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年健康 项目概要/摘要 将生命历程的视角应用于成人健康研究，发现了两者之间的重要联系 早期生活经历和晚年的健康结果。尽管现有的大部分研究都集中在这些 为了研究白人成年人之间的联系，本研究探讨了这些联系对于黑人、白人和西班牙裔人来说可能有何不同 成年人。该项目以生命历程的流行病学模型为基础，阐明了 多种形式的早期逆境会损害健康。 先前的研究已经证明了早期不幸对生命历程的严重性，但相对而言 很少有人关注累积的不幸及其影响中的种族和民族差异。 对于成人健康来说也是如此。拟议的研究利用累积不平等理论来检验这些种族 以及晚年积累的不幸和健康方面的种族差异，同时研究资源（两者）如何 社会经济和社会心理）、感知的种族歧视和成人行为都会影响结果。 这项研究的数据来自 2004 年期间的四轮健康与退休研究 (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，以及 14,985 名受访者 2010年再次接受采访，提供了六年的观察时间以及观察健康状况的机会 变化（例如发病率、残疾和自评健康状况）和死亡率。这项研究有三个具体目标： 1. 研究哪些类型和模式的童年不幸对健康和健康影响最大 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节这些联系 童年的不幸与晚年的健康和死亡之间的关系。 3. 测试感知到的种族歧视对童年之间关系的调节作用 黑人、白人和西班牙裔成年人的不幸以及成人健康和死亡率。 从上述目标得出的假设将通过各种多元分析进行检验 估计童年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。