The Evolution of Well-Being among Older Adults after a Disaster

灾难后老年人福祉的演变

• 批准号: 9243191
• 负责人: ELIZABETH A FRANKENBERG
• 金额: $ 53.75万
• 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 2020-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9243191
• 关键词: Adult; Affect; Age; Aging; Area; Asians; Behavior; Biological; Biological Markers; Cessation of life; Characteristics; Child; China; Cohort Studies; Collection; Communities; Complement; Complex; Country; Data; Dimensions; Disasters; Documentation; Earthquakes; Economics; Elderly; Emergency Situation; Environmental Risk Factor; Event; Evolution; Exposure to; Family; Family Life Surveys; Family member; Future; Gender; Gene Expression; Genetic; Haiti; Health; Home environment; Hurricane; Imagery; Income; Indian Ocean; Individual; Indonesia; Internet; Interview; Japan; Left; Life; Literature; Living Arrangement; Location; Measures; National Institute of Child Health and Human Development; Natural Disasters; Natural experiment; Outcome; Pakistan; Play; Policies; Population; Privatization; Process; Psychological Factors; Public Domains; Recovery; Research; Resolution; Resources; Risk; Role; Science; Science Policy; Site; Social Network; Socioeconomic Status; Source; Sri Lanka; Stress; Sumatra; Surveys; Survivors; Testing; Time; Trauma recovery; Tsunami; Variant; Work; acetone hydrazone; base; behavioral response; cardiovascular risk factor; cohort; design; economic behavior; economic cost; economic implication; economic outcome; experience; gene environment interaction; insight; interest; killings; mortality; physical conditioning; psychosocial; public health relevance; resilience; social; social implication; socioeconomics

DESCRIPTION (provided by applicant): Since 2004, natural disasters with death tolls in the tens of thousands have struck in 6 countries across the globe. Little evidence exists on the longer-term consequences of these large-scale disasters on the health and well-being of older adults. Yet, the consequences have potentially devastating implications for older adults whose health is typically in decline, for whom loss of assets and family often means loss of future economic support and who have less time to rebuild their lives than their younger counterparts. This project will examine the longer-term consequences of the 2004 Indian Ocean tsunami on the health and well-being of older adults who were living in coastal areas of Aceh and North Sumatra, Indonesia, at the time of the tsunami. The Indian Ocean tsunami was an unanticipated, massive natural disaster spawned by an earthquake in an area that had not experienced a tsunami for 600 years. It killed over 160, 000 Indonesians. Building on a pre-tsunami population-representative baseline, we have tracked and re-interviewed almost 30,000 tsunami survivors annually for 5 years. This continuation project will re-interview older adults and their families 8 and 10 years after the tsunami. These uniquely rich data will be analyzed to investigate the longer-term consequences of the tsunami, and its aftermath, for mortality, psycho-social, physical and biological markers of the health of older adults as well as the longer-term impacts of the tsunami on an array of indicators of social and economic status. Some older adults display remarkable resilience in the face of adversity. The research will identify the socio-economic and demographic characteristics associated with greater resilience in each of the domains of health and well-being. To provide insights into underlying biological mechanisms, we will investigate hypothesized gene-environment interactions that are thought to affect health outcomes and examine how environmental and psychological factors influence gene expression. Community level measures of tsunami damage based on high resolution satellite imagery of each of our study sites will provide indicators of plausibly exogenous exposure to the tsunami. These measures will be complemented with individual-specific experiences of the horror of the tsunami as well as loss of family members and economic assets. The Study of the Tsunami Aftermath and Recovery (STAR) data that will be collected and analyzed in this project will be placed in the public domain to provide an extremely rich resource for policy and science.

描述（由申请人提供）：自2004年以来，全球6个国家的数万次发生死亡人数的自然灾害。关于这些大规模灾难对老年人健康和福祉的长期后果的证据很少。然而，后果对健康状况通常下降的老年人具有毁灭性的影响，对他们来说，资产和家庭的损失通常意味着失去未来的经济支持，而与年轻的人相比，他们的生活时间更少。该项目将研究2004年印度洋海啸对海啸时居住在亚齐和印度尼西亚北部苏门答腊沿海地区的老年人的健康和福祉的长期后果。印度洋海啸是一场意想不到的，大规模的自然灾害，在一个已经600年没有经历过海啸的地区的地震中产生了地震。它杀死了160,000多名印尼人。在海啸前人口代表性的基准的基础上，我们每年追踪并重新审视了近30,000名海啸幸存者，持续了5年。该延续项目将在海啸后8到10年重新审视老年人及其家人。这些独特的数据将进行分析，以研究海啸及其在老年人健康的死亡率，心理社会，身体和生物学标志物的长期后果，以及海啸对一系列社会和经济状况指标的长期影响。面对逆境，一些老年人表现出显着的韧性。这项研究将确定与健康和福祉领域相关的社会经济和人口特征。为了提供有关潜在生物学机制的见解，我们将研究假设的基因环境相互作用，这些相互作用被认为会影响健康结果并研究环境和心理因素如何影响基因表达。基于我们每个研究地点的高分辨率卫星图像的海啸损害的社区水平衡量标准将提供可能外源性暴露于海啸的指标。这些措施将与海啸恐怖的个人特定经历以及失去家庭成员和经济资产相辅相成。将在该项目中收集和分析的海啸后果和恢复（Star）数据的研究将放置在公共领域中，以提供极为丰富的政策和科学资源。