An Investigation of Mental, Physical, and Sleep Health: The Role of Social Determinants

心理、身体和睡眠健康的调查：社会决定因素的作用

基本信息

批准号：
10707360
负责人：
Janeese A Brownlow
金额：
$ 32.59万
依托单位：
DELAWARE STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-20 至 2027-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10707360
关键词：
Adult Affect Anxiety Behavioral Biological Centers for Disease Control and Prevention (U.S.)Characteristics Chronic Cities Clinical Communities Data Delaware Discrimination Disease Disparity Environment Environmental Risk Factor Exhibits Female Goals Health Home Hour Human Individual Intervention Interview Investigation Link Maintenance Mental Depression Mental Health Mental disorders Monitor Neighborhoods Outcome Pathway interactions Pattern Perception Physical Examination Physical activity Physiological Play Polysomnography Population Process Psyche structure Public Health Quality of life Questionnaires REM Sleep Recommendation Reduce health disparities Reporting Research Risk Risk Factors Risk Marker Role Scheme Screening procedure Series Severities Sleep Sleep Deprivation Sleeplessness Slow-Wave Sleep Social Conditions Social Environment Stress Structure System Underserved Population Visit actigraphy aged blood pressure elevation ethnic minority ethnic minority population functional outcomes health disparity health equity high body mass index male novel physical conditioning racial disparity racial health disparity racial minority racial minority population sleep health sleep quality social social determinants social health determinants urban area

项目摘要

An Investigation of Mental, Physical, and Sleep Health: The Role of Social Determinants Summary Sleep deficiency is an important public health concern and is known to significantly impact mental and physical health. Sleep deficiency is an essential risk factor and marker for chronic conditions that disproportionately affect racial/ethnic minority populations and further contribute to health disparities. Social determinants of health are considered a system of schemes providing an understanding of how health is socially patterned, investigating causal pathways between social conditions and human health and disease. Noticeably, sleep deficiencies seem to share similar determinants and causal pathways observed for health outcomes with well-known health disparities. Limited studies have investigated whether social-environmental mechanisms and pathways that result in health disparities for mental and physical health outcomes can explain sleep deficiencies. This study will investigate the relative contribution of social-environmental factors at the individual (e.g., biological vulnerability to elevated blood pressure), interpersonal (e.g., city stress), community (e.g., neighborhood characteristics), and societal (e.g., societal structure, discrimination) levels and their influence as mechanisms to understand sleep deficiencies impact on mental and physical health, thus enabling us to substantiate key drivers of health disparities for racial/ethnic minorities. An understanding of the critical role of sleep deficiencies at the interplay of upstream social-environmental influences and downstream mental and physical health outcomes will be instrumental in moving the field toward a more useful integration of behavioral, biological, physiological, and socio-environmental understanding, which may lead to culturally tailored interventions to reduce the societal burden of health disparities.

对心理，身体和睡眠健康的调查：社会决定因素的作用概括睡眠不足是一个重要的公共卫生问题，已知会显着影响身心健康。睡眠不足是重要的危险因素和标志长期影响种族/族裔少数民族的慢性病，并进一步促进健康差异。社会决定因素被认为是一种方案系统，可以理解健康具有社会形象，研究了社会状况与人类健康与疾病之间的因果途径。明显的是，睡眠不足似乎共享类似的决定因素和因果关系的因果途径存在众所周知的健康差异。有限的研究调查了社会环境机制和是否存在导致健康差异的心理和身体健康结果的途径可以解释睡眠不足。这研究将研究社会环境因素对个体的相对贡献（例如，生物学血压升高的脆弱性），人际关系（例如，城市压力），社区（例如，社区特征）和社会（例如社会结构，歧视）及其作为机制的影响了解睡眠不足对心理和身体健康的影响，从而使我们能够证实种族/族裔少数民族的健康差异。了解睡眠不足在相互作用中的关键作用上游社会环境的影响以及下游的身心健康成果将是工具性的在将领域转向行为，生物学，生理和社会环境的更有用的整合时理解，这可能导致文化量身定制的干预措施，以减轻健康差异的社会负担。