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：
10349849
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/10349849
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 Cohort Studies Complement Country Data Data Collection Development Development Plans Diet Dimensions Discrimination Disease Progression Doctor of Philosophy Education Employment Equation Ethnic Origin Ethnic group Evolution Factor Analysis Faculty Focus Groups Generations Glucose Goals Growth Health Heart Diseases Hypertension Income Individual Intervention Interview K-Series Research Career Programs Language Latino Latino Population Measurement Measures Mentors Methods Modeling National Heart, Lung, and Blood Institute Non-Insulin-Dependent Diabetes Mellitus North Carolina Obesity Outcome Pattern Perception Plant Roots Play 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 Research Training Resources Risk Risk Factors Role Skin Social Sciences Sociology Stigmatization Stratification Stress Subgroup Surveys Techniques Time Training United States United States National Institutes of Health Universities Woman Writing base 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 multi-racial novel protective factors racial and ethnic racial difference racial diversity research study skills skin color social epidemiology social exclusion social factors theories treatment strategy

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.

项目概要/摘要申请 NHLBI K01 教师多样性指导职业发展奖的目的是为 Deshira Wallace（公共卫生硕士、博士）提供成为独立研究员的必要培训心血管健康和健康不平等影响着少数群体，特别是拉丁裔黑人。华莱士提出了综合培训和职业发展计划种族化和交叉性、社会流行病学、心血管健康等理论的应用先进的定量和定性方法在人群中非常普遍。居住在美国 (US) 的拉丁裔研究表明，不同拉丁裔亚群的 CVD 患病率有所不同。这些群体内的差异可能是由于身份不同而导致的不同暴露造成的。研究表明，拉丁裔群体内的 CVD 存在差异，按原籍国、出生地和年龄划分然而，根据拉丁美洲人的情况进行亚组分析的研究有限。尽管拉丁裔同时体现了种族和民族（交叉性），但在美国却被种族化了。种族化是个人理解种族并将其归因于种族的过程。拉丁裔的种族化经历，具体目标是（1）探索拉丁裔黑人的种族化经历在美国；(2) 构建多项目种族化变量；以及 (3) 比较心血管风险的轨迹目标 1 将使用深入访谈和评估拉丁美洲人随时间变化的分数。焦点小组了解个人和集体的信念以及对影响黑人如何生活的因素的看法拉丁裔成年人在美国经历种族化。数据收集将在北卡罗来纳州进行（目标 2）。分析）和目标 3（混合模型）将使用波士顿波多黎各健康研究的数据。就拟议研究的范围而言，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种族化定量研究方法；（2）培养潜在类别和混合建模分析的定量技能 (3) 整合社会科学和生物科学方法来解决因果问题影响心血管健康的因素；(4) 加强科学写作和资助技能。拟议的 K01 支持 NHLBI 重点调查导致不同人群健康状况差异的因素拟议研究的结果将通过采用交叉方法影响公共健康。提供有关种族化经历及其对心血管健康影响的新信息该项目将在拉丁裔黑人中开展，以告知量身定制的预防和治疗策略。北卡罗来纳大学教堂山分校，该大学提供卓越的资源和指导来培训博士。华莱士执行拟议的 K01，它还为教师提供资源以成功增强多样性；转型为独立研究员。