Economic, Social, and Health Consequences of COVID-19 Pandemic for Aging African Americans

COVID-19 大流行对非裔美国人老年人的经济、社会和健康影响

• 批准号: 10162101
• 负责人: Ronald L Simons
• 金额: $ 37.28万
• 依托单位: UNIVERSITY OF GEORGIA
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-04-01 至 2022-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10162101
• 关键词: Acquaintances; Address; Affect; African American; Aging; Alcohol consumption; Anger; Antibodies; Anxiety; Biological Aging; Biological Assay; Biological Clocks; COVID-19; COVID-19 pandemic; Caring; Categories; Color; Communities; Conflict (Psychology); Contracts; Cross-Sectional Studies; Data; Data Collection; Diagnosis; Diet; Domestic Violence; Economics; Employment; Ensure; Epidemic; Exposure to; Failure; Family; Family Relationship; Financial Hardship; Food; Fostering; Fright; Funding; Government; Grant; Health; Home environment; Household; Income; Individual; Interview; Investigation; Knowledge; Loneliness; Low income; Maintenance; Medical; Mental Depression; Occupations; Outcome; Participant; Patient Self-Report; Persons; Pharmaceutical Preparations; Policies; Policy Maker; Positioning Attribute; Privatization; Process; Quarantine; Race; Reporting; Research; Resources; Respondent; Risk Behaviors; Saliva; Sampling; Secure; Services; Severities; Shelter facility; Smoking; Social Class; Social Distance; Social Policies; Social support; Source; Stress; Symptoms; Telephone Interviews; Testing; Unemployment; Violence; Virus; Waxes; Weather; Well in self; Work; base; cohesion; coping; design; diet and exercise; emotional adjustment; experience; federal policy; infection rate; lower income families; member; methylomics; middle age; pandemic disease; programs; psychological distress; psychosocial; response; social; statistics; stressor; success

PROJECT SUMMARY The current proposal seeks funding to expand the focus of our NIA grant “Psychosocial Context and the Biological Clock: Changes in Weathering during Middle-Age” (5R01AG055393-03), a longitudinal investigation of biological aging in a sample of roughly 500 middle-aged African Americans. While significant progress is being made regarding the aims of this project, additional funds are being sought through the competitive revision mechanism to investigate the impact of the Covid-19 pandemic on our study participants. The pandemic is predicted to wax and wane over the next several months or years, with the result likely being recurring episodes of self-quarantine and financial hardship. The African American community has been especially hard hit by the epidemic. As they struggle with self-quarantine, a faltering economy, and high rates of infection, there is a need for specific information regarding how these families are being affected, the stressors and challenges being encountered, and the supports and coping resources being utilized. Such knowledge is essential if we are to design effective programs to aid families during this difficult period. Unfortunately, cross- sectional studies will not be able to establish whether reports of the financial problems, family strain, and psychological distress are a response to the epidemic or simply a continuation of everyday stress and adversity experienced by many African Americans. The proposed research, however, is ideally suited to investigate change in response to the pandemic. Our last round of interviews was completed in 2019, a year before the pandemic. These interviews included detailed information on work, economic hardship, psychological well- being, family relationships, religiosity, social support, and health risk behaviors such as diet, smoking, and alcohol consumption. We propose to use these 2019 data as a baseline in assessing participants’ functioning during the Covid-19 crisis. Telephone interviews will be used to collect the new round of data. In addition to the constructs that have been assessed in prior waves, new data collection will investigate: a) difficulties in securing food, prescription medications, and medical care; b) sources of support from relatives and the community; c) success/failure/challenges in implementing shelter-in- place; d) family cohesion and conflict (including domestic violence) during shelter in place; and e) whether any member of the household has contracted COVID-19, how they were tested, and the medical care received. Following the telephone interviews, participants will be sent saliva kits so that we can perform antibody assays to determine whether they have had contact with the virus. The saliva samples will also be used to conduct methylomic assessments of smoking and alcohol consumptions, an approach that avoids the problems associated with self-reports. The proposed research will provide a better understanding of how the Covid-19 pandemic is impacting the lives of poor and aging individuals, especially those of color. This information is needed to better identify the types of support that need to be provided by governmental and private agencies when policies like social distancing are implemented.

项目总结 目前的提案寻求资金，以扩大我们的NIA赠款的重点：心理社会背景和 生物钟：中年风化的变化“(5R01AG055393-03)，纵向 对大约500名中年非裔美国人进行了生物衰老调查。虽然意义重大 在这个项目的目标方面正在取得进展，正在通过 竞争性修订机制，以调查新冠肺炎大流行对我们研究参与者的影响。 据预测，这种大流行在接下来的几个月或几年里会起伏不定，结果很可能是 反复出现的自我隔离和经济困难。非洲裔美国人社区一直是 尤其是受到疫情的沉重打击。因为他们正在与自我隔离、步履蹒跚的经济和高失业率作斗争 对于感染，需要关于这些家庭如何受到影响的具体信息，压力源 和遇到的挑战，以及正在利用的支助和应对资源。这样的知识是 如果我们要设计有效的方案来帮助家庭度过这一困难时期，这是至关重要的。不幸的是，克罗斯- 部门研究将无法确定关于经济问题、家庭压力和 心理困扰是对疫情的反应，或者仅仅是日常压力和逆境的延续。 许多非裔美国人都经历过。然而，拟议的研究非常适合进行调查。 应对大流行的变化。我们的上一轮采访是在2019年完成的，比 大流行。这些采访包括关于工作、经济困难、心理健康的详细信息- 存在、家庭关系、宗教信仰、社会支持和健康危险行为，如饮食、吸烟和 饮酒。我们建议使用这些2019年的数据作为评估参与者功能的基线 在新冠肺炎危机期间。将使用电话采访来收集新一轮数据。除 在以前的浪潮中评估过的构造，新的数据收集将调查：a)确保 食物、处方药和医疗；b)亲属和社区的支持来源；c) 实施就地避难所的成功/失败/挑战；d)家庭凝聚力和冲突(包括 家庭暴力)；和e)是否有家庭成员感染 新冠肺炎，他们是如何被检测的，以及接受的医疗护理。在电话采访之后， 参与者将被送往唾液试剂盒，这样我们就可以进行抗体检测，以确定他们是否有过 与病毒接触。唾液样本还将被用于对吸烟和 饮酒，这是一种避免自我报告问题的方法。拟议的研究 将使我们更好地了解新冠肺炎大流行如何影响穷人和老年人的生活 个体，尤指有色人种。需要此信息才能更好地确定需要的支持类型 在实施社会疏远等政策时，由政府和私人机构提供。

项目成果

Racial Discrimination as a Risk Factor for African American Men's Physical Partner Violence: A Longitudinal Test of Mediators and Moderators.

种族歧视是非裔美国男性身体伴侣暴力的一个危险因素：调解员和调解员的纵向测试。

• DOI: 10.1177/1077801219830245
• 发表时间: 2020
• 期刊: Violence against women
• 影响因子: 2.2
• 作者: Sutton,TaraE;GordonSimons,Leslie;Martin,BrittanyT;Klopack,EricT;Gibbons,FrederickX;Beach,SteveRH;Simons,RonaldL
• 通讯作者: Simons,RonaldL

Incarceration exposure and epigenetic aging in neighborhood context.

社区背景下的监禁暴露和表观遗传老化。

• DOI: 10.1016/j.socscimed.2022.115273
• 发表时间: 2022
• 期刊: Social science & medicine (1982)
• 作者: Berg,MarkT;Rogers,EthanM;Riley,Kendall;Lei,Man-Kit;Simons,RonaldL
• 通讯作者: Simons,RonaldL

Racial Discrimination, Inflammation, and Chronic Illness Among African American Women at Midlife: Support for the Weathering Perspective.

• DOI: 10.1007/s40615-020-00786-8
• 发表时间: 2021-04
• 期刊: Journal of racial and ethnic health disparities
• 影响因子: 3.9
• 作者: Simons RL;Lei MK;Klopack E;Zhang Y;Gibbons FX;Beach SRH
• 通讯作者: Beach SRH

Puberty and Girls' Delinquency: A Test of Competing Models Explaining the Relationship between Pubertal Development and Delinquent Behavior.

青春期和女孩犯罪：解释青春期发育与犯罪行为之间关系的竞争模型测试。

• DOI: 10.1080/07418825.2018.1472291
• 发表时间: 2020
• 期刊: Justice quarterly : JQ
• 作者: Klopack,EricT;Simons,RonaldL;Simons,LeslieGordon
• 通讯作者: Simons,LeslieGordon

Additive and Interactive Genetically Contextual Effects of HbA1c on cg19693031 Methylation in Type 2 Diabetes.

• DOI: 10.3390/genes13040683
• 发表时间: 2022-04-13
• 期刊: GENES
• 影响因子: 3.5
• 作者: Dawes, Kelsey;Philibert, Willem;Darbro, Benjamin;Simons, Ronald L.;Philibert, Robert
• 通讯作者: Philibert, Robert