Wabanaki NARCH

瓦巴纳基·纳奇

基本信息

批准号：
10223039
负责人：
Patrik Lennart Johansson
金额：
$ 116.95万
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/10223039
关键词：
Address Advocacy African American Aging Agreement Alaska Native Alzheimer&apos s Disease Alzheimer&apos s disease related dementia American Indians Area Arts Cherokee Indian Cholesterol Collaborations Communities Community Health Dementia Direct Costs Economics Education Elderly 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 Physical activity Play Population Population Growth Positioning Attribute Prevalence Principal Investigator Public Health Regulation Research Research Infrastructure 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 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，65 岁及以上的美洲印第安人人数预计将增加两倍，达到 1,624,000 人，而 85 岁及以上的人口将增加 7 倍，达到 30 万，这些统计数据令人欣喜，但也引起了人们的担忧。与衰老相关的健康状况成比例增加，尤其是阿尔茨海默病和相关疾病人口增长、新出现的需求和高风险，再加上痴呆症，令人担忧。美洲印第安人老年人现有健康数据的局限性已得到广泛认可，这促使我们提出瓦巴纳基美洲原住民健康研究中心，瓦巴纳基公共卫生与华盛顿州立大学瓦巴纳基促进社区健康研究与教育研究所。公共卫生是一个部落公共卫生区，为缅因州 4 个联邦认可的部落提供服务。作为瓦巴纳基部落，这些部落包括米克马克人的阿鲁斯托克部落、马里塞特印第安人的霍尔顿部落、佩诺布斯科特民族和帕萨马科迪部落建立瓦巴纳基美洲原住民研究中心。出于以下三个原因，解决老年人健康问题至关重要：首先，老年人健康是重中之重。 Wabanaki 公共卫生。其次，阿尔茨海默氏病和相关痴呆症以及轻度认知障碍。发病率和死亡率的主要原因，但对这些病症的流行程度及其影响尚无所知第三，瓦巴纳基公共卫生部门希望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，我们的总体具体目标是： 1) 加强 Wabanaki 公共卫生、为缅因州和华盛顿州立大学的美洲印第安人提供服务的公共卫生区，以改善通过 1 个研究项目、2 个能力建设提高 Wabanaki 公共卫生的研究和服务能力项目和行政核心 2) 估计阿尔茨海默病和相关痴呆症的患病率 55 岁及以上 Wabanaki 部落成员的轻度认知障碍，以及当前和 3) 建设Wabanaki的研究能力公共卫生工作人员和 Wabanaki 本科生参加为期一年的定制研究方法课程以及在 Wabanaki 公共卫生部门进行为期一年的学生实习；以及 4) 扩大部落自治范围规范科学活动并通过为研究奠定基础来建设研究能力自该计划成立以来，Wabanaki NARCH 是美国东北部的第一个审查委员会。 2000 年。它将填补我们在阿尔茨海默病和相关痴呆症以及轻度认知障碍方面的知识空白它还将促进和扩大研究和基础设施。瓦巴纳基公共卫生区的能力，这是一个部落公共卫生区，具有独特的地位，可以承担在改善瓦巴纳基和其他东北部部落所经历的健康差距方面发挥领导作用社区。