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.

项目摘要灾难在所有社会系统中造成了广泛的破坏。随着气候变化的数量和数量和灾难的强度正在增加。现有研究支持灾难中灾难的不成比例的影响老年人人口不断增长。此外，这些灾难的可能异质性影响个人和社区水平的特征可能会加剧健康的种族和社会经济差异该人群的结果，例如认知能力下降。这需要确定特定影响与灾难影响相关的认知结果不良风险的特征。社区提供通过建立对灾难的社区韧性来解决差异的机会。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，应对灾难是必需的。通过了解社区的变化来减轻认知差异，我们可以改善灾难响应政策和计划，以支持创造积极的机构健康影响并减少认知健康的差异。这个为期一年的项目将增加当前资助的R01，以确定可防止与灾害有关的因素老年人的认知障碍。我们将整合有关空间灾难暴露的定量数据美国的危害事件和损失数据库（Sheldus）和社区级别的韧性带有个人级别风险因素和健康结果的调查和地理信息系统（GIS）数据来自台面并提示同伙。衡量和描述与气候有关的灾难和社区弹性超过20年，我们将计算灾难影响的指标（月份，严重性）和访问指标到不同的邻里机构（密度，多样性）。这些数据将链接到6,814 Mesa 参与者和3077个参与者（目标1）。在两个队列中使用纵向健康数据，我们将估计与灾难相关的认知障碍的幅度和社区释放因素定量减轻风险（目标2和3）。我们将使用同伙的地理和种族/种族多样性来了解灾难影响和与灾难有关的认知障碍中的个人和社区分散性。这些发现将导致精致的弹性措施，以告知干预措施，以建立抵抗灾难和恢复，并最终防止健康差异。

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.