Disability and American Indian Elderly

残疾和美洲印第安人老年人

• 批准号: 6872734
• 负责人: R. TURNER GOINS
• 金额: $ 12.42万
• 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/6872734
• 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）：这一指导职业发展奖（K01）的最终目标是为申请人提供技能和经验，以建立独立的研究计划，以有限的理解对身体残疾和相关护理需求的了解有限，而美洲印度老年人和同龄白人则是基于对身体残疾和相关的护理需求。该奖项的培训计划旨在为老年医学健康提供严格的指导，主要是通过发展美国印度卫生政策，卫生保健和文化的新特定知识，以及在流行病学领域和残疾理论方面的培训。拟议的培训目标在（1）残疾研究，（2）未满足的护理需求和需求评估，（3）美洲印第安人卫生和医疗保健的文化方面以及（4）社会科学的高级定量方法中提供了额外的指导。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。数据将通过调查工具通过与65岁以上的社区居住的老年人进行面对面的访谈收集。总共寻求400次完成的访谈，其中200名美洲印第安人和200名白人老年参与者。该研究将研究身体残疾的种族差异以及合并症和功能限制对身体残疾的影响。这项研究还将调查未满足护理需求的种族差异以及美洲印第安人老年人的种族认同如何影响未满足的护理需求。 这项研究的发现将允许对理论模型进行完善和重塑，以更好地了解美洲印度长老中残疾的独特方面。这项研究还将作为未来R01应用程序的基准，该应用程序将将这项工作扩展到纵向研究中，从而提供了一种检查美洲印第安人老年人随着时间的残疾进展的方法。 了解残疾发展和经验的种族差异将产生有关如何减少美洲印第安长老当前面临的健康差异的宝贵信息。