Wabanaki NARCH

总体：摘要 到2050年，65岁及以上的美国印第安人人数预计将增加两倍，达到1，624，000人， 85岁及以上的人口将增加7倍，达到30万人。这些统计数字虽然令人欢迎，但也引起了人们的关切， 与衰老相关的健康状况的比例增加-特别是阿尔茨海默病和相关疾病 痴呆症这种令人担忧的人口增长、新出现的需求和高风险的汇合，加上 关于美国印第安老人的现有健康数据的广泛公认的局限性，促使我们提出 瓦巴纳基美洲土著人健康研究中心是瓦巴纳基公共卫生与 华盛顿州立大学的研究和教育促进社区健康研究所。Wabanaki 公共卫生是一个部落公共卫生区，服务于缅因州4个联邦承认的部落。统称 作为瓦巴纳基部落，这些部落包括米克马克斯的阿鲁斯托克部落，马里塞特印第安人的霍尔顿部落， 佩诺布斯科特部落和帕萨马科迪部落Wabanaki Native American Research Center（英语：Wabanaki Native American Research Center） 卫生部解决老年人健康问题至关重要，原因有三。首先，老年人的健康是一个高度优先事项， Wabanaki公共卫生。其次，阿尔茨海默病和相关的痴呆症以及轻度认知障碍， 发病率和死亡率的主要原因，但对这些疾病的患病率或其 美国东北部的印第安人的经济影响。第三，Wabanaki公共卫生部门希望 加强其研究能力和基础设施，作为可持续研究的必要基础。 因此，我们的总体具体目标是：1）加强Wabanaki公共卫生， 公共卫生区服务于美国印第安人在缅因州和华盛顿州立大学，以改善 通过1个研究项目和2个能力建设，提高Wabanaki公共卫生的研究和服务能力 项目和管理核心; 2）估计阿尔茨海默病和相关痴呆症的患病率 和轻度认知障碍的Wabanaki部落成员年龄在55岁及以上，以及目前和 与这些条件相关的未来直接和间接成本; 3）在Wabanaki之间建立研究能力 公共卫生工作人员和Wabanaki本科生通过为期一年的定制研究方法课程 和为期一年的学生实习在Wabanaki公共卫生;和4）扩大部落自治，以包括 规范科学工作，通过为研究奠定基础来建设研究能力。 审查委员会。Wabanaki Numbers是自该计划于年成立以来美国东北部的第一个 2000.它将填补我们对阿尔茨海默病和相关痴呆症以及轻度认知障碍的知识的空白。 美国印第安人的老年人。它还将促进和扩大研究和基础设施 瓦巴纳基公共卫生的能力，一个部落公共卫生区，是独特的定位，以承担一个 在改善Wabanaki和其他东北部部落经历的健康差距方面发挥领导作用 社区.

OVERALL: ABSTRACT The number of American Indians aged 65 and older is expected to triple to 1,624,000 by 2050, while the number of those aged 85 and older will increase 7-fold to 300,000. While welcome, these statistics raise concerns about proportionate increases in health conditions associated with aging – especially Alzheimer’s disease and related dementias. This worrisome confluence of population growth, emerging needs, and high risk, combined with the widely recognized limitations of available health data on American Indian elders, motivates us to propose the Wabanaki Native American Research Center for Health, a partnership between Wabanaki Public Health and the Institute for Research and Education to Advance Community Health at Washington State University. Wabanaki Public Health is a tribal public health district serving the 4 federally recognized tribes of Maine. Collectively known as the Wabanaki tribes, the tribes include the Aroostook Band of Micmacs, Houlton Band of Maliseet Indians, Penobscot Nation, and Passamaquoddy Tribe. Establishing the Wabanaki Native American Research Center for Health to address elder health is critically important for 3 reasons. First, elder health is a high priority for Wabanaki Public Health. Second, Alzheimer’s disease and related dementias and mild cognitive impairment are leading causes of morbidity and mortality, yet nothing is known about the prevalence of these conditions or their economic impact among American Indians in the northeastern US. Third, Wabanaki Public Health desires to strengthen its research capacity and infrastructure as a necessary foundation for sustainable research. Therefore, our overall Specific Aims are to: 1) Strengthen collaborations between Wabanaki Public Health, a public health district serving American Indians people in Maine and Washington State University to improve the research and service capacities of Wabanaki Public Health through 1 Research Project, 2 Capacity Building Projects, and an Administrative Core; 2) Estimate the prevalence of Alzheimer’s disease and related dementia and mild cognitive impairment among Wabanaki tribal members aged 55 and older, as well as the current and future direct and indirect costs associated with these conditions; 3) Build research capacity among Wabanaki Public Health staff and Wabanaki undergraduate students through a year-long tailored research methods course and year-long student internships at Wabanaki Public Health; and 4) Extend tribal self-governance to encompass the regulation of scientific endeavors and to build research capacity by laying the foundation for a Research Review Board. The Wabanaki NARCH is the first in the northeastern US since the program was founded in 2000. It will fill striking gaps in our knowledge of Alzheimer’s disease and related dementias and mild cognitive impairment among American Indian elders. It will also promote and expand the research and infrastructure capabilities of Wabanaki Public Health, a tribal public health district that is uniquely positioned to assume a leadership role in ameliorating health disparities experienced by Wabanaki and other northeastern tribal communities.