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

• 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
• 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

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，少数人的人群，特别是黑人拉丁裔。 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 种族和国际性理论的应用，社会流行病学，心血管健康 高级定量和定性方法。 居住在美国的拉丁美洲人（美国）。 例如，由于身份变化，这些群体内差异可能是由不同的暴露驱动的。 研究已经确定，拉丁美洲人的组内CVD差异存在 但是，居住在美国。 尽管拉丁裔同时体现了两者 种族化是种族被理解并归因于个人的过程 拉丁美洲人的种族化经验，具体目的是（1）探索黑人拉丁美洲人的种族化体验 在美国； 随着时间的流逝，拉丁裔的分数通过种族化评估差异。 焦点小组了解个人和集体信念以及对影响黑人的因素的看法 拉丁裔成年人在美国经历了种族化。 分析）和AIM 3（混合模型）将从波士顿波多黎各人的研究中进行补充 该建议的范围是该提案包括四个护理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； 纵向，流行病学数据；（3）整合社会和生物科学方法 影响心血管健康的因素； 支架K01支持NHLBI的专注于调查因素，这些因素解释了健康的差异 人群通过使用相互作用的方法从影响公共卫生的支撑研究中 提供有关种族化的新信息以及对心血管健康的影响 在黑人拉丁美洲人中，将在量身定制的预防策略中进行。 北卡罗来纳大学教堂山分校，该大学提供了卓越的资源和指导来培训博士 华莱士执行拟议的K01； 作为独立研究人员的过渡。