Health Disparities in Mexican American Women with Disabilities

描述（由申请人提供）：拉丁裔残疾妇女，估计超过300万美国妇女，报告的残疾程度高于白人，非西班牙裔白人残疾妇女；在整个生命过程中，拉丁裔经历了越来越多的功能限制，更多的日常生活活动困难，以及更多因损伤而导致的失业。造成这种健康差异的原因尚不清楚。这项申请要求四年的资助，以便研究墨西哥裔美国妇女和非西班牙裔白人妇女的残疾经历，并比较这两组妇女在残疾方面的种族差异。人种志的多种方法——访谈、问卷调查、参与观察、生活史日历和实地记录——是收集数据的基本工具，这些数据对于开发残疾解释模型和比较不同族裔群体之间的结果差异是必要的。据估计，将根据年龄、性别、种族和行动障碍使用有目的的抽样技术选择多达120名妇女，其中60名墨西哥裔美国人和60名非西班牙裔白人。目前的残疾程度将根据参与者的观察使用定量测量和实地记录来描述。残疾的持续时间、残疾的主题描述和住宿的选择将通过专题传记访谈、参与者观察和生活史日历来探索。分析将基于传统的民族志分析：Spradley指定的领域、成分和文化主题分析。公共卫生相关性：本研究的结果将为制定解决墨西哥裔美国妇女残疾健康差异的未来干预措施提供必要的理论知识基础。

DESCRIPTION (provided by applicant): Latinas with disabilities, estimated at over 3 million U.S. women, report greater levels of disablement than White, Non-Hispanic White women with disabilities; over the life course Latinas experience increased numbers of functional limitations, more difficulties with activities of daily living, and more unemployment due to impairments. The reasons for this health disparity are unclear. This application requests four years of funding in order to examine the experience of disablement among Mexican American and White, Non-Hispanic women and to compare ethnic differences in disablement among the two groups of women. The multiple methods of ethnography - interviews, questionnaires, participant observation, life history calendars, and field notes - are essential tools for gathering the data that is necessary for developing explanatory models of disablement and for comparing differences in outcomes between ethnic groups. It is estimated that up to 120 women, 60 Mexican American and 60 Non-Hispanic White, will be selected based upon age, gender, ethnicity, and mobility impairment using purposeful sampling techniques. Current degrees of disablement will be described using quantitative measures and field notes based upon participant observation. Duration of disablement, emic descriptions of disablement, and selection of accommodations will be explored using topical biographical interviews, participant observation, and life history calendars. The analysis will be based on traditional ethnographic analyses: domain, componential, and cultural thematic analyses as specified by Spradley. PUBLIC HEALTH RELEVANCE: The results of this study will provide the theoretical knowledge base needed to develop future interventions addressing health disparities in disablement among Mexican American women.