Health Disparities in Mexican American Women with Disabilities

项目摘要/摘要 拉美裔残疾人估计有300多万美国妇女，他们报告的残疾程度高于 白人、非西班牙裔残疾白人妇女；在一生中，拉美裔妇女的经历增加了 一些功能限制，日常生活活动更困难，更多的失业 对损伤的影响。造成这种健康差距的原因尚不清楚。这份申请要求四年的 提供资金，以检查墨西哥裔美国人和非白人残疾人的经历 并比较两组妇女在残疾方面的种族差异。这个 人种志的多种方法：访谈、问卷调查、参与者观察、人生史日历、 和实地笔记是收集数据的基本工具，这些数据是制定解释性文件所必需的 残疾模式和比较不同族裔群体之间的结果差异。据估计， 多达120名女性，60名墨西哥裔美国人和60名非西班牙裔白人，将根据年龄进行选择， 使用有目的的抽样技术，研究性别、种族和行动能力障碍。当前度数 将使用基于参与者的量化措施和现场笔记来描述失能 观察。残疾的持续时间、残疾的主要描述和住宿的选择 将使用专题传记访谈、参与者观察和生活史日历进行探索。这个 分析将基于传统的人种学分析：领域、成分和文化主题 按照斯普拉德利的规定进行分析。项目叙事 这项研究的结果将为未来的干预措施提供所需的理论知识基础 解决墨西哥裔美国妇女残疾方面的健康差距。

PROJECT SUMMARY/ABSTRACT Latinas with disabilities, estimated at over 3 million U.S. women, report greater levels of disablement than White, Non-Hispanic White women with disabilities; over the life course Latinas experience increased numbers of functional limitations, more difficulties with activities of daily living, and more unemployment due to impairments. The reasons for this health disparity are unclear. This application requests four years of funding in order to examine the experience of disablement among Mexican American and White, Non- Hispanic women and to compare ethnic differences in disablement among the two groups of women. The multiple methods of ethnography ¿ interviews, questionnaires, participant observation, life history calendars, and field notes ¿ are essential tools for gathering the data that is necessary for developing explanatory models of disablement and for comparing differences in outcomes between ethnic groups. It is estimated that up to 120 women, 60 Mexican American and 60 Non-Hispanic White, will be selected based upon age, gender, ethnicity, and mobility impairment using purposeful sampling techniques. Current degrees of disablement will be described using quantitative measures and field notes based upon participant observation. Duration of disablement, emic descriptions of disablement, and selection of accommodations will be explored using topical biographical interviews, participant observation, and life history calendars. The analysis will be based on traditional ethnographic analyses: domain, componential, and cultural thematic analyses as specified by Spradley. PROJECT NARRATIVE The results of this study will provide the theoretical knowledge base needed to develop future interventions addressing health disparities in disablement among Mexican American women.