Aging in Puerto Rico: Longitudinal Follow-Up of the PREHCO Study

波多黎各的老龄化：PREHCO 研究的纵向追踪

• 批准号: 10623155
• 负责人: Michael Gabriel Crowe
• 金额: $ 59.63万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-01 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10623155
• 关键词: Acceleration; Adult; Age; Aging; Archives; Area; Buffers; Categories; Characteristics; Chronic; Chronic Disease; Cognitive; Control Locus; Cross-Cultural Comparison; Data; Data Collection; Disasters; Elderly; Emotional Stability; Event; Exclusion; Exposure to; Family; Funding; Funding Opportunities; Future; Goals; Government; Hair; Health; Health and Retirement Study; Hispanic Populations; Home; Household; Hurricane; Hydrocortisone; Impaired cognition; Injury; International; Island; Life; Life Cycle Stages; Measures; Mental Health; Mexican Americans; Minority Groups; Outcome; Participant; Performance; Personal Satisfaction; Persons; Physical Function; Population Heterogeneity; Population Study; Proxy; Puerto Rican; Puerto Rico; Quality of life; Religiosity; Reporting; Resources; Risk; Sampling; Self Efficacy; Sister; Social Network; Social support; Stress; Subgroup; Survivors; Time; Translating; Visit; Vulnerable Populations; age group; aging population; biopsychosocial; biopsychosocial factor; cognitive function; cognitive testing; cohort; coping; cost effective; depressive symptoms; design; disability; enhancing factor; epidemiology study; experience; follow-up; genetic analysis; home test; hypothalamic-pituitary-adrenal axis; informant; insight; insurance claims; migration; mortality; novel; perceived stress; population based; promote resilience; repository; saliva sample; social; stressor; theories

PROJECT SUMMARY/ABSTRACT In the past decade, Puerto Rico has experienced rapid population aging, financial collapse, mass outward migration of younger people, and then Hurricane Maria. Now is an ideal time to build on the only population- based cohort of older adults in Puerto Rico, unique in having data on health and function prior to these major events. Households across Puerto Rico were visited to identify the first island-wide sample of adults age 60+ years for the Puerto Rican Elderly: Health Conditions (PREHCO) study. A wide range of measures relevant to health and aging, including in-home testing of cognitive and physical function, was collected at baseline (2002/2003) and four years later (2006/2007). We propose to gather two new waves of data related to aging, stress and health in a sample of approximately 1,000 PREHCO survivors. The current project will a) extend PREHCO follow-up to between 16 and 20 years after baseline; b) examine life course predictors of major aging outcomes, namely cognitive impairment, disability, and mortality; c) collect data on hurricane-related stressors and mental health; d) add hair cortisol as a marker of chronic hypothalamic pituitary adrenal (HPA) axis activation; and e) add cognitive and proxy informant measures that align with the Health and Retirement Study (HRS). Our project will enable the following specific aims: Aim 1. Examine longitudinal life course biopsychosocial predictors of cognitive health, cortisol levels, mental health, disability, and mortality 16-20 years after baseline. Aim 2. Examine cross-sectional associations between stressors, resilience-enhancing factors, perceived stress, cortisol, and health, as well as changes in health two years later. Aim 3. Increase utility of PREHCO for cross-cultural comparisons. Puerto Rico is an important part of the U.S. that has largely been omitted from U.S. population-based studies of aging. PREHCO participants are now age 76+ years and given accelerating mortality rates for this age group, our proposal to gather two new time points of follow-up data for PREHCO represents a time-limited opportunity to add to our knowledge about aging, stress, and health in an understudied and potentially vulnerable population.

项目摘要/摘要 在过去的十年里，波多黎各经历了人口迅速老龄化、金融崩溃、大规模外逃 年轻人的迁徙，然后是飓风玛丽亚。现在是建立在唯一的人口基础上的理想时机- 以波多黎各老年人为基础的队列，在这些重大事件之前拥有独特的健康和功能数据 事件。走访了波多黎各各地的家庭，以确定全岛60岁以上成年人的第一个样本 波多黎各老年人年：健康状况(PREHCO)研究。一系列与以下方面相关的措施 健康和老龄化，包括认知和身体功能的家庭测试，都是在基线上收集的 (2002/2003)和四年后(2006/2007)。我们建议收集与老龄化相关的两波新数据， 对大约1,000名前HCO幸存者的样本进行了压力和健康状况的调查。当前项目将a)延长 基线后16至20年的产前随访；b)检查主要老龄化的生命过程预测因素 结果，即认知障碍、残疾和死亡率；c)收集飓风相关应激源的数据 和心理健康；d)增加头发皮质醇作为慢性下丘脑-垂体-肾上腺(HPA)轴的标志 激活；以及e)增加与健康和退休研究相一致的认知和代理告密者措施 (小时)。我们的项目将实现以下具体目标：目标1.检查纵向生命过程 认知健康、皮质醇水平、精神健康、残疾和死亡率的生物-心理-社会预测因子16-20 基准线后数年。目标2.检查应激源之间的横向关联，增强韧性 因素，感知压力，皮质醇，和健康，以及两年后健康的变化。目标3.增加 PREHCO在跨文化比较中的效用。波多黎各是美国的重要组成部分，在很大程度上 在美国基于人口的老龄化研究中被省略了。PREHCO参与者现在76岁以上， 鉴于这一年龄段的死亡率不断上升，我们建议收集两个新的随访时间点 PREHCO的数据代表着一个时间有限的机会，可以增加我们关于衰老、压力和 研究不足和潜在脆弱人群的健康状况。

项目成果

Healthcare utilization among pre-frail and frail Puerto Ricans.

• DOI: 10.1371/journal.pone.0280128
• 发表时间: 2023
• 期刊: PLOS ONE
• 影响因子: 3.7
• 作者: Barba, Cheyanne;Downer, Brian;Clay, Olivio;Kennedy, Richard;Ballard, Erin;Crowe, Michael
• 通讯作者: Crowe, Michael

Living Arrangements and Intergenerational Support in Puerto Rico: Are Fathers Disadvantaged?

波多黎各的生活安排和代际支持：父亲是否处于弱势？

• DOI: 10.1093/geronb/gbac044
• 发表时间: 2022
• 期刊: The journals of gerontology. Series B, Psychological sciences and social sciences
• 作者: Quashie,NekehiaT;Andrade,FlaviaCD;Meltzer,Gabriella;García,Catherine
• 通讯作者: García,Catherine

Color disparities in cognitive aging among Puerto Ricans on the archipelago.

• DOI: 10.1016/j.ssmph.2021.100998
• 发表时间: 2022-03
• 期刊: SSM-POPULATION HEALTH
• 影响因子: 4.7
• 作者: Liu, Mao-Mei;Crowe, Michael;Telles, Edward E. E.;Jimenez-Velazquez, Ivonne Z. Z.;Dow, William H. H.
• 通讯作者: Dow, William H. H.

20th Century Puerto Rico and Later-Life Health: The Association Between Multigenerational Education and Chronic Conditions in Island-Dwelling Older Adults.

• DOI: 10.1177/08982643221097532
• 发表时间: 2023-01
• 期刊: JOURNAL OF AGING AND HEALTH
• 影响因子: 2.8
• 作者: Colon-Lopez, Alejandra;Garcia, Catherine
• 通讯作者: Garcia, Catherine