Understanding Stress and Racial/Ethnic Health Disparities in Multiethnoracial Families

了解多民族家庭的压力和种族/民族健康差异

• 批准号: 10531130
• 负责人: Christina Rowley
• 金额: $ 4.91万
• 依托单位: UNIVERSITY OF MASSACHUSETTS AMHERST
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-25 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10531130
• 关键词: Accounting; Address; Affect; Antigens; Baroreflex; Behavior; Belief; Biological; Biological Markers; Black race; Buffers; Capsid; Child; Child Rearing; Conflict (Psychology); Couples; Data; Data Set; Development; Discrimination; Divorce; Ethnic Origin; Ethnic group; Face; Family; Goals; Immunoglobulin G; Intervention; Interview; Latinx; Link; Measures; Mediating; Mediator of activation protein; Methods; National Longitudinal Survey of Adolescent to Adult Health; Outcome; Parents; Pathway interactions; Patient Self-Report; Perception; Physiological; Play; Population; Predisposition; Qualitative Research; Race; Reduce health disparities; Reporting; Research; Role; Social support; Source; Stress; Stress and Coping; System; Time; Training; Viral; Work; base; career; design; effective intervention; experience; family support; health disparity; improved; indexing; insight; minority stress; parental role; perceived discrimination; perceived stress; preventive intervention; protective factors; racial and ethnic; racial diversity; recruit; resilience; stress management; stressor; theories; transmission process

PROJECT SUMMARY/ABSTRACT Multiethnoracial (MER) families have increased dramatically in the U.S., with rates projecting to triple by 2060. The term “multiethnoracial” describes parental dyads from different racial or ethnic backgrounds (e.g., White- Black, Black-Latinx). Research indicates that MER couples face more stress and family conflict than their monoethnoracial (MoER) counterparts, resulting in increased rates of separation and divorce. To date, no research addresses a key determinant of stress for MER parents, namely the challenge of merging two different racial or ethnic backgrounds, and the resultant stressors that emerge. The early years of parenthood is a period in which MER couples may experience heightened levels of stress because they must merge the values, behaviors, and beliefs of two unique racial or ethnic groups into one family system. Family support is a key resilience factor during this time, buffering the effects of the stress of new parenthood on marital and coparenting conflict, and affecting positive adjustment to this stress. The long-term goal of my research is to identify targets for interventions to reduce stress and improve support for MER families. The specific objective of this proposed research is to identify whether disparities exist in both perceived and biological indicators of stress for MER compared to MoER families, as well as identify modifiable sources of stress, such as low social support, during early parenthood. The central hypothesis is that MER parents will experience greater stress due to racial/ethnic cultural differences, perceived discrimination, and lower access to social supports during early parenthood than their MoER counterparts. Specifically, the proposed research will: (Aim 1) examine if stress in early parenthood differs for parents in MER and MoER dyads, (Aim 2) determine if social support serves as a moderator and/or mediator of the relationship between ethnoracial composition of the couple and stress, and (Aim 3) explore the unique challenges MER families face which contribute to their perceptions of stress, sources of parenting conflict, methods of coping with stress, and the role of social support in these dynamics. The proposed study will employ a sequential explanatory mixed method (SEMM) design with two stages. /Using a nationally representative data set, the first stage of the study will examine links between ethno-racial composition of parent dyads and stress. The second stage of the study will involve qualitative interviews to better understand the quantitative results regarding the factors that contribute to the transmission of stress in MER couples. The outcomes will be theoretically significant by contributing to minority stress theory and broadening its application to MER families while considering the role of support in buffering perceived and biological indices of stress. The findings also have translational significance, by identifying pathways that influence new parents' resilience and susceptibility (e.g., social support) to stress and informing the development of preventive interventions that can contribute to reducing health disparities for MER families.

项目摘要/摘要 在美国，多口气（MER）家庭的增加幅度急剧增加，到2060年的利率预计为三倍。 “多源性”一词描述了来自不同种族或种族背景的父母二元组（例如，白人 - 黑色，黑色latinx）。研究表明，梅夫夫妇面临的压力和家庭冲突比他们的压力和家庭冲突更多 单乙醇（Moer）对应物，导致分离和离婚率提高。迄今为止，没有 研究是针对MER父母压力的关键决定者，即合并两个的挑战 不同的种族或种族背景，以及产生的压力。父母的早期 是Mer夫妇可能会承受更高压力的时期，因为他们必须合并 两个独特的种族或种族群体的价值观，行为和信念分解为一个家庭制度。家庭支持是 在此期间，关键的弹性因素缓冲了新生生对婚姻和婚姻压力的影响 冲突的冲突，并影响对这种压力的积极调整。我的研究的长期目标是 确定干预措施的目标，以减轻压力并改善对MER家族的支持。具体 这项拟议研究的目的是确定在感知和 与MOER家族相比 在父母早期生育期间，压力的来源，例如社会支持低。中心假设是 梅父母将由于种族/种族文化差异，感知的歧视，会承受更大的压力， 与他们的穆尔同行相比，在早期育儿期间获得社会支持的机会降低。具体来说， 拟议的研究将：（目标1）检查父母和MOR的父母早期父母差异是否有压力 二元组，（目标2）确定社会支持是否是主持人和/或调解者 夫妻和压力的民族种族组成，（目标3）探索Mer家族面临的独特挑战 这有助于他们对压力的看法，育儿冲突的根源，应对压力的方法以及 社会支持在这些动态中的作用。拟议的研究将采用顺序利用混合 方法（SEMM）设计有两个阶段。 /使用全国代表性数据集，这是研究的第一阶段 将检查父二元组的民族种族组成与压力之间的联系。研究的第二阶段 将涉及定性访谈，以更好地了解有关因素的定量结果 有助于伴侣中的压力传播。结果将在理论上具有重要意义 促进少数族裔压力理论并扩大其对MER家族的应用，同时考虑角色 支持缓冲压力和生物学指标的支持。调查结果也有翻译 意义，通过确定影响新父母的韧性和敏感性的途径（例如，社会 支持）强调并告知可能有助于减少的预防干预措施的发展 MER家庭的健康分配。