How does health interface with living arrangements?

 描述（由申请人提供）：联合国已确定老年人的生活安排和可能的政府应对措施是人口老龄化最紧迫的问题。特别是，生活安排与晚年的健康、保健和长期护理密切相关。拟议的研究旨在扩大目前对美国老年人健康和生活安排之间动态联系的理解。其具体目标包括：（a）通过构建多州生命表，以最近的居住地为重点，描述美国老年人生活安排的转变，（B）将美国老年人的生活安排描述为20年来多次转变的轨迹，（c）第（1）款评估生活安排的轨迹如何在社会分层的背景下和跨社会的健康状况和主要生活事件的函数中演变（d）从成年子女的角度分析老年人的生活安排;（e）对无子女的美国老年人进行目标a至c所述的平行分析。 数据将来自健康与退休研究（HRS），该研究跟踪了自1998年以来51岁或以上美国人的全国样本。我们将通过使用生命表和多层次模型来分析生活安排的转变和轨迹。这项研究的结果将为我们理解老年生活安排提供更强有力的动态和文化基础。它们将为旨在加强家庭支助以及家庭和社区对老年人的长期护理的公共政策提供信息。

 DESCRIPTION (provided by applicant): The United Nations has identified living arrangements of older persons and possible government responses as the most pressing issue of population aging. In particular, living arrangements are closely linked with health, health care, and long-term care in later life. The proposed research seeks to extend current understanding of the dynamic linkages between health and living arrangements among older Americans. Its specific aims include: (a) to describe transitions in living arrangements among older Americans by constructing multistate life tables with an emphasis on proximate residence, (b) to depict living arrangements among older Americans as trajectories consisting of multiple transitions over some 20 years, (c) to evaluate how trajectories of living arrangements evolve as a function of health status and major life events within the context of social stratification and across racial/ethnic groups, (d) to analyze living arrangements in old age from the perspective of adult children, and (e) to undertake parallel analyses described in aims a through c for childless older Americans. Data will come from the Health and Retirement Study (HRS), which tracks a national sample of Americans 51 years of age or older since 1998. We will analyze living arrangement transitions and trajectories by using life tables and multi-level models. Findings from this research will provide stronger dynamic and cultural underpinnings to our understanding of living arrangements in old age. They will inform public policies designed to strengthen family-based support and home and community-based long-term care for older people.