Evaluating Microaggressions among Latinx Individuals with Obesity

评估拉丁裔肥胖人群的微攻击行为

• 批准号: 10725858
• 负责人: Brooke Y Redmond
• 金额: $ 61.12万
• 依托单位: UNIVERSITY OF HOUSTON
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-04 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10725858
• 关键词: Adult; Adverse effects; Affect; Area; Arousal; Behavior; Calories; Caring; Chest Pain; Chronic Disease; Clinical; Communities; Consumption; Dangerousness; Data; Discrimination; Disparity; Distress; Eating; Eating Behavior; Ecological momentary assessment; Esthesia; Ethnic Origin; Event; Exercise; Exposure to; Female; Fright; Funding; Future; Goals; Health Sciences; Heart; Heart Diseases; Heart Rate; Hyperphagia; Intervention; Investigation; Knowledge; Latinx; Latinx population; Life; Low Prevalence; Methodology; Minor; Mission; National Institute of Diabetes and Digestive and Kidney Diseases; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Outcome; Participant; Pathway interactions; Persons; Physical activity; Physiological; Population; Prevention; Process; Public Health; Race; Reporting; Research; Research Personnel; Research Project Grants; Risk Assessment; Risk Factors; Role; Sampling; Self Efficacy; Shortness of Breath; Stigmatization; Stress; Stressful Event; Stroke; Subgroup; Symptoms; Testing; Time; Treatment Efficacy; United States; Weight; Work; adult obesity; anxiety sensitivity; bodily sensation; demographics; disadvantaged background; efficacy testing; emotional eating; experience; food craving; health disparity; health disparity populations; improved; meetings; microaggression; minority stress; moderate-to-vigorous physical activity; neglect; non-verbal; physical inactivity; prospective; protective factors; public health priorities; racism; randomized, clinical trials; resilience; resilience factor; social stigma; stressor; therapy development; time use; verbal

PROJECT SUMMARY/ABSTRACT Despite being one of the largest and fastest-growing demographics in the United States, Latinx persons experience striking health disparities, particularly in terms of obesity. One possible reason for this disparity among Latinx persons is that this population is disproportionately affected by stressful life conditions, including discrimination, which may lead to higher rates of obesity-related clinical correlates (e.g., emotional eating, physical inactivity). Subtle discrimination related to ethnic status at the daily level, known as ethnic microaggressions (MAs), is common among Latinx persons, and may be an underrecognized factor that accounts for significant and unique variance in obesity-related eating and physical inactivity behaviors. The goal of this R21 project is to elucidate the concurrent and temporal role of ethnic MAs in obesity-related eating and physical inactivity behaviors among Latinx persons using time sampling methodology (over the course of 28 days). Participants (N = 150; 50% female) will be Latinx adults meeting criteria for obesity. Furthermore, the present proposal will determine whether anxiety sensitivity (fear of somatic sensations such as shortness of breath, racing heart, and chest pain) accounts for the relation between ethnic MAs and obesity-related eating behaviors (i.e., greater emotional eating, food cravings, loss of control while eating, and episodes of overeating) and physical inactivity behaviors (i.e., greater fears of exercise and perceived barriers to engage in physical activity [PA] and lower exercise self-efficacy and moderate-to-vigorous PA), and test theoretically driven risk and resilience factors, including components of familismo (i.e., familial support and obligations) and weight stigma. The current proposal directly aligns with the goals of # PAR-21-313 to support new investigators from groups nationally underrepresented within the field of health sciences (Brooke Kauffman, PI, is a female new investigator from a disadvantaged background) conducting research aligned with the scientific mission areas of the National Institute of Diabetes and Digestive and Kidney Diseases. The knowledge and experience gained from this proposal will be leveraged to guide intervention development and efficacy testing for future randomized clinical trials. Specifically, this study will enhance understanding and knowledge of precursors to obesity-related clinical correlates within the Latinx community and provide preliminary data needed to successfully compete for R01 funding as well as other independent research grants.

项目摘要/摘要 尽管是美国最大，增长最快的人口统计学知识之一，但拉丁人还是 经历了严重的健康差异，尤其是在肥胖方面。这种差异的可能原因之一 在拉丁人中，该人群受压力大的生活条件的影响不成比例 歧视，这可能导致肥胖相关临床相关性较高（例如，情绪饮食， 身体不活动）。在每日级别上与种族状况有关的微妙歧视，称为种族 显微攻击（MAS），在拉丁人中很常见，可能是一个不明显的因素 在与肥胖相关的饮食和身体不活动行为中说明了显着和独特的差异。这 这个R21项目的目标是阐明种族MAS在与肥胖相关的饮食中的同时和时间作用 使用时间抽样方法的拉丁人之间的身体不活动行为（在整个过程中 28天）。参与者（n = 150; 50％女性）将是符合肥胖标准的拉丁人。此外， 目前的建议将决定焦虑敏感性是否（害怕诸如短暂的躯体感觉） 呼吸，赛车心脏和胸痛）解释了种族MAS和与肥胖有关的饮食之间的关系 行为（即更大的情绪饮食，食物渴望，饮食时失去控制以及情节 暴饮暴食）和身体上的无活动行为（即，对运动的恐惧和参与的障碍更加恐惧 体育锻炼[PA]，降低运动自我效能感和中度到vig的PA），并在理论上测试 驱动的风险和弹性因素，包括家族主义的组成部分（即家庭支持和义务）和 重量污名。当前的建议直接与＃PAR-21-313的目标保持一致，以支持新的调查人员 来自健康科学领域的全国人数不足的团体（Brooke Kauffman，Pi，是女性 来自处境不利的背景的新调查员）进行研究与科学任务保持一致的研究 国家糖尿病，消化和肾脏疾病的地区。知识和经验 从该提案中获得的将被利用以指导干预开发和效力测试未来 随机临床试验。具体而言，这项研究将增强对前体的理解和了解 与肥胖相关的临床相关性在拉丁裔社区中，并提供了必要的初步数据 成功竞争R01资金以及其他独立的研究补助金。