Post-Migration Health & Behavior Change in Midlife Women

说明(申请人提供)：本附录的目的是扩大原研究的范围，将前苏联妇女移民后的健康和健康行为变化的研究范围扩大到包括她们的丈夫。移民是在家庭制度的背景下发生的一种非规范性的发展转变，丈夫的文化适应模式和健康行为也被证明影响其妻子的健康。尽管随着移民在美国生活的时间延长，人们的身心健康显著下降，但还没有使用纵向方法来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。本补充资料将1)检视男性身心健康状况的相关因素；2)找出在文化适应、感知家庭适应、健康行为和健康状况方面的性别差异；3)比较文化适应对夫妻婚姻二元体内家庭适应和健康行为的影响；4)描述个人和二元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中参与者的丈夫，他们是年龄在40岁到70岁之间的女性，已婚，至少有一个孩子住在美国，在进入研究时移民后不到8年。对于丈夫来说，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使用分层线性模型来记录个人内部，并估计群体随时间的变化。本补充资料将通过引入嵌套数据分析技术来检查已婚夫妇的二元特征，从而加强这项研究。这一创新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以家庭为基础的行为研究提供必要的信息，以适应年龄和性别。

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.