Evolution of Well-being among Older Adults after a Disaster

灾难后老年人福祉的演变

• 批准号: 7586205
• 负责人: ELIZABETH A FRANKENBERG
• 金额: $ 50.21万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-03-15 至 2013-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7586205
• 关键词: Accounting; Address; Adult; Affect; Age; Agriculture; Area; Arts; Biological Markers; Cessation of life; Communities; Country; Data; Demography; Developed Countries; Developing Countries; Disasters; Earthquakes; Economics; Elderly; Environment; Event; Evolution; Exposure to; Female; Funding; Goals; Health; Home environment; Income; Indian Ocean; Individual; Indonesia; International; Interview; Island; Life; Living Arrangement; Location; Long-Term Effects; Longitudinal Surveys; Low income; Measures; Methods; Natural Disasters; Outcome; Patient Self-Report; Personal Satisfaction; Phase; Population; Process; Property; Province; Psyche structure; Public Domains; Recovery; Research; Research Infrastructure; Resources; Respondent; Risk; Rosa; Rupture; Self Assessment; Stress; Sumatra; Surveys; Survivors; Tsunami; Unemployment; United States National Aeronautics and Space Administration; Water; Work; World Bank; acetone hydrazone; age group; design; economic outcome; farmer; follow-up; health economics; innovation; male; mortality; physical conditioning; reconstruction; remote sensing; sex; socioeconomics; statistics; tool; vibration; young adult

DESCRIPTION (provided by applicant): Older adults are often considered vulnerable, and therefore at particular risk in the event of a disaster. Very little is known, however, about how older adults are actually affected by disasters, particularly in a low income setting. We will assemble and analyze unique longitudinal data to assess the immediate and longer-term effect of the December 26, 2004 earthquake and tsunami on the well-being of older Indonesians. We have three main goals. First, we will combine the tools of demography and remote sensing to construct estimates of the total number of deaths in and the risk profile by age and sex. In the process, we will develop state-of-the-art methods for mortality estimation that will be applicable for research on other disasters. Second, we will turn to survivors and contrast changes in the lives of older males and females with the lives of younger adults, focusing particularly on destruction of property, loss of kin networks, and the downturn then subsequent boom in the economic environment. All of these dynamics are likely to have affected the way older versus younger adults organize their lives with respect to work, living arrangements, and the receipt and provision of assistance to kin. Third, using both self-reported data and an innovative set of biomarkers, we will address the question of how exposure to high levels of stress affects the evolution of mental and physical health and mortality over the longer term. To fulfill these goals, we will continue to field and analyze a multi-wave longitudinal survey of some 40,000 individuals in tsunami-affected areas of Sumatra and nearby comparison areas. Baseline data were collected in February 2004, prior to the earthquake. The first re-survey took place between May 2005 and May 2006. Survival status was ascertained for 96 percent of the respondents to the 2004 baseline and interviews were conducted with 94 percent of known survivors. The second re-survey began in July 2006 and will conclude in June 2007. We will conduct three additional annual follow-up surveys that focus on the evolution of well-being during the reconstruction phase. The data will be placed in the public domain and will be an important scientific resource for better understanding the impact of a natural disaster on population well-being. Project Narrative This project will provide estimates of consequences of the December 26, 2004 tsunami for mortality and for the well-being of older adults across a range of health and economic outcomes. We will assess the extent to which older individuals were particularly vulnerable to the tsunami's consequences. The results are essential for designing effective long-term assistance and recovery efforts in the aftermath of natural disasters.

描述（由申请人提供）：老年人通常被认为是脆弱的，因此在发生灾难时特别风险。然而，关于老年人实际上如何受到灾难的影响，尤其是在低收入环境中，鲜为人知。我们将组装和分析独特的纵向数据，以评估2004年12月26日地震和海啸对年长印尼人福祉的直接和长期影响。我们有三个主要目标。首先，我们将结合人口统计学和遥感的工具，以构建对年龄和性别划分的死亡总数和风险概况的估计。在此过程中，我们将开发最新的死亡率估计方法，该方法适用于其他灾难的研究。其次，我们将转向幸存者，以及年龄较大的男性和女性生活与年轻人的生活的对比变化，尤其着重于破坏财产，亲属网络的丧失以及随后在经济环境中的繁荣。所有这些动态可能会影响年龄较大的年轻人与年轻人在工作，生活安排以及对亲属的援助方面的生活和提供的方式。第三，使用自我报告的数据和创新的生物标志物，我们将解决一个问题，即长期影响高水平的压力会影响精神，身体健康和死亡率的演变。为了实现这些目标，我们将继续对苏门答腊和附近比较区域的海啸影响区域中约40,000名个人进行多波纵向调查。基线数据是在地震之前于2004年2月收集的。第一次重新调查发生在2005年5月至2006年5月之间。确定了96％的2004年基线受访者的生存状况，并与94％的已知幸存者进行了访谈。第二次重新调查始于2006年7月，将于2007年6月结束。我们将进行另外的三年随访调查，重点关注重建阶段的幸福感。数据将放置在公共领域，将成为更好地理解自然灾害对人口福祉的影响的重要科学资源。项目叙述 该项目将估计2004年12月26日海啸死亡率以及各种健康和经济成果的老年人的福祉的后果。我们将评估老年人特别容易受到海啸的后果的程度。结果对于在自然灾害后设计有效的长期援助和恢复工作至关重要。