EXPLORING TRENDS IN US HEALTH INEQUITIES IN CONTEXT: NHES TO NHANES, 1959-2006
探索美国健康不平等的趋势:NHES 到 NHANES,1959-2006
基本信息
- 批准号:8043418
- 负责人:
- 金额:$ 24.23万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2011
- 资助国家:美国
- 起止时间:2011-01-15 至 2012-12-31
- 项目状态:已结题
- 来源:
- 关键词:AddressAdultAfrican AmericanBehavioral SciencesBlood PressureCardiovascular systemCase StudyChildChild DevelopmentChild health careCholesterolCivil RightsCodeComplexCrowsDataDatabasesDecayed, Missing, and Filled TeethDentalDevelopmentEconomicsEducationEthnic OriginGenderGrantHealthHealth StatusHealthy People 2010HeightHypertensionIncomeIndividualInstitutesInstitutionKnowledgeLawsLifeLinkLow incomeManuscriptsMeasuresMethodsNational Health and Nutrition Examination SurveyObesityOutcomeOverweightPatternPeriodontal DiseasesPoliciesPopulationPopulation Attributable RisksPremature MortalityPreparationPreventive InterventionPublic HealthPublic PolicyPublishingRaceRelative (related person)ResearchResearch Project GrantsSerumShapesSocioeconomic StatusSurveysTestingTextTimeTriglyceridesUnited States National Center for Health StatisticsUnited States National Institutes of HealthWeightbaseblood leadfallshealth disparityimprovedinterestmortalitynovelpolicy implicationpopulation healthprogramsracial and ethnicracial and ethnic disparitiesracial discriminationresponsesocial inequalitysocioeconomicstrend
项目摘要
DESCRIPTION (provided by applicant): OUR PROPOSED EXPLORATORY STUDY, PREPARED IN RESPONSE TO PA-10-069, FOCUSES ON A SIGNIFICANT PROBLEM: INADEQUATE DATA ON LONG-TERM TRENDS IN US SOCIOECONOMIC AND RACIAL/ETHNIC INEQUITIES IN MEASURED HEALTH STATUS. WE THEREFORE SEEK TO DETERMINE THE FEASIBILITY OF CREATING AND ANALYZING A NOVEL MULTILEVEL US NATIONAL DATABASE THAT COMBINES: (A) INDIVIDUAL-LEVEL HEALTH DATA, (B) NOVEL MEASURES OF SOCIOECONOMIC POSITION (SEP) THAT CAN BE MEANINGFULLY COMPARED OVER TIME, AND (C) NOVEL CONTEXTUAL DATA ON "JIM CROW" LAWS (I.E., LAWS THAT PERMITTED RACIAL DISCRIMINATION ABOLISHED BY THE 1964 US CIVIL RIGHTS ACT). THESE DATA ARE KEY FOR ADDRESSING a new debate WITH CRITICAL PUBLIC HEALTH AND POLICY IMPLICATIONS: as overall population health improves, do the absolute and relative magnitudes of socioeconomic disparities increase, stay the same, or decrease? - and, in the US, do these patterns vary by race/ethnicity and gender? WERE RESULTS TO SHOW ALL 3 PATTERNS ARE POSSIBLE, THEY WOULD REFUTE HYPOTHESES, BASED ON POST-1980 DATA, THAT INEQUITIES NECESSARILY WIDEN. [TEXT DELETED] Our specific aims thus are: (a) Aim 1: Create a US national health outcomes database spanning 1959- 2006 using data from the US National Health Examination Survey (NHES; Cycle I: 1959-1962; Cycle II: 1963- 1965; Cycle III: 1966-1970) and the subsequent US National Health and Nutrition Examination Surveys (NHANES I: 1971-1975; NHANES II: 1976-1980; NHANES III: 1988-1994; and NHANES 1999-2000; 2001- 2002; 2003-2004; 2005-2006), AND VIA THE NATIONAL CENTER FOR HEALTH STATISTICS (NCHS) RESEARCH DATA CENTER (RDC), LINK THESE DATA TO: (1) DETAILED INDIVIDUAL-LEVEL INCOME AND EDUCATION DATA, AND (2) DATA ON STATE'S PRE-1964 JIM CROW STATUS; (b) Aim 2: Explore developing socioeconomic measures that can meaningfully be compared over time; (c) Aim 3: Explore quantifying temporal patterns in the magnitude of socioeconomic inequities in health, using the measures developed for Aim 2, to test the hypothesis that socioeconomic inequities in health decreased between 1960 and 1980 (especially among black Americans) and then stagnated or widened thereafter; (d) Aim 4: [TEXT DELETED] Test the hypothesis that the sharpest reductions in pre-1980 and the largest rises in post-1980: (a) socio-economic inequities in health (especially among black Americans), and (b) black/white inequities (especially in lower income strata), occurred among residents of Jim Crow states; and (e) Aim 5: Disseminate results by publishing scientific manuscripts and use the results to inform preparation of an R01 to conduct the first multilevel contextual analysis of long-term temporal patterns (1959-present) in the magnitude of US HEALTH INEQUITIES. ADDRESSING THESE AIMS HAS THE POTENTIAL TO CHANGE SIGNIFICANTLY CONCEPTS, METHODS, AND PREVENTIVE INTERVENTIONS REGARDING US SOCIOECONOMIC AND RACIAL/ETHNIC DISPARITIES IN HEALTH, WHOSE ELIMINATION IS a key objective of Healthy People 2010.
PUBLIC HEALTH RELEVANCE: Our objective is to explore novel multilevel approaches to developing the methods and database that would enable addressing a new debate about whether, as overall population health improves, the absolute and relative magnitude of socioeconomic disparities increase, stay the same, or decrease? In accord with the purpose of an exploratory grant (R21), the intent is to set the basis for a subsequent application (R01) that would permit generating the full-fledged database suitable for rigorously testing, with appropriate methods, the hypotheses of interest. Knowledge produced by the proposed study HAS THE POTENTIAL TO CHANGE SIGNIFICANTLY CONCEPTS, METHODS, AND PREVENTIVE INTERVENTIONS REGARDING US SOCIOECONOMIC AND RACIAL/ETHNIC DISPARITIES IN HEALTH, WHOSE ELIMINATION IS A KEY OBJECTIVE OF Healthy People 2010.
描述(由申请人提供):我们提出的探索性研究是根据PA-10-069的要求而准备的,主要关注一个重要的问题:美国社会经济和种族/民族不平等在测量健康状况方面的长期趋势数据不足。因此,我们试图确定创建和分析一个新的多层美国国家数据库的可行性,该数据库结合:(a)个人层面的健康数据,(b)可以随时间进行有意义的比较的社会经济地位(sep)的新措施,以及(c)关于“吉姆·克劳”法律(即允许被1964年美国民权法案废除的种族歧视的法律)的新背景数据。这些数据是解决具有重要公共卫生和政策意义的新辩论的关键:随着总体人口健康状况的改善,社会经济差距的绝对和相对程度是增加、保持不变还是减少?在美国,这些模式是否因种族/民族和性别而异?如果结果显示所有三种模式都是可能的,他们就会反驳基于1980年后数据的假设,即不平等必然会扩大。因此,我们的具体目标是:(a)目标1:利用美国国家健康检查调查(NHES,第一阶段:1959-1962年;第二阶段:1963- 1965年;第三阶段:1966-1970年)和随后的美国国家健康和营养检查调查(NHANES I: 1971-1975年;NHANES II: 1976-1980年;NHANES III: 1988-1994年;NHANES 1999-2000年;2001- 2002年;2003-2004年;2005-2006年),并通过国家卫生统计中心(nchs)研究数据中心(rdc),将这些数据与:(1)详细的个人收入和教育数据,以及(2)1964年以前各州的吉姆·克劳状况数据联系起来;(b)目标2:探索制定可长期进行有意义比较的社会经济措施;(c)目标3:利用为目标2制定的措施,探讨健康方面社会经济不平等程度的时间模式,以检验1960年至1980年期间健康方面社会经济不平等减少(特别是在美国黑人中),然后停滞不前或扩大的假设;(d)目标4:检验这样一种假设,即1980年前减少幅度最大、1980年后增加幅度最大的:(a)健康方面的社会经济不平等(特别是在美国黑人中)和(b)黑人/白人不平等(特别是在低收入阶层中)发生在种族隔离州的居民中;(e)目标5:通过发表科学手稿传播结果,并利用结果为编制R01提供信息,以便对美国卫生不平等程度的长期时间模式(1959年至今)进行第一次多层次背景分析。解决这些目标有可能显著改变有关美国社会经济和种族/民族健康差异的概念、方法和预防干预措施,消除这些差异是2010年健康人的关键目标。
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)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
NANCY KRIEGER其他文献
NANCY KRIEGER的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ truncateString('NANCY KRIEGER', 18)}}的其他基金
Advancing novel methods to measure and analyze multiple types of discrimination for population health research
为人口健康研究推进测量和分析多种类型歧视的新方法
- 批准号:
10330589 - 财政年份:2019
- 资助金额:
$ 24.23万 - 项目类别:
Advancing novel methods to measure and analyze multiple types of discrimination for population health research
为人口健康研究推进测量和分析多种类型歧视的新方法
- 批准号:
10551734 - 财政年份:2019
- 资助金额:
$ 24.23万 - 项目类别:
DNA methylation & adversity: pathways from exposures to health inequities
DNA甲基化
- 批准号:
9811618 - 财政年份:2019
- 资助金额:
$ 24.23万 - 项目类别:
DNA methylation & adversity: pathways from exposures to health inequities
DNA甲基化
- 批准号:
10363700 - 财政年份:2019
- 资助金额:
$ 24.23万 - 项目类别:
Long-term trends in breast cancer DNA copy number alterations & disparities
乳腺癌 DNA 拷贝数改变的长期趋势
- 批准号:
9271922 - 财政年份:2016
- 资助金额:
$ 24.23万 - 项目类别:
Long-Term Trends in Breast Cancer Tumor Profiles & Disparities
乳腺癌肿瘤概况的长期趋势
- 批准号:
8636410 - 财政年份:2013
- 资助金额:
$ 24.23万 - 项目类别:
Long-Term Trends in Breast Cancer Tumor Profiles & Disparities
乳腺癌肿瘤概况的长期趋势
- 批准号:
8460731 - 财政年份:2013
- 资助金额:
$ 24.23万 - 项目类别:
Jim Crow & health disparities: exploring age-period-cohort effects
吉姆克劳
- 批准号:
8537876 - 财政年份:2012
- 资助金额:
$ 24.23万 - 项目类别:
Jim Crow & health disparities: exploring age-period-cohort effects
吉姆克劳
- 批准号:
8325806 - 财政年份:2012
- 资助金额:
$ 24.23万 - 项目类别:
EXPLORING TRENDS IN US HEALTH INEQUITIES IN CONTEXT: NHES TO NHANES, 1959-2006
探索美国健康不平等的趋势:NHES 到 NHANES,1959-2006
- 批准号:
8529880 - 财政年份:2011
- 资助金额:
$ 24.23万 - 项目类别:
相似海外基金
A neuroimaging approach to advance mechanistic understanding of tobacco use escalation risk among young adult African American vapers
一种神经影像学方法,可促进对年轻非洲裔美国电子烟使用者烟草使用升级风险的机制理解
- 批准号:
10509308 - 财政年份:2022
- 资助金额:
$ 24.23万 - 项目类别:
Understanding social undermining of weight management behaviors in young adult African American women
了解年轻非洲裔美国女性体重管理行为的社会破坏
- 批准号:
10680412 - 财政年份:2022
- 资助金额:
$ 24.23万 - 项目类别:
Understanding social undermining of weight management behaviors in young adult African American women
了解年轻非洲裔美国女性体重管理行为的社会破坏
- 批准号:
10535890 - 财政年份:2022
- 资助金额:
$ 24.23万 - 项目类别:
A neuroimaging approach to advance mechanistic understanding of tobacco use escalation risk among young adult African American vapers
一种神经影像学方法,可促进对年轻非洲裔美国电子烟使用者烟草使用升级风险的机制理解
- 批准号:
10629374 - 财政年份:2022
- 资助金额:
$ 24.23万 - 项目类别:
Impact of Adult Day Services on Psychosocial and Physiological Measures of Stress among African American Dementia Family Caregivers
成人日间服务对非裔美国痴呆症家庭护理人员的社会心理和生理压力测量的影响
- 批准号:
10553725 - 财政年份:2021
- 资助金额:
$ 24.23万 - 项目类别:
Voice-Activated Technology to Improve Mobility & Reduce Health Disparities: EngAGEing African American Older Adult-Care Partner Dyads
语音激活技术可提高移动性
- 批准号:
10494191 - 财政年份:2021
- 资助金额:
$ 24.23万 - 项目类别:
Impact of Adult Day Services on Psychosocial and Physiological Measures of Stress among African American Dementia Family Caregivers
成人日间服务对非裔美国痴呆症家庭护理人员的社会心理和生理压力测量的影响
- 批准号:
10328955 - 财政年份:2021
- 资助金额:
$ 24.23万 - 项目类别:
Voice-Activated Technology to Improve Mobility & Reduce Health Disparities: EngAGEing African American Older Adult-Care Partner Dyads
语音激活技术可提高移动性
- 批准号:
10437374 - 财政年份:2021
- 资助金额:
$ 24.23万 - 项目类别:
Voice-Activated Technology to Improve Mobility & Reduce Health Disparities: EngAGEing African American Older Adult-Care Partner Dyads
语音激活技术可提高移动性
- 批准号:
10654831 - 财政年份:2021
- 资助金额:
$ 24.23万 - 项目类别:
Development, Implementation, and Evaluation of a Smoking Cessation Intervention Tailored to Rural Young Adult African American Men: Toward Scalability
针对农村年轻非裔美国男性的戒烟干预措施的制定、实施和评估:走向可扩展性
- 批准号:
9896786 - 财政年份:2018
- 资助金额:
$ 24.23万 - 项目类别: