How does health interface with living arrangements?

 描述(申请人提供)：联合国已将老年人的生活安排和可能的政府应对措施确定为人口老龄化最紧迫的问题。特别是，生活安排与健康、保健和晚年的长期护理密切相关。这项拟议的研究旨在扩大目前对美国老年人健康和生活安排之间动态联系的理解。其具体目标包括：(A)通过构建以邻近居住为重点的多州生命表，描述老年美国人生活安排的转变；(B)将老年美国人的生活安排描绘为由大约20年的多次转变组成的轨迹；(C)在社会分层和种族/族裔群体的背景下，评估生活安排的轨迹如何作为健康状况和重大生活事件的函数而演变；(D)从成年子女的角度分析老年生活安排；以及(E)对没有子女的老年美国人进行目标a至c所述的平行分析。数据将来自健康和退休研究(HRS)，该研究追踪了自1998年以来51岁及以上美国人的全国样本。我们将使用生命表和多层次模型来分析生活安排的转变和轨迹。这项研究的发现将为我们理解老年生活安排提供更有力的动态和文化基础。它们将为旨在加强以家庭为基础的支持以及以家庭和社区为基础的老年人长期护理的公共政策提供信息。

 DESCRIPTION (provided by applicant): The United Nations has identified living arrangements of older persons and possible government responses as the most pressing issue of population aging. In particular, living arrangements are closely linked with health, health care, and long-term care in later life. The proposed research seeks to extend current understanding of the dynamic linkages between health and living arrangements among older Americans. Its specific aims include: (a) to describe transitions in living arrangements among older Americans by constructing multistate life tables with an emphasis on proximate residence, (b) to depict living arrangements among older Americans as trajectories consisting of multiple transitions over some 20 years, (c) to evaluate how trajectories of living arrangements evolve as a function of health status and major life events within the context of social stratification and across racial/ethnic groups, (d) to analyze living arrangements in old age from the perspective of adult children, and (e) to undertake parallel analyses described in aims a through c for childless older Americans. Data will come from the Health and Retirement Study (HRS), which tracks a national sample of Americans 51 years of age or older since 1998. We will analyze living arrangement transitions and trajectories by using life tables and multi-level models. Findings from this research will provide stronger dynamic and cultural underpinnings to our understanding of living arrangements in old age. They will inform public policies designed to strengthen family-based support and home and community-based long-term care for older people.