Identifying and Addressing Social Isolation among Older Adults Living in Subsidized Housing

识别并解决生活在补贴住房中的老年人的社会孤立问题

• 批准号: 10689131
• 负责人: Thomas Kofi Mensah Cudjoe
• 金额: $ 19.77万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2027-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10689131
• 关键词: Address; Aging; American; Baltimore; Basic Science; Behavioral Model; Caring; Characteristics; Chronic; Cities; Communities; Complex; Control Groups; Data; Elderly; Epidemiology; Exposure to; Foundations; Funding; Future; General Population; Gerontology; Grant; Health; Home; Hospitalization; Housing; Hypertension; Impaired health; Income; Individual; Institutionalization; Intervention; Investigation; Knowledge; Low income; Mediator; Medical; Medicare; Mental Health; Mentored Patient-Oriented Research Career Development Award; Methodology; Methods; Modality; Modification; Morbidity - disease rate; Needs Assessment; Nursing Homes; Operative Surgical Procedures; Outcome; Participant; Patient Self-Report; Population; Populations at Risk; Prevalence; Process; Protocols documentation; Public Health; Reporting; Research; Research Personnel; Research Support; Resources; Risk; Risk Factors; Savings; Scientist; Site; Smoking; Social isolation; Structure; Surveys; Testing; United States National Institutes of Health; Work; Writing; acceptability and feasibility; attentional control; career development; cohort; community engagement; cost; demographics; experience; functional disability; human centered design; implementation science; improved; innovation; insight; interest; intervention delivery; intervention refinement; mortality; novel strategies; open label; peer; physical conditioning; post intervention; research and development; sedentary lifestyle; social; social contact; social determinants; structural determinants; success; therapy development

PROJECT SUMMARY Social isolation is the objective lack of (or limited) social contact with others. Approximately 1 in 4 older adults are socially isolated. Social isolation is a major public health issue and a risk factor for morbidity and mortality comparable to smoking, hypertension, and a sedentary lifestyle. Socially isolated older adults cost Medicare an estimated additional $6.7 billion each year. Low income older adults have two times the odds of experiencing social isolation compared to those with higher incomes. Amidst current aging projections and reports that the current cohort of older Americans have high debt and insufficient savings, the demand for subsidized housing has increased. Few studies examine social isolation among low income older adults living in subsidized housing. Despite epidemiologic evidence demonstrating the deleterious effects of social isolation on health, gaps exist in our knowledge regarding the best solutions to identify and address this major public health problem. This K23 proposal builds upon the candidates’ work funded by the Grants for Early Medical/Surgical Subspecialists’ Transitioning to Aging Research (GEMSSTAR, R03) to advance our understanding of the facilitators and barriers of social isolation among older adults living in subsidized housing. Leveraging these insights, this K23 proposal, guided by the NIH Stage Model for Behavioral Intervention Development, will conduct basic research (NIH Stage 0) to characterize social isolation and its relationship with individual and structural factors among older adults living in subsidized housing to identify participant characteristics that will inform the development of an intervention. These findings will inform the creation (NIH Stage 1A) and piloting (NIH Stage 1B) of a housing-based social isolation intervention pilot. This innovative proposal employs a transdisciplinary approach and builds the foundation for novel approaches to identify and address social isolation among older living in subsidized housing. This proposal will support the research and career development of the candidate, who aims to become an independent clinician investigator focused on developing and implementing community-based interventions that improve the health of low-income older adults.

项目概要 社会孤立是指客观上缺乏（或有限）与他人的社会接触。大约四分之一的老年人 成年人在社会上是孤立的。社会隔离是一个重大的公共卫生问题，也是发病和死亡的危险因素 死亡率与吸烟、高血压和久坐的生活方式相当。社会孤立的老年人 据估计，医疗保险每年会额外花费 67 亿美元。低收入老年人的收入是老年人的两倍 与收入较高的人相比，经历社会孤立的可能性。在当前的老龄化背景下 预测和报告显示，目前美国老年人群体负债高且储蓄不足， 对保障性住房的需求有所增加。很少有研究考察低收入人群的社会隔离 居住在补贴住房中的老年人的收入。尽管流行病学证据表明 社会隔离对健康的有害影响，我们对最佳解决方案的认识存在差距 确定并解决这一重大公共卫生问题。该 K23 提案以候选人的工作为基础 由早期医学/外科专科医生过渡到老龄化研究的补助金资助 （GEMSSTAR，R03）加深我们对社会隔离的促进因素和障碍的理解 居住在补贴住房中的老年人。利用这些见解，这项由 NIH 指导的 K23 提案 行为干预开发阶段模型，将进行基础研究（NIH 0 阶段） 描述老年人的社会孤立及其与个人和结构因素的关系 居住在补贴住房中，以确定参与者的特征，从而为住房的发展提供信息 干涉。这些发现将为创建（NIH Stage 1A）和试点（NIH Stage 1B）提供信息 以住房为基础的社会隔离干预试点。这项创新提案采用了跨学科的方法 方法并为识别和解决社会隔离问题的新方法奠定基础 住在补贴住房中的老年人。该提案将支持该项目的研究和职业发展 候选人，旨在成为一名独立的临床研究者，专注于开发和 实施以社区为基础的干预措施，改善低收入老年人的健康。

项目成果

Reply to: Associations of use of smartphone and internet technologies with loneliness.

回复：使用智能手机和互联网技术与孤独的关联。

• DOI: 10.1111/jgs.18545
• 发表时间: 2023
• 期刊: Journal of the American Geriatrics Society
• 影响因子: 6.3
• 作者: Umoh,Mfon;Cudjoe,ThomasKM
• 通讯作者: Cudjoe,ThomasKM

Reflections on measures of social isolation among older adults.

对老年人社会隔离措施的思考。

• DOI: 10.1038/s43587-023-00472-4
• 发表时间: 2023
• 期刊: Nature aging
• 作者: Pomeroy,MaryLouise;Mehrabi,Fereshteh;Jenkins,Emerald;O'Sullivan,Roger;Lubben,James;Cudjoe,ThomasKM
• 通讯作者: Cudjoe,ThomasKM

Societal- and community-level strategies to improve social connectedness among older adults.

• DOI: 10.3389/fpubh.2023.1176895
• 发表时间: 2023
• 期刊: FRONTIERS IN PUBLIC HEALTH
• 影响因子: 5.2
• 作者: Smith, Matthew Lee;Racoosin, Jillian;Wilkerson, Risa;Ivey, Ronald Matthew;Hawkley, Louise;Holt-Lunstad, Julianne;Cudjoe, Thomas K. M.
• 通讯作者: Cudjoe, Thomas K. M.

Association of Social Isolation With Hospitalization and Nursing Home Entry Among Community-Dwelling Older Adults.

社会隔离与社区老年人住院和进入疗养院的关系。

• DOI: 10.1001/jamainternmed.2023.3064
• 发表时间: 2023
• 期刊: JAMA internal medicine
• 影响因子: 39
• 作者: Pomeroy,MaryLouise;Cudjoe,ThomasKM;Cuellar,AlisonE;Ihara,EmilyS;Ornstein,KatherineA;Bollens-Lund,Evan;Kotwal,AshwinA;Gimm,GilbertW
• 通讯作者: Gimm,GilbertW

Examining the Association of Social Isolation and Smoking in Older Adults.

• DOI: 10.1177/07334648231180786
• 发表时间: 2023-11
• 期刊: JOURNAL OF APPLIED GERONTOLOGY
• 影响因子: 3
• 作者: Gimm, Gilbert;Pomeroy, Mary Louise;Galiatsatos, Panagis;Cudjoe, Thomas K. M.
• 通讯作者: Cudjoe, Thomas K. M.