SES AND AGE-RELATED DISABILITY IN A BIRACIAL COMMUNITY

描述(摘自调查人员摘要) 拟议项目的目标是进行流行病学研究，以 研究相对的生物和环境机制 社会经济上的剥夺导致老年人的残疾。与年龄相关的 残疾通常被认为是衡量整体残疾的最重要的指标 老年人的健康状况，以及导致老年人生活质量低下的一个主要原因 那个年纪。患有以下疾病的人在残疾方面存在显著差异 不同的社会经济地位，然而造成这些差异的原因是 人们对此知之甚少。这项研究将测试这些差异是否在 残疾是由更大的生物风险和不利因素共同造成的 附近的情况。这些机制被假设为增加风险 通过对日常生活的参与产生负面影响而导致残疾 社交和身体活动。调查人员还提议测试种族 残疾的差异，并检查它们的结果程度 社会经济贫困或其他因素造成的。最后，他们会发展， 实施和评估旨在提高 认识到社会经济贫困可能导致的因素 残疾。拟议的项目将利用正在进行的关于 阿尔茨海默病的危险因素在一个地理定义的混血儿中 芝加哥南部的社区。这项研究有望对 超过8000人的详细生物学和社会人口学数据 老年非裔美国人和白人，以及添加了对 社区和年度的身体和社会素质 确定残疾情况，以补充现有数据。老年人的老龄化 人口增加了更好地理解阻止 老年人中与年龄相关的残疾差距的潜在增加 社会上的弱势群体。

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.