Appalachian Gerontology Experiences - Advancing Diversity in Aging Research

阿巴拉契亚老年学经验：促进老龄研究的多样性 (年龄-ADAR) 具体目标 阿巴拉契亚是一个以农村为主的地区，居住着2500万美国人。该地区 包括整个西弗吉尼亚州和其他12个州的部分地区。相对于美国的其他地区 西弗吉尼亚州的阿巴拉契亚山脉崎岖多山，这创造了地理上的 医疗和心理社会服务方面的障碍。该地区的居民也生活在较低的 年收入、更高的贫困、更高的失业率以及更高的发病率和死亡率 比全国其他地区多(阿巴拉契亚地区委员会，2017年)。因此，它是一个地区 以显著的健康差距为特点。 健康差距在阿巴拉契亚的农村地区更加明显，是一个复杂的问题 健康行为、个人资源和宏观环境影响的结果。虽然 农村成年人与其他环境中的成年人有许多相同的需求 是农村背景下出现的独特问题。因此，正如我们在其他地方所说，衰老是 在农村地区更难(Hash，Jurkowski和Krout，2015)。对于许多阿巴拉契亚居民来说，那里 是一种强烈的地方认同感，历史上不信任经常缺乏 解决阿巴拉契亚文化的细微差别和复杂性的文化能力。因此， 我们需要的是一支精通卫生领域的专业人员和研究人员队伍 老龄化科学、健康差距科学和阿巴拉契亚文化。到那时候 最后，我们提出了一个高度支架式的教育体验，以增加人们的兴趣和多样性 研究人员对阿巴拉契亚地区的老龄化和健康差距进行了调查。 该项目的总体目标与NIA的目标保持一致，即增加对 缩小健康差距和增加历史上任职人数偏低的代表人数 老龄化和健康差距领域的学者研究。为了实现这些目标， 拟议的教育计划将提供：以研究为重点的教育内容 方法、老龄化、健康差距、阿巴拉契亚等农村地区。该计划将 包括结构化的、实践的研究经验和有指导的研究经验。我们 将培养对应用/翻译研究和基于社区的研究的欣赏 传播，从而提高该区域的健康素养和科学素养。 总而言之，这些经验将为学者们注入健康的老龄化方法做好准备 他们的作品。具体地说，拟议的计划将： 1.提供与文化和区域相关的老龄、健康教育内容 差距、阿巴拉契亚和其他农村地区； 2.深入介绍研究方法，包括至少完成 一项结构化的小组研究经验侧重于健康差距，另一项则是 与教师赞助人一起指导的、与健康相关的老龄化研究经验 学生的家训； 3.建立和强化作为老龄化和健康差距研究人员的身份 将为老龄化中的研究人员做出贡献； 4.指导学生科学写作和专业发展；以及 5.通过广泛传播以下信息，提高社区的科学和健康素养 研究成果。

Appalachian Gerontology Experiences: Advancing Diversity in Aging Research (AGE-ADAR) Specific Aims Appalachia is a predominantly rural area in which 25 million Americans reside. The region includes all of West Virginia and portions of 12 other states. Relative to the rest of the United States, West Virginian Appalachia is rugged and mountainous, which creates geographic barriers to medical and psychosocial services. Residents of the region also live with lower annual incomes, higher poverty, higher unemployment, and higher morbidity and mortality rates than other areas of the nation (Appalachian Regional Commission, 2017). Thus, it is a region marked by significant health disparities. Health disparities are more pronounced in the rural areas of Appalachia and are a complex result of health behaviors, personal resources, and macro-environmental influences. Although rural-dwelling adults have many of the same needs as adults aging in other environments, there are unique issues presented by a rural context. Thus, as we have argued elsewhere, aging is harder in rural areas (Hash, Jurkowski, & Krout, 2015). For many Appalachian residents, there is a strong sense of place-identity, with an historical mistrust of “outsiders” who often lack the cultural competence to address the nuances and complexities of Appalachian culture. Thus, what is needed is a cadre of health professionals and researchers who are well-versed in the science of aging, the science of health disparities, and the culture of Appalachia. To that end, we propose a highly-scaffolded education experience to increase interest in and diversity among researchers in aging and health disparities in Appalachia. The overarching goals of this project align with the goals of the NIA to increase interest in reducing health disparities and increasing the representation of historically underrepresented scholars in the fields of aging and health disparities research. To accomplish these goals, the proposed educational program would provide: focused educational content on research methods, aging, health disparities, Appalachia and other rural areas. The program would include structured, hands-on research experiences and mentored research experiences. We would nurture an appreciation for applied/translational research and community-based dissemination, thus increasing the health literacy and scientific literacy in the region. Together, these experiences would prepare scholars to infuse a healthy aging approach to their work. Specifically, the proposed program would: 1. provide culturally- and regionally-relevant educational content on aging, health disparities, Appalachia and other rural areas; 2. provide an intensive introduction to research methods, including completion of at least one structured group research experience focused on health disparities and a second mentored, health-related aging research experience with a faculty sponsor in the student's home discipline; 3. create and reinforce an identity of being an aging and health disparities researcher who will contribute to the research workforce in aging; 4. coach students on scientific writing and professional development; and 5. increase scientific and health literacy in the community through broad dissemination of research findings.