Effects of Increasing Economic Resources and Obesity: A Quasi-Experimental Study

项目摘要 肥胖是发病率和死亡率的主要原因，与经济资源呈负相关。 美国。尽管有很好的证据表明，减少的个人和社区层面的生态环境之间的相关性 经济资源和肥胖增加，几乎没有现有的研究能够将因果影响归因于 经济资源对肥胖的影响，特别是在儿童中。确定在何种程度上 经济资源是体重相关健康结果的因果关系对于提供信息至关重要 改善人口健康的结构性办法。我正在寻求独立之路奖 为了获得完成我的职业目标所需的额外培训：建立一个独立的专业人员- 一克严格调查社会经济对健康的投入并富有成效地弥合流行病的研究-- 生物学、营养学、公共卫生、经济学和社会心理学。该项目的培训部分包括 正规课程、定向阅读、参加学术研讨会、学徒和指导职业生涯 培养以下关键领域的技能：1)经济学和计量经济学，2)社会心理-- SES-健康关系的逻辑理论，3)原始数据收集和定性数据分析。最新的 所获得的知识和技能将应用于该项目的研究部分。研究公司-- 该项目的NETT提出了一种准实验方法来检验增加的生态环境 经济资源与母亲体重增加和儿童肥胖有关。我建议开场白- 赌博式博彩进入美国印第安人部落土地提供了一个独特的机会来确定一个前 源源不断地涌入美洲印第安人社区的经济资源会影响人口健康。 我们将结合利用现有的地理位置相关的生命记录和学校健康测试记录 随着加利福尼亚州赌场开业的时空变化，以实现以下具体目标： 1)确定外生经济资源增长对以下方面的影响程度：a)过度的Gesta-- 持续体重增加，b)大于胎龄的婴儿出生体重，以及c)儿童肥胖；2)评估生态环境如何 来自赌场的经济资源可能会通过收集形成性、 定性数据；3)收集定量数据，以评估 外源性经济资源和与体重相关的健康。培训和研究活动将提供给 出版物和会议演示文稿，并将使我做好准备，在 项目的R00阶段。

Project Summary Obesity is a leading cause of morbidity and mortality and is inversely associated with economic resources in the US. Despite the well-documented correlation between decreased individual- and community-level eco- nomic resources and increased obesity, few existing studies have been capable of attributing a causal impact to the effect of economic resources on obesity, particularly among children. Determining the extent to which economic resources are causal antecedents to weight-related health outcomes is vitally important for informing structural approaches for improving population health. I am seeking the Pathway to Independence Award in order to gain the additional training required to accomplish my career goal: to establish an independent pro- gram of research that rigorously investigates socioeconomic inputs to health and productively bridges epidemi- ology, nutrition, public health, economics, and social psychology. The training portion of this project includes formal courses, directed readings, attendance of scholarly seminars, apprenticeships, and mentored career building activities to gain skills in the following key areas: 1) economics and econometrics, 2) social psycho- logical theories of SES-health relationships, 3) primary data collection and qualitative data analysis. The newly acquired knowledge and skills will be applied in the research component of the project. The research compo- nent of this project proposes a quasi-experimental approach to examine the extent to which increased eco- nomic resources are associated with maternal weight gain and childhood obesity. I propose that the introduc- tion of casino-style gaming to American Indian tribal lands offers a unique opportunity to determine how an ex- ogenous, sustained influx of economic resources to American Indian communities impacts population health. We will leverage existing geographically-linked vital records and school fitness testing records in combination with space-time variation in casino openings in the state of California to accomplish the following specific aims: 1) Determine the extent to which an exogenous increase in economic resources affects: a) excessive gesta- tional weight gain, b) large-for-gestational-age infant birth weight, and c) child obesity; 2) Assess how eco- nomic resources stemming from casinos may affect weight-related health through the collection of formative, qualitative data; 3) Collect quantitative data in order to assess mediating or moderating mechanisms between exogenous economic resources and weight-related health. The training and research activities will feed into publications and conference presentations, and will prepare me to compete successfully for R01 funding during the R00 phase of the project.