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Longitudinal Effects of Socioeconomic Disadvantage and Racial Discrimination on Health Among African Americans and Puerto Ricans

Award Number: R01MD012248
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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PROJECT SUMMARY/ABSTRACT The proposed research would capitalize on a wealth of longitudinal data previously collected at key developmental stages over a period of 27 years as part of the Harlem Longitudinal Development Study. It has two major aims: The first is to identify the mediators of the relationships between social determinants of health (i.e., socioeconomic disadvantage and ethnicity-based/racial discrimination) and allostatic load in a sample of African Americans and Puerto Ricans entering midlife. The research proposal is guided by a contextual- developmental model based in Phenomenological Variant of Ecological Systems Theory, as well as a pathophysiological theory of stress (allostatic load). Second, the research will identify the differential developmental trajectories of perceived ethnicity-based/racial discrimination from late adolescence to the early forties, examine their associations with allostatic load and mental health in the early forties, and test the ability of resilience resources to mitigate these associations. The sample for this study will consist of 400 male and female African Americans and Puerto Ricans who were previously seen in adolescence (T1, T2), emerging adulthood (T3), young adulthood (T4), and adulthood (T5, T6). Identifying the pathways through which risk and protective factors for allostatic load operate will have important implications for public health by providing targets for intervention and informing policy. Finding moderating constructs that can mitigate the deleterious sequelae of chronic ethnicity-based/racial discrimination will highlight significant areas of resilience. Such a focus on resilience not only moves away from a deficit perspective of people of color, but also has the potential to transform policy and interventions by building on strengths, rather than treating deficits. A move in this direction is an important step towards reaching the goal of eliminating the significant social and ethnic/racial health disparities that plague the U.S. and realizing health equity for all.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = -$2 )
2025	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	000	5	12/31/2024	NON-COMPETING CONTINUATION	-$1
2025	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	001	5	12/31/2024	SUPPLEMENT FOR EXPANSION	$0
														Subtotal = -$2

Issue Date FY: 2023 ( Subtotal = $0 )
2023	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	000	5	5/31/2023	NON-COMPETING CONTINUATION	$0
2023	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	001	5	5/31/2023	SUPPLEMENT FOR EXPANSION	$0
														Subtotal = $0

Issue Date FY: 2021 ( Subtotal = $832,567 )
2021	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	000	5	6/23/2021	NON-COMPETING CONTINUATION	$770,594
2021	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	002	5	9/27/2021	NON-COMPETING CONTINUATION	$0
2021	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	001	5	8/3/2021	SUPPLEMENT FOR EXPANSION	$61,973
														Subtotal = $832,567

Issue Date FY: 2020 ( Subtotal = $956,992 )
2020	2020	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	001	4	5/13/2020	NON-COMPETING CONTINUATION	$895,019
2020	2020	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	000	3	2/14/2020	SUPPLEMENT FOR EXPANSION	$61,973
														Subtotal = $956,992

Issue Date FY: 2019 ( Subtotal = $809,319 )
2019	2019	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	000	3	5/28/2019	NON-COMPETING CONTINUATION	$809,319
2019	2019	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	001	3	5/31/2019	NON-COMPETING CONTINUATION	$0
														Subtotal = $809,319

Issue Date FY: 2018 ( Subtotal = $829,206 )
2018	2018	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	001	2	6/15/2018	NON-COMPETING CONTINUATION	$82,920
2018	2018	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	000	2	5/24/2018	NON-COMPETING CONTINUATION	$746,286
														Subtotal = $829,206

Issue Date FY: 2017 ( Subtotal = $853,213 )
2017	2017	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	000	1	9/24/2017	NEW	$853,213
2017	2017	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Minority Health and Health Disparities Research	001	1	9/25/2017	NEW	$0
														Subtotal = $853,213

Grand Total All Awards = $4,281,295

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Longitudinal Effects of Socioeconomic Disadvantage and Racial Discrimination on Health Among African Americans and Puerto Ricans

Award Number: R01MD012248

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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