Emerging Disparities in Chronic Disease Risk Among Young Adults

年轻人慢性病风险的新差异

基本信息

批准号：
7992393
负责人：
NARAYAN SASTRY
金额：
$ 28.68万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-12-01 至 2013-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7992393
关键词：
Accounting Achievement Adolescence Adolescent Adult Affect Age Area Behavior Behavioral Biological Biological Markers Censuses Characteristics Cholesterol Chronic Disease Cigarette Collection Data Development Devices Diet Dimensions Disadvantaged Discrimination Economic Factors Economically Deprived Population Economics Exposure to Family Genetic Glucose Intolerance Goals Habits Health Health Status Health behavior Hypertension Income Individual Interview Lead Letters Life Life Cycle Stages Link Longitudinal Studies Marketing Measurement Measures Neighborhoods Obesity Outcome Pathway interactions Personal Satisfaction Physical activity Physiological Play Policy Research Positioning Attribute Poverty Premature Mortality Program Research Project Grants Protocols documentation Public Policy Quality of life Race Research Research Personnel Respondent Risk Factors Role Sampling Schools Science Shapes Siblings Signal Transduction Smoking Social Environment Social Network Source Stress Surveys System Time United States United States Dept. of Health and Human Services United States National Center for Health Statistics burden of illness cohort diet and exercise disorder risk emerging adult experience family influence health economics peer policy implication programs racial and ethnic disparities response social socioeconomics young adult

项目摘要

DESCRIPTION (provided by applicant): The goal of this project is to examine early life influences on racial and ethnic disparities in chronic disease risk from an interdisciplinary perspective. Although chronic diseases exact their greatest toll on adults, their biological and behavioral origins are apparent much earlier in the life course. Research in this area has been hampered by data limitations. Thus, little is known about the extent to which racial and ethnic disparities in chronic disease risk have emerged by young adulthood. Also, there is a limited understanding of how these disparities and disparities in health-related behaviors are determined by social and behavioral factors operating over time at multiple contextual levels, representing the influence of families, schools, peer networks, and neighborhoods. Wave IV of the National Longitudinal Study of Adolescent Health (Add Health) will provide valuable new opportunities for investigating these issues. We will use data from all four waves of Add Health to describe young adult racial and ethnic disparities in behavioral and biological indicators of chronic disease risk; investigate the behavioral pathways and trajectories leading to racial and ethnic disparities in early adult chronic disease risk; and study how background and intermediate social, demographic, and economic factors, operating at multiple contextual levels and over the life course, influence racial and ethnic disparities in chronic disease risk. A key focus will be on the public policy implications of the findings and, in particular, ways in which racial and ethnic disparities in emerging chronic disease can be reduced or eliminated. Add Health data are ideally suited for this study. Wave IV of Add Health will include multiple biological and physiological health status measurements from a nationally-representative sample of nearly 17,000 young adults (ages 24-32) who have been followed since 1994-95. These health status measures will provide a clear picture of the early emergence of chronic disease in a large national cohort. Data from Add Health will provide an extremely rich set of measures on key social, demographic, economic, and health characteristics of individuals, families, schools, and peer networks over a span of 12-14 years. PUBLIC HEALTH RELEVANCE: Although chronic diseases exact their greatest toll on adults, their biological and behavioral origins are apparent much earlier in the life course. The goal of this project is to examine early life influences on racial and ethnic disparities in chronic disease risk from an interdisciplinary perspective. We will use data from four waves of Add Health to analyze young adult racial and ethnic disparities in chronic disease risk.