Wabanaki NARCH

瓦巴纳基·纳奇

• 批准号: 10223039
• 负责人: Patrik Lennart Johansson
• 金额: $ 116.95万
• 依托单位: WABANAKI HEALTH AND WELLNESS
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-16 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10223039
• 关键词: Address; Advocacy; African American; Aging; Agreement; Alaska Native; Alzheimer' s Disease; Alzheimer' s disease related dementia; American Indians; Area; Arts; Cherokee Indian; Cholesterol; Collaborations; Communities; Community Health; Dementia; Direct Costs; Economics; Education; Elderly; Facilities and Administrative Costs; Faculty; Foundations; Future; Generations; Growth; Health; Healthcare Systems; Houlton; Human Resources; Hypertension; Impaired cognition; Infrastructure; Institution; Internships; Joints; Knowledge; Leadership; Life; Life Expectancy; Longevity; Maine; Medicine; Morbidity - disease rate; Native American Research Center for Health; Non-Insulin-Dependent Diabetes Mellitus; Nonprofit Organizations; Obesity; Penobscot; Physical activity; Play; Population; Population Growth; Positioning Attribute; Prevalence; Principal Investigator; Public Health; Regulation; Research; Research Infrastructure; Research Institute; Research Methodology; Research Project Grants; Resolution; Role; Services; Smoking; Societies; Source; Students; Teton Sioux Indian; Training; Tribes; Underrepresented Populations; United States Public Health Service; Universities; Washington; aged; care systems; college; dementia risk; economic impact; experience; health data; health disparity; high risk; human old age (65+); human very old age (85+); improved; low socioeconomic status; member; mid-career faculty; mild cognitive impairment; mortality; programs; public health research; repository; role model; social; statistics; tribal community; tribal health; tribal member; tribal organization; undergraduate student; virtual

OVERALL: ABSTRACT The number of American Indians aged 65 and older is expected to triple to 1,624,000 by 2050, while the number of those aged 85 and older will increase 7-fold to 300,000. While welcome, these statistics raise concerns about proportionate increases in health conditions associated with aging – especially Alzheimer’s disease and related dementias. This worrisome confluence of population growth, emerging needs, and high risk, combined with the widely recognized limitations of available health data on American Indian elders, motivates us to propose the Wabanaki Native American Research Center for Health, a partnership between Wabanaki Public Health and the Institute for Research and Education to Advance Community Health at Washington State University. Wabanaki Public Health is a tribal public health district serving the 4 federally recognized tribes of Maine. Collectively known as the Wabanaki tribes, the tribes include the Aroostook Band of Micmacs, Houlton Band of Maliseet Indians, Penobscot Nation, and Passamaquoddy Tribe. Establishing the Wabanaki Native American Research Center for Health to address elder health is critically important for 3 reasons. First, elder health is a high priority for Wabanaki Public Health. Second, Alzheimer’s disease and related dementias and mild cognitive impairment are leading causes of morbidity and mortality, yet nothing is known about the prevalence of these conditions or their economic impact among American Indians in the northeastern US. Third, Wabanaki Public Health desires to strengthen its research capacity and infrastructure as a necessary foundation for sustainable research. Therefore, our overall Specific Aims are to: 1) Strengthen collaborations between Wabanaki Public Health, a public health district serving American Indians people in Maine and Washington State University to improve the research and service capacities of Wabanaki Public Health through 1 Research Project, 2 Capacity Building Projects, and an Administrative Core; 2) Estimate the prevalence of Alzheimer’s disease and related dementia and mild cognitive impairment among Wabanaki tribal members aged 55 and older, as well as the current and future direct and indirect costs associated with these conditions; 3) Build research capacity among Wabanaki Public Health staff and Wabanaki undergraduate students through a year-long tailored research methods course and year-long student internships at Wabanaki Public Health; and 4) Extend tribal self-governance to encompass the regulation of scientific endeavors and to build research capacity by laying the foundation for a Research Review Board. The Wabanaki NARCH is the first in the northeastern US since the program was founded in 2000. It will fill striking gaps in our knowledge of Alzheimer’s disease and related dementias and mild cognitive impairment among American Indian elders. It will also promote and expand the research and infrastructure capabilities of Wabanaki Public Health, a tribal public health district that is uniquely positioned to assume a leadership role in ameliorating health disparities experienced by Wabanaki and other northeastern tribal communities.

总体：摘要 预计到2050年，65岁及以上的美国印第安人的数量将增加两倍，达到162.4万人，而 85岁及以上的人口将增加7倍，达到30万人。虽然值得欢迎，但这些统计数据引发了对以下问题的担忧 与老龄化相关的健康状况的比例增加--特别是阿尔茨海默病及相关疾病 痴呆症。这种令人担忧的人口增长、新出现的需求和高风险的交汇，加上 人们普遍认识到美国印第安人老年人现有健康数据的局限性，促使我们提出 瓦巴纳基美国原住民健康研究中心，是瓦巴纳基公共卫生和 华盛顿州立大学促进社区健康的研究和教育研究所。瓦巴纳基 公共卫生是一个部落公共卫生区，服务于缅因州联邦承认的4个部落。统称为 作为瓦巴纳基部落，这些部落包括米麦克的阿鲁斯托克部落，马利塞特印第安人的霍尔顿部落， 佩诺布斯科特民族和帕萨马奥迪部落。成立瓦巴纳基美洲原住民研究中心 为了健康，解决老年人的健康问题至关重要，原因有三。首先，老年人的健康是当务之急 瓦巴纳基公共卫生局。其次，阿尔茨海默氏症和相关的痴呆和轻度认知障碍是 导致发病和死亡的主要原因，但对这些疾病的流行率或其 对美国东北部印第安人的经济影响。第三，Wabanaki公共卫生希望 加强其研究能力和基础设施，作为可持续研究的必要基础。 因此，我们的总体具体目标是：1)加强和巴纳基公共卫生、 为缅因州的美国印第安人和华盛顿州立大学提供服务的公共卫生区 通过1个研究项目和2个能力建设提高和巴纳基公共卫生的研究和服务能力 项目和行政核心；2)估计阿尔茨海默病和相关痴呆症的患病率 55岁及以上的Wabanaki部落成员以及目前和 与这些情况相关的未来直接和间接成本；3)在和巴纳基建立研究能力 公共卫生工作人员和Wabanaki本科生通过为期一年的量身定制的研究方法课程 和瓦巴纳基公共卫生学院为期一年的学生实习；以及4)扩大部落自治，以涵盖 规范科学活动，打好科研基础，建设科研能力 覆核委员会。Wabanaki NARCH是自#年该项目成立以来在美国东北部的第一个 2000年。它将填补我们在阿尔茨海默氏症、相关痴呆和轻度认知方面的知识空白 美国印第安人长老的精神障碍。它还将促进和扩大研究和基础设施 Wabanaki Public Health的能力，这是一个部落公共卫生区，具有独特的地位，可以承担 Wabanaki和其他东北部部落在改善健康差距方面的领导作用 社区。