Preventing Deaths Among Older Americans with Alzheimer’s Disease and Other Related Dementias Exposed to Hurricanes
预防遭受飓风影响的患有阿尔茨海默病和其他相关痴呆症的美国老年人死亡
基本信息
- 批准号:10739038
- 负责人:
- 金额:$ 210.77万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2023
- 资助国家:美国
- 起止时间:2023-09-01 至 2026-08-31
- 项目状态:未结题
- 来源:
- 关键词:AffectAlzheimer&aposs DiseaseAlzheimer&aposs disease related dementiaAmericanAreaAssisted Living FacilitiesCause of DeathCensusesCessation of lifeCommunitiesCountyDataDedicationsDementiaDependenceDimensionsDisastersDisorientationElderlyElementsEmergency SituationEnvironmentEnvironmental WindEventExcess MortalityExposure toFaceFailure to ThriveFloodsFutureGoalsHealthHealth PersonnelHealth Services AccessibilityHealthcareHealthcare SystemsHurricaneInfectionInfrastructureIntentionKnowledgeMeasuresNursing HomesOlder PopulationOutcomePatternPersonal SatisfactionPharmaceutical PreparationsPoliciesPolicy MakerPopulationProductivityRainReadinessRecommendationRecording of previous eventsResearchResourcesRiskSamplingServicesTimeTornadoesWeatherWorkanalytical methodcaregivingclimate disastercohortcomorbiditycopingdesignexperienceextreme stormsfallsfunctional declineimprovedindexinginnovationinsightmeteorological datamortalitymortality risknovelpreventprogramssevere weathersocial vulnerabilitytemporal measurementvulnerable communityweather-related disaster
项目摘要
PROJECT ABSTRACT
Background: There is a critical need to understand how disasters such as hurricanes affect older adults living
with Alzheimer’s disease and related dementias (ADRD). For older adults living with ADRD, the disruption in
critical supportive services and overall normal patterns of daily living caused by a disaster can be highly
disorienting and result in immediate changes in health and well-being, leading to functional decline and even
death. Our existing program of research is dedicated to examining the effects of disasters on health outcomes
among older adults, with the goal of improving disaster preparedness and planning policy. Our previous work
has shown that deaths increase among older adults living with ADRD in the months after hurricane exposure.
Our Goal: The central objective of this proposed project is to determine the extent to which exposure to
hurricanes affects mortality among older adults living with ADRD – focused on identifying ways to reduce
deaths. We hypothesize that an increase in all-cause mortality following hurricane exposure will be due to
specific causes of death (i.e., infection, falls, failure to thrive), excess mortality will differ by living environment,
and social vulnerability will influence population-level mortality.
Our Approach: Using a unique combination of administrative healthcare, death, and weather data to study a
sample of hurricanes between 2001-2018, we will pursue the following aims: Aim 1 will examine all-cause
mortality following hurricane exposure and identify associated causes of death among older adults living with
ADRD; Aim 2 will determine the living environment associated with the most deaths among older adults living
with ADRD who are exposed to a hurricane; and Aim 3 will determine the effects of exposure to multiple
(sequential) disasters on excess mortality among the ADRD population, within the context of social
vulnerability.
Unique Features and Innovation: This project is innovative for several reasons; it will: (1) generate/use small
area estimates of severe weather exposure that are multi-dimensional (i.e., type of weather) and both highly
spatially and temporally resolved; (2) be among the first to identify cause of death using the National Death
Index, as well as timing of death among the ADRD population following hurricane exposure; and (3) examine
the cumulating effects of disasters on excess mortality within the context of community vulnerability.
Anticipated Impact: The overall goal of this project is to develop knowledge around ADRD deaths following
hurricane exposure with the intention of informing disaster preparedness policy for the ADRD population.
Recommendations generated from this work will support policymakers, healthcare providers, and emergency
planners as they refine policies regarding disaster management for older adults living with ADRD.
项目摘要
背景:迫切需要了解飓风等灾害如何影响老年人的生活
阿尔茨海默病和相关痴呆症(ADRD)。对于患有ADRD的老年人,
灾害造成的关键支助服务和总体正常的日常生活模式,
迷失方向,并导致健康和福祉的立即变化,导致功能下降,甚至
死亡我们现有的研究计划致力于研究灾害对健康结果的影响
在老年人中开展的活动,目的是改善备灾和规划政策。我们以前的工作
研究表明,在飓风暴露后的几个月里,患有ADRD的老年人的死亡人数增加。
我们的目标:本拟议项目的中心目标是确定暴露于
飓风影响ADRD老年人的死亡率-重点是确定减少
死亡我们假设,飓风暴露后全因死亡率的增加将是由于
具体死因(即,感染、福尔斯、不能茁壮成长),过度死亡率将因生活环境而异,
社会脆弱性将影响人口死亡率。
我们的方法:使用行政医疗保健,死亡和天气数据的独特组合来研究一个
根据2001-2018年飓风的样本,我们将追求以下目标:目标1将检查所有原因
飓风暴露后的死亡率,并确定与飓风有关的老年人死亡的相关原因。
ADRD;目标2将确定与老年人死亡率最高相关的生活环境,
与ADRD谁是暴露于飓风;和目标3将确定暴露于多种影响
在社会经济背景下,
易损性.
独特的特点和创新:这个项目是创新的几个原因;它将:(1)产生/使用小
多维的恶劣天气暴露的区域估计(即,天气类型)和两者都很高
空间和时间解决;(2)是第一个确定死亡原因使用国家死亡
指数,以及飓风暴露后ADRD人群的死亡时间;(3)检查
在社区脆弱性的背景下,灾害对超额死亡率的累积影响。
预期影响:本项目的总体目标是在以下情况下,
飓风风险,目的是为ADRD人口提供备灾政策信息。
从这项工作中产生的建议将支持政策制定者,医疗保健提供者和紧急
规划者,因为他们完善政策,对灾害管理的老年人生活与ADRD。
项目成果
期刊论文数量(0)
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会议论文数量(0)
专利数量(0)
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Susan Anne Bell其他文献
Susan Anne Bell的其他文献
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{{ truncateString('Susan Anne Bell', 18)}}的其他基金
Healthcare use among older adults with dementia after large-scale disasters
大规模灾难后患有痴呆症的老年人的医疗保健使用情况
- 批准号:
10591812 - 财政年份:2023
- 资助金额:
$ 210.77万 - 项目类别:
Individual and community drivers of hospitalizations for older adults after natural disaster
自然灾害后老年人住院的个人和社区驱动因素
- 批准号:
10410491 - 财政年份:2018
- 资助金额:
$ 210.77万 - 项目类别:
Individual and community drivers of hospitalizations for older adults after natural disaster
自然灾害后老年人住院的个人和社区驱动因素
- 批准号:
10172818 - 财政年份:2018
- 资助金额:
$ 210.77万 - 项目类别: