Education and Health Across the Life course in Guatemala

描述（由申请人提供）：迫切需要澄清和量化正规学校教育和一般教育对成人健康和后代健康发展的独立作用，特别是在资源特别有限的发展中国家。以前的大多数研究都是跨部门的，是在总体而不是家庭一级进行的，或者没有考虑到入学率的决定因素、现有学校教育的质量，或者学校教育对工资和生产力、移民和婚姻等健康决定因素的影响。我们的研究解决了现有文献的大部分局限性。背景是危地马拉Oriente（东部）地区的四个村庄以及这些社区的人们迁移到的地方。我们研究的一个独特之处在于，它建立在35年的数据收集和与这些人的互动基础上。从1969年开始，父母和孩子参加了中美洲和巴拿马营养研究所（INCAP）的一项著名的纵向研究，该研究提供了有关家庭环境、生长、认知能力和营养水平的丰富数据。 发育、饮食和发病率。随后对儿童的跟踪，在某些情况下， 1988年、1996-1999年和最近的2002-2003年，对自己的子女进行了调查。因此，我们的研究将前瞻性收集的有关学前认知功能、儿童学校教育投资、教育成就以及成年后健康状况和生活方式的数据联系起来。因此，我们能够展望学校教育可能运行的途径，并回顾可能决定学校教育的因素（以及独立的健康结果）。我们的研究是流行病学，人类学，经济学和营养学学科的有成就的研究人员之间的合作，他们具有研究多学科性质所需的经验。研究团队的成员在进行和分析实地研究和其他研究方面拥有成功的合作历史，在某些情况下长达数十年。

DESCRIPTION (provided by applicant): There is a pressing need to clarify and quantify the independent role of formal schooling and of education in general on the development of adult health and the health of subsequent generations,especially in developing countries where resources are particularly limiting. Most previous research has been cross-sectional, has been conducted at the aggregate rather than the household level, or has not considered either the determinants of school attendance, the quality of the schooling available, or the impact of schooling on determinants of health such as wages and productivity, migration, and marriage. Our study addresses most of the limitations of the existing literature. The setting is four villages in the Oriente (Eastern) region of Guatemala and the localities to where people from these communities migrated. A unique feature of our study is that it builds upon 35 years of data collection and interaction with these individuals. Beginning in 1969, parents and children participated in a well-known longitudinal study by the Institute of Nutrition in Central America and Panama (INCAP) that is rich in data about home environment, growth, cognitive development, diet and morbidity. Subsequent follow-ups of the children, and in some cases their own children, have been conducted in 1988, 1996-1999, and most recently in 2002-2003. Our study thus links prospectively collected data on pre-schooling cognitive functioning, investments in children's schooling, educational achievment, and health status and lifestyle in adulthood. Thus we are able to look forward at the pathways through which schooling may operate, and backward at the factors that might determine schooling (and also, independently, health outcomes). Our study is a collaboration between accomplished researchers in the disciplines of epidemiology, anthropology, economics, and nutrition, who have the experience necessary for the multidisciplinary nature of the study. Members of the research team have a successful history of collaboration, in some cases over decades, in conducting and analyzing field studies and other research.