MINORITIES' CHARACTERISTICS, CHANGING RESIDENCE & LTC US

少数民族特点、居住地变化

• 批准号: 3123152
• 负责人: DAVID RABIN
• 金额: $ 15.48万
• 依托单位: GEORGETOWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1992
• 资助国家: 美国
• 起止时间: 1992-09-30 至 1994-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3123152
• 关键词: African American; aging; extended care; functional ability; health care service utilization; human old age (65+); human population study

Long Term Care (LTC) use for aged Afro-Americans is less than for whites in contrast to hospital use. Differences in formal LTC service use including nursing homes are narrowing over time and are highly correlated with personal, health status and residential characteristics which differ by race among the aged. This project will describe and then analyze Long Term Care (LTC) service use over time by race. Descriptors will be health status indicators of physical, cognitive function and disease, personal, social, economic and residential characteristics and area characteristics such as medicare and community service use, and nursing home beds using the 1984-1990 Longitudinal Survey on Aging (LSOA) tapes embellished by additional hospital and LTC use and area resource data. We will first do a pooled time series cross sectional analysis of the relationships among those variables and hospital and formal long term care service use to determine the predictors of LTC use. Changes in impairment from chronic disease and associated residential transitions occur over time and effect the need for LTC. We will analyze transitions from the least to the most restrictive (nursing home) residential environments within two year periods using a separate pooled cross sectional sample based on matching two consecutive LSOA interviews. We will test the hypothesis that LTC use and residential transitions differences among racial groups are largely accounted for by health, personal, and area characteristics. The LSOA was first fielded in 1984 as the SOA and interviewed a national sample of those 55+ including 7,541 respondents who were 70+. Subsequent interviews were conducted in 1986, 1988 and 1990. Respondent Data were merged with their Medicare records and for those dying, National Death Index, to provide diagnostic, health care use, and cause, and site of death data. Proxy respondents were sought for those dead. The Analysis will concentrate on the subset of 5,151 respondents 70+ eligible for re-interview in 1986 who were potentially eligible for interview in all four periods. The 1986 subset retained half those 70+ and all the very old (80+), and minorities including 560 Afro-Americans.

老年非裔美国人使用长期护理(LTC)的人数少于白人 与医院使用形成鲜明对比的是。正式LTC服务使用的差异 包括养老院在内的人数正在随着时间的推移而缩小，而且高度相关 具有不同的个人、健康状况和居住特征 在老年人中的种族。这个项目将描述并分析Long 按种族划分的长期护理(LTC)服务使用情况。描述符将为 身体、认知功能和疾病的健康状况指标， 个人、社会、经济和居住特点和地区 特点，如医疗保险和社区服务使用，以及护理 使用1984-1990年老龄化纵向调查(LSOA)磁带的家庭床位 由更多的医院和LTC使用和地区资源数据点缀。 我们将首先做一个汇集时间序列的横截面分析 这些变量与医院和正规医院的长期关系 护理服务使用，以确定长期服药使用的预测因素。中的更改 慢性病和相关的居住转变造成的损害 随着时间的推移而发生，并影响对LTC的需求。我们将分析过渡 从限制最少到限制最多(养老院) 使用单独的池化交叉的两年内的环境 基于匹配两个连续的LSOA访谈的分段样本。我们 将检验LTC使用和住宅过渡的假设 种族之间的差异在很大程度上是由健康状况造成的， 个性化、地域性。Lsoa于1984年首次部署。 作为国家海洋局，并采访了55个以上的国家样本，其中包括7541个 70岁以上的受访者。随后的采访于1986年进行， 1988年和1990年。受访者数据与他们的联邦医疗保险记录合并 对于那些垂死的人，国家死亡指数，提供诊断，健康 护理用途、死亡原因和死亡地点数据。代理调查对象为 寻找那些死去的人。分析将集中在以下子集上 5151名受访者在1986年有70多人有资格重新面试，他们是 有可能在所有四个阶段都有资格参加面试。1986年子集 保留了一半70多岁的人和所有非常年长的人(80多岁)，以及少数族裔 其中包括560名非裔美国人。