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Childhood Misfortune and Adult Health Among Black, White and Hispanic Americans

黑人、白人和西班牙裔美国人的童年不幸和成年健康

基本信息

批准号：
8630382
负责人：
KENNETH F. FERRARO
金额：
$ 19.81万
依托单位：
PURDUE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-05-01 至 2017-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8630382
关键词：
Accounting Address Adult African American Age American Attention Behavior Child Abuse Childhood Cost Control Data Development Disadvantaged Disease Elderly Epidemiology Ethnic Origin Ethnic group Event Exposure to Force of Gravity Health Healthcare Hispanic Americans Hispanics Inequality Intervention Interview Life Life Cycle Stages Life Experience Link Literature Mediating Mediation Modeling Morbidity - disease rate Outcome Pattern Premature aging syndrome Probability Process Prospective Studies Race Reporting Research Resources Respondent Retirement Risk Role Shapes Societies Techniques Testing Weather behavior influence caucasian American coping disability early onset experience health disparity mortality physical abuse psychosocial public health relevance racial difference racial discrimination racial/ethnic difference socioeconomics theories

项目摘要

Childhood Misfortune and Adult Health among Black, White, and Hispanic Americans Project Summary/Abstract Applying the life course perspective to the study of adult health has uncovered important links between early-life experiences and health outcomes in later life. Although most of the extant research focuses on these links among White adults, the present study examines how these links may vary for Black, White, and Hispanic adults. The project builds upon epidemiologic models of the life course to explicate the mechanisms by which multiple forms of early adversity compromise health. Previous research has demonstrated the gravity of early misfortune on the life course, but relatively little attention has been given to racial and ethnic differences in both accumulated misfortune and the effects of such on adult health. The proposed research draws upon cumulative inequality theory to examine these racial and ethnic differences in accumulated misfortune and health in later life while examining how resources (both socioeconomic and psychosocial), perceived racial discrimination, and adult behavior influence the outcomes. Data for this research come from four waves of the Health and Retirement Study (HRS) between 2004 and 2010. The study uses data from 19,630 adults (ages 51 and older) in 2004, and 14,985 respondents who were re-interviewed in 2010, providing six years of observation and the opportunity to observe both health changes (e.g., morbidity, disability and self-rated health) and mortality. This study has three specific aims: 1. To examine which types and patterns of childhood misfortune are most consequential to health and mortality among Black, White, and Hispanic adults. 2. To identify which adult behaviors and socioeconomic and psychosocial resources may mediate the links between childhood misfortune and both health and mortality in later life. 3. To test the role of perceived racial discrimination as a moderator of relationships between childhood misfortune and adult health and mortality among Black, White, and Hispanic adults. The hypotheses, derived from the above aims, will be tested with a variety of multivariate analytic techniques to estimate direct and indirect effects of childhood misfortune on adult health and mortality, with formal tests of mediation and moderation.

黑人、白人和西班牙裔美国人的童年不幸与成年健康