GENERATING LINKED NCHS AND OIS DATA FOR IMMIGRANT HEALTH AND MORTALITY RESEARCH

为移民健康和死亡率研究生成关联的 NCHS 和 OIS 数据

• 批准号: 7944164
• 负责人: JENNIFER Van Hook
• 金额: $ 62.38万
• 依托单位: PENNSYLVANIA STATE UNIVERSITY, THE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7944164
• 关键词: Address; Admission activity; Adult; Agreement; Behavior; Cause of Death; Cessation of life; Child; Communities; Data; Data Set; Data Sources; Differential Mortality; Employment; Ethnic group; Event; Family; Funding Mechanisms; Hand; Health; Healthcare; Immigrant; Immigration; Individual; Interview; Knowledge; Legal; Legal Status; Link; Measures; Methods; National Health Interview Survey; National origin; Nomads; Outcome; Persons; Policies; Population; Probability; Process; Recording of previous events; Records; Refugees; Research; Research Personnel; Respondent; Risk Behaviors; Scientific Advances and Accomplishments; Time; Uncertainty; United States; United States National Center for Health Statistics; Variant; base; cost; health disparity; indexing; migration; mortality; public health relevance; racial and ethnic; racial and ethnic disparities; residence; standard measure; statistics

DESCRIPTION (provided by applicant): This project seeks to generate new large-scale nationally representative public-use data for the United States that are crucial for conducting scientific and policy-relevant research on (1) immigrant health and mortality and (2) how immigration contributes to racial/ethnic disparities in health and mortality. It will link the foreign-born respondents from eight different years of the National Health Interview Survey (NHIS), including persons who have previously been linked by NCHS to records from the National Death Index (NDI), to Office of Immigration Statistics (OIS) records containing data on class of admission and immigrant legal permanent residence (LPR) and naturalization status from 1973 to 2008. When pooled across years, the resulting linked data set will contain hundreds of thousands of cases (including over 100,000 foreign born); will include information about individual respondents' health, health care coverage and utilization (and for the foreign born class of admission, LPR and naturalization statuses and the timing of changes in these statuses); and will contain information on mortality data from the National Death Index through 2006, making it possible to tell whether and when a respondent died as well as cause of death. The project will also assess the quality of the NHIS-OIS matches, estimate health and mortality differentials by immigrant entry, class of admission, LPR and naturalization statuses, and assess the likely range of estimates given uncertainty in the accuracy of some of the matches. These newly linked health, mortality and immigration data will enable researchers for the first time to assess a wide array of child and adult risk behaviors and health and mortality outcomes for the U.S. foreign-born population and numerous national-origin groups by entry status (unauthorized versus legal), the legally entering population by class of admission and adjustment to LPR status, and for the LPR population by naturalization status. Such critical descriptive information - together with the analytical research the new data will spawn - will provide the kind of detailed profile of immigrant health and mortality and stimulate the kinds of pathbreaking research necessary for advancing scientific knowledge about the origins of U.S. racial/ethnic health and mortality disparities. The GO funding mechanism is appropriate for the proposed project because it will produce valuable new scientific and policy-relevant health and mortality data that will be made available to the larger research community. Record linkages such as those proposed here have the potential for enormous pay-off at modest cost since they take advantage of already-collected and linked health and mortality data and detailed administrative information about immigration and naturalization status that is difficult to collect retrospectively from respondents in an accurate and inexpensive manner. The availability of the NHIS-NDI-OIS linked data will open up new avenues of research on both immigrant health and mortality and help to address important questions about how immigration contributes to racial/ethnic group health disparities that have proven impossible to address with existing nationally-representative data. PUBLIC HEALTH RELEVANCE: This project seeks to generate new large-scale nationally representative public-use data for the United States that are crucial for conducting scientific and policy-relevant research on (1) immigrant health and mortality and (2) how immigration contributes to racial/ethnic disparities in health and mortality. Immigration is reshaping the U.S. population, and immigrant health holds particularly important implications for understanding racial and ethnic disparities in health and mortality. The availability of the data will open up new avenues of research on both immigrant health and mortality and help to address important questions about how immigration contributes to racial/ethnic group health disparities that have proven impossible to address with existing nationally-representative data.

该项目旨在为美国产生新的具有全国代表性的公共使用数据，这些数据对于进行以下科学和政策相关研究至关重要：（1）移民健康和死亡率，以及（2）移民如何导致健康和死亡率的种族/民族差异。它将把国民健康访谈调查（NHIS）八个不同年份的外国出生受访者（包括NCHS先前与国家死亡指数（NDI）记录相关联的人）与移民统计局（OIS）记录相关联，该记录包含1973年至2008年的入境类别和移民法律的永久居留权（LPR）和入籍身份数据。当跨年汇集时，产生的关联数据集将包含数十万个病例（包括100，000多名外国出生的人）;将包括有关个人受访者的健康、医疗保健覆盖和利用情况的信息（以及外国出生的入学类别、LPR和入籍状态以及这些状态变化的时间）;并将包含2006年国家死亡指数中的死亡率数据信息，从而有可能了解被调查者是否死亡、何时死亡以及死亡原因。该项目还将评估NHIS-OIS匹配的质量，按移民入境、入境类别、LPR和入籍状态估计健康和死亡率差异，并评估由于某些匹配的准确性存在不确定性而可能的估计范围。这些新关联的健康，死亡率和移民数据将使研究人员首次评估广泛的儿童和成人风险行为以及健康和死亡率结果为美国外国出生的人口和众多的民族来源群体入境状态（未经授权与法律的），合法入境的人口按类别入境和调整LPR状态，并为LPR人口入籍状态。这些关键的描述性信息--再加上新数据将产生的分析研究--将提供移民健康和死亡率的详细概况，并刺激必要的开创性研究，以推进有关美国种族/民族健康和死亡率差异起源的科学知识。GO资助机制适用于拟议的项目，因为它将产生有价值的新的科学和政策相关的健康和死亡率数据，这些数据将提供给更大的研究界。这里提议的这种记录联系有可能以不高的成本获得巨大的回报，因为它们利用了已经收集和联系起来的健康和死亡率数据以及关于移民和归化身份的详细行政信息，而这些信息很难以准确和廉价的方式从答复者那里追溯收集。NHIS-NDI-OIS关联数据的可用性将开辟新的途径，研究移民健康和死亡率，并有助于解决移民如何导致种族/族裔群体健康差异的重要问题，这些问题已被证明无法用现有的全国代表性数据来解决。 公共卫生关系：该项目旨在为美国产生新的具有全国代表性的公共使用数据，这些数据对于开展以下科学和政策相关研究至关重要：（1）移民健康和死亡率;（2）移民如何导致健康和死亡率方面的种族/民族差异。移民正在重塑美国人口，移民健康对于理解健康和死亡率方面的种族和民族差异具有特别重要的意义。这些数据的可用性将开辟新的途径，研究移民的健康和死亡率，并有助于解决移民如何有助于种族/族裔群体的健康差距，已被证明是不可能解决与现有的全国代表性的数据的重要问题。