Communities Designed to Support Cardiovascular Health for Older Adults

7.项目摘要摘要 以零售为重点的公共卫生建筑环境工作为政府行动(限制， 分区变化和激励计划)有利于某些机构类型(如超市 与快餐店相比)。随着电子商务的增长，对几种传统用途的需求 零售面积有所下降，特别是在2008年房地产危机之后以及最近的 2020年新冠肺炎大流行。幸运的是，全美各地的社区都在创新，包括通过 临时或永久地重新利用空置的商业空间。我们的更新旨在 回应新出现的关于社区变化的问题，并满足最新信息 需要了解建筑环境如何影响慢性病的行为和应激途径。 此次续订将(1)收集有关邻里变化感知的调查问卷数据并更新 美国各地邻里人物塑造参与者之间邻里关系的原因 卒中的地理和种族差异(CONTS)研究(对11,205名成年人的持续随访 2003-2007年招募的45岁以上)和(2)召集公众讨论活动，吸引来自 纽约市、宾夕法尼亚州费城和亚利桑那州伯明翰的社区正在经历或 即将到来的商业空间使用变化，关于哪些价值观和社区偏好可以 通知行动。这是大型队列研究中的纵向分析和当地研究的组合 参与告知建成环境变化将有助于确定基于地理信息系统的 社区动态(例如城市化、中产阶级化、绿化、零售不稳定)与 居民对他们的社区以及影响他们的行为和压力途径的看法 居民健康。我们将借鉴和贡献连接纵向邻里的文献 人口健康的特征，同时也培养集体决策能力 关于更广泛的视角和价值观。 为了完成拟议的活动，我们组建了一支经验丰富的调查小组， 德雷克塞尔大学、阿拉巴马大学伯明翰分校、哥伦比亚大学和纽约学院 医学。虽然在最初的资助期建立了富有成效的协作，但该团队已经 已配置为与拟议的调查问卷数据收集、地理联系、 纵向分析和社区参与活动。支持最大限度地提高 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，以及每一环境中的利益攸关方。

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.