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The Importance of Place in Determining Health and Mortality at Older Ages

地点在决定老年人健康和死亡率方面的重要性

基本信息

批准号：
9766176
负责人：
Jason Michael Fletcher
金额：
$ 39.42万
依托单位：
UNIVERSITY OF WISCONSIN-MADISON
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-09-01 至 2023-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9766176
关键词：
3-Dimensional Adult Affect Age American Atlases Attention Basic Science Biology Birth Birth Place Cessation of life Childhood County Data Data Set Deceleration Demography Diabetes Mellitus Disadvantaged Disease Economics Education Elderly Environment Epidemiology Ethnic Origin Exposure to Geography Health Health and Retirement Study Individual Industry Inequality Infant Mortality Knowledge Left Life Life Cycle Stages Life Expectancy Life Tables Link Literature Longevity Longitudinal Studies Measures Morbidity - disease rate Native-Born Obesity Outcome Pathway interactions Pattern Policies Population Process Race Research Residential Mobility Respondent Shapes Social stratification Source Surveys System Techniques Time Time trend Variant Vital Statistics Wisconsin Work base cohort contextual factors deprivation disability early life exposure econometrics experience health disparity health inequalities insight mortality novel population health response rurality sex social socioeconomics trend

项目摘要

UProject Summary Title: The Importance of Place of Birth in Determining Health and Mortality at Older Ages Substantial spatial inequalities in old age health and mortality outcomes are well documented. Previous studies have linked old age health to contemporaneous spatial context. However, by old age, over a third of the popu- lation has left their state of birth and an even greater share has left their county of birth, leaving the interpreta- tion of contemptuous links between geography and health clouded by endogenous mobility and disregarding the importance of childhood exposures in producing the spatial inequalities in health across the life course and into old age. Successfully unraveling the importance of life course exposures and decisions producing old age spatial inequalities has the potential to contribute to basic science as well as policy, but efforts have been ham- pered by a lack of large datasets with place of birth information. Our proposal takes advantage of newly avail- able data on place of birth for over 5 million Americans born across the early to mid 20PthP century combined with our team's interdisciplinary background merging the demography, economics, population health, and epidemi- ology of old age morbidity and mortality processes. UOur overall aim is to uncover the extent to which place of birth has contributed to old age health inequalities by birth cohort, race/ethnicity, sex, and educa- tional attainment in the US, and to explore the mechanisms underlying these relationshipsU. Our re- search team will leverage newly released and unique longitudinal data on millions of individuals across multiple datasets containing rich measures of health processes in old age and mechanisms of early disease exposures, cumulative contextual disadvantage, and life course mobility. Using these data, we will Upursue the following aimsU: (1) Aim 1: Create an “Atlas of Birth Place Impacts on Mortality and Morbidity at Older Ages”, (2) Deter- mine the Influence of Birth Place on Health Disparities and Mortality Variation at Older Ages by sex, race/eth- nicity, and education and (3) Uncover mechanisms linking the relationship between place of birth and later health by focusing on mobility and early and cumulative exposures. Together, these aims will allow a paradigm shift in how we understand old age health processes by integrating life course and spatial analysis into large scale analyses of the patterns and mechanisms of old age health and mortality.

UProject总结