Health Conditions among Elderly in Latin America

拉丁美洲老年人的健康状况

• 批准号: 7114902
• 负责人: Rebeca Wong
• 金额: $ 15.09万
• 依托单位: UNIV OF MARYLAND, COLLEGE PARK
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-01 至 2009-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7114902
• 关键词: Caribbean; South America; clinical research; diabetes mellitus; disease /disorder model; disease /disorder onset; epidemiology; geographic difference; human data; human old age (65+); immigrant; income; model design /development; obesity; person with disability; socioeconomics

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.

描述（由申请人提供）：这是威斯康星大学和马里兰大学人口研究中心的研究人员的并行申请。该应用程序的总体目标是在拉丁美洲和加勒比地区国家的比较框架中检查健康的模式、转变和决定因素。该研究旨在利用最近收集的高质量、可比且尚未充分分析的老年人调查数据，将该地区的模式与美国的模式进行对比，特别是墨西哥裔人口的模式。目标是利用现有的跨国数据来确定促进（抑制）健康状况与残疾之间关系的出现的条件以及明确的决定因素，并评估在任何一个国家发现的关系的重复性和普遍性。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）老年人口健康状况和残疾的概况和决定因素；使用横截面数据将墨西哥人口的健康和残疾状况与居住在美国的墨西哥人和墨西哥裔人口的健康和残疾状况进行对比，以确定健康和残疾状况的决定因素；评估墨西哥和美国健康状况变化、残疾转变和死亡率的相关性，特别强调幼儿期状况、疾病经历以及收入和财富的影响的作用。由于糖尿病和肥胖症在该地区的重要性日益增加，该项目更加关注糖尿病和肥胖症，并建议估计糖尿病的发病率和持续时间以及与这些疾病相关的健康相关成本的模型。在实现这些目标的过程中，该研究增加并微调了现有的方法和程序，以帮助解决两个问题：美国移民的健康选择，以及夫妇模型的估计，以评估选定的决定因素对共享属性的健康和死亡率的影响。