ONSET, TRAJECTORY OF DISABILITY AND ACCULTURATION

这种竞争性的延续提供了一个独特的机会， 种族内以及年龄和性别群体之间的身体状况差异 和心理健康，残疾的发病和轨迹，以及 文化因素对健康和残疾的相互作用。这项研究建立了 并扩展了我们对中年人的社区研究结果， 年龄在45岁及以上的墨西哥裔美国人沿着美墨边境。 目前研究的结果引起了人们普遍的质疑， 关于残疾的患病率和发病率的假设 规定家庭在提供照料方面的作用的规范， 并对未来非正式护理的可用性提出了严重的问题 为高度残疾的老人。 建议的研究策略包括：a）按年龄分层计费 随机抽取居住在沿着的45岁及以上的墨西哥裔美国人， 美国--墨西哥边境，B）通过3波收集纵向数据 对816名45岁及以上的墨西哥裔美国人进行的小组研究; c） 墨西哥裔美国人文化适应评定量表（ARSMA-II） （d）管理新的 编制了抑郁症诊断量表（DSD-26），用于同一社区 基于人口，和，e）因果建模。拟议的2波设计将 建立在早期进行的第一波小组研究的基础上， 融资周期和目前。调查数据将得到补充 通过使用随机长袍收集的各种定性数据， 深度访谈

This competing continuation offers the unique opportunity to investigate within the ethnic and between age and gender group differences in physical and mental health, the onset and trajectory of disability, and the interplay of cultural factors on health and disablement. This study builds and extends the findings of our community based study of middle aged and older Mexican Americans-age 45 and older-along the U.S. Mexican border. Findings from the current study call into question commonly held assumptions about the prevalence and onset of disability among this population, norms that prescribe the roles of families of providing care, and raise serious questions about the future availability of informal care for the highly disabled elder. The proposed research strategies include: a) billing on an age stratified random sample of Mexican Americans 45 years and older residing along the U.S.-Mexican border, b) collecting longitudinal data through a 3-wave panel study of 816 Mexican Americans age 45 and older; c) administering the revised Acculturation Rating Scale for Mexican Americans-II (ARSMA-II) to a community based older population: d) administering the newly developed Diagnostic Scale for Depression-26 (DSD26) to the same community based population, and, e) causal modeling. The proposed 2-wave design will be built upon a first wave panel study conducted during the earlier funding cycle and currently in place. The survey data will be complemented by a variety of qualitative data collected by using random robe and in depth interviews.