Ethnic Trajectories of Aging

描述(申请人提供)：老年健康的轨迹：种族差异老龄化研究越来越多地集中于检查决定身体健康状况的老龄化和社会因素之间的交集。大部分研究都是基于横断面数据。此外，现有的长期分析主要关注两个时间点之间的过渡。这个应用程序分析健康状况的轨迹，包括白人、非裔美国人和墨西哥裔老年美国人之间的多次转变。它有三个具体目标。首先，我将研究健康状况的轨迹，以种族群体的自我健康、残疾水平和疾病负担来衡量。第二，我将探索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。将探讨外国出生的人、在美国的时间、移民以来的时间和移民时的年龄的影响。最后，我将考虑早期生活中的社会经济状况如何与出生状态相交，以部分决定墨西哥裔拉美裔人晚年的健康轨迹。为了评估提出的研究问题，将使用分层线性模型。特别是，按种族认同划分的老年人健康轨迹的变化将由增长曲线表示。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)是一项持续的、具有全国代表性的公共用途小组研究，对51岁及以上的个人进行抽样。此外，考虑到墨西哥裔美国人的大样本，老年流行病学研究(H-EPESE)的拉美裔既定人口将被用于验证HRS的结果。PI：Quiéones，Ana R.这项研究与公共卫生的相关性：了解老年残疾和下降的趋势对卫生政策制定者至关重要。特别是，确定老龄化人口构成的挑战，使某些群体的健康状况比其他群体更差，这是一项必要的社会规划工具。这项研究建议检查老年白人、非裔美国人和墨西哥裔美国人的健康趋势，以确定这种不同的老龄化模式是否在发挥作用。

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.