Social determinants of sleep and obesity: Disparities in African Americans

睡眠和肥胖的社会决定因素：非裔美国人的差异

• 批准号: 10662965
• 负责人: Ivan H Wu
• 金额: $ 24.9万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-06 至 2025-11-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10662965
• 关键词: Address; Adult; Affect; African American; African American population; American Cancer Society; Behavior; Belief; Body Weight; Body mass index; Chronic; Chronic Disease; Church; Clinical; Clinical Trials Design; Communities; Conflict (Psychology); Data; Data Analytics; Data Set; Dedications; Development; Diabetes Mellitus; Diagnosis; Diet; Disadvantaged; Disease; Disparity; Educational workshop; Exposure to; Faith; Family; Fatigue; Feedback; Goals; Health; Health Campaign; Health behavior; Individual; Institutional Review Boards; Intervention; Interview; Knowledge; Link; Malignant Neoplasms; Mediating; Medicine; Mentors; Methods; Minority Groups; Morbidity - disease rate; National Institute on Minority Health and Health Disparities; Neighborhoods; Obesity; Obesity associated cancer; Overweight; Pathway interactions; Perception; Phase; Physical activity; Positioning Attribute; Protocols documentation; Psychologist; Public Health; Recommendation; Reporting; Research; Research Methodology; Research Personnel; Research Priority; Risk; Risk Factors; Role; Sample Size; Sampling; Sleep; Sleep Deprivation; Sleep disturbances; Sleeplessness; Social Environment; Social support; Spirituality; Stress; Testing; Training; University of Texas M D Anderson Cancer Center; Woman; Work; burden of illness; cancer health disparity; cohort; contextual factors; design; disparities in morbidity; disparity gap; energy balance; ethnic minority; ethnic minority population; experience; feasibility testing; health disparity; healthy lifestyle; improved; improvement on sleep; innovation; lectures; member; men; mortality; mortality disparity; neighborhood disadvantage; obesity risk; obesity treatment; poor sleep; protective factors; psychologic; racial minority; racial minority population; racial population; satisfaction; sedentary; sedentary lifestyle; sleep quality; social determinants; trend

PROJECT SUMMARY/ABSTRACT The proposed research aims to reduce obesity-related health disparities by promoting healthy lifestyle behav- iors among African Americans (AAs), given the high disease burdens associated with low physical activity, in- sufficient sleep, and obesity. To this end, the candidate will seek to understand how social contextual factors impact sleep by using qualitative interviews and an existing quantitative data sets (K99). Knowledge gained from the K99 phase will inform the adaptation and testing of an existing sleep intervention (MDACC IRB Proto- col #2018-0568) (R00). During the K99 phase, the candidate will receive focused and intensive training involv- ing workshops, courses, lectures, and directed readings from renowned experts in the fields of health dispari- ties, sleep medicine, and obesity. Two studies will include: (Aim 1) conducting qualitative in-depth interviews to elucidate social contextual influences on sleep, while soliciting feedback to adapt a sleep intervention among obese, sedentary, and short-sleeping AA adults; and (Aim 2) empirically testing the associations between so- cial contextual factors, sleep, physical activity, and body weight using data from an ongoing studies of AAs (Project FAITH; American Cancer Society, RSG-17-158-01; PI: Dr. McNeill, mentor). Lastly, during the R00 phase will compile the knowledge gained in the K99 phase to adapt a sleep intervention and test its feasibility, satisfaction, and preliminary efficacy in improving sleep, increasing physical activity, and decreasing sedentary behavior among overweight/obese, sedentary, and sleep-deprived AA adults (Aim 3). The candidate is uniquely positioned to complete the proposed research based on his past clinical experience in treating insom- nia and his research on sleep and obesity among AAs. The sleep intervention is a promising and innovative approach to optimizing psychological and physical wellness to reduce obesity and cancer-related health dis- parities – a research priority at the National Institute on Minority Health and Health Disparities. Furthermore, the proposed training plan will be critical in expediting the candidate’s transition to an independent investigator with focused expertise in developing culturally informed interventions to reduce cancer health disparities among AAs.

项目摘要/摘要 拟议的研究旨在通过促进健康的生活方式行为来减少与肥胖相关的健康分配。 非裔美国人（AAS）中的IOR，鉴于与体育锻炼低相关的高疾病伯恩一家 足够的睡眠和肥胖。为此，候选人将寻求了解社会背景因素如何 通过使用定性访谈和现有的定量数据集（K99）来影响睡眠。知识获得了 从K99阶段开始，将为现有睡眠干预的适应和测试提供信息（MDACC IRB proto- Col＃2018-0568）（R00）。在K99阶段，候选人将接受重点和密集的培训参与 - ING研讨会，课程，讲座和著名专家的定向读物 领带，睡眠药物和肥胖。两项研究将包括：（目标1）进行定性的深入访谈 阐明社会环境对睡眠的影响，同时征求反馈以适应睡眠干预措施 肥胖，久坐不动的AA成年人； （AIM 2）经验测试So-之间的关联 使用正在进行的AAS的数据数据 （Project Faith； American Cancer Society，RSG-17-158-01； PI：McNeill博士，导师）。最后，在R00期间 阶段将汇编K99阶段中获得的知识，以适应睡眠干预并测试其可行性， 满意度和提高睡眠，增加体育锻炼和久坐不足的效率 超重/肥胖，久坐和睡眠不足的AA成年人的行为（AIM 3）。候选人是 根据他过去在治疗Inmom- Nia和他对AAS中睡眠和肥胖症的研究。睡眠干预是一种有前途且创新的 优化心理和身体健康以减少肥胖和与癌症相关的健康状况的方法 平等 - 国家少数民族健康与健康差异的研究优先事项。此外， 拟议的培训计划对于加快候选人向独立调查员的过渡至关重要 具有重点专业知识，以制定文化知识的干预措施，以减少癌症健康分布 在AAS中。