Aging in Precarious Place: Building Resilience Among Older Adults Living in Environmentally Vulnerable Areas

项目摘要 飓风、洪水、热浪和野火等急性灾害，以及逐渐发生的环境灾害， 海平面上升和海岸侵蚀等事件的发生频率和严重程度都在增加。这些事件 由于慢性健康状况，不成比例地影响老年人（65岁以上）的健康和福祉， 认知局限和社交网络枯竭。在所有年龄组中，老年人最不可能 在灾害的所有阶段中风险最大（例如，减灾、备灾; 这些国家的灾害死亡率最高。除了增加 老年人的发病率和死亡率，灾害暴露也会破坏社区居住的能力， 老年人成功地衰老。尽管它们很脆弱，但抗灾干预措施和活动 通常不适合居住在社区的老年人。快速增长的老年人口， 越来越多的灾害风险使得了解影响老年人的因素势在必行 灾害情况下的复原力（例如，抗灾能力）以及如何培养这一适应性进程 促进成功老龄化（SA）。该职业发展奖的主要研究目标是 生成的数据将为未来的R级奖励提供信息，由候选人领导，解决服从建设问题 尽管灾害风险不断增加，但仍有促进SA的战略。这项研究旨在促进成功的 通过确定提高社区居住老年人抗灾能力的因素， 随后，在设计和试行针对灾害中老年人的干预措施时利用这些因素- 易发区我们假设灾害暴露和SA之间的直接关系可以通过以下方式介导： 增强抗灾能力。为了验证这个假设，这个项目的主要目标是（1）测试一个概念性的 灾害暴露、个人抗灾能力和SA之间关系的理论模型;（2） 用定性数据确定有助于老年人抗灾能力的因素;（3）设计 并试行代际干预，旨在提高社区居民的抗灾能力， 老年人本CDA的主要培训目标是为PI提供以下技能：（1）高级定量 方法;（2）干预科学。指导团队包括一个特殊的多学科小组， 在干预设计和实施方面具有专业知识的学者;社会老年学;公共卫生灾难 科学;弹性理论;和生物统计学。为了实现这些目标，PI和指导团队共同努力， 设计了一个培训计划，包括教学、指导和体验式学习，为PI提供 专门的时间专注于研究，传播研究结果，收集试点数据，为未来提供信息 research.在她的高级研究人员团队的指导下，额外的课程，并应用 经验，PI将能够过渡到一个成功的独立研究人员谁可以有效地桥梁 老年学、公共卫生灾难学和干预科学。

PROJECT SUMMARY Acute disasters like hurricanes, floods, heatwaves, and wildfires, as well as gradual-onset environmental events like sea level rise and coastal erosion, are growing in frequency and severity. These events disproportionately affect the health and well-being of older adults (65+) due to chronic health conditions, cognitive limitations, and depleted social networks. Across all age groups, older adults are the least likely to be prepared for disasters, are the most at-risk during all phases of a disaster (e.g., mitigation, preparedness; response; recovery) and, they have the highest rate of disaster-related deaths. In addition to increasing the morbidity and mortality of older adults, disaster exposure can also disrupt the ability of community-dwelling older adults to successfully age. Despite their vulnerability, disaster resilience interventions and activities are not usually tailored for community-dwelling older adults. The rapidly growing older adult population—along with the mounting risk of disasters—makes it imperative to understand the factors that influence older adult resilience in the context of disasters (e.g., disaster resilience) and how this adaptive process can be nurtured to promote successful aging (SA). The main research objective of this career development award is to generate data that will inform future R-level awards, led by the candidate, that address resilience-building strategies to promote SA, despite growing disaster risk. This proposed research aims to promote successful aging by identifying the factors that increase the disaster resilience of community-dwelling older adults, and subsequently leveraging these factors in the design and piloting of an intervention for those aging in disaster- prone areas. We hypothesize that a direct relationship between disaster exposure and SA can be mediated by increased disaster resilience. To test this hypothesis, the broad goals of this project are to (1) test a conceptual model that theorizes the relationship among disaster exposure, individual disaster resilience and SA; (2) identify the factors that contribute to disaster resilience among older adults with qualitative data; and (3) design and pilot an intergenerational intervention that aims to increase disaster resilience among community-dwelling older adults. The main training objective of this CDA is to provide the PI with skills in (1) advanced quantitative methods; and (2) intervention science. The mentoring team includes an exceptional multidisciplinary group of scholars with expertise in intervention design and implementation; social gerontology; public health disaster science; resilience theory; and biostatistics. To accomplish these goals, the PI and mentoring team have co- designed a training plan with didactic, mentored, and experiential learning that will provide the PI with dedicated time to focus on research, dissemination of findings, and the collection of pilot data to inform future research. With mentorship from her team of senior researchers, additional coursework, and applied experience, the PI will be able to transition into a successful independent researcher who can effectively bridge gerontology, public health disaster science, and intervention science.