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Dementia and Related Health and Social Challenges in Lebanon: A Population Study

黎巴嫩的痴呆症及相关健康和社会挑战：人口研究

基本信息

批准号：
10633203
负责人：
CARLOS F. MENDES DE LEON
金额：
$ 67.38万
依托单位：
GEORGETOWN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-09-15 至 2025-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10633203
关键词：
Address Adult Affect Age Aging Alzheimer&apos s disease care Alzheimer&apos s disease related dementia Alzheimer&apos s disease risk American Caregivers Caring Chronic Disease Chronic stress Climacteric Cognitive Cohort Studies Collaborations Complex Conflict (Psychology)Country Data Dementia Demographic Transitions Development Education Elderly Ethnic Origin Exposure to Face Family Family Relationship Foundations Future Goals Growth Health Healthcare Impaired cognition Incidence Income Interdisciplinary Study Intervention Studies Knowledge Lebanon Life Life Cycle Stages Long-Term Care Longitudinal Studies Longitudinal Surveys Methods Michigan Middle East Migrant Workers Modeling Northern Africa Observational Study Older Population Outcome Pattern Politics Population Population Research Population Study Prevalence Prevention strategy Quality of Care Research Research Design Research Methodology Research Personnel Resource-limited setting Resources Respondent Risk Factors Role Sampling Series Social Conditions Social outcome Socioeconomic Status Solid Structure Surveys Techniques Testing Training Activity Universities Work aged aging population analytical method caregiving cognitive interview cohort dementia risk design epidemiology study experience family support follow-up informal care innovation insight instrument interest low and middle-income countries novel population based population survey programs recruit sex social socioeconomics traditional care virtual

项目摘要

The overall objective of this application is to build capacity in longitudinal survey research methods and investigate the burden of dementia and related personal, social and health challenges in the older population of Lebanon. Population aging is occurring across the entire world, including in many low- and middle-income countries (LMIC). As a result, these countries face a rapidly growing burden of common age-associated chronic illnesses, including Alzheimer's disease and related dementias (ADRD). Lebanon is a middle-income country in the Middle East North Africa (MENA) region where the prevalence of ADRD is estimated to be among the highest in the world. There is currently very limited reliable information on the prevalence and incidence of ADRD and on the primary ADRD risk factors in this population. Furthermore, LMIC countries like Lebanon often face substantial challenges in the adequate provision of care for ADRD, and very little is known about patterns of formal and informal care for the health and personal needs of affected older adults and their families. There is also insufficient research capacity for the conduct of rigorous studies of ADRD to address the population burden due to ADRD in Lebanon. The proposed project has two over-arching goals. First, it aims to build new research capacity for the conduct of rigorous epidemiological studies of ADRD and other important aging-related health and social outcomes, with particular emphasis on longitudinal research designs and complex sampling strategies. The research capacity activities will be developed and carried out in close collaboration between the investigative teams at the American University of Beirut (AUB) and the University of Michigan, involving a series of training modules that are relevant to the social and cultural context in Lebanon. Second, it aims to develop a new population-based cohort study and recruit a sample of 3,000 adults aged 60 and older who will participate in a structured assessment of dementia, caregiver needs and arrangements, and other health and social domains relevant to understanding the challenges of population aging in Lebanon. The study intends to generate important new information on novel risk factors for ADRD, especially as it relates to the role of prolonged exposure to stressful social conditions throughout the lifecourse. Large segments of the adult population have experienced political instability and conflict that has dominated public life in Lebanon during the last four decades. It will also add important new information on caregiver needs and arrangements, especially as it relates to the growth in the hiring of domestic migrant workers. This model of care for older adults is increasingly replacing more traditional care models that rely on relatives. Findings from this work will not only inform potential strategies to reduce the population burden due to ADRD, but are also expected to increase our understanding of potentially important new risk factors for ADRD and the care arrangements for older adults with ADRD in many other settings and populations around the world.

这项申请的总体目标是建立纵向调查研究方法和