权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Measurement of Gender Differences in Disability and Care

残疾和护理方面性别差异的衡量

基本信息

批准号：
6576073
负责人：
KATHRYN M YOUNT
金额：
$ 6.85万
依托单位：
EMORY UNIVERSITY
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 2004-08-31
项目状态：
已结题

项目摘要

Demographic projections indicate that populating aging is imminent in the Middle East, and sex differences in longevity mean that these growing older populations increasingly consist of women. It is well documented that females at other ages have poorer survival prospects and less access to health care compared to males in the region. Because little is known about older adults in general, the extent to which such disparities persist in later life remains unexplored. A related concern is that instruments previously used in this and other developing regions to assess health status and use of services among older adults have not been adequately tested in these cultures. The validity and reliability of survey instruments are relevant to substantive are relevant to substantive questions about gender differences, given that the validity and reliability of self-reported health status and access to care are known to differ by gender elsewhere.. Therefore, prior to exploring the relationship of gender to health status and service use among older adults in the Middle East, relevant instruments need to be validate for use in this setting. The purpose of this pilot project is to test on a representative sample of non-institutionalized older adults in Egypt the validity and reliability of questionnaires that have routinely been used to measure health status and service use among similar populations in industrialized settings. The specific goals of this study are to: 1. determine the feasibility of conducting home-based tests of physical performance in a disadvantaged population of older adults in Egypt, 2. (a) assess the validity of self-reported data on functional limitation in this population, (b) compare the validity of self reported functional limitation by gender, 3. (a) assess the reliability of self-reports of other health conditions and use of health services in this population, and (b) compare the reliability of self-reports of other health conditions and of use of services by gender. The project site will be Minia, Egypt, and a public use dataset will be made available in due course so that fellow researchers can examine other questions about health and aging in this study population. This study will address important methodological questions about the utility of health interview surveys to gather information on older adults (defined here as age greater than or equal too 50 years) in less developed settings. Being among the first to validate in a developing region instruments that were designed to measure health status and service use among older populations in industrialized countries, this study will answer long-standing questions about the cross-cultural applicability of these instruments. In doing so, findings will provide an indication of the accuracy and reliability of existing self-reported data on health status and service use among older populations in other developing countries where similar instruments have been administered without prior validation. Findings may also inform future revisions to estimates of the global burden of disease, for which little reliable information has been available from developing countries. Finally, answers to the methodological questions that motivate this project will enable the study team to develop well-designed instruments and procedures for data collection to be used in subsequent studies of the level and determinants of differences by gender in health status and use of modern health care at older ages in Egypt and other Middle Eastern settings.

人口预测表明，中东地区人口老龄化迫在眉睫，寿命方面的性别差异意味着这些不断增长的老年人口越来越多地由妇女组成。有充分的证据表明，其他年龄段的女性生存前景较差与该地区的男性相比，获得医疗保健的机会较少。由于对一般老年人知之甚少，这种差异在晚年持续的程度仍然没有探讨。一个相关的关切是，本区域和其他发展中区域以前用于评估老年人健康状况和服务使用情况的工具尚未在这些文化中得到充分检验。调查工具的有效性和可靠性与实质性问题有关。与有关性别差异的实质性问题有关，因为已知其他地方自我报告的健康状况和获得保健的有效性和可靠性因性别而异。因此，在探索中东老年人性别与健康状况和服务使用的关系之前，需要验证相关工具的使用在这种情况下。这一试点项目的目的是对埃及非机构化老年人的代表性样本进行测试，以检验调查表的有效性和可靠性，这些调查表通常用于衡量2005年类似人群的健康状况和服务使用情况。工业化环境。这项研究的具体目标是： 1.确定在埃及老年人弱势群体中进行家庭体能测试的可行性， 2. (a)评估自我报告的功能限制数据的有效性，这个群体， (b)按性别比较自我报告功能限制的有效性， 3. (a)评估该人群其他健康状况和使用卫生服务情况自我报告的可靠性，以及 (b)按性别比较其他健康状况自我报告和使用服务情况的可靠性。该项目的地点将是埃及的Minia，并将在适当的时候提供一个公共使用的数据集，以便研究人员可以研究该研究人群中有关健康和老龄化的其他问题。这项研究将解决重要的方法学问题的效用健康访谈调查收集信息的老年人（定义为年龄大于或等于50岁）在欠发达的设置。在发展中地区率先验证本研究报告采用了旨在衡量工业化国家老年人健康状况和服务使用情况的各种工具，将回答长期存在的关于这些工具跨文化适用性的问题。在这样做时，调查结果将表明其他发展中国家老年人健康状况和服务使用情况的现有自我报告数据的准确性和可靠性，这些国家在未经事先验证的情况下使用了类似的工具。研究结果还可为今后修订全球疾病负担估计数提供参考，因为发展中国家几乎没有提供这方面的可靠信息。最后，对激发本项目的方法问题的回答将使研究小组能够开发设计良好的数据收集工具和程序，用于随后对差异水平和决定因素的研究，在埃及和其他中东地区，老年人健康状况和使用现代保健的性别问题。