ONSET, TRAJECTORY OF DISABILITY AND ACCULTURATION

这种竞争的延续为调查提供了独特的机会 民族内部以及年龄和性别之间的体格差异 和精神健康，残疾的发生和发展轨迹，以及 文化因素对健康和残疾的相互作用。这项研究建立了 并扩展了我们以社区为基础的中老年人研究的结果 年长的墨西哥裔美国人--年龄在45岁及以上--沿着美墨边境。 目前的研究结果对人们普遍持有的观点提出了质疑 其中关于残疾患病率和发病的假设 人口，规定家庭提供护理的作用的规范， 并对未来非正式护理的可用性提出了严重的问题 对于高度残疾的老年人来说。 建议的研究策略包括：a)按年龄分层计费 居住在45岁及以上的墨西哥裔美国人的随机样本 美墨边境，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)管理 修订后的墨西哥裔美国人文化适应评定量表(ARSMA-II) 以社区为基础的老年人：d)管理新的 为同一社区开发的抑郁症诊断量表-26(DSD26) 基于总体，以及，e)因果建模。拟议的2波设计将 将建立在早些时候进行的第一波小组研究的基础上 资金周期，目前已到位。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.