Examining the physical toll of marginalizing experiences in emerging adulthood and exploring resilience possibilities

检查成年初期边缘化经历的身体伤害并探索恢复的可能性

• 批准号: 10543191
• 负责人: JOSEPH Patrick ALLEN
• 金额: $ 73.29万
• 依托单位: UNIVERSITY OF VIRGINIA
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-12-21 至 2026-11-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10543191
• 关键词: Acceleration; Adult; Affect; Age; Aging; Attention; Biological Markers; Cardiovascular Diseases; Career Mobility; Caregivers; Chronic Disease; Degree Completion; Development; Diabetes Mellitus; Discipline; Discrimination; Disease; Disparity; Education; Eligibility Determination; Employment; Epigenetic Process; Ethnic Origin; Ethnic Population; Etiology; First Generation College Students; Fostering; Future; Grant; Health; Individual; Inequality; Inequity; Inflammatory; Institution; Intervention; Learning; Life Cycle Stages; Light; Longitudinal Studies; Maintenance; Measurement; Mental disorders; Minority Groups; National Institute on Minority Health and Health Disparities; Onset of illness; Outcome; Participant; Pathway interactions; Physiological; Physiological Processes; Play; Process; Public Health; Race; Reduce health disparities; Research; Resources; Risk; Risk Behaviors; Risk Factors; Role; Sampling; Skin; Social Identification; Social Mobility; Social status; Social support; Societies; Socioeconomic Status; Source; Students; Testing; Time; Training; Underrepresented Students; Vision; Vulnerable Populations; Well in self; cardiometabolism; college; economic outcome; emerging adult; emerging adulthood; ethnic minority; experience; health disparity; higher education; marginalization; marginalized population; member; minority health; peer; perceived discrimination; physical conditioning; preservation; prognostic indicator; programs; prospective; protective effect; racial minority; racial population; recruit; resilience; retention rate; social; social space; socioeconomics; stressor; substance use; university student; young adult

PROJECT SUMMARY Scholars have called for greater attention to the etiologic role of social identity-related stressors in the creation and maintenance of health disparities. In this domain, a focus on emerging and early adulthood is warranted given that identity-related concerns peak during this developmental period. Among underrepresented college students attending elite predominantly white institutions, the confluence of heightened needs for identity supports and influx of marginalizing experiences may yield the perfect storm of stressors, resulting in negative health consequences, particularly among underrepresented students who persist in the face of adverse exposures. The proposed research aims to document 1) the role of specific identity-related stressors in undermining the health of vulnerable groups as they pursue educational and career advancement and 2) the role of social supports and resources in mitigating potential harm resulting from marginalizing experiences. The proposed research will be conducted with a sample of 340 early adults who previously participated in a five-wave longitudinal study across four years (96% retention rate). All participants were recruited during their first year of college at an elite predominantly white institution and were eligible to participate if they were a member of an underrepresented racial/ethnic group, a first generation college student, or received the full amount of the Federal Pell Grant (i.e., demonstrated substantial financial need). In the proposed research, established indicators of physical health and epigenetic aging will be collected from this sample of young adults (ages 25-30) to assess how their previous and concurrent experiences of marginalization (i.e., risk) and support (i.e., protection) may “get under the skin.” Biomarker measurements will be utilized in order to identify health risk prior to disease onset. During early adulthood, most chronic diseases are still asymptomatic and have not yet been detected via routine health screens. Thus, the period of early adulthood allows for identification of prognostic indicators of future disease. Notably, the proposed research aligns well with the scientific vision of the National Institute on Minority Health and Health Disparities in that it aims to help explain disparities in disease by illuminating physiologic processes resulting from social inequities. Additionally, the proposed research seeks to identify mechanisms of resilience with attention to nuance across outcomes being studied (e.g., “skin-deep resilience”). A more comprehensive understanding of risk and resilience processes and variability in how they play out among marginalized groups can inform interventions to facilitate social mobility while also preserving and bolstering the health of minority groups. Given that the emerging and early adulthood years hold great consequence for the life course, interventions targeting this developmental period hold tremendous potential for reducing health disparities, particularly health disparities that may be exacerbated counterintuitively by social mobility.

项目摘要 学者呼吁更加关注与社会身份相关的压力源在 建立和维持健康差异。在这个领域中，专注于新兴和成年早期是 鉴于与身份有关的问题在此发育时期达到顶峰，因此有必要。之中 代表人数不足的大学生参加了精英的主要是白人机构， 对身份支持和边缘化体验的影响的需求增加可能会产生完美的风暴 压力源，导致负面的健康后果，尤其是在代表性不足的学生中 面对不利的暴露。拟议的研究旨在记录1）特定的作用 与身份相关的压力源在破坏弱势群体的健康时，他们在接受教育和 职业发展和2）社会支持和资源在减轻潜在伤害的作用 来自边缘化的经历。拟议的研究将以340个早期成人样本进行 他以前在四年（保留率为96％）的五波纵向研究中参加了五波纵向研究。全部 参与者是在大学的第一年在一个主要白人机构招募的，并且是 如果他们是代表性不足的种族/种族群体的成员，则有资格参加第一代 大学生或获得了联邦佩尔赠款的全部金额（即证明了大量财务 需要）。在拟议的研究中，既定的身体健康和表观遗传衰老的指标将是 从这个年轻人样本中收集（25-30岁），以评估他们以前和并发的方式 边缘化（即风险）和支持（即保护）的经验可能“处于皮肤之下”。生物标志物 为了在疾病发作之前确定健康风险，将使用测量。在成年初期， 大多数慢性疾病仍然不对称，尚未通过常规健康筛查检测到。那， 成年早期的时期允许鉴定未来疾病的预后指标。值得注意的是 拟议的研究与国家少数民族健康研究所的科学愿景非常吻合 差异是因为它旨在通过阐明生理过程来帮助解释疾病的差异 由社会不平等导致。此外，拟议的研究旨在确定 对跨结果的细微差别的韧性（例如，“皮肤深度弹性”）。更多 对风险和弹性过程的全面理解以及它们之间如何发挥作用的可变性 边缘化团体可以为干预措施提供托管社会流动性的信息，同时保存和借贷 少数群体的健康。鉴于新兴和成年初期对 生命课程，针对这个发展时期的干预措施具有巨大的减少潜力 健康差异，尤其是可能因社会流动性违反直觉而加剧的健康差异。