JUSTice-Involved Individuals Cardiovascular Disease Epidemiology (JUSTICE)
涉及正义的个人心血管疾病流行病学 (JUSTICE)
基本信息
- 批准号:10438539
- 负责人:
- 金额:$ 73.02万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2018
- 资助国家:美国
- 起止时间:2018-04-01 至 2024-01-31
- 项目状态:已结题
- 来源:
- 关键词:AdultAffectAfrican AmericanAgeAmericanAutomobile DrivingBackBehavioralCardiovascular DiseasesCessation of lifeChronicClinicalClinical ResearchClinical SciencesCommunitiesConnecticutCriminal JusticeCross-Sectional StudiesDataData CollectionDiabetes MellitusDiseaseDisease OutcomeElectronic Health RecordEventExposure toGeneral PopulationGoalsHealthHealth StatusHealthcareHealthcare SystemsHyperlipidemiaHypertensionImprisonmentIndividualInfrastructureInterventionJusticeLatinoLongitudinal observational studyMainstreamingMeasuresMediatingMediator of activation proteinMental DepressionMissionModelingMorbidity - disease rateNational Heart, Lung, and Blood InstituteObesityOutcomeParticipantPersonsPoliciesPopulationPrevalenceProspective cohort studyPsychosocial StressPublic HealthRecording of previous eventsResearchRisk FactorsSelf EfficacySmokingStressSystemTestingTimeWorkblack mencardiovascular disorder epidemiologycardiovascular disorder riskcostdemographicsdesigndisparity eliminationepidemiology studyethnic minorityexperiencehealth differenceillicit drug useimplementation researchimplementation scienceimprovedindexingmenmortalityperceived stressprison populationracial and ethnicrecruitrisk prediction modelyoung adult
项目摘要
PROJECT SUMMARY
Individuals with a history of incarceration have higher rates of cardiovascular disease (CVD) morbidity and
mortality compared to the general population, especially in the weeks following release from correctional
facilities, but factors driving observed higher rates of CVD morbidity are unknown. Given the disproportionate
incarceration of poor and racial/ethnic minorities, there is an urgent need to understand the epidemiology of
CVD among individuals with a history of incarceration. Until these mechanisms are defined, we will not be able
to identify effective and durable interventions to mitigate CVD morbidity and mortality in this substantial
population of young adults. The long-term goal of this application is to reduce morbidity and mortality among
individuals with a history of incarceration and CVD risk factors. The overall objective, which is the next step
toward achieving this long-term goal, is to design the first longitudinal observational study of individuals who
are released from a correctional facility, so as to understand the epidemiology of CVD risk factors and
modifiable mediators of CVD risk factor control. The central hypothesis of JUSTice Involved Individuals Study
of Cardiovascular Disease Epidemiology (JUSTICE) is that there are population-specific risk factors that affect
poor control of traditional CVD risk factors, which in turn contribute to increased CVD morbidity and mortality
upon release. Preliminary data indicate that exposure to stricter incarceration policies results in higher levels of
chronic perceived stress and lower levels of self-efficacy, which in turn contributes to higher CVD risk. To test
the central hypothesis, the proposal tackles three aims: (1) Examine the association between population-
specific risk factors and clinical evidence of CVD risk factor control (hypertension, hyperlipidemia, diabetes,
and obesity), (2) Assess how changes in population-specific risk factors over time impact CVD risk factor
control, and (3) Estimate the impact of population-specific risk factors on long-term CVD morbidity and
mortality. Because there are no ongoing or past epidemiologic studies that enable us to test this hypothesis,
500 individuals just released from a Connecticut correctional facility will be recruited in a year-long, prospective
cohort study to explore the associations between psychosocial stress, self-efficacy, and exposure to
incarceration-related policies and CVD risk factor control, and then followed for an additional three years using
electronic health records. These data will be incorporated into the Cardiovascular Disease Policy Model, a
CVD risk prediction model, which will generate estimates of the impact of these factors on 10-year CVD
morbidity and mortality. JUSTICE represents a new and substantial departure from the status quo by shifting
focus to primary data collection to assess CVD risk factor control among a population recently released from
correctional facilities. It will be the first study to examine the temporal relationship between incarceration and
CVD risk factor control and to simulate the impact of incarceration on CVD morbidity and mortality.
项目总结
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Emily Ai-hua Wang其他文献
Emily Ai-hua Wang的其他文献
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{{ truncateString('Emily Ai-hua Wang', 18)}}的其他基金
Transitions Clinic Network: Post Incarceration Addiction Treatment, Healthcare, and Social Support (TCN PATHS) study
Transitions Clinic Network:监禁后成瘾治疗、医疗保健和社会支持 (TCN PATHS) 研究
- 批准号:
10383447 - 财政年份:2019
- 资助金额:
$ 73.02万 - 项目类别:
Transitions Clinic Network: Post Incarceration Addiction Treatment, Healthcare, and Social Support (TCN PATHS) study
Transitions Clinic Network:监禁后成瘾治疗、医疗保健和社会支持 (TCN PATHS) 研究
- 批准号:
10163016 - 财政年份:2019
- 资助金额:
$ 73.02万 - 项目类别:
Transitions Clinic Network: Post Incarceration Addiction Treatment, Healthcare, and Social Support (TCN PATHS) study
Transitions Clinic Network:监禁后成瘾治疗、医疗保健和社会支持 (TCN PATHS) 研究
- 批准号:
10177211 - 财政年份:2019
- 资助金额:
$ 73.02万 - 项目类别:
Transitions Clinic Network: Post Incarceration Addiction Treatment, Healthcare, and Social Support (TCN PATHS) study
Transitions Clinic Network:监禁后成瘾治疗、医疗保健和社会支持 (TCN PATHS) 研究
- 批准号:
9978016 - 财政年份:2019
- 资助金额:
$ 73.02万 - 项目类别:
Transitions Clinic Network: Post Incarceration Addiction Treatment, Healthcare, and Social Support (TCN PATHS) study
Transitions Clinic Network:监禁后成瘾治疗、医疗保健和社会支持 (TCN PATHS) 研究
- 批准号:
10615699 - 财政年份:2019
- 资助金额:
$ 73.02万 - 项目类别:
Transitions Clinic Network: Post Incarceration Addiction Treatment, Healthcare, and Social Support (TCN PATHS) study
Transitions Clinic Network:监禁后成瘾治疗、医疗保健和社会支持 (TCN PATHS) 研究
- 批准号:
10152577 - 财政年份:2019
- 资助金额:
$ 73.02万 - 项目类别:
Transitions Clinic Network: Post Incarceration Addiction Treatment, Healthcare, and Social Support (TCN PATHS) study
Transitions Clinic Network:监禁后成瘾治疗、医疗保健和社会支持 (TCN PATHS) 研究
- 批准号:
10398827 - 财政年份:2019
- 资助金额:
$ 73.02万 - 项目类别:
Transitions Clinic Network: Post Incarceration Addiction Treatment, Healthcare, and Social Support (TCN PATHS) study
Transitions Clinic Network:监禁后成瘾治疗、医疗保健和社会支持 (TCN PATHS) 研究
- 批准号:
10616925 - 财政年份:2019
- 资助金额:
$ 73.02万 - 项目类别:
JUSTice-Involved Individuals Cardiovascular Disease Epidemiology (JUSTICE)
涉及正义的个人心血管疾病流行病学 (JUSTICE)
- 批准号:
10596244 - 财政年份:2018
- 资助金额:
$ 73.02万 - 项目类别:
JUSTice-Involved Individuals Cardiovascular Disease Epidemiology (JUSTICE)
涉及正义的个人心血管疾病流行病学 (JUSTICE)
- 批准号:
10434473 - 财政年份:2018
- 资助金额:
$ 73.02万 - 项目类别:
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