Communities Designed to Support Cardiovascular Health for Older Adults

7.项目摘要 公共卫生领域以零售为重点的建筑环境工作为政府行动提供了信息（限制， 分区变化和激励计划），有利于某些企业类型（如超市 与快餐店相比）。随着电子商务的发展，对电子商务的几种传统用途的需求 零售空间已经下降，特别是在2008年住房危机之后，最近在 二零二零年COVID-19疫情。幸运的是，美国各地的社区都在创新，包括 暂时或永久地重新利用空置的商业空间。我们的更新旨在 对新出现的关于邻里变化的问题作出反应，并满足当前的信息 需要了解建筑环境如何影响慢性疾病的行为和压力途径。 本次更新将（1）收集关于邻里变化感知的问卷数据，并更新 在整个美国相邻的参与者之间的邻里表征的原因， 卒中的地理和种族差异（REGARDS）研究（正在对11，205名成人进行随访 年龄在45岁以上，2003-2007年招募）和（2）召开公众讨论活动， 在纽约市的社区;纽约州，费城，宾夕法尼亚州;和伯明翰，AL正在经历或 即将到来的商业空间使用变化，价值观和社区偏好可能 通知行动。这种大型队列研究中的纵向分析和当地 参与通知建筑环境变化将有助于确定基于GIS的方面 邻域动态（例如，城市化、中产阶级化、绿化、零售业不稳定） 居民对其社区的看法以及影响社区的行为和压力途径 居民健康。我们将借鉴和贡献的文献连接纵向邻里 人口健康的特点，同时也培养集体决策能力， 更广泛的观点和价值观。 为了完成拟议的活动，我们组建了一个经验丰富的调查小组， 德雷克塞尔大学、亚拉巴马伯明翰大学、哥伦比亚大学和纽约艺术学院 药在建立在最初资助期的富有成效的合作基础上，该团队 已进行配置，以便与拟议的调查表数据收集、地理联系 纵向分析和社区参与活动。支持最大限度地发挥 这项面向多个环境和受众的工作将来自一个跨学科的咨询委员会， 各部门和各利益攸关方。

7. Project Summary Abstract Retail-focused built environment work in public health has informed governmental actions (restrictions, zoning changes, and incentive programs) that favor certain establishment types (such as supermarkets versus fast food restaurants). With the growth of e-commerce, demand for several traditional uses of retail space has declined, especially following the 2008 housing crisis and more recently during the 2020 COVID-19 pandemic. Fortunately, across the US communities are innovating, including by temporarily or permanently re-purposing vacant commercial spaces. Our renewal is designed to be responsive to the emerging questions about neighborhood change, and to meet current information needs on how the built environment affects behavioral and stress pathways to chronic disease. This renewal will (1) collect questionnaire data on neighborhood change perceptions and update neighborhood characterization throughout the contiguous US among participants from the REasons for Geographic and Racial Differences in Stroke (REGARDS) study (ongoing follow-up of 11,205 adults age 45+ recruited in 2003-2007) and (2) convene public deliberation events engaging residents from neighborhoods in New York City; NY, Philadelphia, PA; and Birmingham, AL experiencing ongoing or upcoming change to use of commercial space, about which values and community preferences could inform action. This combination of longitudinal analyses within a large cohort study and local engagement to inform built environment change will help to identify aspects of GIS-based neighborhood dynamics (e.g., urbanization, gentrification, greening, retail instability) associated with perceptions by residents about their neighborhoods and behavioral and stress pathways affecting resident health. We will draw on and contribute to the literature linking longitudinal neighborhood characteristics to population health, while also fostering collective decision-making capacity that draws on a broader range of perspectives and values. To accomplish the proposed activities, we have assembled an experienced investigative team spanning Drexel University, University of Alabama Birmingham, Columbia University, and New York Academy of Medicine. While building on the productive collaboration in the original funding period, this team has been configured for alignment with the proposed questionnaire data collection, geographic linkage, longitudinal analysis, and community-engagement activities. Support in maximizing the relevance of this work to multiple settings and audiences will come from an advisory committee spanning disciplines, sectors, and stakeholders in each setting.