Assessing the Neuropsychological Benefits of Weatherization Programs

评估气候适应计划的神经心理学益处

• 批准号: 10208223
• 负责人: Carina Gronlund
• 金额: $ 64.59万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-07-22 至 2026-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10208223
• 关键词: Address; Air; Air Pollution; American; Asthma; Categories; Climate; Cognition; Cold Climate; Communities; Consumption; Cost Savings; Cost utility; Costs and Benefits; Education; Elderly; Emergency department visit; Enrollment; Evaluation; Expenditure; Exposure to; Financial Hardship; Fire - disasters; Food; Funding; Generations; Health; Health Benefit; Health Expenditures; High temperature of physical object; Home; Home environment; Hour; Household; Housing; Humidity; Intervention; Laboratories; Longitudinal Studies; Low income; Measurement; Measures; Medical; Medicine; Modification; Monitor; Morbidity - disease rate; Neuropsychology; Occupational; Outcome; Outcome Study; Participant; Persons; Policies; Poverty; Power Plants; Program Evaluation; Psychosocial Stress; Reporting; Research; Risk; Savings; Sleep; Surveys; Temperature; Weather; actigraphy; ambient air pollution; base; cognitive function; cost; disparity reduction; extreme temperature; extreme weather; health disparity; improved; intervention effect; intervention program; mortality; novel; nutrition; programs; respiratory health; response; seal; sleep quality; supported housing

PROJECT SUMMARY The homes of millions of older Americans do not provide adequate protection from extreme temperatures, due in large part to “energy poverty.” Modifications to homes that increase energy efficiency and improve indoor temperatures may reduce the adverse neuropsychological health impacts of extreme temperatures. Indoor temperatures may impact sleep quality and short-term cognitive function, and high utility bills may exacerbate the psychosocial stress of financial worry. Some of the health benefits of weatherization have been previously characterized, including reductions in emergency department visits related to asthma. We propose to evaluate the health and financial impacts of low-cost and higher-cost weatherization programs, considering the novel or under-studied outcomes of financial worry, cognitive function, and sleep quality and duration. We propose to enroll three categories of participants: those of a low-cost weatherization program in a cold climate (Detroit, MI), those of a high-cost weatherization program in a cold climate (Madison, WI), and those of a high- cost weatherization program in a warm climate (Memphis, TN). In a longitudinal study with sleep cycle measurements (actigraphy), multiple surveys and sub-hourly indoor temperature and humidity monitoring per person over one year of participation, we aim to characterize 1) associations of indoor temperatures with cognitive function and sleep quality and duration and 2) associations of low- and high-cost weatherization programs with indoor environmental parameters (temperature, humidity) and financial worry. In aim 3), we will characterize the monetized health impacts of low- and high-cost weatherization programs in terms of both community-wide air pollution benefits (related to reduced energy consumption) and recipient-specific health benefits identified in previous research and any benefits from aims 1 and 2. This research will advance our long-term objectives of reducing the health impacts of extreme weather, characterizing the health impacts of the home environment, and reducing disparities in the health impacts of energy generation and use. This research will inform policies for energy efficiency and weatherization subsidies, considering that medical savings from expenditures on housing upgrades would potentially reduce state- or federally-subsidized healthcare expenditures. Such interventions may improve the health of older adults via improvements to indoor temperatures and reductions in utility costs and help households both mitigate (through decreased energy usage) and adapt to extreme weather.

项目摘要 数以百万计的美国人的房屋没有提供充分的保护，以免受到极端温度的保护 在很大程度上归功于“能源贫困”。修改提高能源效率并提高能力的房屋 室内温度可能会减少极端温度的不良神经心理健康影响。 室内温度可能会影响睡眠质量和短期认知功能，高水电费可能会影响 加剧财务忧虑的社会心理压力。气象化的一些健康益处已经 先前的表征，包括减少与哮喘有关的急诊务访问。我们建议 评估低成本和更高成本风化计划的健康和财务影响 金融忧虑，认知功能以及睡眠质量和持续时间的新颖或研究不足的结果。我们 提议注册三类的参与者：寒冷攀登中的低成本风化计划的参与者 （底特律，密歇根州），在寒冷气候（麦迪逊，威斯康星州）中的高成本气候化计划和高级气候的计划 温暖气候中的成本风化计划（田纳西州孟菲斯）。在睡眠周期的纵向研究中 测量值（行动摄影），多次调查和下室室内温度和湿度监测 参与一年的人，我们的目标是表征1）室内温度的关联 认知功能，睡眠质量和持续时间以及2）低成本风化的关联 具有室内环境参数（温度，湿度）和财务担忧的程序。在AIM 3），我们将 表征低成本和高成本风化计划的货币健康影响 社区范围的空气污染益处（与减少的能源消耗有关）和特定于接受者的健康 以前的研究中确定的好处以及目标1和2的任何好处。这项研究将推动我们的 降低极端天气的健康影响的长期目标，表征了健康影响 家庭环境，减少能源产生和使用的健康影响的差异。 考虑到医疗 从住房升级支出的支出节省可能会减少州或联邦补贴的 医疗支出。这种干预措施可以通过改善室内改善老年人的健康 温度和效用成本的降低，并帮助家庭减轻（通过降低能量 用法）并适应极端天气。