Ethnic Trajectories of Aging

描述（由申请人提供）：老年人的健康轨迹：种族差异老龄化研究越来越多地集中在检查衰老和社会因素之间的交叉点，这些因素决定了身体健康状况。大部分研究都是基于横截面数据。此外，现有的longitiduinal分析主要关注两个时间点之间的转换。该应用程序分析了健康状况的轨迹，包括白色，非洲裔美国人和墨西哥裔美国老年人之间的多个过渡。它有三个具体目标。首先，我将研究健康状况的轨迹，通过自我评估的健康，残疾水平和疾病负担的种族群体来衡量。其次，我将探讨出生状态对墨西哥裔美国人随着年龄增长的健康轨迹的作用。在国外出生，在美国度过的时间，将探讨自移徙以来的时间和移徙时的年龄。最后，我将考虑如何早期生活的社会经济风险与出生状态相交，以部分确定健康的轨迹，后来在生活中的墨西哥裔拉丁美洲人。为了评估所提出的研究问题，将使用分层线性模型。特别是，一个老年人的健康轨迹的变化，由族裔身份将表示的增长曲线。用于这些拟议分析的数据将来自两个来源。健康与退休研究（HRS）是一项正在进行的、具有全国代表性的公共使用小组研究，对51岁及以上的个人进行抽样调查。此外，西班牙裔老年人流行病学研究人群（H-EPESE）将用于验证HRS的发现，因为它有大量的墨西哥裔美国人样本。PI：谁，安娜·R。这项研究与公共卫生的相关性：了解残疾和老年衰退的趋势对卫生政策制定者至关重要。特别是，确定人口老龄化带来的挑战，使某些群体的健康状况比其他群体差，这是一个必要的社会规划工具。这项研究旨在研究老年白色人、非洲裔美国人和墨西哥裔美国人的健康趋势，以确定这种衰老的差异模式是否在起作用。

DESCRIPTION (provided by applicant): Trajectories of health in old age: ethnic differences Aging research has been increasingly focused on examining the intersections between aging and social factors involved in determining physical health status. Much of the research is based on cross-sectional data. Further, existing longitiduinal analyses are mostly concerned with transitions between two points in time. This application analyzes trajectories of health status, consisiting of multiple tranisitions among White, African-American and Mexican-origin older Americans. It has three specific aims. First, I will examine trajectories of health status as measured by self-rated health, disability levels, and disease burden by ethnic group. Second, I will explore the role of nativity status on the trajectories of health for Mexican-Americans as they age. The effect of foreign-born, time spent in the U.S., time since migration and age at migration will be explored. Lastly, I will consider how early life socioeconomic exposures intersect with nativity status to partly determine trajectories of health later in life for Mexican-origin Latinos. To evaluate the research questions posed, hierarchical linear models will be used. In particular, changes in health trajectories within an older person by ethnic identity will be represented by growth curves. The data used for these proposed analyses will come two sources. The Health and Retirement Study (HRS) is an ongoing, nationally-representative public use panel study sampling individuals aged 51 and older. In addition, the Hispanic Established Populations for the Epidemiological Study of the Elderly (H-EPESE) will be used to validate findings from the HRS, given its large sample of Mexican-Americans. PI: Qui¿ones, Ana R. Relavance of this research to public health: Understanding the trends of disability and decline in old age is of critical importance to health policymakers. In particular, identifying the challenges posed by an aging population with worse health outcomes for some groups relative to others is a necessary social planning instrument. This research proposes to examine the health trends of older White, African-American and Mexican-Americans to determine whether such differential patterns in aging are at play.