Dementia and Related Health and Social Challenges in Lebanon: A Population Study

黎巴嫩的痴呆症及相关健康和社会挑战：人口研究

• 批准号: 10633203
• 负责人: CARLOS F. MENDES DE LEON
• 金额: $ 67.38万
• 依托单位: GEORGETOWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-15 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10633203
• 关键词: Address; Adult; Affect; Age; Aging; Alzheimer' s disease care; Alzheimer' s disease related dementia; Alzheimer' s disease risk; American; Caregivers; Caring; Chronic Disease; Chronic stress; Climacteric; Cognitive; Cohort Studies; Collaborations; Complex; Conflict (Psychology); Country; Data; Dementia; Demographic Transitions; Development; Education; Elderly; Ethnic Origin; Exposure to; Face; Family; Family Relationship; Foundations; Future; Goals; Growth; Health; Healthcare; Impaired cognition; Incidence; Income; Interdisciplinary Study; Intervention Studies; Knowledge; Lebanon; Life; Life Cycle Stages; Long-Term Care; Longitudinal Studies; Longitudinal Surveys; Methods; Michigan; Middle East; Migrant Workers; Modeling; Northern Africa; Observational Study; Older Population; Outcome; Pattern; Politics; Population; Population Research; Population Study; Prevalence; Prevention strategy; Quality of Care; Research; Research Design; Research Methodology; Research Personnel; Resource-limited setting; Resources; Respondent; Risk Factors; Role; Sampling; Series; Social Conditions; Social outcome; Socioeconomic Status; Solid; Structure; Surveys; Techniques; Testing; Training Activity; Universities; Work; aged; aging population; analytical method; caregiving; cognitive interview; cohort; dementia risk; design; epidemiology study; experience; family support; follow-up; informal care; innovation; insight; instrument; interest; low and middle-income countries; novel; population based; population survey; programs; recruit; sex; social; socioeconomics; traditional care; virtual

The overall objective of this application is to build capacity in longitudinal survey research methods and investigate the burden of dementia and related personal, social and health challenges in the older population of Lebanon. Population aging is occurring across the entire world, including in many low- and middle-income countries (LMIC). As a result, these countries face a rapidly growing burden of common age-associated chronic illnesses, including Alzheimer's disease and related dementias (ADRD). Lebanon is a middle-income country in the Middle East North Africa (MENA) region where the prevalence of ADRD is estimated to be among the highest in the world. There is currently very limited reliable information on the prevalence and incidence of ADRD and on the primary ADRD risk factors in this population. Furthermore, LMIC countries like Lebanon often face substantial challenges in the adequate provision of care for ADRD, and very little is known about patterns of formal and informal care for the health and personal needs of affected older adults and their families. There is also insufficient research capacity for the conduct of rigorous studies of ADRD to address the population burden due to ADRD in Lebanon. The proposed project has two over-arching goals. First, it aims to build new research capacity for the conduct of rigorous epidemiological studies of ADRD and other important aging-related health and social outcomes, with particular emphasis on longitudinal research designs and complex sampling strategies. The research capacity activities will be developed and carried out in close collaboration between the investigative teams at the American University of Beirut (AUB) and the University of Michigan, involving a series of training modules that are relevant to the social and cultural context in Lebanon. Second, it aims to develop a new population-based cohort study and recruit a sample of 3,000 adults aged 60 and older who will participate in a structured assessment of dementia, caregiver needs and arrangements, and other health and social domains relevant to understanding the challenges of population aging in Lebanon. The study intends to generate important new information on novel risk factors for ADRD, especially as it relates to the role of prolonged exposure to stressful social conditions throughout the lifecourse. Large segments of the adult population have experienced political instability and conflict that has dominated public life in Lebanon during the last four decades. It will also add important new information on caregiver needs and arrangements, especially as it relates to the growth in the hiring of domestic migrant workers. This model of care for older adults is increasingly replacing more traditional care models that rely on relatives. Findings from this work will not only inform potential strategies to reduce the population burden due to ADRD, but are also expected to increase our understanding of potentially important new risk factors for ADRD and the care arrangements for older adults with ADRD in many other settings and populations around the world.

该应用的总体目的是在纵向调查研究方法中建立能力，并 调查痴呆症的负担以及相关的个人，社会和健康挑战 黎巴嫩。全世界正在发生人口衰老，包括许多低收入和中等收入 国家（LMIC）。结果，这些国家面临着与年龄相关的迅速增长的负担 慢性疾病，包括阿尔茨海默氏病和相关痴呆症（ADRD）。黎巴嫩是中等收入 北非中东地区（MENA）地区，据估计ADRD的流行率为 在世界上最高的之一。目前，有关患病率的可靠信息非常有限 ADRD的发病率以及该人群中主要的ADRD风险因素。此外，LMIC国家喜欢 黎巴嫩经常在适当的ADRD提供护理时面临重大挑战，鲜为人知 关于受影响的老年人及其健康和个人需求的正式和非正式护理模式及 家庭。对ADRD进行严格的研究的研究能力也不足以解决 由于黎巴嫩的行化而导致的人口负担。拟议的项目有两个超大的目标。首先，它的目的是 建立新的研究能力，以对ADRD和其他重要的其他重要流行病学研究进行新的研究能力 与衰老有关的健康和社会成果，特别着重于纵向研究设计和 复杂的抽样策略。研究能力活动将在近距离开发和进行 美国贝鲁特大学（AUB）的调查团队与大学之间的合作 密歇根州，涉及一系列与黎巴嫩社会和文化背景有关的培训模块。 其次，它旨在开发一项新的基于人群的队列研究，并招募3,000名60岁成年人的样本 以及将参加痴呆症，照顾者需求和安排的结构化评估，以及 与了解黎巴嫩人口老龄化的挑战有关的其他健康和社会领域。这 研究打算为ADRD的新风险因素生成重要的新信息，尤其是与 在整个生命过程中，长期暴露于压力的社会状况的作用。大部分 成年人群体经历了政治不稳定和冲突，在黎巴嫩占据了公共生活 在过去的四十年中。它还将添加有关护理人员需求和安排的重要新信息， 特别是因为它与雇用国内移民工人的增长有关。这种对年长的护理模式 成人越来越多地取代依赖亲戚的更传统的护理模型。这项工作的发现将 不仅为潜在的策略提供了减轻ADRD的人口负担的信息，而且还有望 提高我们对ADRD潜在重要的新风险因素的理解和护理安排 在世界各地许多其他环境和人口中，有ADRD的老年人。