Environmental Health Disparities in an Older Population

老年人口的环境健康差异

基本信息

批准号：
10196974
负责人：
Michelle L Bell
金额：
$ 74.72万
依托单位：
YALE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-09-26 至 2024-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10196974
关键词：
Address Affect Aging Air Pollution Architecture Characteristics Communities Complex Crime Data Development Economics Elderly Emergency department visit Environment Environmental Exposure Environmental Health Environmental Risk Factor Ethnic Origin Exposure to Face Future Geographic Information Systems Geography Health Hospitalization Housing Human Individual Information Systems Information Technology Intervention Link Low income Medicare Metabolism Michigan Mission Monitor National Institute of Environmental Health Sciences Neighborhoods Nitrogen Dioxide North Carolina Older Population Outcome Ozone Persons Policies Pollution Population Poverty Predisposition Race Recording of previous events Records Relative Risks Research Research Personnel Risk Estimate Social Environment Socioeconomic Factors Socioeconomic Status Statistical Data Interpretation Statistical Methods System Temperature Testing Unemployment Weather Work aging population analytical method cardiovascular emergency data resource demographics deprivation environmental health disparity ethnic diversity fine particles health care availability health care delivery health difference health disparity improved innovation land cover land use minority communities modifiable risk mortality multiple datasets pollutant racial and ethnic racial diversity residential segregation respiratory response sex social social factors socioeconomics spatiotemporal statistics stressor

项目摘要

Project Summary/Abstract Understanding environmental health disparities for older persons is critical given the unprecedented aging of the population, with 20% of US persons anticipated to be >65y by 2030, and the elder population becoming more racially and ethnically diverse. Older persons can be more affected by environmental and socio- economic status (SES) factors due to baseline health, changing metabolism, or larger cumulative exposures. Harmful environmental exposures, such as air pollution, often occur in communities facing SES stressors including deteriorating housing, poor access to health care, high unemployment, crime, and poverty, which may exacerbate negative health effects. This phenomenon is most pronounced for low income and minority communities and underlies health disparities. Identifying the most harmful environmental and social factors and the subpopulations of elderly that are most affected is of paramount importance. Although it is widely agreed that multiple environmental and SES factors affect health, little is known about their complex interactions. Our long-term objective is to investigate how environmental and SES factors jointly contribute to health disparities in the older population. We consider disparities in two separate but related forms: 1) differences in exposures (e.g., pollution levels) to environmental and SES factors; and 2) differences in health response (e.g., relative risk) from exposures to environmental and SES factors. This proposal brings together investigators with a long history of working on environmental health disparities and related advanced spatial and statistical analyses. Our aims are to: 1) calculate differences in exposures to environmental and SES factors, considered individually and collectively, for an older population (>65y) in Michigan and North Carolina, and to construct a highly resolved spatio-temporal data architecture for analysis; 2) calculate differences by subpopulation (e.g., race/ethnicity, age, sex, community SES) for associations between environmental and SES factors and cause- specific emergency cardiovascular and respiratory hospital admissions, emergency department visits, and mortality; and 3) combine disparities in exposures and disparities in health response to calculate overall environmental health disparities. Environmental and some SES factors represent modifiable risks through which we can improve health in our aging population. Analyses will identify the most effective foci for intervention and policy engagement by identifying the most significant common contributors to environmental health disparities for the elderly, thereby directly contributing to NIEHS's mission to discover how the environment affects people in order to promote healthier lives.

项目摘要/摘要考虑到老年人的环境健康差异至关重要到2030年，有20％的人的人口预计将> 65y> 65岁，老年人的人口变得在种族和种族上更加多样化。老年人可能会受到环境和社会的影响由于基线健康，新陈代谢变化或更大的累积暴露而引起的经济状况（SES）因素。有害环境暴露（例如空气污染）通常发生在SES压力源的社区中包括住房恶化，获得医疗保健，高失业率，犯罪和贫困的不良机会，可能加剧负面健康影响。对于低收入和少数人来说，这种现象最为明显社区和健康差异是基础。确定最有害的环境和社会因素以及最受影响的老年人的亚群至关重要。虽然被广泛同意多种环境和SES因素会影响健康，对它们的复杂相互作用知之甚少。我们的长期目标是调查环境和SES因素如何共同促进健康差异在老年人中。我们考虑以两种单独但相关的形式中的差异：1）暴露的差异（例如，污染水平）到环境和SES因素； 2）健康反应的差异（例如，相对风险）从暴露到环境和SES因素。该提案将调查人员汇集在一起关于环境健康差异以及相关的高级空间和统计分析的历史。我们的目的是：1）计算考虑到环境和SES因素的暴露差异在密歇根州和北卡罗来纳州的老年人（> 65岁）中，单独和集体地高度解决的时空数据体系结构用于分析； 2）通过亚群来计算差异（例如，种族/种族，年龄，性别，社区SES），以环境和SES因素与原因之间的关联特定的紧急心血管和呼吸医院入院，急诊室就诊以及死亡; 3）结合健康反应中暴露和差异的差异以计算总体环境健康差异。环境和某些SES因素通过我们可以改善人口老龄化的健康。分析将确定最有效的焦点干预和政策参与通过确定环境的最重要的共同贡献者老年人的健康差异，从而直接促进了Niehs的使命，以发现如何发现环境会影响人们，以促进更健康的生活。

项目成果

期刊论文数量（34）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Exposure to Unconventional Oil and Gas Development and All-cause Mortality in Medicare Beneficiaries.

DOI：
10.1038/s41560-021-00970-y
发表时间：
2022-03
期刊：
NATURE ENERGY
影响因子：
56.7
作者：
Li, Longxiang;Dominici, Francesca;Blomberg, Annelise J.;Bargagli-Stoffi, Falco J.;Schwartz, Joel D.;Coull, Brent A.;Spengler, John D.;Wei, Yaguang;Lawrence, Joy;Koutrakis, Petros
通讯作者：
Koutrakis, Petros

Distribution of environmental justice metrics for exposure to CAFOs in North Carolina, USA.

DOI：
10.1016/j.envres.2021.110862
发表时间：
2021-04
期刊：
Environmental research
影响因子：
8.3
作者：
Son JY;Muenich RL;Schaffer-Smith D;Miranda ML;Bell ML
通讯作者：
Bell ML

Associations between Long-Term Air Pollution Exposure and Risk of Osteoporosis-Related Fracture in a Nationwide Cohort Study in South Korea.

DOI：
10.3390/ijerph19042404
发表时间：
2022-02-19
期刊：
International journal of environmental research and public health
影响因子：
0
作者：
Heo S;Kim H;Kim S;Choe SA;Byun G;Lee JT;Bell ML
通讯作者：
Bell ML

Health disparities among older adults following tropical cyclone exposure in Florida.

DOI：
10.1038/s41467-023-37675-7
发表时间：
2023-04-19
期刊：
NATURE COMMUNICATIONS
影响因子：
16.6
作者：
Burrows, K.;Anderson, G. B.;Yan, M.;Wilson, A.;Sabath, M. B.;Son, J. Y.;Kim, H.;Dominici, F.;Bell, M. L.
通讯作者：
Bell, M. L.

Temporal transition of racial/ethnic disparities in COVID-19 outcomes in 3108 counties of the United States: Three phases from January to December 2020.