Multi-level predictors of structural racism and discrimination and associations with health and well-being across the life course in diverse families
结构性种族主义和歧视的多层次预测因素以及不同家庭生命历程中与健康和福祉的关联
基本信息
- 批准号:10905780
- 负责人:
- 金额:$ 3.21万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-04-08 至 2027-01-31
- 项目状态:未结题
- 来源:
- 关键词:AdolescenceAdultAffectAfrican AmericanBiologicalBiological MarkersBlack raceBlood PressureBody mass indexC-reactive proteinCardiometabolic DiseaseChildChildhoodCommunitiesDataDietDietary intakeDiscriminationEcological momentary assessmentElementsEthnic OriginEventExposure toFamilyGeographic Information SystemsGeographic LocationsGlycosylated hemoglobin AHealthHeart RateHemoglobin CHigh Density Lipoprotein CholesterolHispanicHouseholdHousingImmigrantIndividualInstitutionInstitutional RacismInterventionLife Cycle StagesLipidsLongitudinal StudiesLongitudinal cohort studyLongitudinal, observational studyMeasuresMental DepressionMental HealthMethodsMinnesotaMoodsNative AmericansNeighborhoodsOutcomeOutcome MeasureParentsParticipantPersonal SatisfactionPersonsPhysical activityPolicePoliciesPrevalencePsyche structurePublic AssistancePublic HealthRaceRefugeesReportingResearchResearch DesignResearch PersonnelRisk FactorsRuralSafetySamplingSchoolsSiteSourceStressStructural RacismSurveysTimeTriglyceridesUnhealthy DietUnited StatesVotingWell in selfWorkanxiety symptomsbehavioral healthcardiometabolic riskcardiometabolismcareercareer developmentcytokinedepressive symptomsdesignethnic diversityhealth disparityhealth equityhealth equity promotioninnovationkillingsmultidisciplinarynegative moodperceived discriminationperceived stressphysical conditioningprospectiveracial diversityracismrural familiesrural settingsedentary lifestylesegregationsocioeconomicstherapy developmenturban settingwaist circumference
项目摘要
ABSTRACT
Systemic and structural racism is a public health crisis. However, little is known about the impact of
structural racism and discrimination (SRD) on the health and emotional well-being of individuals across the life
course. While prior studies have shown associations between discrimination and negative health outcomes in
adults (e.g., cardiometabolic disease, depression), these studies have been cross-sectional and primarily
examined individual-level sources of racism and discrimination. Much more research is needed to fill gaps
in our understanding about the relationship between SRD and health disparities before interventions
can be developed. To significantly advance the field regarding SRD and health equity, studies need to
include: (1) multi-level measures of SRD including individual (both intrapersonal and interpersonal),
neighborhood, institutional, and societal/policy levels; (2) rigorous mixed-methods designs (e.g., ecological
momentary assessment (EMA), biological measures, geographic information system (GIS) data, surveys); (3)
multi-site samples with urban and rural participants; (4) a life course approach; (5) whole-person outcome
measures (i.e., mental, physical, behavioral health); and (6) longitudinal study designs. Including these study
elements will allow for comprehensively examining the relationships between SRD and health and emotional
well-being to identify mechanisms to target in interventions to mitigate SRD. The main objective of the
proposed study is to examine multiple levels (i.e., individual, neighborhood, institutional,
societal/policy) of SRD and associations with mental, physical, and behavioral health outcomes across
the life course to identify intervention targets to promote health equity. The proposed study is built on a
prospective longitudinal cohort study of 627 racially/ethnically diverse families (i.e., African American, Hispanic,
Native American, Immigrant/Refugee, White) across the life course (childhood, adolescence,
adulthood/parenthood) from urban settings (i.e., Minneapolis, St. Paul). The parent R01 already has three
time-points of mixed-methods data (i.e., EMA, GIS, survey) that includes discrimination and neighborhood
segregation measures and physical and behavioral health outcomes carried out using a community-based
participatory approach. For the proposed study, a sample of 300 racially/ethnically diverse families from rural
Georgia (i.e., Athens) will be added to compare SRD experiences in urban versus rural settings. In addition,
cardiometabolic and stress biomarker data (i.e., heart rate, blood pressure, waist circumference, lipids, HbA1C,
cytokines) and multi-level measures of structural racism (i.e., individual, neighborhood, institutional,
societal/policy) will be added at two time points, 18 months apart. The proposed study will be one of the first to
prospectively measure multiple levels of SRD using mixed-methods across two sites and associations with
mental, physical, and behavioral health disparities across the life course in diverse families. Results of the
study will inform the development of an intervention targeting multi-level SRDs to promote health equity.
摘要
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Jerica M Berge其他文献
Jerica M Berge的其他文献
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{{ truncateString('Jerica M Berge', 18)}}的其他基金
Examining How Psychosocial Stress Gets "Under the Skin" and Leads to Cardiovascular Disease Risk in Diverse Children: A Mixed-Methods Study
检查心理社会压力如何“深入皮肤”并导致不同儿童的心血管疾病风险:一项混合方法研究
- 批准号:
10363050 - 财政年份:2022
- 资助金额:
$ 3.21万 - 项目类别:
Multi-level predictors of structural racism and discrimination and associations with health and well-being across the life course in diverse families
结构性种族主义和歧视的多层次预测因素以及不同家庭生命历程中与健康和福祉的关联
- 批准号:
10472238 - 财政年份:2022
- 资助金额:
$ 3.21万 - 项目类别:
Examining How Psychosocial Stress Gets "Under the Skin" and Leads to Cardiovascular Disease Risk in Diverse Children: A Mixed-Methods Study
检查心理社会压力如何“深入皮肤”并导致不同儿童的心血管疾病风险:一项混合方法研究
- 批准号:
10543453 - 财政年份:2022
- 资助金额:
$ 3.21万 - 项目类别:
Multi-level predictors of structural racism and discrimination and associations with health and well-being across the life course in diverse families
结构性种族主义和歧视的多层次预测因素以及不同家庭生命历程中与健康和福祉的关联
- 批准号:
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10831658 - 财政年份:2022
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$ 3.21万 - 项目类别:
Multi-level predictors of structural racism and discrimination and associations with health and well-being across the life course in diverse families
结构性种族主义和歧视的多层次预测因素以及不同家庭生命历程中与健康和福祉的关联
- 批准号:
10606552 - 财政年份:2022
- 资助金额:
$ 3.21万 - 项目类别:
Multi-level predictors of structural racism and discrimination and associations with health and well-being across the life course in diverse families
结构性种族主义和歧视的多层次预测因素以及不同家庭生命历程中与健康和福祉的关联
- 批准号:
10674080 - 财政年份:2022
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$ 3.21万 - 项目类别:
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儿童和成人身高、体重和颈围的虚拟测量与临床测量之间的一致性:有效性子研究(Jasmin Sanchez 多样性补充)
- 批准号:
10711459 - 财政年份:2022
- 资助金额:
$ 3.21万 - 项目类别:
Multi-level predictors of structural racism and discrimination and associations with health and well-being across the life course in diverse families
结构性种族主义和歧视的多层次预测因素以及与不同家庭生命历程中健康和福祉的关联
- 批准号:
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- 资助金额:
$ 3.21万 - 项目类别:
Examining How Psychosocial Stress Gets "Under the Skin" and Leads to Cardiovascular Disease Risk in Diverse Children: A Mixed-Methods Study
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- 批准号:
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