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

这一应用的总体目标是在纵向调查研究方法和 调查老年人口中痴呆症的负担以及相关的个人、社会和健康挑战 黎巴嫩。人口老龄化正在全世界发生，包括许多中低收入者。 国家(LMIC)。因此，这些国家面临着迅速增长的与年龄相关的共同负担。 慢性病，包括阿尔茨海默病和相关痴呆(ADRD)。黎巴嫩是中等收入国家 中东北非(MENA)地区的一个国家，据估计，那里有ADRD的流行 位居世界最高之列。目前关于该病流行和流行的可靠信息非常有限。 该人群中ADRD的发生率及其主要危险因素。此外，LMIC国家像 黎巴嫩在为残疾人提供适当护理方面经常面临重大挑战，人们对此知之甚少。 关于正式和非正式护理模式，以满足受影响老年人的健康和个人需求 家人。也没有足够的研究能力对ADRD进行严格的研究，以解决 黎巴嫩ADRD造成的人口负担。拟议的项目有两个总体目标。首先，它的目标是 建立新的研究能力，对ADRD和其他重要疾病进行严格的流行病学研究 与老龄化有关的健康和社会结果，特别强调纵向研究设计和 复杂的抽样策略。将密切开展和开展研究能力活动 美国贝鲁特大学(AUB)和贝鲁特大学的调查小组之间的合作 密歇根州，涉及一系列与黎巴嫩社会和文化背景相关的培训单元。 其次，它的目标是开发一项新的基于人群的队列研究，并招募3000名60岁的成年人作为样本 和老年人，他们将参加对痴呆症、照顾者需求和安排的结构化评估，以及 与了解黎巴嫩人口老龄化挑战有关的其他健康和社会领域。这个 这项研究旨在就ADRD的新风险因素产生重要的新信息，特别是当它与 在整个生命过程中，长期暴露在紧张的社会环境中所起的作用。很大一部分 成年人口经历了主导黎巴嫩公共生活的政治不稳定和冲突 在过去的四十年里。它还将增加有关照顾者需求和安排的重要新信息， 特别是在涉及雇用国内外来务工人员的增长的情况下。这种照顾老年人的模式 成年人正在越来越多地取代依赖亲戚的更传统的护理模式。这项工作的发现将 不仅为减轻由于ADRD造成的人口负担而制定的潜在战略提供信息，而且预计还将 增加我们对ADRD潜在重要新风险因素的了解，以及对 在世界各地的许多其他环境和人口中，患有ADRD的老年人。

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.