Comparative Study of Health Transitions in Later Life

晚年健康转变的比较研究

• 批准号: 6630305
• 负责人: MARY BETH OFSTEDAL
• 金额: $ 20.36万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-09-30 至 2005-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6630305
• 关键词: Asia; Asians; aging; chronic disease /disorder; epidemiology; family structure /dynamics; functional ability; health care service utilization; human data; longevity; mathematical model; model design /development; outcomes research; social support network; socioeconomics

DESCRIPTION (provided by applicant): This proposal is one of two parallel submissions from separate institutions constituting a single project. The Principal Investigators are: Zachary Zimmer, Population Council, and Mary Beth Ofstedal, University of Michigan. The overall goal of the project is to describe and analyze health transitions and health care utilization patterns in four Asian countries undergoing rapid population aging and social and economic change. The study involves comparative analyses of recent panel surveys of older populations in Taiwan (1989-1999), Indonesia (1993, 1997, 1998), the Philippines (1996, 2000-2001), and Singapore (1995, 1999). The Asian panel surveys represent the first nationally-representative, longitudinal data available on the older population for these countries, which span a continuum of socioeconomic development. The comparative approach allows for estimates of how the potential demand for care and support varies between countries (i.e., prevalence and transitions in health outcomes) and how generalizable the links are between socioeconomic status, social support and health that have been observed in many developed nations in the West. The project has three specific aims: (1) to estimate population prevalence levels of health outcomes (functional limitation, chronic conditions, and self-assessed health status), examine recent trends in prevalence levels within countries, determine individual-level transition rates in health status, and estimate active life expectancy; (2) to investigate the effects of socioeconomic status and family network characteristics and social support on health status transitions among older adults; and (3) to assess the roles of access and need as determinants of health care utilization by examining individual-level and community resource characteristics. A variety of analytic techniques will be employed depending on the form of the dependent variable and the goal of the particular analysis. Logistic regression models will be utilized in analyses of prevalence of health outcomes and changes in prevalence levels, and a combination of logistic and linear regression techniques will be used in analyses of health care utilization. Multinomial logit models will be used for analyses of health transitions; active life expectancy will be examined using multistate life tables for different population subgroups, and structural equation models will be used to test for cross-lagged effects of socioeconomic status and health.

描述（由申请人提供）：该提案是两个平行提案之一 来自构成单个项目的不同机构的提交材料。这 主要研究者为：Zachary Zimmer、人口委员会和 Mary Beth 奥施泰达尔，密歇根大学。该项目的总体目标是 描述和分析健康转变和医疗保健利用模式 四个亚洲国家正在经历人口快速老龄化以及社会经济 改变。该研究涉及最近的小组调查的比较分析 台湾（1989-1999）、印度尼西亚（1993、1997、1998）、 菲律宾（1996、2000-2001）和新加坡（1995、1999）。亚洲小组 调查代表了第一个具有全国代表性的纵向数据 这些国家的老年人口可获取这些信息，这些国家跨越了一个连续体 社会经济发展。比较方法可以估计 不同国家对护理和支持的潜在需求有何不同（即 患病率和健康结果的转变）以及这些联系的普遍性 介于社会经济地位、社会支持和健康之间 西方许多发达国家都有这种现象。该项目具体有三项 目标：(1) 估计人口健康结果的患病率水平 （功能限制、慢性病和自我评估的健康状况）， 检查各国内流行水平的最新趋势，确定 个人层面的健康状况转变率，并估计积极生活 预期； (2)调查社会经济地位和家庭的影响 网络特征及社会支持对健康状况转变的影响 老年人； (3) 评估获取和需求作为决定因素的作用 通过检查个人层面和社区资源来评估医疗保健的利用 特征。根据不同情况，将采用多种分析技术 因变量的形式和特定分析的目标。 逻辑回归模型将用于分析健康患病率 患病率水平的结果和变化，以及逻辑和逻辑的结合 线性回归技术将用于医疗保健分析 利用率。多项 Logit 模型将用于健康分析 过渡；将使用多状态寿命来检查主动预期寿命 不同人口亚组的表格和结构方程模型将 用于测试社会经济地位和健康的交叉滞后影响。