AGING IMMIGRANTS, NATIVITY AND DECLINING HEALTH

美国正日益成为一个多元文化的国家， 这一事实对处理这一问题的公共政策具有重要意义。 少数民族和移民人口的保健和医疗需要。 尽管有越来越多的证据表明， 和种族差异的健康和疾病的个人， 在生命历程中，很少有研究评估耶稣诞生的影响， 以及最近的风险因素，对纵向健康和 成年西班牙裔和非西班牙裔白人的残疾状况。 使用三波健康和退休调查（HRS），这项研究 检查是否降低的健康（例如，自我评估的健康和 日常生活功能的活动下降）与预 退休年龄的西班牙裔和非西班牙裔白人。 我们还探索 文化变化和社会阶层的指标是否相互作用， 影响HRS中1，106名移民的健康结果，特别是 墨西哥血统的人。 总的来说，我们假设 在移民的疾病概况取决于相互作用， 外国出生的人所经历的文化和社会经济因素 进入并留在美国社会的经济主流， 这些相互作用可能会影响低收入群体的健康 比高收入群体更差。 这项研究将揭示 在特定的文化和社会背景下， 并将通过制定公共和私营部门的政策， 部门倡议，解决如何提高数量和 西班牙裔移民及其家庭的生活质量。

The United States is becoming increasingly a multicultural nation, and this fact has important implications for public policy dealing with the health and medical care needs of minority and immigrant populations. Although burgeoning evidence documents the economic correlates of racial and ethnic differentials in health and illness for individuals across the life course, fewer studies have assessed the impact of nativity, as well as proximate risk factors, on the longitudinal health and disability status of mature adult Hispanics and non-Hispanic whites. Using three waves of the Health and Retirement Survey (HRS), this study examines whether diminished health (e.g., self-assessed health and declines in activity of daily living functioning) is comparable for pre- retirement age Hispanics and non-Hispanic whites. We also explore whether indicators of cultural change and social class interact to influence health outcomes of 1,106 immigrants in the HRS, especially those of Mexican origin. In general, we hypothesize that differences in illness profiles among immigrants depend upon the interaction of cultural and socioeconomic factors that foreign-born individuals undergo to move into and stay in the economic mainstream of American society, and that these interactions may affect the health of lower-income groups more negatively than higher-income groups. The study will shed light on the nature of the aging process in specific cultural and social contexts, and will inform social policy by developing public and private sector initiatives that address ways to improve both the quantity and quality of life for Hispanic immigrants and their families.