Health Effects of Involuntary Job Loss in Older Workers

非自愿失业对老年工人健康的影响

• 批准号: 6872175
• 负责人: WILLIAM T GALLO
• 金额: $ 12.53万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-06-01 至 2008-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6872175
• 关键词: aging; behavioral /social science research tag; data management; depression; disease /disorder onset; disease /disorder proneness /risk; employment /unemployment; functional ability; health economics; human data; longitudinal human study; myocardial infarction; outcomes research; psychological aspect of aging; psychophysiology; statistics /biometry; stroke

DESCRIPTION (provided by applicant): This application is a request for a Mentored Research Scientist Development Award in Aging (K01). The overall aim of the proposal is to provide the candidate, William T. Gallo, Ph.D., with a supervised training and research experience that will enable him to become an independent investigator focusing on the effect of involuntary job loss among workers nearing retirement on adverse health changes and mortality. Dr. Gallo, an economist whose multidisciplinary research encompasses the fields of economics, social epidemiology, and gerontology, is currently a faculty member in the Division of Health Policy and Administration at the Yale University School of Medicine. The K01 award, and the supportive research environment at Yale, will provide Dr. Gallo with the scientific tools necessary for successful career development. The specific objectives of the career development plan will be achieved by undertaking relevant didactic and substantive training. The didactic training will develop an understanding of the health dynamics of older individuals, explore the role of behavioral and psychosocial factors in health, elucidate the etiology and epidemiology of the health outcomes to be examined, and provide rigorous statistical training in the methods used to analyze longitudinal and survival data. The research will be explored within the framework of a well-established model of geriatric health, developed by Dr. Gallo's sponsor, Dr. Mary Tinetti, which posits declines in the health of older people as a multifactorial process, determined by both predisposition and precipitating, or situational, events, such as involuntary job loss. The proposed research will investigate the role of involuntary job loss as a precipitating event for adverse changes in physical functioning and depressive symptoms, and the onset of myocardial infarction and stroke among predisposed older workers; and will identify the subgroup(s) of older persons who are particularly vulnerable to these outcomes in the setting of job loss. Identifying vulnerable subgroups is a necessary step in designing targeted interventions to prevent declines in health following job loss. The research is based on data from five waves of the Health Retirement Survey (HRS), a NIA-funded, nationally representative sample of older adults in the United States. The estimated analytic sample for this research will include approximately 4,990 individuals, nearly 500 of which experience involuntary job loss.

描述（由申请人提供）：本申请是一个指导研究科学家发展奖在老龄化（K 01）的要求。 该提案的总体目标是为候选人威廉·T。加洛博士，他有监督的培训和研究经验，这将使他能够成为一名独立的调查员，专注于接近退休的工人非自愿失业对不利的健康变化和死亡率的影响。 加洛博士是一位经济学家，其多学科研究涵盖经济学，社会流行病学和老年学领域，目前是耶鲁大学医学院卫生政策和管理系的教员。 K 01奖和耶鲁大学的支持性研究环境将为加洛博士提供成功职业发展所需的科学工具。 职业发展计划的具体目标将通过开展相关的教学和实质性培训来实现。 教学培训将培养对老年人健康动态的理解，探索行为和心理社会因素在健康中的作用，阐明要检查的健康结果的病因学和流行病学，并提供用于分析纵向和生存数据的方法的严格统计培训。 这项研究将在加洛博士的赞助人玛丽蒂内蒂博士开发的一个成熟的老年健康模型框架内进行探讨，该模型认为老年人健康状况的下降是一个多因素的过程，由易感性和突发性或情境性事件（如非自愿失业）决定。 拟议的研究将调查非自愿失业作为身体功能和抑郁症状不利变化的突发事件的作用，以及易患心肌梗塞和中风的老年工人的发病情况;并将确定在失业情况下特别容易受到这些后果影响的老年人亚组。 确定弱势亚群体是设计有针对性的干预措施以防止失业后健康状况下降的必要步骤。 这项研究基于健康退休调查（HRS）的五波数据，HRS是一个由美国国家情报局资助的，具有全国代表性的美国老年人样本。 这项研究的估计分析样本将包括大约4，990人，其中近500人经历非自愿失业。