Racialization and Cardiovascular Risk Factors among Latinos - An Intersectional Approach

拉丁美洲人的种族化和心血管危险因素 - 交叉方法

基本信息

批准号：
10553295
负责人：
Deshira Damilka Wallace
金额：
$ 16.08万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-02-01 至 2027-01-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10553295
关键词：
Accent Acculturation Address Adult Affect Asian Behavior Behavioral Belief Biological Factors Biological Markers Biological Sciences Black race Boston Cardiovascular Diseases Cardiovascular system Censuses Cessation of life Characteristics Chronic Classification Cohort Studies Complement Country Data Data Collection Development Development Plans Diet Dimensions Discrimination Disease Progression Disparity Disparity population Doctor of Philosophy Education Employment Equation Ethnic Origin Ethnic Population Evolution Factor Analysis Faculty Focus Groups Generations Glucose Goals Growth Health Heart Diseases Hypertension Income Individual Inequity Intervention Interview K-Series Research Career Programs Language Latino Latino Population Measurement Measures Mentors Methods Minority Groups Modeling National Heart, Lung, and Blood Institute Non-Insulin-Dependent Diabetes Mellitus North Carolina Obesity Outcome Pattern Perception Population Population Heterogeneity Positioning Attribute Prevalence Prevention strategy Process Psychosocial Factor Psychosocial Stress Public Health Puerto Rican Qualitative Methods Race Religion Reporting Research Research Design Research Methodology Research Personnel Research Proposals Resources Risk Assessment Risk Factors Skin Social Sciences Sociology Stigmatization Stratification Stress Subgroup Surveys Techniques Time Training United States United States National Institutes of Health Universities Woman Writing cardiovascular health cardiovascular risk factor career development cost estimate design disease disparity epidemiologic data epidemiology study experience health difference health inequalities heart disease risk improved interest intersectionality longitudinal analysis marginalization multi-racial novel protective factors racial difference racial diversity racial population research study skills skin color social epidemiology social exclusion social factors theories treatment strategy

Accent Acculturation Address Adult Affect Asian Behavior Behavioral Belief Biological Factors Biological Markers Biological Sciences Black race Boston Cardiovascular Diseases Cardiovascular system Censuses Cessation of life Characteristics Chronic Classification Cohort Studies Complement Country Data Data Collection Development Development Plans Diet Dimensions Discrimination Disease Progression Disparity Disparity population Doctor of Philosophy Education Employment Equation Ethnic Origin Ethnic Population Evolution Factor Analysis Faculty Focus Groups Generations Glucose Goals Growth Health Heart Diseases Hypertension Income Individual Inequity Intervention Interview K-Series Research Career Programs Language Latino Latino Population Measurement Measures Mentors Methods Minority Groups Modeling National Heart, Lung, and Blood Institute Non-Insulin-Dependent Diabetes Mellitus North Carolina Obesity Outcome Pattern Perception Population Population Heterogeneity Positioning Attribute Prevalence Prevention strategy Process Psychosocial Factor Psychosocial Stress Public Health Puerto Rican Qualitative Methods Race Religion Reporting Research Research Design Research Methodology Research Personnel Research Proposals Resources Risk Assessment Risk Factors Skin Social Sciences Sociology Stigmatization Stratification Stress Subgroup Surveys Techniques Time Training United States United States National Institutes of Health Universities Woman Writing cardiovascular health cardiovascular risk factor career development cost estimate design disease disparity epidemiologic data epidemiology study experience health difference health inequalities heart disease risk improved interest intersectionality longitudinal analysis marginalization multi-racial novel protective factors racial difference racial diversity racial population research study skills skin color social epidemiology social exclusion social factors theories treatment strategy

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项目摘要

PROJECT SUMMARY/ABSTRACT The goal of this application for the NHLBI K01 Faculty Diversity Mentored Career Development award is to provide Deshira Wallace, MSPH, PhD, with the essential training to become an independent researcher in cardiovascular health and health inequities affecting minoritized populations, specifically Black Latinos. Dr. Wallace puts forth a comprehensive research proposal and career development plan integrating training in and application of theories of racialization and intersectionality, social epidemiology, cardiovascular health, and advanced quantitative and qualitative methods. Cardiovascular disease (CVD) is highly prevalent among Latinos living in the United States (US). Studies have shown that CVD prevalence varies by Latino subgroup, and these within-group disparities may be driven by different exposures due to varying identities. For example, studies have established that within-group CVD disparities exist for Latinos by country of origin, nativity, and years residing in the US. However, there is limited research on subgroup analysis according to how Latinos are racialized in the US, despite Latinos simultaneously embodying both a race and ethnicity (intersectionality). Racialization is the process by which race is understood by and ascribed to an individual. To examine the racialized experiences of Latinos, the specific aims are to (1) Explore racialization experiences of Black Latinos in the US; (2) Construct a multi-item racialization variable; and (3) Compare trajectories of cardiovascular risk scores over time among Latinos to assess differences by racialization. Aim 1 will use in-depth interviews and focus groups to understand individual and collective beliefs and perceptions of factors influencing how Black Latino adults experience racialization in the US. Data collection will occur in North Carolina. Aim 2 (factor analysis) and Aim 3 (mixture models) will use data from the Boston Puerto Rican Health Study. To complement the scope of the proposed research study, the proposal includes four career-development and training goals: (1) Deepen theoretical understanding of intersectionality and racialization and apply them to qualitative and quantitative research methods; (2) Develop quantitative skills in latent class and mixture modeling analysis of longitudinal, epidemiological data; (3) Integrate social and biological science approaches to address causal factors that influence cardiovascular health; and (4) Strengthen scientific writing and grantsmanship skills. The proposed K01 supports the NHLBI’s focus on investigating factors that account for differences in health among populations. Findings from the proposed research will impact public health by using an intersectional approach to provide novel information about experiences of racialization and their impact on cardiovascular health among Black Latinos to inform tailored prevention and treatment strategies. This project will be carried out at the University of North Carolina at Chapel Hill, which offers exceptional resources and mentoring to train Dr. Wallace to execute the proposed K01; it also provides resources to augment faculty diversity to successfully transition as an independent researcher.

项目摘要/摘要 NHLBI K01教师多样性指导的职业发展奖的目标是向Deshira Wallace，MSPH，PhD提供基本的培训，成为一名独立研究人员心血管健康和健康不平等影响少数人群，特别是黑人拉丁美洲人。博士华莱士提出了一项全面的研究建议和职业发展计划，将培训整合到和种族和交叉性理论的应用，社会流行病学，心血管健康和高级定量和定性方法。心血管疾病（CVD）在高度普遍存在居住在美国的拉丁美洲人（美国）。研究表明，Latino亚组的CVD患病率变化，这些组内差异可能是由于身份变化而导致的不同暴露。例如，研究已经确定，拉丁美洲人的组内CVD差异是由原籍国，耶稣降生和居住在美国的岁月。但是，根据拉丁美洲人的方式，对亚组分析的研究有限在美国，拉丁美洲人的宣教只是体现了种族和种族（交叉性）。种族化是种族被理解并被分配给个人的过程。检查拉丁美洲人的种族化经历，具体的目的是（1）探索黑人拉丁美洲人的种族化体验在美国；（2）构建一个多项目种族化变量；（3）比较心血管风险的轨迹随着时间的流逝，拉丁美洲人的分数通过种族化评估差异。 AIM 1将使用深入的访谈，并且焦点小组了解个人和集体信念以及对因素的看法影响黑人的方式拉丁裔成年人在美国经历了种族化。数据收集将在北卡罗来纳州发生。目标2（因子分析）和AIM 3（混合模型）将使用波士顿波多黎各人健康研究的数据。完成拟议研究的范围，该提案包括四个职业发展和培训目标：（1）加深对交叉性和种族化的理论理解，并将其应用于定性和定量研究方法；（2）在潜在类别和混合建模分析中发展定量技能纵向，流行病学数据；（3）整合社会和生物科学方法以解决因果关系影响心血管健康的因素；（4）加强科学写作和授予技巧。这拟议的K01支持NHLBI的专注于调查因素，这些因素解释了健康的差异人群。拟议研究的发现将通过使用交叉方法影响公共卫生提供有关种族化经历及其对心血管健康的影响的新信息在黑人拉丁美洲人中，可以为量身定制的预防和治疗策略提供信息。该项目将在北卡罗来纳大学教堂山分校，该分校提供了卓越的资源和心理来培训博士华莱士执行拟议的K01；它还提供了增强教师多样性的资源作为独立研究人员的过渡。