Assessing the spatial heterogeneity in cardiovascular risk factors within and between blacks and whites

评估黑人和白人之间以及黑人和白人之间心血管危险因素的空间异质性

• 批准号: 9371699
• 负责人: Loni Philip Tabb
• 金额: $ 15.99万
• 依托单位: DREXEL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2022-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9371699
• 关键词: Address; Adult; Affect; American Heart Association; Area; Behavioral; Biological; Blood Pressure; Cardiovascular Diseases; Cardiovascular system; Cessation of life; Characteristics; Cholesterol; Collaborations; Collection; Coronary heart disease; Data; Development; Development Plans; Diabetes Mellitus; Disease; Educational workshop; Environmental Exposure; Environmental Risk Factor; Epidemiologist; Epidemiology; Foundations; Funding; Future; Geographic Information Systems; Geography; Goals; Health; Health Policy; Heterogeneity; Hypertension; Individual; Interdisciplinary Study; Intervention; Knowledge; Literature; Longitudinal Studies; Mentored Research Scientist Development Award; Mentors; Methodology; Methods; Morbidity - disease rate; Multi-Ethnic Study of Atherosclerosis; Neighborhoods; Obesity; Participant; Pattern; Physical activity; Policies; Policy Maker; Positioning Attribute; Primary Prevention; Public Health; Reasons for Geographic And Racial Differences in Stroke; Research; Research Personnel; Risk Factors; Rural; Sampling; Secondary Prevention; Serum; Site; Smoking; Specialist; Statistical Methods; Stroke; Structure; Supervision; Training; Training Activity; United States; United States National Institutes of Health; Variant; Vocational Guidance; Work; aged; black/white disparity; built environment; cardiovascular disorder epidemiology; cardiovascular disorder risk; cardiovascular health; cardiovascular risk factor; career development; cohort; design; disparity reduction; experience; fasting plasma glucose; geographic difference; good diet; health disparity; improved; indexing; innovation; member; mortality; novel; racial and ethnic; racial difference; racial disparity; skills; social; social disparities; socioeconomics; spatiotemporal; statistics; symposium; tool; trend

PROJECT SUMMARY/ABSTRACT My goal for the K01 award is to establish myself as an independent cardiovascular researcher with expertise in spatial statistics and disease mapping methods and an integral member of multidisciplinary research teams devoted to addressing cardiovascular disparities. Attaining these objectives will require focused didactic training and research guidance. Training The proposed career development and training plan consists of four distinct components: (1) career guidance and mentoring in methodological development and collaborative cardiovascular research through on-site and off-site mentoring by cardiovascular and social epidemiologists as well as spatial statisticians and GIS specialists; (2) structured coursework designed at establishing a basic foundation in cardiovascular and social epidemiology and advanced training in spatial methods in collaboration with geographic information systems; (3) leading innovative research utilizing the gained training; and (4) contributing in the exchange of ideas in statistics and epidemiology through conference and workshop attendance. These proposed training activities will allow me to become well grounded in cardiovascular epidemiology and cardiovascular disease disparities. These activities will also focus on deepening my understanding of CVD, enabling me to reasonably assess the spatial heterogeneity in its associated risk factors within and between blacks and whites. Research The proposed work will explore the extent to which environmental factors and cardiovascular health (CVH) vary over space at a small-area local scale and at a regional scale with a focus on spatial variation in CVH among blacks and whites and spatial variation in black-white disparities in CVH. By combining a novel health indicator, the CVH index, with novel spatial methods, this proposed work will better characterize the geographic heterogeneity in CVH for blacks and whites and for black-white disparities. Our novel statistical methods will be applied to two very rich and unique cohorts, the Multi-Ethnic Study of Atherosclerosis (MESA) cohort and the REasons for Geographic and Racial Differences in Stroke (REGARDS) cohort. The larger goal of this work is to define these differences in a way that provides evidence for targeted interventions to improve the built environment. Additionally, our findings will help support informed health policies to improve the cardiovascular health of both blacks and whites.

项目总结/文摘