Ethnic Disadvantage and Psychiatric Morbidity

描述(申请人提供)：这是一个新的NIMH K01指导科学家发展奖的申请，题为“种族劣势和精神病发病率”。应聘者的主要职业兴趣是研究心理健康差异背后的社会文化过程。候选人计划的职业是结合人类学和流行病学的方法，在精神病理学的跨国比较研究中。他目前拥有人类学博士学位，并接受了两年的精神流行病学研究生培训。然而，他没有课堂以外的经验，既没有分析流行病学数据的经验，也没有参与正在进行流行病学调查的项目的经验。虽然他在美国以外的地方(日本)进行过实地考察，但他没有跨国比较分析的经验。考虑到对精神障碍进行严格的跨文化研究的复杂的多学科要求，他需要额外的培训和指导的研究经验来完成他作为一名独立科学家的发展。指导研究计划：种族劣势和精神病理学是整合人类学和精神流行病学的职业生涯的合乎逻辑的起点。族群研究是人类学的一个独特理论优势，弱势族群患精神障碍的风险很可能增加。为了发展分析精神疾病发病率的社会决定因素的技能，寻求对正规课程和量化方法培训以及国际卫生研究的支持。跨国比较将通过数据分析和模型开发的指导过程进行，该过程建立在美国背景下的种族比较基础上，纳入来自多个国家的数据。分析将使用三项流行病学研究的数据，这三项研究采用了可比较的方法：1)国家共病调查(NCS)，2)国家共病调查后续行动和复制(NCS-2和NCS-R)，以及3)2000年世界精神健康(WMH2000)研究。在这一丰富的实质性领域进行有指导的学徒研究将产生出版物，并推动将人类学和流行病学方法结合起来研究国际卫生中的精神疾病发病率的职业目标。

DESCRIPTION (provided by applicant): This is a new application for an NIMH K01 Mentored Scientist Development Award entitled "Ethnic Disadvantage and Psychiatric Morbidity". The candidate's primary career interest is in the study of sociocultural processes underlying mental health disparities. The candidate plans a career that combines anthropological and epidemiological approaches in cross-national comparative studies of psychopathology. He currently holds a Ph.D. in anthropology and has had two years of post-graduate training in psychiatric epidemiology. However, he has no experience outside of the classroom either analyzing epidemiological data or working on a project that is carrying out an epidemiological survey. Although he has carried out fieldwork outside of the U.S (in Japan), he has no experience in cross-national comparative analysis. Given the complex multidisciplinary requirements of rigorous cross-cultural research on psychiatric disorders, he needs additional training and mentored research experience to complete his development as an independent scientist.Mentored Research Plan: Ethnic disadvantage and psychopathology is a logical starting point for a career of integrating anthropology and psychiatric epidemiology. The study of ethnicity is a particular theoretical strength of anthropology and disadvantaged ethnic groups are likely to have elevated risk of mental disorders. To develop the skills to analyze social determinants of psychiatric morbidity, support is sought for formal coursework and training in quantitative methods, and international health research. Cross-national comparisons will be developed through a mentored process of data analysis and model development that builds from ethnic comparisons in the US context to incorporate data from multiple countries. Analyses will use data from three epidemiological studies that employ comparable methods: 1) The National Comorbidity Survey (NCS), 2) The National Comorbidity Survey Follow-up and Replication (NCS-2 and NCS-R), and 3) The World Mental Health 2000 (WMH2000) study. Mentored research apprenticeship in this rich substantive area will yield publications and advance the goals of a career combining anthropological and epidemiological approaches to psychiatric morbidity in international health.