Perceived Racism and Cancer Risk Among Latino Immigrant Men

拉丁裔移民男性所感受到的种族主义和癌症风险

• 批准号: 7323427
• 负责人: India Jane Ornelas
• 金额: $ 2.92万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-01 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7323427
• 关键词: Address; Adoption; African American; Alcohol consumption; Behavior; Cause of Death; Cigarette; Cross-Sectional Studies; Data; Destinations; Diagnosis; Discrimination; Disease; Economics; Emotional; Environment; Ethnic group; Face; Factor Analysis; Frequencies; Future; Goals; Health; Health Status; Healthcare; Healthcare Systems; Hispanics; Immigrant; Immigration; Incidence; India; Individual; Intervention; Knowledge; Language; Latino; Laws; Lead; Legal Status; Life; Linear Regressions; Link; Literature; Malignant Neoplasms; Mental Health; Modeling; North Carolina; Numbers; Pathway interactions; Perception; Policies; Prevalence; Research; Risk Behaviors; Rural; Staging; Symptoms; Testing; Tobacco use; Trauma; United States; Variant; Wages; Work; base; binge drinking; biopsychosocial; cancer health disparity; cancer prevention; cancer risk; coping; environmental stressor; experience; health care service utilization; men; racial and ethnic; racial discrimination; racism; response; stressor; trend

DESCRIPTION (provided by applicant): Cancer is the second leading cause of death among Latino immigrant men, and studies have found that the longer they reside in the US, the greater their risk for cancer. North Carolina's economic opportunities have attracted the fastest growing Latino population in the US. Nevertheless, these men encounter environmental stressors of language barriers, immigration laws, and racism. Coping with such stressors can lead to behaviors that increase their cancer risk, such.as alcohol consumption and tobacco use. Contributing to the problem is a health care system that has been unable to keep pace with Latino immigrant men's rapidly growing needs. Studies have shown that perceived racism is positively associated with cigarette use and alcohol consumption, and inversely associated with use of health care. The objective of the proposed study is to reveal the pathways underlying the relationship between perceived racism and cancer risk behaviors among Latino immigrant men in rural North Carolina. The study will be guided by the Ecosocial Model of racism and health and the Biopsychosocial Model of racism as a stressor. The specific aims of the study are: Aim 1: To describe the prevalence of perceived racism among Latino immigrant men. Aim 2: To assess the relationship between perceived racism and cancer risk behaviors of tobacco use, alcohol consumption, and health care utilization among Latino immigrant men. Aim 3: To determine whether the relationship between perceived racism and cancer risk behaviors is moderated by Latino immigrant men's personal coping responses and sense of mastery. The study proposes to conduct confirmatory factor analysis and linear regression modeling, using cross- sectional data collected for the study, Men as Navigators for Health and Hombres Manteniendo Bienestar y Relaciones Saludables. The proposed research will contribute to the NCI goal of identifying and addressing underlying causes of racial and ethnic cancer disparities. Findings will contribute to both the theoretical and empirical literature by testing hypotheses about two pathways linking perceived racism and cancer risk behaviors, as well as proposed moderators of these relationships. Moreover, the results from our research can inform future cancer prevention and control interventions to reduce the negative effects of perceived racism for Latinos in new immigrant destinations.

描述（由申请人提供）：癌症是拉丁裔移民男性的第二大死因，研究发现，他们在美国居住的时间越长，患癌症的风险就越大。北卡罗来纳州的经济机会吸引了美国增长最快的拉丁裔人口。然而，这些人面临着语言障碍、移民法和种族主义等环境压力。应对此类压力源可能会导致增加癌症风险的行为，例如饮酒和吸烟。导致这一问题的原因是医疗保健系统无法跟上拉丁裔移民男性快速增长的需求。研究表明，感知到的种族主义与吸烟和饮酒呈正相关，与医疗保健的使用呈负相关。拟议研究的目的是揭示北卡罗来纳州农村拉丁裔移民男性的种族主义与癌症风险行为之间关系的潜在途径。该研究将以种族主义与健康的生态社会模型和种族主义作为压力源的生物心理社会模型为指导。该研究的具体目标是： 目标 1：描述拉丁裔移民男性中所感知到的种族主义的普遍程度。目标 2：评估拉丁裔移民男性中感知到的种族主义与吸烟、饮酒和医疗保健利用等癌症风险行为之间的关系。目标 3：确定感知到的种族主义与癌症风险行为之间的关系是否受到拉丁裔移民男性的个人应对反应和掌控感的调节。该研究建议使用为研究“男性作为健康导航者”和“Hombres Manteniendo Bienestar y Relaciones Saludables”收集的横截面数据进行验证性因素分析和线性回归建模。拟议的研究将有助于 NCI 确定和解决种族和民族癌症差异的根本原因的目标。通过检验关于将感知到的种族主义和癌症风险行为联系起来的两种途径的假设，以及这些关系的拟议调节因素，研究结果将为理论和实证文献做出贡献。此外，我们的研究结果可以为未来的癌症预防和控制干预措施提供信息，以减少新移民目的地拉丁裔种族歧视的负面影响。