Contribution of Longitudinal Neighborhood Determinants to Cognitive Health and Dementia Disparities within a Multi-Ethnic Cohort

纵向邻里决定因素对多种族群体中认知健康和痴呆症差异的贡献

基本信息

批准号：
10838063
负责人：
Jana Ariel Hirsch
金额：
$ 58.65万
依托单位：
DREXEL UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-05-15 至 2026-02-28
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10838063
关键词：
Address Affect Age Alzheimer&apos s disease related dementia Area Buffers Censuses Characteristics Climate Cognitive Communities County Data Databases Dementia Disasters Disparity Elderly Electronics Environment Event Floods Food Funding Geographic Information Systems Geography Goals Health Health Disparities Research Healthcare Heterogeneity Hospitals Household Hurricane Impaired cognition Individual Infrastructure Institution Intervention Link Location Longitudinal cohort Low income Maintenance Measures Morbidity - disease rate Multi-Ethnic Study of Atherosclerosis Neighborhoods Older Population Outcome Participant Patient Self-Report Persons Policies Population Population Group Prospective, cohort study Public Health Race Readiness Reasons for Geographic And Racial Differences in Stroke Recovery Research Research Design Research Personnel Research Support Resistance Resources Risk Risk Factors Risk Management Risk Reduction Role Rural Services Severities Social Environment Social Work Surveys System Time United States Weather Wildfire biomarker identification built environment climate change climate disaster climate-related health cognitive function cohort community organizations coping density disparity reduction ethnic diversity ethnic minority population experience hazard health data health disparity improved longitudinal database multi-ethnic prevent programs promote resilience racial disparity racial minority population resilience resilience factor response risk mitigation socioeconomic disadvantage socioeconomic disparity stressor

项目摘要

PROJECT SUMMARY Disasters create widespread disruption across all societal systems. With climate change, the number and intensity of disasters is increasing. Existing research supports a disproportionate impact of disasters among the growing population of older adults. Furthermore, likely heterogeneity in these disaster impacts by individual- and community-level characteristics may exacerbate racial and socioeconomic disparities in health outcomes among this population, such as cognitive decline. This necessitates identification of specific characteristics that influence risk for poor cognitive outcomes related to disaster impact. Neighborhoods offer the opportunity to address disparities by building up community resilience to disaster. Access to supportive neighborhood environments, including places where people come together to interact to build connections, are necessary for coping with disasters. By understanding community changes that mitigate cognitive disparities, we can improve disaster response policies and programs to support institutions that create positive health effects and reduce disparities in cognitive health. This 1-year project will augment a currently funded R01 to identify factors that prevent disaster-related cognitive impairment among older adults. We will integrate quantitative data on disaster exposure from Spatial Hazard Events and Losses Database for the United States (SHELDUS) and community-level resilience from surveys and geographic information systems (GIS) data with individual-level risk factors and health outcomes from the MESA and REGARDS cohorts. To measure and describe climate-related disaster and community resilience over 20 years, we will compute metrics of disaster impact (months, severity) and indicators of access to diverse neighborhood institutions (density, diversity). These data will be linked to the 6,814 MESA participants and 30,107 REGARDS participants (Aim 1). Using longitudinal health data in both cohorts, we will estimate the magnitude of disaster-related cognitive impairment and the community-resilience factors that quantitatively mitigate risk (Aims 2 & 3). We will use the geographic and racial/ethnic diversity of the cohorts to understand individual- and community-disparities in disaster impact and disaster-related cognitive impairment. These findings will result in refined measures of resilience to inform interventions that build disaster resistance and recovery, and ultimately prevent health disparities.

项目概要灾害对所有社会系统造成广泛破坏。随着气候变化，数量和灾害强度不断加大。现有研究支持灾害对人们的影响不成比例老年人口不断增长。此外，这些灾害影响可能存在异质性个人和社区层面的特征可能会加剧健康方面的种族和社会经济差异该人群的结果，例如认知能力下降。这就需要确定具体的影响与灾害影响相关的不良认知结果风险的特征。街区优惠通过增强社区的抗灾能力来解决差异的机会。获得支持邻里环境，包括人们聚集在一起互动以建立联系的地方，是应对灾难所必需的。通过了解减轻认知能力的社区变化差距，我们可以改进救灾政策和计划，以支持创造积极成果的机构健康影响并减少认知健康方面的差异。这个为期一年的项目将增强目前资助的 R01，以确定预防灾害相关的因素老年人的认知障碍。我们将整合来自 Spatial 的灾害暴露定量数据美国灾害事件和损失数据库 (SHELDUS) 以及社区层面的复原力包含个人风险因素和健康结果的调查和地理信息系统 (GIS) 数据来自 MESA 和 REGRARDS 队列。测量和描述与气候相关的灾害和社区 20 年来的恢复能力，我们将计算灾害影响指标（月份、严重程度）和访问指标多样化的社区机构（密度、多样性）。这些数据将链接到 6,814 MESA 参与者和 30,107 名问候参与者（目标 1）。使用两个队列的纵向健康数据，我们将估计与灾害相关的认知障碍的严重程度和社区复原力因素定量地降低风险（目标 2 和 3）。我们将利用群体的地理和种族/民族多样性来了解灾害影响和与灾害相关的认知障碍方面的个人和社区差异。这些发现将导致完善的复原力衡量标准，为增强抗灾能力的干预措施提供信息和恢复，并最终防止健康差距。

项目成果

期刊论文数量（5）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

National trends and disparities in retail food environments in the USA between 1990 and 2014.

DOI：
10.1017/s1368980023000058
发表时间：
2023-05
期刊：
PUBLIC HEALTH NUTRITION
影响因子：
3.2
作者：
Hirsch, Jana A.;Zhao, Yuzhe;Melly, Steven;Moore, Kari A.;Berger, Nicolas;Quinn, James;Rundle, Andrew;Lovasi, Gina S.
通讯作者：
Lovasi, Gina S.

Neighborhood greenspace and neighborhood income associated with white matter grade worsening: Cardiovascular Health Study.