Population-Specific Eating Disorder Risk Factors in Sexual Minority Women

性少数女性特定人群饮食失调的危险因素

基本信息

批准号：
10712844
负责人：
Melissa Simone
金额：
$ 24.88万
依托单位：
UNIVERSITY OF COLORADO DENVER
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-08-16 至 2026-04-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10712844
关键词：
Affect Age Appearance Award Behavior Behavior Disorders Case/Control Studies Communities Data Data Collection Data Set Discrimination Disparity Eating Disorders Ecological momentary assessment Emotions Environmental Risk Factor Ethnic Origin Event Foundations Funding Goals Guidelines Health Health Disparities Research Heterogeneity Heterosexuals Homophobia Individual Intervention Knowledge Lesbian Link Literature Measures Mental Health Mental disorders Mentors Mentorship Methods Minority Modeling Outcome Pathway interactions Pattern Phase Population Population Surveillance Positioning Attribute Prevention Prevention Guidelines Process Property Protocols documentation Psychometrics Race Reduce health disparities Research Research Methodology Research Personnel Resource-limited setting Resources Risk Risk Behaviors Risk Factors Role Sampling Secure Sex Behavior Sexual and Gender Minorities Shapes Social support Stress Structure Subgroup Symptoms Testing Thinking Time Training United States National Institutes of Health Woman career career development case control clinical development cognitive interview community engaged research community engagement decision research design diaries disorder prevention disorder risk ethnic diversity ethnic identity experience gender minority group health equity high risk improved innovation member minority stress mortality multidisciplinary novel peer perceived discrimination pressure prevent programs queer racial disparity racial diversity racial identity reduced food intake research study response sexual identity sexual minority sexual minority community sexual minority group sexual minority health sexual minority men sexual minority women social social culture social factors stressor tool treatment guidelines young adult

项目摘要

PROJECT SUMMARY Eating disorders have the highest mortality rate of all psychiatric illnesses and profound health consequences for those affected. Relative to their heterosexual peers, sexual minority women are at heightened risk of developing an eating disorder, yet little is known about the risk factors contributing to this disparity. The overarching goal of this Pathway to Independence Award is to gain advanced training and mentorship required to launch Dr. Simone's career as an independent investigator who rigorously investigates the mechanisms contributing to disparities in sexual minority populations. To achieve this goal, a multifaceted training plan including coursework, training, mentorship, and research is proposed in: (1) community-based and community- engaged research, (2) mixed-methods design and analysis, and (3) sexual minority health equity research. The knowledge derived from this training plan will prepare Dr. Simone to execute the proposed research, including three research aims and two data collection efforts. During the K99 phase, a mixed-methods case-control study will gain a broad scope of population-specific eating disorder risk factors in sexual minority women (Aim 1) through rich quantitative assessments about eating disorder symptoms, sociocultural pressures and minority stress, and video diaries that capture the response to discrimination, social pressure, and eating disorder episodes in real time. The results from Aim 1 and the community stakeholder advisory board (n=6) will inform the scope of the subsequent research. A well-known limitation of health disparity research is a lack of validated measures for use with minority samples. In line with NIH priorities, during the R00 phase, a population-specific measure of eating disorder risk factors will be developed (Aim 2) with guidance from the community advisory board and pertinent themes from Aim 1. Cognitive interviews with 30 sexual minority women will elucidate the content validity of each item. The psychometric properties of the scale will be derived from the Aim 3 sample. Finally, the temporality of associations between population-specific risk factors and eating disorder behaviors and the extent to which such relations differ by sexual identity (e.g., queer, lesbian), race, and ethnicity (Aim 3) by employing a daily process ecological momentary assessment in a case-control study. The proposed novel mixed-methods research will elucidate population-specific eating disorder risk factors in an understudied population, sexual minority women. Identification of population-specific risk factors and their associations with eating disorder symptoms in racially and ethnically diverse sexual minority women will produce guidelines for community programs and intervention efforts to rectify disparities, and the proposed measure will enhance surveillance of population-specific eating disorder risk and advance future research of such mechanisms. This award will launch the PI's independence by laying a foundation for a career in innovative multi-method research that may be applied to additional mental health outcomes wherein disparities are present and with other diverse sexual and gender minority populations.

项目摘要饮食失调的死亡率最高，在所有精神疾病和深远的健康后果对于受影响的人。相对于异性恋同龄人，性少数妇女的风险更高发展饮食失调，但对导致这种差异的风险因素知之甚少。这这项获得独立奖项的总体目标是获得所需的高级培训和指导为了启动Simone博士的职业生涯，他是一名独立调查员，他严格研究了这些机制导致性少数群体的差异。为了实现这一目标，一个多方面的培训计划包括课程，培训，指导和研究在：（1）基于社区和社区 - 参与研究，（2）混合方法设计和分析，以及（3）性少数民族健康公平研究。这从该培训计划中得出的知识将使Simone博士准备执行拟议的研究，包括三个研究目的和两项数据收集工作。在K99阶段，混合方法对照研究将在性少数妇女中获得广泛的人群特异性饮食失调症因素（目标 1）通过有关饮食失调症状，社会文化压力和少数的丰富定量评估压力和视频日记捕获了对歧视，社会压力和饮食失调的反应实时情节。 AIM 1和社区利益相关者顾问委员会（n = 6）的结果将告知随后的研究范围。众所周知的健康差异研究的局限性缺乏验证与少数样本一起使用的措施。根据NIH的优先级，在R00阶段，特定于人群在社区咨询的指导下，将开发饮食失调危险因素的度量（目标2） AIM 1的董事会和相关主题。与30个性少数妇女的认知访谈将阐明每个项目的内容有效性。量表的心理测量特性将从AIM 3样本中得出。最后，人口特异性风险因素与饮食失调行为之间的关联时间性以及这种关系因性认同（例如酷儿，女同性恋），种族和种族的不同程度（AIM 3）通过在病例对照研究中采用日常过程生态瞬时评估。提出的小说混合方法研究将阐明人口特定的饮食失调症风险因素人口，性少数妇女。识别特定人群的风险因素及其与种族和种族多种性少数妇女的饮食失调症状将为社区计划和干预措施以纠正差异，拟议的措施将增强监视人口特异性饮食失调风险并提高对此类机制的未来研究。这奖项将通过为创新多方法的职业奠定基础来启动PI的独立性可以应用于存在差异的其他心理健康结果的研究其他多样化的性和性别少数群体。