Health and Aging Post Conflict: War's Ending Effects Among Survivors in Vietnam

冲突后的健康和老龄化：战争对越南幸存者的结束影响

• 批准号: 9238342
• 负责人: Kim Korinek
• 金额: $ 47.71万
• 依托单位: UNIVERSITY OF UTAH
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-06-01 至 2022-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9238342
• 关键词: Acute; Address; Adult; Affect; Age; Aging; Biological Markers; Buffers; Calendar; Caring; Case Study; Chronic; Chronic Disease; Cicatrix; Communities; Conflict (Psychology); Data; Data Collection; Data Set; Developing Countries; Diabetes Mellitus; Dimensions; Economics; Elderly; Environment; Event; Exposure to; Face; Family; Family member; Five-Year Plans; Fostering; Gender; Gerontology; Goals; Health; Health Transition; Health system; Heart Diseases; Income; Influentials; Institution; Interview; Investigation; Knowledge; Life; Life Cycle Stages; Link; Long-Term Effects; Longitudinal Surveys; Measurement; Measures; Mediating; Mental Health; Military Personnel; Morbidity - disease rate; Movement; Nature; Onset of illness; Patient Self-Report; Pattern; Pilot Projects; Policy Maker; Population; Post-Traumatic Stress Disorders; Prevention; Probability Samples; Process; Protocols documentation; Public Health; Records; Refugees; Reporting; Research; Research Infrastructure; Risk; Role; Sampling; Services; Shapes; Siblings; Site; Societies; Socioeconomic Status; Stress; Support System; Surveys; Survivors; Techniques; Testing; Time; Trauma; Validity of Self Report; Veterans; Vietnam; Violence; War; Woman; aged; aging population; base; burden of illness; cohort; combat; directed attention; early life exposure; environmental stressor; experience; follow-up; healthy aging; improved; innovation; life history; longitudinal dataset; men; mortality; multidisciplinary; novel; physical conditioning; psychologic; resilience; response; service member; social; socioeconomics; stressor; tool; traumatic event; virtual

PROJECT SUMMARY The primary goal of this project is to disentangle the long-term effects of war exposure upon health, social relations, and material wellbeing in Vietnamese survivors of the Vietnam War. A secondary goal is to assess the efficacy of older adults' self-reports of critical early life events, notably experienced during wartime. Vietnam is uniquely illustrative for this study, given its historically high levels of war mobilization, and survivors' entrance into many health and life course transitions typical of older adulthood. Twentieth century armed conflict has been most pervasive in developing countries like Vietnam, where we have virtually no knowledge of the long-term effects of war exposure on the burden of disease and older adult physical, psychological and social wellbeing, but where the population both moving into old age and having directly experienced war is growing rapidly. These early-life war exposures are intertwined with many acute and chronic stressors linked to social, economic and demographic change in the global south. This study directs attention toward war as it may contribute to or detract from healthy aging. To meet this goal, we will create a longitudinal dataset for cross-disciplinary study of exposure to war and its impact on health and other aspects of wellbeing amongst the aging Vietnamese population. We will use a stratified random sampling strategy to survey 4,900 older adults aged 60-80 living in four districts of northern Vietnam, stratified by their widely variable exposure to war (bombing intensity). Follow-up interviews with Wave 1 survivors and decedents' next-of-kin will be conducted three years later, allowing analysis of health, mortality, resilience and life course transitions as they relate to war exposure. We will place critical theoretical and conceptual emphasis upon multi-dimensional measures of war exposure, which encompass formal military service, militia participation, and traumatic events experienced by both men and women in military and civilian life. We will use survey and biomarker techniques to measure health across physical, functional and psychological domains. War-era records issued to service members permit an innovative measurement approach and a test of the validity of self-reported exposure. Purposive sampling and sibling data will illuminate cohort selective exposure and survival. The project team will utilize the assembled data to examine dynamic linkages between war exposure, stress environments, social relations, and older adult health. We will employ longitudinal analytical techniques to address questions about war exposure's enduring effects, including questions about the mechanisms through which war scars health or fosters resilience, and the variables, such as gender and material wellbeing, which mediate and moderate associations between war and health. Results will be disseminated widely across communities of scholars, policy-makers, and practitioners in public health, gerontology and allied fields, to tailor prevention, care and support in war-affected populations.

项目摘要 该项目的主要目标是消除战争暴露对健康的长期影响， 越南战争的越南幸存者的社会关系和物质福祉。第二个目标是 评估老年人对重大早期生活事件的自我报告的功效，尤其是在 战时。鉴于其历史上高水平的战争动员，越南在这项研究中是独特的说明。 幸存者进入了许多旧成年的典型健康和生活课程过渡。第二十 在像越南这样的发展中国家，世纪的武装冲突是最普遍的 几乎不了解战争暴露对疾病和老年人负担的长期影响 身体，心理和社会福祉，但人口都进入老年和 直接经历战争正在迅速增长。这些早期的战争暴露与 许多与全球社会，经济和人口变化有关的急性和长期压力源 南。这项研究将注意力引向战争，因为它可能导致或损害健康的衰老。 为了实现这一目标，我们将创建一个纵向数据集，用于跨学科研究战争和 它对越南衰老的人口中的健康和福祉的其他方面的影响。我们将 使用分层的随机抽样策略来调查4,900名在四个地区的60-80岁老年人 越南北部的雕像，根据其广泛的战争暴露（轰炸强度）进行了分层。后续 三年后，将对第1波幸存者和死者的临近访谈进行访谈，允许 与战争暴露有关的健康，死亡率，韧性和生活过程的分析。我们将 将批判理论和概念强调放在战争暴露的多维度量上， 涵盖了正式的兵役，民兵的参与以及两者经历的创伤事件 军事和平民生活中的男人和女人。我们将使用调查和生物标志物技术来测量 跨身体，功能和心理领域的健康。发行的战争时代记录 成员允许一种创新的测量方法和自我报告的有效性测试 接触。目的抽样和兄弟姐妹数据将阐明队列选择性暴露和生存。 项目团队将利用组装数据来检查战争暴露之间的动态联系， 压力环境，社会关系和老年人健康。我们将采用纵向分析 解决有关战争暴露持久影响问题的技术，包括有关 战争刺伤健康或促进弹性的机制，以及性别和性别等变量 物质健康，在战争与健康之间进行调解和中等关联。结果将是 在公共卫生方面的学者，政策制定者和从业者之间广泛传播 老年医学和盟军领域，以量身定制受战争影响的人群的预防，护理和支持。