Costa Rican Health and Retirement Survey

描述（由申请人提供）：本申请建议开展两波新的、具有全国代表性的哥斯达黎加健康和退休纵向调查，目标是1945-1955年出生的接近退休年龄的哥斯达黎加成年人。这将补充正在进行的对1945年以前出生的哥斯达黎加老年人的纵向住户调查。若干因素使哥斯达黎加成为研究老年人健康和经济状况的重要地点：（a）哥斯达黎加的预期寿命甚至比美国还高，成年人中按年龄分列的死亡率较低。拟议的数据将允许独特的新的洞察力的生命过程的社会和经济决定因素的哥斯达黎加的成功，以及调查的双向关系之间的健康和工作的老年人在这个示范人口。(b)过去的研究发现，哥斯达黎加在健康和经济福祉方面的社会经济梯度非常小。该项目旨在更深入地探讨这些显著的不平等模式背后的公共和私人支持的作用。(c)哥斯达黎加是发展中世界生育率转变最早和最快的国家之一，总生育率从1960年的7.3个下降到1976年的3.7个。通过关注经历这种下降的父母群体，这项调查可以独特地推进对生育率下降的长期人口红利的理解。(d)哥斯达黎加提供了一个特别丰富的研究环境，因为它能够回顾性和前瞻性地将拟议的微观数据与高质量的生命事件登记（如死亡）联系起来，从而能够在未来以低成本无限期地跟踪采样队列。公共卫生相关性拟议的项目将产生一个独特的新数据集，用于研究在一个被认为是以低成本实现“良好健康"的成功故事的国家中长寿的决定因素。“此外，它将使人们能够详细研究一个处于拉丁美洲老龄化转型前沿的国家的退休社会和经济条件。

DESCRIPTION (provided by applicant): This application proposes to field two waves of a new, nationally representative longitudinal Costa Rican Health and Retirement Survey targeting Costa Rican adults near retirement age, born 1945-1955. This would complement an on-going longitudinal household survey of older Costa Ricans born before 1945 (CRELES). A number of factors make Costa Rica an important site for the study of older adults' health and economic status: (a) Costa Rica has higher life expectancy than even the United States, with lower age-specific mortality rates among adults. The proposed data would allow unique new insight into life-course social and economic determinants of Costa Rica's success, as well as investigation of the bi-directional relationships between health and work among older adults in this exemplar population. (b) Past work has found Costa Rica to have unusually small socioeconomic gradients in health and economic well-being. This project is designed to allow deeper exploration of the role of public and private support underlying these remarkable inequality patterns. (c) Costa Rica experienced one of the earliest and fastest fertility transitions in the developing world, with total fertility dropping from 7.3 births in 1960 to 3.7 by 1976. By focusing on the parental cohorts experiencing this decline, this survey can uniquely advance understanding of the long- term demographic dividends of fertility decline. (d) Costa Rica provides a particularly rich study setting due to the ability to retrospectively and prospectively link the proposed microdata with high quality registries of vital events such as deaths, creating the ability to follow the sampled cohort at low cost indefinitely into the future. PUBLIC HEALTH RELEVANCE The proposed project would generate a unique new dataset for studying the determinants of longevity in a country considered a success story for having achieved "good health at low cost." Furthermore, it would enable detailed study of social and economic conditions surrounding retirement in a country on the leading edge of the aging transition in Latin America.