The Effects of Discrimination and Sleep Disturbance on Health among Asian Youth

歧视和睡眠障碍对亚洲青少年健康的影响

• 批准号: 9167203
• 负责人: Tiffany Yip
• 金额: $ 21.15万
• 依托单位: FORDHAM UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-08-09 至 2018-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9167203
• 关键词: Adolescence; Adolescent; Adult; African American; Annual Reports; Anxiety; Area; Asian Americans; Asians; Biological; Buffers; Chronic; Chronic stress; Development; Dimensions; Discrimination; Ethnic group; Foundations; Funding; Health; Latino; Link; Literature; Long-Term Effects; Mediating; Minority; Minority Groups; Mission; Modeling; Outcome; Pathway interactions; Physiological; Public Health; Reporting; Research; Research Personnel; Sampling; Science; Sleep; Sleep disturbances; Social Sciences; Stereotyping; Stress; Surveys; Symptoms; Time; United States; Youth; actigraphy; acute stress; adolescent health; biopsychosocial; depressive symptoms; diaries; ethnic discrimination; ethnic identity; ethnic minority population; experience; health disparity; innovation; meetings; neglect; ninth grade; physical conditioning; psychologic; racial and ethnic; social; theories; twelfth grade

Adolescents are chronically sleep-deprived with 97% of 12th graders getting insufficient sleep. Unfortunately, sleep is one of several areas of health where ethnic minorities suffer disparities. Sleep has profound influences on adolescent socioemotional and physical health and development. Moreover, research finds that sleep and health share a link to racial/ethnic discrimination. Integrating these areas of research, the proposed study is the first to explore the associations between discrimination, sleep, and health in a unified and longitudinal approach. The study explores sleep disturbance as an explanatory physiological mechanism through which racial/ethnic discrimination leads to compromised health in the short and longer term. The 2-year study includes Asian/Asian American (A/AA) adolescents starting in the 9th grade. Despite reporting rates of discrimination comparable to, and even higher than, other minorities A/AA youth have been neglected in the research on discrimination. Taking a biopsychosocial approach, the study explores the biological (i.e., sleep), psychological (i.e., racial/ethnic identity), social (i.e., racial/ethnic discrimination) pathways to adolescent health. Through the innovative combination of sleep actigraphy, daily surveys, and tri-annual reports of health, the study will make significant contributions to the science of social-biomedical influences on development. This unique methodological approach affords the ability to explore concurrent (i.e., daily-level) as well as longitudinal (i.e., year-over-year) analyses, providing a cutting-edge approach to exploring the temporal linkages in the development of disparities. The proposed study is guided by the following study aims: · Aim 1: To explore the unique daily-level effects of racial/ethnic discrimination on sleep disturbance and health, adjusting for the effects of general stress. · Aim 2: To investigate the hypothesis that daily-level sleep disturbance partially mediates the negative effect of daily racial/ethnic discrimination on health. · Aim 3: To investigate the hypothesis that racial/ethnic identity moderates the effect of daily level racial/ethnic discrimination on sleep disturbance. · Aim 4: To investigate the short- and longer-term effects of daily racial/ethnic discrimination and sleep disturbance on health over time. The proposed study adds a sample of A/AA adolescents to an on-going study of discrimination and sleep among African American and Latino youth. Consistent with ecosocial theory's construct of embodiment, the study will contribute to the science of health disparities by identifying the physiological pathway through which the social experiences of discrimination result in health disparities. The study relates to the NIH's mission by exploring the biopsychosocial mechanisms underlying the development of health disparities.

青少年在长期睡眠不足，有97％的12年级学生的睡眠不足。 不幸的是，睡眠是少数族裔差异的几个健康领域之一。睡眠有 对青少年社会情感和身体健康与发展的深刻影响。而且，研究 发现睡眠和健康与种族/族裔歧视有联系。整合了这些研究领域， 拟议的研究是第一个探索统一歧视，睡眠和健康之间关联的研究 和纵向方法。 该研究探索睡眠障碍是一种利用生理机制 种族/种族歧视导致短期和长期的健康受损。这项为期两年的研究 包括从9年级开始的亚裔/亚裔美国人（A/AA）青少年。尽管报告率是 歧视可与其他少数民族A/AA青年相提并论，甚至更高 歧视研究。该研究采用生物心理社会方法，探索生物学（即睡眠）， 心理（即种族/种族身份），社会（即种族/种族歧视）通往青少年的途径 健康。通过睡眠行为摄影，每日调查和三年一的健康报告的创新组合， 该研究将对社会生物医学对发展的影响的科学做出重大贡献。 这种独特的方法论方法具有探索并发（即每日级别）的能力以及 纵向（即全年）分析，提供了一种探索临时性的尖端方法 分布开发的联系。拟议的研究以以下研究为指导： 目标1：探索种族/种族歧视对睡眠障碍和 健康，调整一般压力的影响。 目的2：调查每日睡眠灾难部分介导负面的假设 每日种族/种族歧视对健康的影响。 目的3：调查种族/族裔身份的假设调节了每日水平的影响 对睡眠障碍的种族/种族歧视。 目标4：调查日常种族/种族歧视和睡眠的短期和长期影响 随着时间的流逝，健康疾病。 拟议的研究将A/AA青少年的样本添加到了正在进行的歧视研究和 在非裔美国人和拉丁裔青年中睡觉。与生态社会理论的实施一致， 这项研究将通过确定通过 歧视的社会经历导致健康差异。该研究与NIH有关 通过探索健康分配发展的基础的生物心理社会机制。