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

• 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
• 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

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和成人健康 项目摘要/摘要 将生活课程的视角应用于成人健康的研究已经发现了重要的联系 以后的生活经历和健康成果。尽管大多数现有的研究都集中在这些研究上 白人成年人之间的链接，本研究研究了这些链接如何因黑色，白色和西班牙裔而异 成年人。该项目建立在生命过程的流行病学模型的基础上，以阐明该机制 早期逆境的多种形式损害了健康。 先前的研究证明了早期不幸在生活过程中的严重性，但相对 几乎没有关注累积不幸的种族和种族差异以及 这样的成人健康。拟议的研究借鉴了累积不平等理论来检查这些种族 以及以后的生活中累积不幸和健康的种族差异，同时研究资源的方式（两者都 社会经济和社会心理），感知的种族歧视和成人行为会影响结果。 这项研究的数据来自2004年之间的四波健康和退休研究（HRS） 和2010年。该研究使用了2004年19,630名成年人（51岁及以上）的数据，14,985名受访者 在2010年进行了重新审视，提供了六年的观察，并有机会观察健康 变化（例如发病率，残疾和自我评估的健康）和死亡率。这项研究具有三个特定的目的： 1。检查童年不幸的哪些类型和模式对健康和 黑人，白人和西班牙裔成年人的死亡率。 2。确定哪些成人行为以及社会经济和社会心理资源可以调解联系 在童年的不幸与后来的健康和死亡率之间。 3。检验感知的种族歧视作为童年之间关系的主持人的作用 黑人，白人和西班牙裔成年人的不幸，成人健康和死亡率。 从上述目的得出的假设将通过多种多元分析进行测试 估计儿童不幸对成人健康和死亡率的直接和间接影响的技术， 调解和节制的正式测试。