Effects of Neighborhood Environment on Child Behavioral Health

邻里环境对儿童行为健康的影响

基本信息

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
项目类别：
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

项目摘要

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.

摘要：儿童的健康发展对于长期健康至关重要，因为它可以增强人类的能力。参与经济、社会和公民生活；然而，并非所有儿童都能健康发展。儿童受到健康社会决定因素（SDOH）的影响，包括由于他们的健康而导致的结构性不平等邻里环境邻里环境，一个强大的SDOH，深刻地塑造着孩子们的性格。身体、心理和情绪健康，并影响儿童实现长期健康的机会。居住在较贫困社区的父母也往往会遇到无效的应对、养育挑战、家庭凝聚力不佳，这可能会影响行为失调和学业成绩儿童早期的行为失调——以自我调节行为能力受损为特征的行为。行为的反射性、自动性和情感反应——与共同行为的发展有关此外，行为失调与学业成绩不佳有关。表现，长期儿童健康的另一个重要指标。提供机会之窗寻找促进终身健康和缩小健康差距的解决方案以后生活中的养育行为和家庭凝聚力（家庭成员之间的积极关系）的差异。以及亲密程度、情感联系和支持）是家庭关系的可修改指标可以有针对性地减轻邻里环境对儿童行为失调的影响。 NRSA F31 提案，使用来自环境对儿童健康影响的丰富公开数据结果 (ECHO) 计划，我将采用创建培育环境框架来解决以下问题具体目标： 1）确定邻里环境对行为失调和学业的影响幼儿期（1-6 岁）的表现；2) 确定家庭关系在多大程度上调节邻里环境对行为失调和学业成绩的影响。职业发展计划将为我奠定基础： a) 培养儿童发展方面的专业知识强调行为健康和学业成绩； b) 建立环境邻里和环境方面的专业知识；它对儿童健康的影响； c) 提高数据分析（例如结构）的定量研究方法的技能方程建模； d) 获得团队科学技能的经验并实现专业发展目标。我拥有一支强大的导师团队，他们在各自领域具有影响力，拥有强大的 NIH 资金和出版物，致力于我在 F31 奖项和职业生涯中的成长和发展。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在解决 SDOH 和促进儿童健康方面推动科学发展。新的 NINR 战略计划的重点是了解 SDOH，以促进社区的健康公平具有优点和缺点的共同特征。