SES AND AGE-RELATED DISABILITY IN A BIRACIAL COMMUNITY

描述（摘自研究者摘要） 拟议项目的目标是进行流行病学研究， 研究生物和环境机制， 社会经济贫困导致老年人残疾。 年龄相关 残疾通常被认为是衡量总体残疾状况的最重要指标。 老年人的健康状况，以及生活质量差的一个主要原因， 那个年纪 残疾人之间的残疾差异很大， 不同的社会经济地位，但这些差异的原因是 不太了解。 这项研究将测试这些差异是否在 残疾是由于更大的生物风险和不利的组合 邻里条件。 这些机制被假设为增加风险 通过对残疾人参与日常生活的负面影响， 社会和身体活动。 研究人员还建议测试种族 残疾的差异，并检查它们是结果的程度 社会经济贫困或其他因素。 最后，他们会发展， 实施和评估旨在增加 认识到社会经济贫困可能导致 残疾。 拟议的项目将利用一项正在进行的研究， 阿尔茨海默病的危险因素，在一个地理定义的，birthday 芝加哥南部的一个社区。 这项研究有望有助于 8000多人的详细生物和社会人口数据 老年非裔美国人和白人，以及增加一个详细的评估， 社区的物质和社会质量， 确定残疾情况，以补充现有数据。 老龄化 人口增加的紧迫性，以更好地了解的因素，防止 老年人与年龄有关的残疾方面的差距可能增加 社会弱势群体。

DESCRIPTION (Taken from the Investigators' Abstract) The goal of the proposed project is to conduct an epidemiologic study to examine the biological and environmental mechanisms by which relative socioeconomic deprivation leads to disability in older people. Age-related disability is generally considered to be the most important measure of overall health status in the elderly, and a major cause of poor quality of life at that age. There are significant disparities in disability among persons with different socioeconomic positions, yet the reasons for these disparities are poorly understood. The study will test whether these disparities in disability are due to a combination of greater biological risk and adverse neighborhood conditions. These mechanisms are hypothesized to increase risk for disability through their negative effect on participation in everyday social and physical activity. The investigators propose to also test racial differences in disability, and examine the degree to which they are a result of socioeconomic deprivation or other factors. Finally, they will develop, implement, and evaluate outreach and educational programs aimed at increasing awareness about factors by which socioeconomic deprivation can lead to disability. The proposed project will take advantage of an ongoing study on risk factors for Alzheimer's Disease in a geographically defined, biracial community in the Southside of Chicago. This study will hopefully contribute detailed biological and sociodemographic data on a cohort of more than 8,000 elderly African Americans and Whites, as well as add a detailed assessment of the physical and social qualities of the neighborhoods and annual ascertainment of disability to supplement the existing data. The aging of the population adds urgency to a better understanding of the factors that prevent potential increases in disparities in age-related disability among the socially disadvantaged.