Ethnic Trajectories of Aging

种族的老龄化轨迹

• 批准号: 7487689
• 负责人: Ana Roman Quinones
• 金额: $ 3.17万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-08-08 至 2010-08-07
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7487689
• 关键词: Age; Aged, 80 and over; Aging; Aging-Related Process; American; Biological Process; Caring; Categories; Comorbidity; Data; Data Set; Elderly; Encapsulated; Ethnic group; Family; Gerontology; Glean; Growth; Health; Health Status; Health Transition; Health financing; Healthcare; Heterogeneity; Hispanics; Hospitalization; Housing; Individual; Institutes; International; Latino; Lead; Light; Linear Models; Longevity; Longitudinal Surveys; Measures; Medical; Mental Health; Michigan; Minority; Outcome; Outpatients; Pattern; Play; Population; Public Health; Race; Rate; Relative (related person); Research; Research Training; Retirement; Role; Sample Size; Sampling; Services; Social Planning; Subgroup; Surveys; Time; Universities; Work; aging population; base; comparative; disability; ethnic difference; health care service utilization; health disparity; instrument; interest; service utilization; social; stem; trend

DESCRIPTION (provided by applicant): Aging research has been increasingly focused on examining the intersections between aging and putative social factors involved in determining physical and mental health status. Much of the research is based on cross-sectional data. Furthermore, existing longitudinal analyses are mostly concerned with transitions between two points in time. This proposed research analyzes trajectories of health and health care, consisting of multiple transitions amongwhite, black and Latino older Americans. It has three specific aims. First, we are interested in how health status changes in old age for whites, blacks and Latinos. Second, this proposal will explore the changes in the use of medical care at older ages by ethnic group, specifically for blacks, whites and Latinos in the U.S. will be examined via these analyses. Third, this research will assess the extent to which changes in health status interface with those in health care utilization. Using population based samples representing different ethnic groups, we hope to cross-validate prior observations and to further explore the heterogeneity underlying the age norms of health care utilization and health status. To evaluate the research questions posed, hierarchical linear models will be used. In particular, ethnic differences in changes in health trajectories (health status as well as service utilization) within an older person will be represented by growth curves. The data used for these proposed analyses will come from an ongoing nationally representative public use longitudinal survey, the Asset and Health Dynamics Among the Oldest Old (AHEAD) collected at the University of Michigan's Institute for Social Research. PUBLIC HEALTH RELEVANCE: 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 and health care trends of older white, black and Latino Americans to determine whether such differential patterns in aging are at play.

描述(由申请人提供)：老龄化研究越来越多地关注于研究衰老与决定身心健康状况的假定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，现有的纵向分析大多关注两个时间点之间的转换。这项拟议的研究分析了健康和医疗保健的轨迹，包括白人、黑人和拉美裔老年美国人之间的多次过渡。它有三个具体目标。首先，我们感兴趣的是白人、黑人和拉丁裔人的健康状况在晚年是如何变化的。其次，这项提案将探索按种族划分的老年医疗保健使用情况的变化，特别是针对美国黑人、白人和拉丁裔的变化，将通过这些分析进行审查。第三，这项研究将评估健康状况的变化与卫生保健利用的变化相互影响的程度。我们希望使用代表不同种族的基于人群的样本来交叉验证先前的观察结果，并进一步探索卫生保健利用和健康状况的年龄标准背后的异质性。为了评估提出的研究问题，将使用分层线性模型。特别是，老年人健康轨迹(健康状况和服务利用)变化的种族差异将由增长曲线表示。用于这些拟议分析的数据将来自一项正在进行的具有全国代表性的公共使用纵向调查，即密歇根大学社会研究所收集的最年长老年人的资产和健康动态调查。公共卫生相关性：了解老年人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。这项研究建议调查老年白人、黑人和拉丁裔美国人的健康和医疗保健趋势，以确定这种不同的老龄化模式是否正在发挥作用。