Contribution of longitudinal neighborhood determinants to cognitive health and dementia disparities within a multi-ethnic cohort

Active Project Grant Awarded Last action

Award ID
R01AG072634
Recipient
Awarding agency
Obligated
$17,981,697

Award facts

Assistance listing
93.866 Aging Research
Completion date 54% complete
Originally
Funding
  • $16,833,971.00 Federal
  • $1,147,726.00 Non-federal
Place of performance
Pennsylvania, USA

Award details come from USAspending.gov.

Description

Abstract
Beyond the role that individual factors (e.g. age, race, gender, and socioeconomic status) play in the progression of alzheimer's disease and related dementias (ADRD), neighborhood factors (e.g. social and built environments) may affect cognitive health. Critically, although african american and hispanic individuals face the highest and most disproportionate risk for ADRD, research has traditionally excluded diverse populations. Given historic and current patterning of healthy neighborhood factors by racial and socioeconomic characteristics, these features may partially explain observed disparities in ADRD risk. To date there has been no research on the role of neighborhood environments in disparities in ADRD risk. In this study, we propose to leverage and extend extensive longitudinal data from the multi-ethnic study of atherosclerosis (MESA) to address major gaps in research on neighborhoods and disparities in ADRD. We propose to undertake large-scale collection, processing, and distribution of new neighborhood data within MESA. Our main objective is to identify unique patterns of neighborhood change related to the causes of prevalence and disparities in cognitive decline and dementia. We will attain our main objective by (aim 1) characterizing dynamic, longitudinal neighborhood social and built environment variables (survey-based and GIS-derived) relevant to cognition for residential addresses of a MESA; (aim 2) examining associations of neighborhood environmental characteristics with cognition and clinically relevant ADRD outcomes; (aim 3) investigate determinants of disparities in ADRD outcomes by socioeconomic position and race/ethnicity and assess the contribution of neighborhood environments. This project is poised to provide robust new evidence about pathways and links between neighborhood environments and cognitive outcomes, with important implications for built environment science, ADRD progression research, and policies to support healthy aging. Aim 1 will create the most comprehensive longitudinal neighborhood dataset on a diverse sample with detailed cognitive and ADRD outcomes for widespread dissemination to a network of researchers. Analyses in aim 2 will contribute to developing substantive theory on the role of neighborhoods in ADRD progression and provide guidance for urban planners to design neighborhoods that support healthy aging. Aim 3 examines component contributions to racial disparities in cognition and ADRD. Through this, we expect to identify actionable, community and clinical interventions to address and remediate racial and socioeconomic inequalities derived from the unequal distribution of environmental supports for healthy aging. We expect this evidence to support and amplify efforts to reduce disparities.

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Subawards

Subrecipient Amount Awarded
The Johns Hopkins University Contribution of Longitudinal Neighborhood Determina-nt; to Cognitive Health and Dementia Disparities Within a Multi-Ethnic Cohort $9,077
University Of Washington Contribution of Longitudinal Neighborhood Determinant to Cognitive Health and Dementia Disparities Within a Multi-Ethnic Cohort $58,099
Regents Of The University Of Minnesota Contribution of Longitudinal Neighborhood Determinants to Cognitive Health and Dementia Disparities within a Multi-Ethnic Cohort $61,227
University Of Washington Contribution of Longitudinal Neighborhood Determinants to Cognitive Health and Dementia Disparities Within a Multi-Ethnic Coho $48,227
The Johns Hopkins University Contribution of Longitudinal Neighborhood Determinants to Cognitive Health and Dementia Disparities Within a Multi-Ethnic Cohort $9,495
The Regents Of The University Of California $9,998
Wake Forest University Health Sciences $97,903
Louisiana State University Kevin T. Smiley will serve as a co-investigator on the NIH proposal. Dr. Smiley brings expertise in the study of disasters, racial inequalities, and… $51,815
University Of Washington Contribution of Longitudinal Neighborhood Determinants to Cognitive Health and Dementia Disparities Within a Multi-Ethnic Cohort $65,676
Northwestern University Contribution of Longitudinal Neighborhood Determinants to Cognitive Health and Dementia Disparities within a Multi-Ethnic Cohort $17,093
The Johns Hopkins University Contribution of Longitudinal Neighborhood Determinants to Cognitive Health and Dementia Disparities Within a Multi-Ethinc Cohort $10,415
The Trustees Of Columbia University In The City Of New York Contribution of Longitudinal Neighborhood Determinants to Cognitive Health and Dementia Disparities within a Multi-Ethnic Cohort $10,000
Wake Forest University Health Sciences Contribution of Longitudinal Neighborhood Determinants to Cognitive Health and Dementia Disparities Within a Multi-Ethnic Cohort $51,438
University Of California, LOS Angeles $61,867
The Trustees Of Columbia University In The City Of New York Contribution of Longitudinal Neighborhood Determinants to Cognitive Health and Dementia Disparities within a Multi-Ethnic Cohort $85,525
The Johns Hopkins University Contribution of Longitudinal Neighborhood Determinants to Cognitive Health and Dementia Disparities Within a Multi-Ethnic Cohort $49,195
Regents Of The University Of Minnesota Contribution of Longitudinal Neighborhood Determinants to Cognitive Health and Dementia Disparities within a Multi-Ethnic Cohort $55,221
University Of Washington Contribution of Longitudinal Neighborhood Determinants to Cognitive Health and Dementia Disparities Within a Multi-Ethnic Cohort $55,805
The Trustees Of Columbia University In The City Of New York Contribution of Longitudinal Neighborhood Determinants to Cognitive Health and Dementia Disparities within a Multi-Ethnic Cohort $98,218
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Quick answers

Who received award R01AG072634?

R01AG072634 was awarded to Drexel University by National Institute on Aging (National Institutes of Health) on May 15, 2021.

How much is award R01AG072634 worth?

$17,981,697 has been obligated on R01AG072634: $16,833,971 in federal funding and $1,147,726 in non-federal funding.

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