ECONOMIC CAUSES OF ADULT ILL HEALTH

成人健康不良的经济原因

• 批准号: 3779253
• 负责人: JOHN STRAUSS
• 金额: --
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/3779253
• 关键词: Indonesia; Malaysia; adult human (21+); community; decision making; family structure /dynamics; frail elderly; health economics; health surveys; household; housing; human middle age (35-64); human morbidity; human mortality; human old age (65+); human population study; human subject; socioeconomics; statistics /biometry; young adult human (21-34)

This study will investigate the economic determinants of adult ill-health and mortality in Malaysia and Indonesia, using an extremely rich set of data, the first and second Malaysia Family Life Surveys (MFLS) and the Indonesia Family Life Survey (IFLS). While substantial progress has been made in examining economic correlates of child health and mortality, rather little work has been done on adult correlates. This is due in part to the absence of data sets which have detailed health and socio-economic data at the individual, household and community levels. The two MFLS's and the IFLS meet these stringent criteria. We will investigate reduced form determinants of adult ill-health and mortality. Special attention will be paid to aged adults, using two health indicators; measures of functional difficulties with activities of daily living (ADL's) and a self-reported measure of general health status. We will investigate the effects of the elderly's living arrangements on their health, explicitly taking into account that living arrangements are chosen (endogenous). In particular, we are interested in investigating the hypothesis that the health status of frail older individuals is better if they live with their children than if they live alone. For both prime-age and elderly adults we will investigate the effects of individual and household level covariates such as the education of all family members and household income. A novel feature of the analysis will be its focus on intergenerational effects. Specifically, characteristics of all children will be determinants of the health of elderly adults, and similarly the characteristics of the parents will be determinants of the health of prime age adults. In addition to individual and household level covariates, we will examine the effects of community infrastructure and prices on health status. We are specifically interested in the effects of the availability and price of different types of health care providers and programs. We will also examine the impact of variables that influence the community illness environment such as quality of housing, and water and sewerage infrastructure. We will test for interactions between the availability of community infrastructure and household characteristics. This will help us understand the conditions under which household and community investments have their greatest payoffs. For example, to what extent are the effects of education or household income reduced (or strengthened) in areas where toilet sanitation is poor and sources of clean water unavailable? Finally, using the MFLS-1 and -2 we will investigate the importance of potential bases caused mortality selection.

这项研究将调查成人健康不良的经济决定因素 和死亡率，使用了一套非常丰富的 第一次和第二次马来西亚家庭生活调查以及 印度尼西亚家庭生活调查。 虽然取得了实质性进展， 在研究儿童健康和死亡率的经济相关性时， 关于成人相关性的研究很少。 这部分是由于 缺乏载有详细的健康和社会经济数据的数据集， 个人、家庭和社区各级。 两个MFLS和 IFLS符合这些严格的标准。 我们将研究简化形式 成人健康状况不佳和死亡率的决定因素。 将特别注意 支付给老年人，使用两个健康指标;功能的措施 日常生活活动（ADL）困难和自我报告 衡量一般健康状况。 我们将调查的影响， 老年人的生活安排对他们的健康，明确考虑到 考虑到生活安排是选择的（内生的）。 特别是， 我们感兴趣的是调查的假设， 体弱的老年人如果和孩子住在一起， 他们一个人住 对于壮年和老年人，我们将调查 个人和家庭水平协变量的影响，如 所有家庭成员的教育和家庭收入。 的一个新颖特征 分析的重点将是代际影响。 具体地说， 所有儿童的特征将是儿童健康的决定因素， 老年人，同样，父母的特点将是 决定壮年人健康的因素。 除了个别 和家庭水平的协变量，我们将研究社区的影响， 基础设施和健康状况的价格。 我们特别感兴趣 在不同类型的健康的可获得性和价格的影响， 护理提供者和方案。 我们还将研究变量的影响 影响社区疾病环境的因素，如 住房、供水和排污基础设施。 我们将测试 社区基础设施的可用性与 家庭特征。 这将帮助我们了解 家庭和社区的投资最大， 收益 例如，教育或 在厕所卫生设施落后的地区，家庭收入减少（或增加） 是否贫穷，是否没有清洁水源？ 最后，使用MFLS-1 我们将调查潜在的基地的重要性， 死亡率选择