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Racial Burden of Chronic Disease

慢性病的种族负担

基本信息

批准号：
6430626
负责人：
Leif Jensen
金额：
$ 10万
依托单位：
PENNSYLVANIA STATE UNIVERSITY, THE
依托单位国家：
美国
项目类别：
财政年份：
2002
资助国家：
美国
起止时间：
2002-09-30 至 2006-08-31
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): Both the length of life and the quality of life lived are stratified along race/ethnic lines in the United States. Blacks can expect to live fewer years than whites and Hispanics. and they can anticipate more years of life with a disabling health problem. In stark contrast, Hispanics can expect to live remarkably few years with a disabling health condition. These race/ethnic differences in years with and without disability point to the importance of investigating disparities in chronic diseases -- the health problems that underlie disability and death. Drawing on the Health and Retirement Survey, the proposed study will take advantage of a 12-year observation period to follow persons as they experience the onset of fatal chronic conditions, develop co-morbid conditions, and ultimately die from major causes. We will use this information to develop demographic models of chronic disease experience quantifying the scope of race/ethnic disparities and the lifecycle processes through which disparities arise. The demographic models, in turn, lay a much needed foundation for developing analytic models incorporating socioeconomic conditions, lifestyle behaviors, health care use, and biomedical factors in accounting for race/ethnic differences in chronic disease processes. Specifically, the aims of this project are to: Develop demographic models of race/ethnic disparities in health allowing us to quantify: How race/ethnic differences in chronic disease experience give rise to disparities in the burden of chronic disease (i.e., the years lived with and without disease). Whether sex differences in chronic disease experience are consistent across race/ethnic groups, and similarly, whether the educational gradient in chronic disease is consistent across race/ethnic groups. Develop multivariate analytic models of race/ethnic differences in chronic disease processes (i.e., disease incidence, co-morbidity, and mortality), focusing on the role of socioeconomic resources from childhood through old age. Key questions are: To what degree are race/ethnic differences in chronic disease morbidity and mortality rooted in the race/ethnic stratification of socioeconomic resources? To what degree do socioeconomic resources equally benefit the health of each of the major race/ethnic groups? The proposed study represents a substantial step forward in quantifying disparities in chronic disease experience and in examining a broad range of SES mechanisms influencing the morbidity and mortality experiences of older blacks, whites, and Hispanics.

描述（由申请人提供）：生命的长度和质量在美国，人们的生活是沿着种族划分的。黑人预期寿命比白人和西班牙裔人短。并且它们可以有残疾的健康问题的人寿命会更长。形成鲜明相比之下，西班牙裔人可以预期在残疾的情况下生活的时间非常少。健康状况。这些种族/民族的差异在有和没有残疾人指出调查慢性疾病中的差异的重要性疾病--导致残疾和死亡的健康问题。借鉴健康和退休调查，拟议的研究将利用一个 12-一年的观察期，以跟踪人们，因为他们经历了发病致命的慢性病，发展为共病，并最终死于主要原因。我们将使用这些信息来开发人口统计模型，慢性病经验量化种族/民族差异的范围，生命周期过程中产生的差异。人口反过来，模型为开发分析模型奠定了非常必要的基础结合社会经济条件，生活方式行为，医疗保健使用，和生物医学因素在解释种族/民族差异的慢性疾病过程。具体而言，该项目的目标是：开发健康方面种族/民族差异的人口统计模型，使我们能够量化：慢性病经历中的种族/民族差异如何引起慢性疾病负担的差异（即，与之相伴的岁月无疾病）。慢性病经历的性别差异是否在不同年龄段一致种族/族裔群体，同样，是否教育梯度的慢性疾病在不同种族/族裔群体中是一致的。开发慢性疾病中种族/民族差异的多变量分析模型疾病过程（即，疾病发生率、共病率和死亡率），关注从童年到老年的社会经济资源的作用。关键问题是：在慢性病发病率和死亡率方面，社会经济资源的种族/民族分层导致的死亡率？社会经济资源在多大程度上平等地有益于每个人的健康？主要种族/民族？这项拟议中的研究代表着在量化方面向前迈出了实质性的一步。在慢性病经验和检查广泛的SES方面的差异影响老年黑人发病率和死亡率的机制，白人和西班牙裔