Effects of Neighborhood Environment on Child Behavioral Health

邻里环境对儿童行为健康的影响

• 批准号: 10749444
• 负责人: Jiye Lee
• 金额: $ 5.02万
• 依托单位: UNIVERSITY OF MIAMI CORAL GABLES
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-14 至 2025-08-13
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10749444
• 关键词: Acting Out; Address; Adopted; Affect; Award; Behavior; Behavioral; Biological; Brain; Capital; Characteristics; Child; Child Development; Child Health; Child Rearing; Childhood; Chronic Disease; Clinical; Data; Data Analyses; Data Element; Dedications; Development; Development Plans; Economics; Education; Emotional; Emotional Bonds; Environment; Equation; Family; Family Relationship; Family member; Foundations; Funding; Geography; Goals; Growth and Development function; Health; Health Food; Human; Impairment; Incidence; Inequity; Influentials; Intervention; Knowledge; Life; Longitudinal cohort; Mediating; Mediator; Mentors; Mentorship; Modeling; National Research Service Awards; Neighborhoods; Nurse Practitioners; Nurses; Outcome; Outcome Study; Parents; Pediatric Nursing; Performance; Psyche structure; Psychopathology; Publications; Research; Research Methodology; Role; Sampling; Science; Scientist; Shapes; Socioeconomic Status; Strategic Planning; Stress; United States National Institutes of Health; Work; behavior influence; behavioral health; career; career development; cohesion; cohort; combat; coping; early childhood; emotional reaction; experience; health disparity; health economics; health equity promotion; health inequalities; improved; indexing; member; perinatal health; programs; research and development; skills; social; social health determinants

ABSTRACT. Healthy child development is essential to long-term wellness because it enables human capacity to participate in economic, social, and civic life; however, not all children experience healthy development. Many children are affected by social determinants of health (SDOH) including structural inequities resulting from their neighborhood environment. Neighborhood environment, a powerful SDOH, profoundly shapes children's physical, mental, and emotional health, and influences opportunities for children to achieve long-term health. Parents who reside in poorer neighborhoods also tend to experience ineffective coping, parenting challenges, and suboptimal family cohesion, which may influence behavioral dysregulation and academic performance in early childhood. Behavioral dysregulation – an impairment in ability to self-regulate behaviors characterized by reflexive, automatic, and emotional reaction of acting out – is associated with the development of common childhood psychopathologies. In addition, behavioral dysregulation is associated with poor academic performance, another important indicator of long-term child health. Studying these outcomes in early childhood provides windows of opportunity to find solutions to promote life-long health and close the gap on health disparities later in life. Parenting behavior and family cohesion (positive relationships between family members and the level of closeness, emotional bonding, and support) are modifiable indicators of family relationships that can be targeted to mitigate the effect of neighborhood environment on child behavioral dysregulation. In this NRSA F31 proposal, using rich publicly available data from the Environmental Influences on Child Health Outcomes (ECHO) Program, I will adopt the Creating Nurturing Environments framework to address the following specific aims: 1) Identify the effect of neighborhood environment on behavioral dysregulation and academic performance in early childhood (1-6 years); 2) Determine the degree to which family relationships mediate the effect of neighborhood environment on behavioral dysregulation and academic performance. The accompanying career development plan will build the foundation for me to a) Build expertise in child development with emphasis on behavioral health and academic performance; b) Build expertise in neighborhood environment and its effect on child health; c) Advance skills in quantitative research methods for data analysis such as structural equation modeling; d) Gain experience in team science skills and accomplish professional development goals. I have a strong mentorship team who are influential in their respective fields with robust NIH-funding and publications, dedicated to my growth and development throughout this F31 award and my career. The career development and research plan will guide me to achieve my ultimate career goal of becoming an independent nurse scientist who advances the science in addressing SDOH and promoting child health. This proposal aligns with the new NINR Strategic Plan with its focus to understand SDOH to promote health equity in neighborhoods with shared characteristics of strengths and vulnerabilities.

抽象的。健康的儿童发展对于长期健康至关重要，因为它可以使人类能力 参加经济，社会和公民生活；但是，并非所有儿童都有健康的发展。许多 儿童受到卫生社会决定者（SDOH）的影响，包括其结构性不平等 邻里环境。邻里环境，强大的SDOH，深刻地塑造了儿童 身体，心理和情感健康，并影响儿童实现长期健康的机会。 居住在贫困社区的父母也倾向于经历无效的应对，育儿挑战， 和次优家庭的凝聚力，这可能会影响行为失调和学业表现 幼儿。行为失调 - 自我调节的行为能力的损害以表征为特征 反身，自动和情感反应表现出来 - 与共同的发展有关 儿童精神病理学。此外，行为失调与学术差有关 表现，是长期儿童健康的另一个重要指标。在童年时期研究这些结果 提供机会窗口来找到解决方案以促进终身健康并缩小健康差距 以后生活的差异。育儿行为和家庭凝聚力（家庭成员之间的积极关系 亲密的水平，情感联系和支持）是家庭关系的可修改指标 可以针对减轻邻里环境对儿童行为失调的影响。在这个 NRSA F31提案，使用来自环境影响儿童健康的丰富可公开可用数据 成果（ECHO）计划，我将采用创建培养环境框架来解决以下 具体目的：1）确定邻里环境对行为失调和学术的影响 幼儿时期的表现（1 - 6年）； 2）确定家庭关系介导的程度 邻里环境对行为失调和学习成绩的影响。参与 职业发展计划将为我建立基础a）建立儿童发展专业知识 强调行为健康和学习成绩； b）在邻里环境中建立专业知识， 它对儿童健康的影响； c）用于数据分析的定量研究方法的提高技能，例如结构性 方程建模； D）在团队科学技能上获得经验并实现专业发展目标。 我有一个强大的心态团队，他们在各自的领域都有强大的NIH资助，并且 出版物，致力于整个F31奖和我的职业生涯。 发展和研究计划将指导我实现成为独立的最终职业目标 护士科学家，他在解决SDOH和促进儿童健康方面的促进了科学。该提议保持一致 采用新的NINR战略计划，重点是了解SDOH以促进社区的健康公平 具有优势和脆弱性的共同特征。