Longitudinal Study of Mexican American Elderly Health

描述：（由申请人提供）本申请寻求对西班牙裔EPESE（老年人流行病学研究建立人群）进行两次亲自随访的资金，这是一项对居住在德克萨斯州、新墨西哥州、科罗拉多州、亚利桑那州和加利福尼亚州的3050名65岁及以上的墨西哥裔美国人的代表性样本进行的纵向研究，在12年期间（1993-4、1995-6、1998-9、2000-1、2003-4和2005-6）提供了6个接触者。我们预计在第一次新的随访（2003-4）中，我们将能够（亲自或通过代理）重新采访至少1000名年龄在75岁及以上的受试者。我们还建议再增加1000名年龄在75岁及以上的墨西哥裔美国人的样本，他们的平均教育水平高于幸存的队列。到目前为止，我们的研究结果是基于来自墨西哥裔美国人聚居地区的受教育程度较低的队列（平均受教育年限为5.1年）。有了受教育程度更高、经济状况更好的新样本，我们将能够更好地研究社会阶层在我们感兴趣的健康结果方面的差异——死亡率、身体功能、情感功能、认知功能和生活安排/机构化。在2003-4年期间接受采访的2000名受试者将在两年后的2005-6年进行随访。我们的具体目标源于我们迄今为止的研究结果（见进度报告/初步研究）。额外的后续行动提供了检查长期变化的机会。75岁及以上人群的多样化将使我们能够更好地理解社会经济和文化差异对人口中快速增长的一部分——75岁及以上的墨西哥裔美国人——的生活和健康的影响。这种理解对于为教育水平高于当前老年墨裔美国人的后续老年墨裔美国人群体规划服务至关重要。

DESCRIPTION: (provided by applicant) This application seeks funds to conduct two in-person follow-ups of the Hispanic EPESE (Established Population for Epidemiologic Study of the Elderly), a longitudinal study of a representative sample of 3,050 Mexican Americans aged 65 and over residing in Texas, New Mexico, Colorado, Arizona and California providing for a total of six contacts over a twelve-year period (1993-4, 1995-6, 1998-9, 2000-1, 2003-4, and 2005-6). We expect that at the first new follow-up (2003-4) we will be able to reinterview (in person or by proxy) at least 1,000 subjects, aged 75 and over. We also propose to add a sample of another 1,000 Mexican Americans aged 75 and over that has a higher average level of education than the surviving cohort. Our findings thus far have been based on a poorly educated cohort (mean of 5.1 years of education) from heavily Mexican American areas. With a better-educated and financially better off new sample, we will be better able to examine social class variation in our health outcomes of interest - mortality, physical function, emotional function, cognitive function and living arrangements/institutionalization. The combined cohort of 2,000 subjects interviewed during 2003-4 will be followed-up two years later in 2005-6. Our specific aims grow out of our findings thus far (see Progress Report/Preliminary Studies). Additional follow-ups provide opportunities for examining longer-term changes. Diversifying our cohort of persons 75 and over will enable us to better understand the influence of socioeconomic and cultural variation on the lives and health of a rapidly growing segment of the population, Mexican Americans aged 75 and over. Such understanding is critical to planning services for subsequent cohorts of older Mexican Americans whose level of education is higher than current older Mexican Americans.