Post-Migration Health & Behavior Change in Midlife Women

描述（由申请人提供）：本补充的目的是扩大对前苏联妇女移民后健康和健康行为变化的原始研究范围，以包括其丈夫。移民是发生在家庭系统背景下的非规范性发展过渡，丈夫的文化适应模式和健康行为也会影响妻子的健康。虽然随着移民在美国生活的时间的延长，身体和心理健康的显着下降已经被记录为横截面，但纵向方法尚未被用于系统地研究文化适应和健康，特别是在生育后的家庭中。这项正在进行的研究旨在描述文化适应的早期过程，确定文化适应、家庭适应、健康行为和健康状况之间的关系，并确定特定健康做法对妇女健康状况指标影响最大的时间点。本补充材料将1）检查FSU男性身体和心理健康状况的相关性; 2）确定文化适应、感知家庭适应、健康行为和健康状况方面的性别差异; 3）比较文化适应对家庭适应的影响和婚姻二元体内丈夫和妻子的健康行为;（4）描述个体因素和双因素对夫妻健康状况变化的影响。该补充将招募正在进行的研究参与者的丈夫，他们是40至70岁的女性，已婚，至少有一个孩子生活在美国，并且在进入研究时迁移后不到8年。对于丈夫，数据收集将包括问卷调查，24小时饮食回忆和身体测量，在基线和12个月后进行评估。正在进行的研究的数据分析采用分层线性模型来记录个体内的数据，并估计随时间的组变化。增刊将通过引入嵌套数据分析技术来研究已婚夫妇的二元特征，从而加强这项研究。创新的分析将揭示配偶对彼此的文化适应，健康行为和健康状况的影响。这项研究将为在文化背景下发展适合年龄和性别的基于家庭的行为研究提供必要的信息。

DESCRIPTION (provided by applicant): The purpose of this supplement is to expand the scope of the original study of post-immigration health and health behavior change in women from the former Soviet Union to include their husbands. Immigration is a non-normative developmental transition that takes place in the context of the family system, and the acculturation patterns and health behaviors of husbands have been shown to influence their wives' health as well. Although significant decline in physical and psychological health has been documented cross-sectionally as immigrants live in the U.S. longer, longitudinal methods have not been used to systematically study acculturation and health, particularly in post-childbearing families. The ongoing study is designed to describe the early course of acculturation, identify relationships among acculturation, family adaptation, health behavior and health status, and determine points in the time that specific health practices have the greatest effect on health status indicators for women. This supplement will 1) examine correlates of physical and psychological health status in men from the FSU; 2) identify gender differences in acculturation, perceived family adaptation, health behaviors, and health status; 3) compare the impact of acculturation on family adaptation and health behaviors of husbands and their wives within the marital dyad; and 4) describe the effects of individual and dyadic factors on health status change in husbands and wives. The supplement will recruit husbands of participants in the ongoing study, who are women aged 40 to 70 years old, married with at least one child living in the U/S., and less than8 year post-migration at entry into the study. For the husbands, data collection will include questionnaires, 24-hour dietary recalls, and physical measures, assessed at baseline and 12 months later. Data analysis for the ongoing study employs hierarchical linear models to document within individual, and estimate group change over time. The supplement will enhance this study by introducing nested data analytic techniques to examine dyadic characteristics of married couples. The innovative analysis will reveal the impact that spouses have on each other's acculturation, health behaviors and health status. This study will provide essential information for developing family -based behavioral studies tailored to age and gender in a cultural context.