Examining influences of place-based historical and contemporary structural racism on racial disparities in aging-related disease risk trajectories: leveraging the handls dataset

Active Project Grant Awarded Last action

Award ID
R01AG078675
Recipient
Awarding agency
Obligated
$2,285,399

Award facts

Assistance listing
93.866 Aging Research
Completion date 46% complete
Place of performance
Piscataway, NJ 08854, USA

Award details come from USAspending.gov.

Description

Abstract
African americans (AA) are at disproportionate risk for earlier and more pronounced cognitive and functional decline and increased frailty. Structural racism (SR)-the systems and processes that create and sustain race- based inequities-is posited as the fundamental driver of accelerated aging and multi-level determinants through its impact on the built and social environment (BSE). We posit that greater and prolonged exposure to historical, enduring, and contemporary (HEC) SR-BSE across the life course promotes greater cognitive and functional declines and increased frailty among AAS. IT remains crucial to a) understand the longitudinal relations of cumulative, lifetime exposure to multiple indicators of HEC SR-BSE practices to cognitive aging, functional decline, and emerging frailty; B) delineate variations by race, age, SEX and perosn-level socioecnoic status in these linkages; C) evaluate the role of interpersonal discrimination in this context; and D) identify underlying mechanistic pathways of risk (e.g., cardiometabolic disease) and resilience (e.g., social capital). The current project will be the first to thoroughly assess and integrate these goals. Linked to the ongoing healthy aging in neighborhoods of diversity across the life span (HANDLS) epidemiological cohort study, we propose an investigation of up to 800 midlife to older AA and white men and women (ages 30-64 at baseline), tracked up to 13 years across three waves, residing in baltimore, maryland. Our sample was born in baltimore, the U.S. City with the longest history of legalized BSE-based structural racism. This will allow detailed study of cumulative life exposure to the H & C markers we characterize through lifetime residential histories and contemporary activity spaces, obtained by calendar interview and lexisnexis commercial data and linked to rich administrative and archival data from the last 100 years. We will first model potential interactive and independent relations of H & C SR to longitudinal change in cognitive and physical function and frailty with effect modification by race and SEX. We will then build structural equation models to address the direct and indirect paths of influence exerted by H & C SR on trajectories of change in these outcomes via neighborhood BSE, interpersonal discrimination, and additional psychological, behavioral, and biomedical factors. We will partner with the baltimore neighborhood indicators alliance to disseminate our findings to support local, ongoing advocacy and policy work for transformative health equity changes to the BSE, particularly around housing. Understanding and disseminating patterns and mechanistic processes linking H & C SR to accelerated cognitive aging, functional decline, and frailty is critical to the development of appropriate strategies to disrupt racial inequities in accelerated aging via the bses where they live.

Transactions

Action Obligated Date
Amendment $734,648
Amendment Examining influences of place-based long-term and contemporary neighborhood factors on aging-related disease risk trajectories: leveraging the HANDLS dataset… $739,172
Original award $811,579

Subawards

Subrecipient Amount Awarded
University Of Maryland, Baltimore Examining Influences of Place-Based Historical and Contemporary StructuralRacism on Racial Disparities in Aging-Related Disease Risk Trajectories:Leveraging the… $15,444
University Of Maryland Baltimore County $333,927
Michigan State University $149,896
University Of California, LOS Angeles $16,460
University Of Maryland Baltimore County -$30,789
University Of California, LOS Angeles $32,921
University Of Maryland, Baltimore $60,340
Michigan State University $135,230
University Of Maryland Baltimore County $349,840
University Of Maryland Baltimore County $239,209
Michigan State University $214,084
Show all 11

Quick answers

Who received award R01AG078675?

R01AG078675 was awarded to Rutgers, The State University by National Institute on Aging (National Institutes of Health) on September 1, 2024.

How much is award R01AG078675 worth?

$2,285,399 has been obligated on R01AG078675.

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