LONGITUDINAL STUDY OF MEXICAN AMERICAN ELDERLY HEALTH

需要资金对西班牙裔人进行两次面对面的跟踪调查 老年流行病学研究的既定人群 总共有四个联系人(1993-4、1995-6、1998-9和 2000-2001年)。这项研究的最初目的是提供有关 墨西哥裔美国老年人的健康和保健需求 美国西南部。3050名受试者的基线队列为 两年后进行了追踪。如需更多后续行动，请访问 五年和七年，以便能够评估卫生和卫生方面的变化 随着时间的推移，幸福。关键的健康结果包括死亡率、身体状况 功能正常和抑郁。特别令人感兴趣的是后者是如何 随着时间的推移，三种结果相互关联地预测彼此 以及预测随着时间推移的死亡率。除了调查 变化的轨迹，我们检查医疗条件，如 糖尿病、肥胖症和关节炎，以及移民等社会因素 地位、社会支持和文化适应与以下方面的变化有关 随着时间的推移，健康结果。我们两年的跟踪数据表明， 很少有墨西哥裔美国老年人进入养老院，尽管他们有 身体残疾、认知功能障碍和 抑郁症。因此，许多残疾的墨西哥裔美国老年人得到了照顾 在家里。除了调查在哪些情况下 随着时间的推移，一些墨西哥裔美国人会被制度化，我们计划 评估家庭在照顾残疾老年成员方面的作用 这个家。要求的第三波和第四波数据收集将 关于关键健康结果和预测变量的重复访谈措施 以及包括血压在内的家庭医疗评估， 身高和体重的测量，以及体能的表现测量 功能正常。计划了各种统计程序，以 分析健康结果的变化轨迹以及这些变化是如何 变化与医疗条件和社会因素有关。 时间到了。拟议的纵向研究将提供必要的 满足老年人医疗保健需求所需的信息 墨西哥裔美国人。

Funds are requested to conduct two in-person follow-ups of the Hispanic EPESE (Established Populations for Epidemiologic Studies of the Elderly) giving us a total of four contacts (1993-4, 1995-6, 1998-9, and 2000-2001). The study's original aims were to provide basic data on the health and health care needs of Mexican American elderly in the Southwestern United States. The baseline cohort of 3,050 subjects was followed up two years later. Additional follow-ups are requested at five and seven years to enable the assessment of changes in health and well-being over time. Key health outcomes include mortality, physical functioning, and depression. Of particular interest is how the latter three outcomes are interrelated in predicting each other over time as well as predicting mortality over time. In addition to investigating trajectories of change, we examine how medical conditions, such as diabetes, obesity and arthritis, and social factors, such as migration status, social support and acculturation are associated with changes in health outcomes over time. Our two-year follow-up data indicate that very few elderly Mexican Americans enter nursing homes despite having high rates of physical disability, cognitive dysfunction, and depression. Thus, many disabled elderly Mexican Americans are cared for in the home. In addition to investigating circumstances under which some Mexican Americans become institutionalized over time, we plan to assess the role of the family in caring for disabled elderly members in the home. The third and fourth waves of data collection requested will repeat interview measures on key health outcomes and predictor variables as well as in-home medical assessments that include blood pressures, measures of height and weight, and performance measures of physical functioning. A variety of statistical procedures are planned for analyzing trajectories of change in health outcomes and how these changes are associated with medical conditions and social factors over time. The longitudinal research proposed will provide essential information necessary for addressing the health care needs of older Mexican Americans.