Doctoral Dissertation Research: Biosocial Consequences of Food Insecurity Among Chronic Disease Patients

博士论文研究：慢性病患者粮食不安全的生物社会后果

• 批准号: 2214544
• 负责人: Craig Hadley
• 金额: $ 2.25万
• 依托单位: Emory University
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-01 至 2023-02-28
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=2214544&HistoricalAwards=false
• 关键词: Doctoral; Dissertation; Research; Biosocial; Consequences

Amid a rise in chronic diseases, there is a pressing need to understand how social and economic inequalities impact disease management. As a fundamental human need, food provides one valuable window into these dynamics. The relationship between food insecurity and diet-related chronic disease is well-documented, yet the pathways that underlie this relationship remain poorly understood. This doctoral dissertation project aims to provide greater clarity on this relationship by exploring food as a vehicle of both nutritional and social significance in the everyday lives of individuals managing diet-related chronic disease. In addition to providing scientific training for a graduate student, this project involves cooperative institutional partnerships, which broaden scientific participation and allow for insights and data to be directly shared with those who shape clinical practice. The findings will be disseminated widely to academic and non-academic audiences, health and nutrition practitioners, and community organizations, with important implications for improving clinical practice, nutrition counseling, and food security efforts. Specifically, this research applies a biosocial theoretical lens to investigate 1) healthcare providers’ perceptions and practices related to food insecurity and diet; 2) meanings patients attribute to the lived experience of food insecurity; 3) patients' food access, preferences, and choices; and 4) the effects of these factors on patients’ health outcomes. A combination of qualitative and quantitative methods, including interviews with providers and patients, structured surveys, and biological measurements (height, weight, blood pressure, cholesterol, and glycated hemoglobin), will be used to achieve these research aims. The study will be conducted in collaboration with a rural community health clinic. This combination of theoretical approaches and methods from nutrition and the social sciences provides a novel approach to the examination of food insecurity and chronic disease.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.

随着慢性病的增加，迫切需要了解社会和经济不平等如何影响疾病管理，食物作为人类的一项基本需求，为了解这些动态提供了一个宝贵的窗口。虽然已有详细记录，但对这种关系背后的途径仍然知之甚少，本博士论文项目旨在通过探索食物作为管理个人饮食相关慢性病的日常生活中具有营养和社会意义的工具，来更清楚地阐明这种关系。除了提供针对疾病的科学培训。作为一名研究生，该项目涉及合作机构伙伴关系，扩大了科学参与，并允许与那些塑造临床实践的人直接分享见解和数据，研究结果将广泛传播给学术和非学术受众、健康和营养从业者。具体而言，本研究应用生物社会理论视角来调查 1) 医疗保健提供者对食品不安全和饮食的看法和实践 2) 意义；患者归因于食物的生活体验不安全感；3) 患者的食物获取、偏好和选择；以及 4) 这些因素对患者健康结果的影响，包括对提供者和患者的访谈、结构化调查和生物测量。身高、体重、血压、胆固醇和糖化血红蛋白），将用于实现这些研究目标。这项研究将与农村社区卫生诊所合作进行，该研究结合了营养学和社会科学的理论方法和方法。提供了一种新的食品检测方法该奖项反映了 NSF 的法定使命，并通过使用基金会的智力价值和更广泛的影响审查标准进行评估，被认为值得支持。