Hispanic/Latinxs coexisting chronic health conditions, mental illness and social determinants of health

西班牙裔/拉丁裔共存的慢性健康状况、精神疾病和健康的社会决定因素

• 批准号: 10654358
• 负责人: Richard J. Noel
• 金额: $ 20万
• 依托单位: PONCE SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-08-25 至 2024-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10654358
• 关键词: Accounting; Address; Administrative Supplement; Adult; All of Us Research Program; Anxiety; Attention; Biological; Birth; Chronic; Chronic Disease; Country; Data; Data Set; Databases; Diabetes Mellitus; Diagnosis; Discrimination; Ethnic group; Funding; Gender; Gender Identity; General Population; Genetic; Goals; Health; Health Disparities Research; Heart Diseases; High Prevalence; Hispanic; Hispanic Populations; Individual; Latinx; Latinx population; Literature; Logistic Regressions; Malignant Neoplasms; Measures; Mental Depression; Mental Health; Mental disorders; Metabolic; Minority Groups; Minority-Serving Institution; Modeling; National Institute on Minority Health and Health Disparities; Not Hispanic or Latino; Obesity; Outcome; Parents; Patients; Persons; Physical environment; Prevalence; Prevention; Psyche structure; Recording of previous events; Research; Research Personnel; Research Project Grants; Resources; Risk Factors; Role; Sex Orientation; Social Environment; Socioeconomic Status; Subgroup; Testing; United States; United States National Institutes of Health; age discrimination; cancer risk; coping; ethnic minority population; experience; health care availability; health disparity; health equity; improve minority health; improved; innovation; interest; novel; parent grant; prevent; response; sex; social; social culture; social determinants; social health determinants; substance use

Project Summary. People with mental illness (MI) die an average of 20 years earlier than the general population due to coexisting chronic health conditions (CHC, i.e., cancer, heart disease, diabetes). Hispanics/Latinxs (H/L) are a particularly vulnerable ethnic group in the United States (US), accounting for higher rates of MI and chronic health conditions than other minority ethnic groups. Specifically, H/L with MI have higher rates of obesity, and other metabolic risk factors placing them at elevated risk for cancer, heart disease, and diabetes. However, despite this alarming scenario, no research to date has established the prevalence of co-existing health conditions among H/L living with MI in the US. Furthermore, limited attention has been paid to how the interplay between multiple domains (i.e., biological, physical environment, sociocultural) and levels of influence (i.e., individual, interpersonal) drive these disparities among H/L with MI in the US. There is some evidence on how social determinants of health (SDH; i.e., gender, age, discrimination) correlate with poor health outcomes. However, it remains unclear how these SDH contribute to the health disparity burden experienced by H/L with MI in the US; which in turn, limits the availability of effective resources to improve their health. The overall goal of this proposal is to assess the contribution of social determinants of health, genetic ancestry and mental conditions in the prevalence, progression, and outcomes of coexisting chronic diseases in H/L. The central hypothesis is that H/L history of mental health diagnosis and adverse social contexts are co-occurring health risk factors and predictor in coexisting chronic health conditions. The All of Us Research Program datasets provide a unique opportunity to better understand the health disparities experienced by H/L with MI in the US. The aims of the proposed study are: Aim 1: Determine the prevalence of coexisting chronic health conditions (i.e., cancer, heart disease, diabetes) among H/L with a history of a mental illness diagnosis versus Hispanic/Latinxs without a history of a MI diagnosis. Aim 2: Determine the role of social determinants of health in the prevalence of coexisting chronic health conditions H/L with a history of a mental illness diagnosis.

项目摘要。患有精神疾病的人（MI）平均比一般人群早20年 由于慢性健康状况并存（CHC，即癌症，心脏病，糖尿病）。西班牙裔/拉丁裔（H/L） 是美国特别脆弱的族裔（美国），占MI和慢性的率更高 健康状况比其他少数族裔群体。具体而言，带有MI的H/L具有更高的肥胖率，并且 其他代谢风险因素使他们处于癌症，心脏病和糖尿病的风险升高。然而， 尽管这种令人震惊的情况，迄今为止，尚未确定共存健康的流行 在美国与MI一起生活的H/L条件。此外，对相互作用的关注有限 在多个领域（即生物学，物理环境，社会文化）和影响水平之间（即， 个人，人际关系）在美国与MI的H/L之间的差异。有一些证据表明如何 卫生的社会决定因素（SDH;即性别，年龄，歧视）与健康状况不佳相关。 但是，尚不清楚这些SDH如何促进H/L所经历的健康差异负担 在美国的MI；反过来，这限制了有效资源的可用性以改善其健康状况。总体目标 该建议的是评估健康，遗传血统和精神的社会决定因素 H/L中共存的慢性疾病的患病率，进展和结果的状况。中央 假设是，心理健康诊断和不良社会环境的H/L历史是健康的风险 共存慢性健康状况的因素和预测因子。我们所有的研究计划数据集都提供 一个独特的机会，可以更好地了解H/L与MI在美国遇到的健康差异。目的 拟议的研究是：目标1：确定共存慢性健康状况的患病率（即癌症， 心脏病，糖尿病）在H/L中，具有精神疾病诊断史与没有西班牙裔/拉丁裔的病史 MI诊断的病史。目标2：确定社会决定因素在患病率中的作用 与精神疾病诊断的病史共存慢性健康状况。