Ethnic Trajectories of Aging

种族的老龄化轨迹

• 批准号: 7736795
• 负责人: Ana Roman Quinones
• 金额: $ 3.24万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-08-08 至 2010-08-07
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7736795
• 关键词: Age; Aged, 80 and over; Aging; Aging-Related Process; American; Biological Process; Caring; Categories; Comorbidity; Data; Data Set; Elderly; Encapsulated; Ethnic group; Family; Gerontology; Glean; Growth; Health; Health Status; Health Transition; Health financing; Healthcare; Heterogeneity; Hispanics; Hospitalization; Housing; Individual; Institutes; International; Latino; Lead; Light; Linear Models; Longevity; Longitudinal Surveys; Measures; Medical; Mental Health; Michigan; Minority; Outcome; Outpatients; Pattern; Play; Population; Race; Relative (related person); Research; Research Training; Retirement; Role; Sample Size; Sampling; Services; Social Planning; Subgroup; Surveys; Time; Universities; Work; aging population; base; comparative; disability; ethnic difference; health care service utilization; health disparity; instrument; interest; population based; public health relevance; service utilization; social; stem; trend

DESCRIPTION (provided by applicant): Aging research has been increasingly focused on examining the intersections between aging and putative social factors involved in determining physical and mental health status. Much of the research is based on cross-sectional data. Furthermore, existing longitudinal analyses are mostly concerned with transitions between two points in time. This proposed research analyzes trajectories of health and health care, consisting of multiple transitions amongwhite, black and Latino older Americans. It has three specific aims. First, we are interested in how health status changes in old age for whites, blacks and Latinos. Second, this proposal will explore the changes in the use of medical care at older ages by ethnic group, specifically for blacks, whites and Latinos in the U.S. will be examined via these analyses. Third, this research will assess the extent to which changes in health status interface with those in health care utilization. Using population based samples representing different ethnic groups, we hope to cross-validate prior observations and to further explore the heterogeneity underlying the age norms of health care utilization and health status. To evaluate the research questions posed, hierarchical linear models will be used. In particular, ethnic differences in changes in health trajectories (health status as well as service utilization) within an older person will be represented by growth curves. The data used for these proposed analyses will come from an ongoing nationally representative public use longitudinal survey, the Asset and Health Dynamics Among the Oldest Old (AHEAD) collected at the University of Michigan's Institute for Social Research. PUBLIC HEALTH RELEVANCE: Understanding the trends of disability and decline in old age is of critical importance to health policymakers. In particular, identifying the challenges posed by an aging population with worse health outcomes for some groups relative to others is a necessary social planning instrument. This research proposes to examine the health and health care trends of older white, black and Latino Americans to determine whether such differential patterns in aging are at play.

描述（由申请人提供）：衰老研究越来越多地集中在检查衰老和参与确定身心健康状况的假定社会因素之间的交叉点。大部分研究都是基于横截面数据。此外，现有的纵向分析大多涉及两个时间点之间的过渡。这项拟议的研究分析了健康和医疗保健的轨迹，包括白人，黑人和拉丁美洲老年人的多重过渡。它有三个具体目标。首先，我们感兴趣的是白人、黑人和拉丁美洲人老年时的健康状况如何变化。其次，该提案将探讨不同种族群体在老年人中使用医疗保健的变化，特别是美国的黑人、白人和拉丁美洲人。第三，本研究将评估健康状况变化与医疗保健利用变化的程度。使用代表不同种族群体的基于人口的样本，我们希望交叉验证先前的观察结果，并进一步探讨医疗保健利用和健康状况的年龄规范的异质性。为了评估所提出的研究问题，将使用分层线性模型。特别是，老年人健康轨迹（健康状况以及服务利用）变化的种族差异将用增长曲线表示。用于这些拟议分析的数据将来自一项正在进行的全国代表性公共使用纵向调查，即密歇根大学社会研究所收集的老年人资产和健康动态（AHEAD）。公共卫生相关性：了解残疾和老龄人口减少的趋势对卫生政策制定者至关重要。特别是，确定人口老龄化带来的挑战，使某些群体的健康状况比其他群体差，这是一个必要的社会规划工具。这项研究建议检查老年白色，黑人和拉丁美洲裔美国人的健康和医疗保健趋势，以确定是否在老化的这种差异模式在发挥作用。