The 3E Study: Economic and Educational Contributions to Emerging Adult Cardiometabolic Health

3E 研究：经济和教育对新兴成人心脏代谢健康的贡献

• 批准号: 10770261
• 负责人: Alison Cohen
• 金额: $ 20.45万
• 依托单位: FORDHAM UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-07 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10770261
• 关键词: Administrative Supplement; Affect; California; Color; Data; Development; Distress; Eating Disorders; Economics; Education; Ethnic Origin; Gender; Gender Identity; Health; Health Promotion; Hispanic-serving Institution; Individual; Inequity; Institution; Investigation; Knowledge; Latina; Link; Literature; Longitudinal cohort; Measures; Outcome; Population; Primary Prevention; Research; Risk; Risk Factors; Socioeconomic Status; Students; Surveys; Time; Weight; Woman; cardiometabolism; college; design; diaries; eating pathology; emerging adult; emerging adulthood; experience; high risk; higher education; intersectionality; low socioeconomic status; marginalization; parent grant; protective factors; racial identity; reduced food intake; stressor; university student; young adult

Despite being one of the fastest growing sectors of the US and having greater risk of developing eating pathology and more weight-related distress, Latina women are understudied, underrepresented, and underreported in the eating disorder (ED) field and factors affecting their disproportionate risk are largely unknown. Emerging adulthood and college are key transitional times linked to the development of EDs, and Latina emerging adult college students are particularly vulnerable. Intersectionality posits that individuals’ various identities interact with systemic factors (e.g., socioeconomic position with racialized and gendered identities), resulting in compounding discriminatory experiences that negatively impact health. Latina women have 42% greater risk of eating pathology than expected when the intersection of their ethnicity and gender are accounted for. Hypothesis-driven, longitudinal research focused on reducing eating pathology inequities for Latina women is lacking. Further, protective factors for eating pathology remain understudied in the ED field, particularly for multiply marginalized women whose experiences have historically been understudied, underrepresented, and underreported, and warrant further investigation. The overall objective of this administrative supplemental application is to examine economic risk factors and educational protective factors, as they intersect with aspects of identity, that are associated with risk of eating pathology in Latina emerging adults. We propose building on the parent grant R01HL160703-01A1 (“The 3E study: Economic and educational contributions to emerging adult cardiometabolic health”), which is creating a longitudinal cohort of 4,000 emerging adults at public Hispanic-Serving Institutions in California, by adding a set of supplemental aims (and new measures) that capture a wider breadth of eating pathology and exploring key identity-based moderators relevant for Latina emerging adults (e.g., generational status), who are understudied, underrepresented, and underreported in the ED literature. Using survey and daily diary data, our specific aims are to: 1) determine the contribution of Latina emerging adults’ economic stressors to eating pathology over time and 2) determine the contribution of educational protective factors to eating pathology over time. This research will increase understanding of factors that contribute to higher risk for eating pathology in Latina emerging adults, which will also enhance our knowledge of primary prevention targets for negative cardiometabolic health outcomes in this historically understudied, underrepresented, and underreported population.

尽管是美国增长最快的部门之一，并且具有更大的发展风险 饮食病理学和与体重相关的苦难更多，被理解为拉丁女性 代表性不足，在饮食失调障碍（ED）领域的报道及其影响不足 不成比例的风险在很大程度上是未知的。新兴的成年和大学是关键的过渡 与EDS的发展有关的时代，拉丁裔新兴的成人大学生是 特别脆弱。交叉性认为个人的各种身份与 系统性因素（例如，具有种族化和性别身份的社会经济地位），由此产生 在对健康产生负面影响的复杂歧视经历中。拉丁妇女有 饮食病理风险的风险比其种族交集的预期高42％ 性别被解释。假设驱动的，纵向研究的重点是减少饮食 缺乏针对拉丁裔女性的病理不平等。此外，饮食病理学的受保护因素 在ED领域保持理解，特别是对于多重边缘化的妇女 从历史上看，经验已被理解，代表性不足和报道不足，并且 保证进一步调查。这种行政补充的总体目标 应用是检查经济风险因素和受教育的受保护因素，因为 与身份的各个方面相交，这些方面与拉丁裔的饮食风险风险有关 新兴的成年人。我们建议在父母授予R01HL160703-01A1上建设（“ 3e研究： 对新兴成人心脏代谢健康的经济和教育贡献”）， 在公共西班牙裔服务机构中创建一个由4,000名新兴成年人组成的纵向队列 加利福尼亚州，添加一组捕获荒野的补充目标（和新措施） 饮食病理的广度和探索与拉丁裔有关的关键基于身份的主持人 新兴的成年人（例如，代表人数不足的成年人） 在ED文学中报道了不足。使用调查和日记数据，我们的具体目的是：1） 确定拉丁裔新兴成年人对饮食病理学的贡献 随着时间的流逝和2）确定受教育保护因素对饮食病理的贡献 随着时间的推移。这项研究将增加对导致更高风险的因素的理解 拉丁裔新兴成年人的饮食病理学，这也将增强我们对主要的知识 在历史上，预防靶标的心脏代谢健康结果 代表性不足，人口不足。