Wabanaki NARCH

瓦巴纳基·纳奇

基本信息

批准号：
10708898
负责人：
Patrik Lennart Johansson
金额：
$ 110.64万
依托单位：
WABANAKI HEALTH AND WELLNESS
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：
2021-09-16 至 2025-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10708898
关键词：
Address Advocacy African American Aging Agreement Alaska Native Alzheimer&apos s Disease Alzheimer&apos s disease related dementia American Indians Area Cherokee Indian Cholesterol Collaborations Communities Community Health Dementia Direct Costs Disparity population Economics Education Elderly Eligibility Determination Facilities and Administrative Costs Faculty Foundations Future Generations Growth Health Healthcare Systems Houlton Human Resources Hypertension Impaired cognition Infrastructure Institution Internships Joints Knowledge Leadership Life Life Expectancy Longevity Maine Medicine Morbidity - disease rate Native American Research Center for Health Non-Insulin-Dependent Diabetes Mellitus Nonprofit Organizations Obesity Penobscot Persons Philosophy Physical activity Play Population Population Growth Positioning Attribute Prevalence Principal Investigator Public Health Regulation Research Research Institute Research Methodology Research Project Grants Resolution Role Services Smoking Societies Source Students Teton Sioux Indian Training Tribes Underrepresented Populations United States Public Health Service Universities Washington aged care systems college dementia risk economic impact experience health data health disparity high risk human old age (65+)human very old age (85+)improved low socioeconomic status member mid-career faculty mild cognitive impairment mortality programs public health research repository role model social statistics transmission process tribal community tribal health tribal member tribal organization undergraduate student virtual

项目摘要

OVERALL: ABSTRACT The number of American Indians aged 65 and older is expected to triple to 1,624,000 by 2050, while the number of those aged 85 and older will increase 7-fold to 300,000. While welcome, these statistics raise concerns about proportionate increases in health conditions associated with aging – especially Alzheimer’s disease and related dementias. This worrisome confluence of population growth, emerging needs, and high risk, combined with the widely recognized limitations of available health data on American Indian elders, motivates us to propose the Wabanaki Native American Research Center for Health, a partnership between Wabanaki Public Health and the Institute for Research and Education to Advance Community Health at Washington State University. Wabanaki Public Health is a tribal public health district serving the 4 federally recognized tribes of Maine. Collectively known as the Wabanaki tribes, the tribes include the Aroostook Band of Micmacs, Houlton Band of Maliseet Indians, Penobscot Nation, and Passamaquoddy Tribe. Establishing the Wabanaki Native American Research Center for Health to address elder health is critically important for 3 reasons. First, elder health is a high priority for Wabanaki Public Health. Second, Alzheimer’s disease and related dementias and mild cognitive impairment are leading causes of morbidity and mortality, yet nothing is known about the prevalence of these conditions or their economic impact among American Indians in the northeastern US. Third, Wabanaki Public Health desires to strengthen its research capacity and infrastructure as a necessary foundation for sustainable research. Therefore, our overall Specific Aims are to: 1) Strengthen collaborations between Wabanaki Public Health, a public health district serving American Indians people in Maine and Washington State University to improve the research and service capacities of Wabanaki Public Health through 1 Research Project, 2 Capacity Building Projects, and an Administrative Core; 2) Estimate the prevalence of Alzheimer’s disease and related dementia and mild cognitive impairment among Wabanaki tribal members aged 55 and older, as well as the current and future direct and indirect costs associated with these conditions; 3) Build research capacity among Wabanaki Public Health staff and Wabanaki undergraduate students through a year-long tailored research methods course and year-long student internships at Wabanaki Public Health; and 4) Extend tribal self-governance to encompass the regulation of scientific endeavors and to build research capacity by laying the foundation for a Research Review Board. The Wabanaki NARCH is the first in the northeastern US since the program was founded in 2000. It will fill striking gaps in our knowledge of Alzheimer’s disease and related dementias and mild cognitive impairment among American Indian elders. It will also promote and expand the research and infrastructure capabilities of Wabanaki Public Health, a tribal public health district that is uniquely positioned to assume a leadership role in ameliorating health disparities experienced by Wabanaki and other northeastern tribal communities.

总体：摘要到2050年，年龄在65岁及以上的美国印第安人的人数预计将三倍至1,624,000，而数量在85岁及以上的人中，将增加7倍至300,000。在欢迎时，这些统计数据引起了人们对与衰老有关的健康状况的比例增加 - 尤其是阿尔茨海默氏病及其相关的痴呆症。这种可怕的人口增长，新兴需求和高风险的融合以及广泛认可的可用健康数据对美洲印第安长老的局限性，激励我们提出 Wabanaki美国原住民卫生研究中心，Wabanaki公共卫生与研究和教育研究所，以促进华盛顿州立大学的社区卫生。瓦巴纳基公共卫生是一个部落公共卫生区，为缅因州的四个联邦认可部落提供服务。统称作为Wabanaki部落，部落包括Miccas的Aroostook乐队，Maliseet Indians的Houlton Band， Penobscot Nation和Passamaquoddy部落。建立Wabanaki美国原住民研究中心为了健康解决老年人的健康至关重要，这是有3个原因。首先，卫生长老是优先事项 Wabanaki公共卫生。第二，阿尔茨海默氏病和相关痴呆症和轻度认知障碍是发病率和死亡率的主要原因，但对于这些疾病的普遍性或它们的流行尚无美国东北部的美洲印第安人的经济影响。第三，Wabanaki公共卫生需要加强其研究能力和基础设施，作为可持续研究的必要基础。因此，我们的总体具体目的是：1）加强瓦巴纳基公共卫生之间的合作公共卫生区为缅因州和华盛顿州立大学的美洲印第安人服务，以改善 Wabanaki公共卫生的研究和服务能力通过1个研究项目，2个能力建设项目和行政核心； 2）估计阿尔茨海默氏病和相关痴呆的患病率以及55岁及以上的Wabanaki部落成员以及当前和与这些条件相关的未来直接和间接成本； 3）在Wabanaki之间建立研究能力通过为期一年的量身定制的研究方法课程，公共卫生人员和Wabanaki本科生以及瓦巴纳基公共卫生的长达一年的学生实习； 4）扩大部落自治至包容通过为研究奠定基础，调节科学努力并建立研究能力审查委员会。自该计划建立以来，Wabanaki Narch是美国东北部的第一个 2000年。它将在我们对阿尔茨海默氏病和相关痴呆症和轻度认知的知识中填补明显的空白美洲印第安长老的损害。它还将促进和扩展研究和基础设施 Wabanaki公共卫生的能力，一个部落公共卫生区在改善Wabanaki和其他东北部落所经历的健康分配中的领导角色社区。