Disability and American Indian Elderly

残疾和美洲印第安人老年人

• 批准号: 7020662
• 负责人: R. TURNER GOINS
• 金额: $ 12.59万
• 依托单位: WEST VIRGINIA UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-03-01 至 2010-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7020662
• 关键词: Native Americans; aging; behavioral /social science research tag; caucasian American; clinical research; culture; data collection; health care policy; health care service utilization; health disparity; health services research tag; human old age (65+); human subject; medically underserved population; person with disability; racial /ethnic difference; socioeconomics

DESCRIPTION (provided by applicant): The ultimate goal of this Mentored Career Development Award (K01) is to provide the applicant with skills and experience to establish an independent program of research that builds upon the limited understanding of physical disability and associated care needs among American Indian elderly and same-aged Whites. The training plan of this award is designed to provide rigorous instruction in gerontological health, primarily through the development of new specific knowledge in American Indian health policy, health care, and culture, as well as through training in the area of epidemiology and theoretical aspects of disability. The proposed training goals provide additional mentoring in (1) disability studies, (2) unmet care needs and needs assessment, (3) health care policy and cultural aspects of American Indian health and health care, and (4) advanced quantitative methods for the social sciences. The immediate research goal of this career development award is to collect primary data using a cross-sectional design. Data will be collected with a survey instrument via face-to-face interviews with community-dwelling elderly 65 years or older. A total of 400 completed interviews will be sought, with 200 American Indian and 200 White elderly participants. The research will examine racial differences in physical disability and in the effect of comorbidity and functional limitations on physical disability. The research will also investigate racial differences in unmet care needs and how ethnic identity among American Indian elderly influences unmet care needs. Findings from this study will allow for the refining and reshaping of a theoretical model to better understand unique aspects of disability among American Indian elders. This research will also serve as the baseline for a future R01 application that will expand this work into a longitudinal study, providing a means to examine the progression of disability over time among American Indian elderly. Understanding racial differences in the development and experience of disability will yield valuable information on how to reduce the health disparities currently faced by American Indian elders.

描述（由申请人提供）：该指导性职业发展奖 (K01) 的最终目标是为申请人提供技能和经验，以建立一个独立的研究计划，该计划建立在美国人对身体残疾和相关护理需求的有限了解的基础上印度老年人和同龄白人。该奖项的培训计划旨在提供老年健康方面的严格指导，主要是通过美洲印第安人健康政策、医疗保健和文化方面新的具体知识的发展，以及通过流行病学和理论方面的培训残疾。拟议的培训目标在以下方面提供额外指导：(1) 残疾研究，(2) 未满足的护理需求和需求评估，(3) 美洲印第安人健康和保健的医疗保健政策和文化方面，以及 (4) 先进的定量方法社会科学。该职业发展奖的直接研究目标是使用横截面设计收集主要数据。将使用调查工具通过对社区居住的 65 岁或以上老年人进行面对面访谈来收集数据。总共将寻求 400 份完整的访谈，其中包括 200 名美国印第安人和 200 名白人老年人。该研究将探讨身体残疾方面的种族差异以及合并症和功能限制对身体残疾的影响。该研究还将调查未满足的护理需求的种族差异，以及美国印第安老年人的种族认同如何影响未满足的护理需求。 这项研究的结果将有助于完善和重塑理论模型，以更好地理解美洲印第安老年人残疾的独特方面。这项研究还将作为未来 R01 应用的基线，该应用将把这项工作扩展为一项纵向研究，提供一种方法来检查美国印第安老年人的残疾随时间的进展情况。 了解残疾发展和经历的种族差异将为如何减少美洲印第安老年人目前面临的健康差异提供有价值的信息。