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Acculturation and physical activity: Forecasting and improving Latino health

文化适应和体育活动：预测和改善拉丁裔健康状况

基本信息

批准号：
8122136
负责人：
Jonathan Fielding
金额：
$ 22.87万
依托单位：
UNIVERSITY OF CALIFORNIA LOS ANGELES
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-08-09 至 2013-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8122136
关键词：
Accounting Acculturation Advisory Committees Affect Age Aging Behavioral Birth Place Birth Rate California Cardiovascular Diseases Caring Centers for Disease Control and Prevention (U.S.)Cessation of life Communication Communities Complex Computer Simulation Country Data Demographic Accounting Deterioration Diabetes Mellitus Disease Effectiveness of Interventions Emigration and Immigration Ethnic Origin Ethnic group Evidence based intervention Exercise Exhibits Foundations Future Gender Geography Government Health Health Planning Health Surveys Health behavior Healthcare Hispanics Immigration Incidence Individual Injury Intervention Investments Latino Length Life Life Cycle Stages Literature Longevity Measurement Medical Methodology Minority Modeling Monitor Morbidity - disease rate Obesity Online Systems Outcome Overweight Pattern Physical activity Policies Policy Making Population Prevalence Preventive Private Sector Public Health Race Records Relative (related person)Research Resources Risk Risk Factors Simulate Smoking Source Subgroup Surveys Time United States base demographics disorder risk evidence base health care service utilization health disparity improved migration mortality population health programs public health relevance racial and ethnic response socioeconomics sound therapy design tool trend user-friendly web based interface

项目摘要

DESCRIPTION (provided by applicant): We propose to expand the UCLA Health Forecasting Tool (UCLA HFT) to examine drivers of health and longevity in Latinos in California compared to other ethnic/racial groups, and to elucidate the contribution of acculturation, as defined by time lived in the U.S. and age at immigration to the U.S., on rates of disease and death. The proposed project will analyze causes of disparities and the mitigating effects of physical activity interventions on health outcomes and disparities. This research will facilitate more proactive and effective policy responses to California's changing demographic profile and related changes in population health outcomes, and will serve as a model for other regions of the country where similar demographic shifts are expected. The project will also demonstrate methodology for generating sound, evidence-based estimates of the potential impact of large-scale implementation of health interventions. Disparities in morbidity and mortality exist between and within racial/ethnic and socioeconomic groups. Overall, Latinos in California exhibit lower mortality rates than non-Latinos, however disaggregation into subgroups based on the age of immigration and number of years in the U.S. permits a more robust understanding of complex disparities in morbidity. Despite better overall health outcomes, as Latinos spend more time in the U.S. they are more likely to be obese and have diabetes and/or cardiovascular disease than most other sub-populations. The rapid increase in the Latino population, expected to become the largest ethnic group in California by 2020, along with a health profile that deteriorates with time spent in the U.S., adds urgency to better understanding how health outcomes may evolve and how programs and policies may be used to improve future health outcomes. The UCLA HFT, which has been developed over the course of seven years, comprehensively evaluates and forecasts future health outcomes associated with preventable and/or reducible ill-health and injury in California. The UCLA HFT uses micro stimulation to model individuals' health over the entire life span. It incorporates data on demographics, behavioral risk factors and other determinants of health, related disease and health conditions. Most important is its ability to evaluate a broad range of policy alternatives that can improve population health and modify disparities. We propose to expand the UCLA HFT to (1) incorporate information on the migration of Latinos in California, including the length of time they have been in the U.S., (2) estimate future trends in the incidence rates of diabetes, cardiovascular disease and mortality, (3) examine mortality, disease and risk factor trends in relation to physical inactivity, smoking and obesity for Latinos in California compared to other ethnic/racial groups, (4) analyze the contribution of differential health behaviors on health disparities among Latinos and other groups, and (5) estimate the effects of several evidence-based interventions, designed to increase physical activity, on the health of Latinos and disparities in health. PUBLIC HEALTH RELEVANCE: Disparities in health are seen between and within ethnic groups. Notably, Latinos exhibit disparities associated with place of birth and time lived in the United States. We will examine the causes of these disparities through the use of a computer-based simulation model, estimate future changes in the health of Californians that take into account migration patterns, and compare the potential for different interventions that promote physical activity to improve the health of Latinos living in California.

描述（由申请人提供）：我们建议扩展加州大学洛杉矶分校健康预测工具（UCLA HFT），以检查加州拉丁裔与其他族裔/种族群体相比健康和长寿的驱动因素，并阐明文化适应（根据在美国居住的时间和移民到美国的年龄定义）对疾病和死亡率的影响。拟议的项目将分析差异的原因以及身体活动干预措施对健康结果和差异的缓解作用。这项研究将促进对加州不断变化的人口状况和人口健康结果的相关变化采取更积极主动和有效的政策应对，并将为预计出现类似人口变化的美国其他地区提供借鉴。该项目还将展示对大规模实施卫生干预措施的潜在影响进行合理、基于证据的估计的方法。种族/族裔和社会经济群体之间和内部存在发病率和死亡率的差异。总体而言，加利福尼亚州的拉美裔人的死亡率低于非拉美裔人，但是根据移民年龄和在美国的年数将其细分为亚组，可以更深入地了解发病率的复杂差异。尽管总体健康状况较好，但由于拉丁美洲人在美国停留的时间更长，因此他们比大多数其他亚群更有可能肥胖并患有糖尿病和/或心血管疾病。拉丁裔人口迅速增加，预计到 2020 年将成为加州最大的族裔群体，加上他们的健康状况随着在美国停留的时间而恶化，因此迫切需要更好地了解健康结果如何演变以及如何利用计划和政策来改善未来的健康结果。加州大学洛杉矶分校 HFT 经过七年的开发，全面评估和预测与加州可预防和/或可减少的疾病和伤害相关的未来健康结果。加州大学洛杉矶分校 HFT 使用微刺激来模拟个人整个生命周期的健康状况。它包含有关人口统计、行为风险因素和其他健康决定因素、相关疾病和健康状况的数据。最重要的是它能够评估能够改善人口健康和缩小差距的广泛政策选择。我们建议将加州大学洛杉矶分校 HFT 扩展至 (1) 纳入加州拉丁裔移民的信息，包括他们在美国的时间长度，(2) 估计糖尿病、心血管疾病和死亡率的未来趋势，(3) 与其他民族/种族群体相比，检查加州拉丁裔的死亡率、疾病和与缺乏身体活动、吸烟和肥胖相关的危险因素趋势， (4) 分析不同的健康行为对拉丁裔和其他群体健康差异的影响，(5) 评估旨在增加体力活动的几种循证干预措施对拉丁裔健康和健康差异的影响。公共卫生相关性：不同种族群体之间和内部存在健康差异。值得注意的是，拉丁美洲人在出生地点和在美国居住的时间方面表现出差异。我们将通过使用基于计算机的模拟模型来研究这些差异的原因，在考虑移民模式的情况下估计加州人健康状况的未来变化，并比较促进身体活动的不同干预措施以改善居住在加州的拉丁裔人的健康的潜力。