Communities Designed to Support Cardiovascular Health for Older Adults

旨在支持老年人心血管健康的社区

基本信息

批准号：
10707460
负责人：
Gina Schellenbaum Lovasi
金额：
$ 63.53万
依托单位：
DREXEL UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-09-01 至 2025-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10707460
关键词：
Academy Address Adult Advisory Committees Affect Age Alabama Articulation Attention Back Behavior Behavioral Black race COVID-19 pandemic Characteristics Chronic Disease Cities Cohort Studies Collaborations Committee Members Communities Complement Data Data Collection Decision Making Dependence Development Diet Discipline Economic Conditions Economics Elderly Equity Event Food Fostering Funding Geographic Information Systems Geography Glucose Growth Health Health Benefit Home visitation Housing Interview Investigation Knowledge Laboratory Finding Learning Life Style Link Lipids Literature Maps Measures Medical Medicine Neighborhoods New York New York City Obesity Participant Pathway interactions Perception Personal Satisfaction Persons Philadelphia Physical activity Policies Privatization Process Productivity Public Health Questionnaires Race Reasons for Geographic And Racial Differences in Stroke Reporting Research Restaurants Role Sales Services Stress Supermarket Transcript US State Universities Update Urbanization Work behavior influence brain health built environment cardiovascular health cognitive function cohort decision-making capacity depressive symptoms design disorder risk e-commerce empowerment experience fast food follow-up health equity healthy aging healthy lifestyle incentive program innovation insight knowledge base land use longitudinal analysis member novel pandemic response perceived stress population health preference professional atmosphere racial identity recruit sex social engagement sociodemographics socioeconomics

项目摘要

7. Project Summary Abstract Retail-focused built environment work in public health has informed governmental actions (restrictions, zoning changes, and incentive programs) that favor certain establishment types (such as supermarkets versus fast food restaurants). With the growth of e-commerce, demand for several traditional uses of retail space has declined, especially following the 2008 housing crisis and more recently during the 2020 COVID-19 pandemic. Fortunately, across the US communities are innovating, including by temporarily or permanently re-purposing vacant commercial spaces. Our renewal is designed to be responsive to the emerging questions about neighborhood change, and to meet current information needs on how the built environment affects behavioral and stress pathways to chronic disease. This renewal will (1) collect questionnaire data on neighborhood change perceptions and update neighborhood characterization throughout the contiguous US among participants from the REasons for Geographic and Racial Differences in Stroke (REGARDS) study (ongoing follow-up of 11,205 adults age 45+ recruited in 2003-2007) and (2) convene public deliberation events engaging residents from neighborhoods in New York City; NY, Philadelphia, PA; and Birmingham, AL experiencing ongoing or upcoming change to use of commercial space, about which values and community preferences could inform action. This combination of longitudinal analyses within a large cohort study and local engagement to inform built environment change will help to identify aspects of GIS-based neighborhood dynamics (e.g., urbanization, gentrification, greening, retail instability) associated with perceptions by residents about their neighborhoods and behavioral and stress pathways affecting resident health. We will draw on and contribute to the literature linking longitudinal neighborhood characteristics to population health, while also fostering collective decision-making capacity that draws on a broader range of perspectives and values. To accomplish the proposed activities, we have assembled an experienced investigative team spanning Drexel University, University of Alabama Birmingham, Columbia University, and New York Academy of Medicine. While building on the productive collaboration in the original funding period, this team has been configured for alignment with the proposed questionnaire data collection, geographic linkage, longitudinal analysis, and community-engagement activities. Support in maximizing the relevance of this work to multiple settings and audiences will come from an advisory committee spanning disciplines, sectors, and stakeholders in each setting.

7。项目摘要摘要以零售为中心的公共卫生建筑环境工作已使政府行动（限制，分区更改和激励计划）有利于某些机构类型（例如超市与快餐店相比）。随着电子商务的增长，对几种传统用途的需求零售空间已经下降，尤其是在2008年住房危机之后，最近在 2020 Covid-19-19。幸运的是，整个美国社区都在创新，包括暂时或永久重新铺设空置的商业空间。我们的续约被设计为响应有关邻里变化的新兴问题，并满足当前信息建筑环境如何影响慢性病的行为和压力途径的需求。此续约将（1）收集有关邻里变化感知和更新的调查表数据在参与者中，整个连续的社区表征中风（问起）的地理和种族差异（正在进行的11,205名成年人的随访 2003 - 2007年招募的45岁以上）和（2）召集公共审议活动，吸引居民纽约市的社区；纽约，费城，宾夕法尼亚州；和伯明翰，经历了持续的或即将更改商业空间的使用，关于哪些价值观和社区偏好可以告知行动。在一项大型队列研究和局部的纵向分析的结合参与以告知建筑环境变化将有助于确定基于GIS的方面与邻里动态（例如，城市化，高档化，绿色，零售不稳定）相关居民对他们的社区以及影响行为和压力途径的看法影响居民健康。我们将借鉴并为将纵向社区联系的文学作出贡献人口健康的特征，同时还促进了吸引的集体决策能力在更广泛的观点和价值观上。为了完成拟议的活动，我们组建了一个经验丰富的调查团队德雷克塞尔大学，阿拉巴马大学伯明翰大学，哥伦比亚大学和纽约学院药品。在原始资金期间建立生产性合作的同时，该团队拥有配置了与拟议的问卷数据收集，地理链接的对齐，纵向分析和社区参与活动。支持最大化的相关性对多种环境和受众的这项工作将来自一个涉及学科的咨询委员会，在每个环境中的扇区和利益相关者。