, daily surveys, and tri-annual reports of health, the study will make significant contributions to the science of social-biomedical influences on development. This unique methodological approach affords the ability to explore concurrent (i.e., daily-level) as well as longitudinal (i.e., year-over-year) analyses, providing a cutting-edge approach to exploring the temporal linkages in the development of disparities. The proposed study is guided by the following study aims: · Aim 1: To explore the unique daily-level effects of racial/ethnic discrimination on sleep disturbance and health, adjusting for the effects of general stress. · Aim 2: To investigate the hypothesis that daily-level sleep disturbance partially mediates the negative effect of daily racial/ethnic discrimination on health. · Aim 3: To investigate the hypothesis that racial/ethnic identity moderates the effect of daily level racial/ethnic discrimination on sleep disturbance. · Aim 4: To investigate the short- and longer-term effects of daily racial/ethnic discrimination and sleep disturbance on health over time. The proposed study adds a sample of A/AA adolescents to an on-going study of discrimination and sleep among African American and Latino youth. Consistent with ecosocial theory's construct of embodiment, the study will contribute to the science of health disparities by identifying the physiological pathway through which the social experiences of discrimination result in health disparities. The study relates to the NIH's mission by exploring the biopsychosocial mechanisms underlying the development of health disparities.

青少年长期睡眠不足，97%的12年级学生睡眠不足。 不幸的是，睡眠是少数民族遭受差异的几个健康领域之一。睡眠 对青少年的社会情感和身体健康及发展产生深远影响。此外，研究 研究发现，睡眠和健康与种族/民族歧视有关。结合这些研究领域， 这项研究首次以统一的方式探索歧视、睡眠和健康之间的联系。 纵向的方法。 这项研究探讨了睡眠障碍作为一种解释性的生理机制， 种族/族裔歧视导致短期和长期健康受损。2年研究 包括从9年级开始的亚裔/亚裔美国人（A/AA）青少年。尽管报告的发病率 与其他少数民族相比，甚至更高的歧视A/AA青年在 关于歧视的研究。采取生物心理社会的方法，研究探讨了生物（即，睡眠）， 心理的（即，种族/民族身份），社会（即，种族/族裔歧视）的途径 健康通过睡眠活动记录、每日调查和三年一次的健康报告的创新组合， 这项研究将对社会生物医学对发展的影响科学作出重大贡献。 这种独特的方法提供了探索并发（即，日常水平）以及 纵向（即，分析，提供了一种尖端的方法来探索时间 发展差距的联系。拟议的研究以下列研究目标为指导： 目的1：探索种族/民族歧视对睡眠障碍的独特日常影响， 健康，调整一般压力的影响。 目的2：研究日常水平的睡眠障碍部分介导负性睡眠障碍的假设。 日常种族/族裔歧视对健康的影响。 ·目的3：研究种族/民族认同调节日常水平影响的假设 睡眠障碍的种族/民族歧视 目标4：研究日常种族/民族歧视和睡眠的短期和长期影响 随着时间的推移对健康的影响。 这项拟议中的研究将A/AA青少年的样本加入到正在进行的歧视研究中， 睡在非洲裔美国人和拉丁裔青年中间。与生态社会理论的体现结构相一致， 这项研究将有助于科学的健康差距，通过确定生理途径， 歧视的社会经历导致了健康差距。这项研究与美国国立卫生研究院的 使命是探索健康差距发展的生物心理社会机制。