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:
  • 金额:
    $ 74.72万
  • 依托单位:
  • 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

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.
项目总结/摘要 鉴于人口老龄化程度前所未有,了解老年人在环境健康方面的差异至关重要。 人口,预计到2030年,20%的美国人将超过65岁,老年人口将成为 种族和民族更加多样化。老年人更容易受到环境和社会因素的影响, 由于基线健康、代谢变化或累积暴露量较大而导致的经济状况(SES)因素。 有害的环境暴露,如空气污染,经常发生在面临社会经济地位压力的社区 包括不断恶化的住房、难以获得医疗保健、高失业率、犯罪和贫困, 可能会加剧对健康的负面影响。这种现象在低收入和少数民族中最为明显 社区和基础的健康差距。确定最有害的环境和社会因素, 受影响最严重的老年人群体至关重要。尽管人们普遍认为 尽管有多种环境和社会经济地位因素影响健康,但人们对它们之间复杂的相互作用知之甚少。我们 长期目标是调查环境和社会经济地位因素如何共同导致健康差异 在老年人口中。我们认为差异有两种独立但相关的形式:1)暴露的差异 (e.g.,污染水平)对环境和SES因素的影响;以及2)健康反应的差异(例如,相对 风险)暴露于环境和SES因素。这项提案将调查人员与长期的 研究环境健康差异的历史以及相关的高级空间和统计分析。 我们的目标是:1)计算暴露于环境和SES因素的差异,考虑 在密歇根州和北卡罗来纳州,对老年人口(> 65岁)进行个体和集体研究,并构建一个 用于分析的高分辨率时空数据体系结构; 2)计算子群体的差异(例如, 种族/民族、年龄、性别、社会经济地位)之间的联系,环境和社会经济地位因素和原因- 特定的心血管和呼吸系统急诊入院、急诊科就诊,以及 联合收割机将暴露差异和健康反应差异结合起来, 环境卫生差距。环境和某些SES因素代表了可改变的风险, 我们可以改善我们老龄化人口的健康状况。分析将确定最有效的焦点, 通过确定最重要的共同环境贡献者, 老年人的健康差距,从而直接有助于NIEHS的使命,以发现如何 环境影响人们,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:
  • 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:
  • 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.
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:
  • 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.
Investigation on urban greenspace in relation to sociodemographic factors and health inequity based on different greenspace metrics in 3 US urban communities.
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Michelle L Bell其他文献

Estimates of global mortality burden associated with short-term exposure to fine particulate matter (PMsub2·5/sub)
与短期暴露于细颗粒物(PM2.5)相关的全球死亡负担估计
  • DOI:
    10.1016/s2542-5196(24)00003-2
  • 发表时间:
    2024-03-01
  • 期刊:
  • 影响因子:
    21.600
  • 作者:
    Wenhua Yu;Rongbin Xu;Tingting Ye;Michael J Abramson;Lidia Morawska;Bin Jalaludin;Fay H Johnston;Sarah B Henderson;Luke D Knibbs;Geoffrey G Morgan;Eric Lavigne;Jane Heyworth;Simon Hales;Guy B Marks;Alistair Woodward;Michelle L Bell;Jonathan M Samet;Jiangning Song;Shanshan Li;Yuming Guo
  • 通讯作者:
    Yuming Guo
Temporal variations in the short-term effects of ambient air pollution on cardiovascular and respiratory mortality: a pooled analysis of 380 urban areas over a 22-year period
环境空气污染对心血管和呼吸系统死亡率短期影响的时间变化:一项为期 22 年对 380 个城市地区的汇总分析
  • DOI:
    10.1016/s2542-5196(24)00168-2
  • 发表时间:
    2024-09-01
  • 期刊:
  • 影响因子:
    21.600
  • 作者:
    Maximilian Schwarz;Annette Peters;Massimo Stafoggia;Francesca de'Donato;Francesco Sera;Michelle L Bell;Yuming Guo;Yasushi Honda;Veronika Huber;Jouni J K Jaakkola;Aleš Urban;Ana Maria Vicedo-Cabrera;Pierre Masselot;Eric Lavigne;Souzana Achilleos;Jan Kyselý;Evangelia Samoli;Masahiro Hashizume;Chris Fook Sheng Ng;Susana das Neves Pereira da Silva;Antonella Zanobetti
  • 通讯作者:
    Antonella Zanobetti
Review of research on residential mobility during pregnancy: consequences for assessment of prenatal environmental exposures

Michelle L Bell的其他文献

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{{ truncateString('Michelle L Bell', 18)}}的其他基金

Air Pollution, Heat, Cold, and Health: Disparities in the Rural South
空气污染、炎热、寒冷和健康:南方农村地区的差异
  • 批准号:
    10670746
  • 财政年份:
    2022
  • 资助金额:
    $ 74.72万
  • 项目类别:
Enhancing SPACE, an innovative python package to account for spatial confounding used to estimate climate-sensitive events among older Medicare
增强 SPACE,这是一个创新的 Python 包,用于解决空间混杂问题,用于估计旧医疗保险中的气候敏感事件
  • 批准号:
    10839707
  • 财政年份:
    2022
  • 资助金额:
    $ 74.72万
  • 项目类别:
Containerizing tasks to ensure robust AI/ML data curation pipelines to estimate environmental disparities in the rural south
将任务容器化,以确保强大的 AI/ML 数据管理管道,以估计南部农村的环境差异
  • 批准号:
    10842665
  • 财政年份:
    2022
  • 资助金额:
    $ 74.72万
  • 项目类别:
Connecting weather-related health risk and climate change projections in relation to rural health disparities
将与天气相关的健康风险和气候变化预测与农村健康差异联系起来
  • 批准号:
    10838844
  • 财政年份:
    2022
  • 资助金额:
    $ 74.72万
  • 项目类别:
Air Pollution, Heat, Cold, and Health: Disparities in the Rural South
空气污染、炎热、寒冷和健康:南方农村地区的差异
  • 批准号:
    10390562
  • 财政年份:
    2022
  • 资助金额:
    $ 74.72万
  • 项目类别:
Susceptibility and adverse health outcomes related to climate-sensitive events among older Medicare beneficiaries with Alzheimer and Dementia
患有阿尔茨海默症和痴呆症的老年医疗保险受益人与气候敏感事件相关的易感性和不良健康结果
  • 批准号:
    10607424
  • 财政年份:
    2022
  • 资助金额:
    $ 74.72万
  • 项目类别:
Vulnerability to Health Effects of Wildfires under a Changing Climate in Western
西部气候变化下野火对健康影响的脆弱性
  • 批准号:
    8471704
  • 财政年份:
    2012
  • 资助金额:
    $ 74.72万
  • 项目类别:
Vulnerability to Health Effects of Wildfires under a Changing Climate in Western
西部气候变化下野火对健康影响的脆弱性
  • 批准号:
    8266997
  • 财政年份:
    2012
  • 资助金额:
    $ 74.72万
  • 项目类别:
Effects of Fine Particle Composition on Birth Outcomes
细颗粒成分对出生结果的影响
  • 批准号:
    8625750
  • 财政年份:
    2011
  • 资助金额:
    $ 74.72万
  • 项目类别:
Effects of Fine Particle Composition on Birth Outcomes
细颗粒成分对出生结果的影响
  • 批准号:
    8828687
  • 财政年份:
    2011
  • 资助金额:
    $ 74.72万
  • 项目类别:

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