Effects of Neighborhood Environment on Child Behavioral Health

邻里环境对儿童行为健康的影响

• 批准号: 10749444
• 负责人: Jiye Lee
• 金额: $ 5.02万
• 依托单位: UNIVERSITY OF MIAMI CORAL GABLES
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-14 至 2025-08-13
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10749444
• 关键词: Acting Out; Address; Adopted; Affect; Award; Behavior; Behavioral; Biological; Brain; Capital; Characteristics; Child; Child Development; Child Health; Child Rearing; Childhood; Chronic Disease; Clinical; Data; Data Analyses; Data Element; Dedications; Development; Development Plans; Economics; Education; Emotional; Emotional Bonds; Environment; Equation; Family; Family Relationship; Family member; Foundations; Funding; Geography; Goals; Growth and Development function; Health; Health Food; Human; Impairment; Incidence; Inequity; Influentials; Intervention; Knowledge; Life; Longitudinal cohort; Mediating; Mediator; Mentors; Mentorship; Modeling; National Research Service Awards; Neighborhoods; Nurse Practitioners; Nurses; Outcome; Outcome Study; Parents; Pediatric Nursing; Performance; Psyche structure; Psychopathology; Publications; Research; Research Methodology; Role; Sampling; Science; Scientist; Shapes; Socioeconomic Status; Strategic Planning; Stress; United States National Institutes of Health; Work; behavior influence; behavioral health; career; career development; cohesion; cohort; combat; coping; early childhood; emotional reaction; experience; health disparity; health economics; health equity promotion; health inequalities; improved; indexing; member; perinatal health; programs; research and development; skills; social; social health determinants

ABSTRACT. Healthy child development is essential to long-term wellness because it enables human capacity to participate in economic, social, and civic life; however, not all children experience healthy development. Many children are affected by social determinants of health (SDOH) including structural inequities resulting from their neighborhood environment. Neighborhood environment, a powerful SDOH, profoundly shapes children's physical, mental, and emotional health, and influences opportunities for children to achieve long-term health. Parents who reside in poorer neighborhoods also tend to experience ineffective coping, parenting challenges, and suboptimal family cohesion, which may influence behavioral dysregulation and academic performance in early childhood. Behavioral dysregulation – an impairment in ability to self-regulate behaviors characterized by reflexive, automatic, and emotional reaction of acting out – is associated with the development of common childhood psychopathologies. In addition, behavioral dysregulation is associated with poor academic performance, another important indicator of long-term child health. Studying these outcomes in early childhood provides windows of opportunity to find solutions to promote life-long health and close the gap on health disparities later in life. Parenting behavior and family cohesion (positive relationships between family members and the level of closeness, emotional bonding, and support) are modifiable indicators of family relationships that can be targeted to mitigate the effect of neighborhood environment on child behavioral dysregulation. In this NRSA F31 proposal, using rich publicly available data from the Environmental Influences on Child Health Outcomes (ECHO) Program, I will adopt the Creating Nurturing Environments framework to address the following specific aims: 1) Identify the effect of neighborhood environment on behavioral dysregulation and academic performance in early childhood (1-6 years); 2) Determine the degree to which family relationships mediate the effect of neighborhood environment on behavioral dysregulation and academic performance. The accompanying career development plan will build the foundation for me to a) Build expertise in child development with emphasis on behavioral health and academic performance; b) Build expertise in neighborhood environment and its effect on child health; c) Advance skills in quantitative research methods for data analysis such as structural equation modeling; d) Gain experience in team science skills and accomplish professional development goals. I have a strong mentorship team who are influential in their respective fields with robust NIH-funding and publications, dedicated to my growth and development throughout this F31 award and my career. The career development and research plan will guide me to achieve my ultimate career goal of becoming an independent nurse scientist who advances the science in addressing SDOH and promoting child health. This proposal aligns with the new NINR Strategic Plan with its focus to understand SDOH to promote health equity in neighborhoods with shared characteristics of strengths and vulnerabilities.

摘要。健康的儿童发育对长期健康至关重要，因为它能增强人的能力