Urban public housing, neighborhood, and cardiovascular disease in primary care

城市公共住房、社区和初级保健中的心血管疾病

• 批准号: 8966042
• 负责人: Earle C Chambers
• 金额: $ 15.46万
• 依托单位: ALBERT EINSTEIN COLLEGE OF MEDICINE, INC
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-12-01 至 2019-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8966042
• 关键词: Address; Adult; Award; Behavior; Blood Pressure; Body mass index; Cardiovascular Diseases; Clinic; Clinical; Clinical Data; Communities; Computerized Medical Record; Computerized Medical Records Systems; Data; Data Collection; Data Sources; Databases; Environment; Equation; Family; Foundations; Future; Goals; Health; Health Campaign; Health behavior; Housing; Hypertension; Hypotension; Income; Individual; Informatics; Intervention; Knowledge; Life; Life Style; Low Income Population; Low income; Modeling; Neighborhoods; Outcome; Outpatients; Patient-Focused Outcomes; Patients; Physical activity; Poverty; Primary Health Care; Public Health; Public Housing; Reporting; Research; Research Personnel; Resources; Safety; Science; Source; Statistical Models; Study models; Supermarket; Testing; Theoretical model; Training; Visit; abstracting; behavior influence; blood pressure reduction; cardiovascular disorder risk; cardiovascular health; career; cohort; deprivation; design; experience; follow-up; fruits and vegetables; novel; patient population; primary care setting; programs; prospective; social; theories

DESCRIPTION (provided by applicant): Project Summary/ Abstract Public housing was developed to provide stable housing for low-income families. It has since become synonymous with concentrated poverty. Programs to reduce poverty have focused on dismantling public housing to be replaced, if at all, by mixed income design alternatives. Studies have shown that low-income residents living in public housing have deleterious health outcomes. It is not clear, however, how public housing residents fare on a number of cardiovascular health indicators compared to those with an alternate low-income housing arrangement. Mechanistic models that incorporate housing with neighborhood access to resources and individual behaviors are poorly defined and understood. However, examining individual- and neighborhood- level data in synergistic ways can provide an important contribution to existing health campaigns to address cardiovascular disease in low-income populations. The current proposal uses a novel geocoding approach to analyze primary care electronic clinical record data in relation to housing and neighborhood level data from various sources in order to track health outcomes. This analysis approach focuses on individual level data within the context of the patient's housing and neighborhood environment. This K 01 award is designed to provide the foundation both conceptual and technical for Dr. Chambers to develop a career trajectory that combines prior experience in social and built environmental determinants of health with new knowledge in socio-ecologic models, graphical science, multi-level statistical modeling, and research informatics. The long-term goal is to develop clinical and public health partnerships that will use multi- source data, including housing and neighborhood environment, to the develop interventions that target vulnerable patient populations. (End of Abstract)

描述（由申请人提供）：项目概要/摘要公共住房是为低收入家庭提供稳定的住房而开发的。从那时起，它就成了集中贫困的同义词。减贫方案的重点是拆除公共住房，如果有的话，用混合收入设计的替代方案取代。研究表明，居住在公共住房中的低收入居民有有害的健康后果。然而，目前尚不清楚公共住房居民与其他低收入住房安排的居民相比，在一些心血管健康指标上的表现如何。将住房与社区获得资源和个人行为结合起来的机制模型定义和理解得很差。然而，以协同方式检查个人和社区层面的数据可以为现有的健康运动提供重要贡献，以解决低收入人群的心血管疾病。 目前的提案使用一种新的地理编码方法来分析初级保健电子临床记录数据与来自各种来源的住房和社区水平数据，以跟踪健康结果。这种分析方法侧重于患者住房和邻里环境背景下的个人水平数据。 这个K 01奖项旨在为钱伯斯博士提供概念和技术基础，以开发一个职业轨迹，将先前在社会和健康的环境决定因素方面的经验与社会生态模型，图形科学，多层次统计建模和研究信息学方面的新知识相结合。长期目标是发展临床和公共卫生伙伴关系， 多源数据，包括住房和邻里环境，以制定针对弱势患者群体的干预措施。(End摘要）