Health Conditions Among Elderly in Latin America

描述（由申请人提供）：这是一份来自威斯康星大学和马里兰大学人口研究中心研究人员的平行申请。本应用程序的总体目标是在拉丁美洲和加勒比地区各国的比较框架内审查健康的模式、转变和决定因素。该研究旨在利用最近收集的、高质量的、可比较的、尚未充分分析的老年人调查数据，对比该地区和美国的模式，特别是墨西哥裔人口的模式。目标是利用现有的跨国数据，查明促进（抑制）健康状况与残疾之间的关系和明确规定的决定因素出现的条件，并评估在任何一个国家发现的这种关系的经常性和普遍性。该项目的具体目标是：估计墨西哥和拉丁美洲七个首都城市（阿根廷、巴巴多斯、巴西、古巴、智利、墨西哥和乌拉圭）老年人健康状况和残疾状况的概况和决定因素；利用横断面数据确定健康和残疾状况的决定因素，将墨西哥人口的健康和残疾概况与生活在美国的墨西哥人和墨西哥裔人口的健康和残疾概况进行对比；估计墨西哥和美国的健康状况变化、残疾转变和死亡率之间的相关性，特别强调儿童早期状况、疾病经历的作用，以及收入和财富的影响。由于糖尿病和肥胖症在该区域的重要性日益增加，该项目将更多的重点放在糖尿病和肥胖症上，并建议估计糖尿病发病率和病程以及与这些疾病相关的健康相关费用的模型。在追求这些目标的过程中，本研究对现有的方法和程序进行了补充和微调，以帮助解决两个问题：美国移民的健康选择，以及对夫妇模型的估计，以评估选择决定因素对健康和死亡率的影响。

DESCRIPTION (provided by applicant): This is a parallel application from researchers at the Population Research Centers of the University of Wisconsin and University of Maryland. The overall goal of this application is to examine patterns, transitions, and determinants of health in a comparative framework within countries of the Latin American and Caribbean region. The study seeks to contrast patterns within the region and also with those found in the U.S., in particular with populations of Mexican origin, taking advantage of recently gathered, high- quality, comparable, and as of yet under-analyzed survey data on elderly people. The goal is to exploit the available cross-country data to identify conditions that promote (inhibit) the emergence of relations between health status and disability and well-specified determinants, and to assess how recurrent and generalizable are relations found in any one country. The specific aims of the project are: to estimate profiles and determinants of health status and disability of elderly populations in Mexico, and in seven capital cities of Latin America (Argentina, Barbados, Brazil, Cuba, Chile, Mexico, and Uruguay); to identify determinants of health and disability status using cross-sectional data to contrast health and disability profiles of populations in Mexico with that of Mexicans and Mexican-origin populations living in the U.S.; to estimate correlates of health status changes, disability transitions and mortality in Mexico and the U.S. with particular emphasis on the role of early childhood conditions, experiences with illness, and on the influence of income and wealth. Because of their increasing importance in the region, the project focuses more narrowly on diabetes and obesity, and proposes to estimate models for incidence and duration of diabetes as well as health-related costs associated with these conditions. In pursuing these goals the study adds to and fine-tunes existing methods and procedures to help address two issues: health selection among immigrants to the U.S., and estimation of couple-models to assess the effects of select determinants on health and mortality net of shared attributes.