Stanford Aging & Ethnogeriatrics Transdisciplinary Collaborative Center (SAGE)

项目摘要/摘要： 新冠肺炎疫情正在对居住在长期护理机构的老年人口造成毁灭性影响， 比如养老院。特别是对阿尔茨海默病和相关痴呆患者的护理(ADRD) 由于他们的特殊需求和难以遵守社交距离的要求，这一问题极具挑战性。这 斯坦福老龄和老年医学(SAGE)研究中心下的行政补助金(P30 AG059307)将研究新冠肺炎大流行造成的情绪困扰及其对痴呆症的影响 少数族裔的风险。目标1将研究新冠肺炎强加的情绪困扰在多大程度上起调节作用 童年社交困难和晚年之间的联系增加了种族导致的痴呆症风险。目标2将 调查新发疫情期间养老院老年少数民族居民的心理健康状况及应对策略 19通过在选定的大都市统计地区的养老院招募受访者来传播流行病 (SMAS)。预计这些结果将进一步揭示新冠肺炎疫情在多大程度上 加剧情绪困扰对患有痴呆症的少数群体的影响以及应对策略如何 帮助减轻这一风险，并提供痴呆症护理。我们这两个目标的结果将被整合并 通过提供关于压力和ADRD之间关联的强有力的统计证据，相互补充 以及来自目前在第一线的居民和照顾者的第一手证据和观点 新冠肺炎大流行的影响。

PROJECT SUMMARY/ABSTRACT: The COVID-19 pandemic is having a devastating effect on our elderly population living in long-term care facilities, such as nursing homes. In particular, care for patients with Alzheimer’s Disease and related dementias (ADRD) is extremely challenging due to their special needs and difficulty adhering to social distancing requirements. This administrative supplement under the Stanford Aging and Ethogeriatrics (SAGE) Research Center (P30 AG059307) will examine the emotional distress caused by the COVID-19 pandemic and its impact on dementia risk in racial minorities. Aim 1 will examine the extent to which COVID-19-imposed emotional distress mediates the association between childhood social distress and late-life increased risk of dementia by race. Aim 2 will examine the mental health and coping strategies of aging minority residents in nursing homes during the COVID- 19 pandemic by recruiting respondents in nursing homes in selected segregated Metropolitan Statistical Areas (SMAs). These results are expected to shed new light on the extent to which the COVID-19 pandemic is exacerbating the effects of emotional distress on minorities living with dementia and how coping strategies may help to mitigate that risk and the provision of dementia care. Our results from both Aims will be integrated and complement each other by providing robust statistical evidence on the association between stress and ADRD as well as first-hand evidence and perspectives from residents and caregivers, who are currently at the frontline of the COVID-19 pandemic.