Daily psychosocial stress and cardiometabolic health of older Chinese Americans

老年华裔美国人的日常心理社会压力和心脏代谢健康

基本信息

批准号：
10646791
负责人：
Yanping Jiang
金额：
$ 24.12万
依托单位：
RUTGERS BIOMEDICAL AND HEALTH SCIENCES
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-06-12 至 2024-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10646791
关键词：
Address Adopted Adverse effects Affect Area Asian Asian Americans Asian population Attenuated Biological Markers Blood Blood Pressure C-reactive protein Cardiovascular Diseases Cause of Death Chinese Chinese American Data Deterioration Diabetes Mellitus Disadvantaged Ecological momentary assessment Emotions Equity Ethnic Origin Exposure to Family Fasting Female Future Glucose Grain Health Heterogeneity High Density Lipoprotein Cholesterol Hydrocortisone Hypertension Hypertriglyceridemia Immigrant Immigration Individual Interleukin-6 Intervention Interview Knowledge Language Limited English Proficiency Measures Metabolic syndrome Methods Minority Mission Modeling National Institute on Minority Health and Health Disparities New York Not Hispanic or Latino Participant Penetration Population Process Psychosocial Factor Psychosocial Stress Public Health Research Risk Factors Role Salivary Sampling Social isolation Socioeconomic Status Stereotyping Stress Structure Symptoms Testing Time Treatment/Psychosocial Effects Underserved Population United States aged anti-Asian biopsychosocial cardiometabolism design ethnic minority experience health equity promotion high risk low socioeconomic status marginalization member metropolitan novel physical conditioning positive emotional state psychosocial psychosocial stressors public health intervention racial discrimination racial disparity racism response social sociocultural determinant systemic inflammatory response waist circumference

项目摘要

Project Summary Despite being one of the fastest-growing immigrant populations in the United States, older Chinese Americans remain understudied in health research. The penetration of the model minority stereotype has caused the overlook of significant disadvantages and health burdens experienced by older Chinese Americans, particularly foreign-born older Chinese Americans. The double disadvantage of being a member of an ethnic minority and foreign-born puts foreign-born older Chinese Americans at high risk of experiencing psychosocial stressors, including anti-Asian racism and social isolation. These psychosocial stressors are key risk factors for poor physical health, including poor cardiometabolic health. Indeed, existing studies have shown a fast decline in cardiometabolic health after immigrating to the United States among older Chinese immigrants. However, there is a lack of a fine-grained characterization of psychosocial stressors and the processes through which these psychosocial stressors affect cardiometabolic health in older Chinese immigrants. Existing studies on this topic were largely focused on non-Hispanic Whites or other ethnic minorities. To address this gap, we aim to adopt a mixed-methods approach, along with the ecological momentary assessment, to identify the key psychosocial stressors related to cardiometabolic health in a sample of 80 older Chinese immigrants. Specifically, our proposed aims are: Aim 1a: Investigate the intermediate role of daily emotion (negative and positive emotion) and salivary cortisol (a biological marker of stress) through which psychosocial stressors (e.g., racial discrimination) affect systemic inflammation (CRP, IL-6) and metabolic syndrome; Aim 1b: Explore whether key sociocultural factors (living in ethnic enclaves, English proficiency, socioeconomic status) will attenuate the associations examined in Aim 1a; and Aim 2: Identify additional cultural, environmental, family, and individual factors that further explain the association between psychosocial stress and cardiometabolic health through semi-structured interviews in a subsample of 16 participants from Aim 1. Findings from this proposed study will contribute to our understanding of key psychosocial stressors and related biopsychological processes contributing to poor cardiometabolic health in older Chinese immigrants. As a result, this project will guide the design of future culturally-tailored, time-sensitive, personalized psychosocial interventions that aim to reduce racial disparities in cardiometabolic health and promote healthy equity in older Chinese Americans.

项目概要尽管年长的华裔美国人是美国增长最快的移民人口之一健康研究中仍处于研究不足状态。模范少数族裔刻板印象的渗透造成了忽视了老年华裔美国人所经历的重大不利条件和健康负担，特别是外国出生的年长华裔美国人。作为少数民族成员的双重劣势外国出生使外国出生的老年华裔美国人面临心理社会压力的高风险，包括反亚裔种族主义和社会孤立。这些社会心理压力源是贫困人口的关键风险因素身体健康，包括心脏代谢健康状况不佳。事实上，现有的研究表明，中国老年移民移民美国后的心脏代谢健康状况。然而，有缺乏对社会心理压力源及其产生过程的精细描述社会心理压力因素影响老年中国移民的心脏代谢健康。关于该主题的现有研究主要针对非西班牙裔白人或其他少数民族。为了解决这一差距，我们的目标是采用混合方法以及生态瞬时评估，以确定关键的社会心理 80 名老年中国移民样本中与心脏代谢健康相关的压力源。具体来说，我们的提出的目标是：目标 1a：调查日常情绪（消极和积极情绪）的中间作用和唾液皮质醇（压力的生物标志物），通过它，心理社会压力源（例如种族歧视）影响全身炎症（CRP、IL-6）和代谢综合征；目标 1b：探索是否关键社会文化因素（生活在少数民族聚居地、英语水平、社会经济地位）会削弱目标 1a 中审查的关联；目标 2：确定其他文化、环境、家庭和个人进一步解释社会心理压力与心脏代谢健康之间关系的因素对目标 1 中 16 名参与者的子样本进行半结构化访谈。这项拟议研究的结果将有助于我们理解关键的社会心理压力源和相关的生物心理过程导致中国老年移民心脏代谢健康状况不佳。因此，该项目将指导设计未来的文化定制、时间敏感、个性化的心理社会干预措施，旨在减少心脏代谢健康方面的种族差异并促进老年华裔美国人的健康公平。