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.

抽象的。健康的儿童发展对长期健康至关重要，因为它使人的能力 参与经济、社会和公民生活；然而，并不是所有的孩子都经历健康的发展。许多 儿童受到健康的社会决定因素(SDOH)的影响，包括由于他们的 邻里环境。邻里环境，一个强大的SDOH，深刻地塑造了孩子们的 身体、心理和情绪健康，并影响儿童实现长期健康的机会。 居住在贫困社区的父母往往也会经历无效的应对、养育子女的挑战， 以及不理想的家庭凝聚力，这可能会影响儿童的行为失调和学习成绩 童年早期。行为失调--自我调节行为的能力受损，其特征是 反身性的，自动的，和情绪反应的行为-与共同的发展有关 儿童精神变态。此外，行为失调与学习成绩差有关。 成绩是衡量儿童长期健康的另一个重要指标。在儿童早期研究这些结果 提供机会之窗，寻找解决方案，促进终身健康，缩小健康差距 晚年生活中的差异。育儿行为与家庭凝聚力(家庭成员之间的积极关系 以及亲密程度、情感纽带和支持)是家庭关系的可修改指标 可以有针对性地减轻邻里环境对儿童行为失调的影响。在这 NRSA F31提案，使用来自环境对儿童健康的影响的丰富公开数据 成果(ECHO)计划，我将采用创建培育环境框架来解决以下问题 具体目标：1)确定邻里环境对行为失调和学业不良的影响 儿童早期(1-6岁)的表现；2)决定家庭关系在多大程度上调节 邻里环境对行为失调和学习成绩的影响。随行的 职业发展计划将为我奠定基础，以便a)建立儿童发展方面的专业知识， 重视行为健康和学习成绩；b)培养邻里环境方面的专业知识 对儿童健康的影响；c)提高用于数据分析的量化研究方法的技能，如结构分析 方程建模；d)获得团队科学技能的经验，并完成职业发展目标。 我有一个强大的导师团队，他们在各自的领域具有影响力，拥有强大的NIH资金和 在这个F31奖项和我的职业生涯中，我一直致力于我的成长和发展。职业生涯 发展和研究计划将引导我实现成为独立人士的最终职业目标 护士科学家，他在解决SDOH和促进儿童健康方面推进了这一科学。这项建议符合 新的NINR战略计划的重点是了解SDOH，以促进社区的健康公平 具有共同的优势和弱点。