Evolution of Well-being among Older Adults after a Disaster

灾难后老年人福祉的演变

• 批准号: 8265977
• 负责人: ELIZABETH A FRANKENBERG
• 金额: $ 31.51万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-03-15 至 2013-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8265977
• 关键词: Accounting; Address; Adult; Affect; Age; Agriculture; Area; Biological Markers; Cessation of life; Communities; Country; Data; Demography; Developing Countries; Disasters; Earthquakes; Economics; Elderly; Environment; Event; Evolution; Exposure to; Female; Funding; Goals; Health; Home environment; Income; Indian Ocean; Individual; Indonesia; International; Interview; Island; Living Arrangement; Location; Long-Term Effects; Longitudinal Surveys; Low income; Measures; Mental Health; Methods; Natural Disasters; Outcome; Patient Self-Report; Personal Satisfaction; Phase; Population; Process; Property; Province; Public Domains; Recovery; Research; Research Infrastructure; Resources; Respondent; Risk; Rosa; Rupture; Self Assessment; Stress; Sumatra; Surveys; Survivors; Tsunami; Unemployment; United States National Aeronautics and Space Administration; Water; Work; World Bank; acetone hydrazone; age group; design; economic outcome; farmer; follow-up; health economics; innovation; male; mortality; physical conditioning; reconstruction; remote sensing; sex; socioeconomics; statistics; tool; vibration; young adult

DESCRIPTION (provided by applicant): Older adults are often considered vulnerable, and therefore at particular risk in the event of a disaster. Very little is known, however, about how older adults are actually affected by disasters, particularly in a low income setting. We will assemble and analyze unique longitudinal data to assess the immediate and longer-term effect of the December 26, 2004 earthquake and tsunami on the well-being of older Indonesians. We have three main goals. First, we will combine the tools of demography and remote sensing to construct estimates of the total number of deaths in and the risk profile by age and sex. In the process, we will develop state-of-the-art methods for mortality estimation that will be applicable for research on other disasters. Second, we will turn to survivors and contrast changes in the lives of older males and females with the lives of younger adults, focusing particularly on destruction of property, loss of kin networks, and the downturn then subsequent boom in the economic environment. All of these dynamics are likely to have affected the way older versus younger adults organize their lives with respect to work, living arrangements, and the receipt and provision of assistance to kin. Third, using both self-reported data and an innovative set of biomarkers, we will address the question of how exposure to high levels of stress affects the evolution of mental and physical health and mortality over the longer term. To fulfill these goals, we will continue to field and analyze a multi-wave longitudinal survey of some 40,000 individuals in tsunami-affected areas of Sumatra and nearby comparison areas. Baseline data were collected in February 2004, prior to the earthquake. The first re-survey took place between May 2005 and May 2006. Survival status was ascertained for 96 percent of the respondents to the 2004 baseline and interviews were conducted with 94 percent of known survivors. The second re-survey began in July 2006 and will conclude in June 2007. We will conduct three additional annual follow-up surveys that focus on the evolution of well-being during the reconstruction phase. The data will be placed in the public domain and will be an important scientific resource for better understanding the impact of a natural disaster on population well-being. Project Narrative This project will provide estimates of consequences of the December 26, 2004 tsunami for mortality and for the well-being of older adults across a range of health and economic outcomes. We will assess the extent to which older individuals were particularly vulnerable to the tsunami's consequences. The results are essential for designing effective long-term assistance and recovery efforts in the aftermath of natural disasters.

描述（由申请人提供）：老年人通常被认为是脆弱的，因此在发生灾难时特别危险。然而，人们对老年人实际上如何受到灾害的影响知之甚少，特别是在低收入环境中。我们将收集和分析独特的纵向数据，以评估2004年12月26日地震和海啸对老年人福祉的直接和长期影响。我们有三个主要目标。首先，我们将联合收割机结合人口学和遥感工具，对死亡总人数和按年龄和性别分列的风险状况进行估计。在此过程中，我们将开发出适用于其他灾害研究的最先进的死亡率估算方法。第二，我们将转向幸存者，并将老年男性和女性的生活变化与年轻人的生活进行对比，特别关注财产的破坏，亲属网络的丧失，以及经济环境的衰退和随后的繁荣。所有这些动态都可能影响到老年人与年轻人在工作、生活安排以及接受和提供亲属援助方面安排生活的方式。第三，使用自我报告的数据和一套创新的生物标志物，我们将解决暴露于高水平的压力如何影响心理和身体健康的演变以及长期死亡率的问题。为了实现这些目标，我们将继续对苏门答腊海啸受灾地区和附近比较地区的约40，000人进行多波纵向调查。2004年2月地震前收集了基线数据。第一次重新调查于2005年5月至2006年5月进行。对2004年基线的96%的答复者的生存状况进行了确定，并对94%的已知幸存者进行了访谈。第二次重新调查于2006年7月开始，将于2007年6月结束。我们将再进行三次年度后续调查，重点关注重建阶段的福祉变化。这些数据将被置于公共领域，并将成为更好地了解自然灾害对人口福祉影响的重要科学资源。项目叙述 该项目将提供2004年12月26日海啸对老年人死亡率和福祉的一系列健康和经济后果的估计。我们将评估老年人在多大程度上特别容易受到海啸后果的影响。这些成果对于设计自然灾害后有效的长期援助和恢复工作至关重要。