AGING IMMIGRANTS, NATIVITY AND DECLINING HEALTH

美国正日益成为一个多元文化的国家， 这一事实对处理公共政策具有重要影响 少数民族和移民人口的健康和医疗保健需求。 尽管越来越多的证据证明了种族之间的经济关联 以及不同种族在健康和疾病方面的差异 在生命过程中，较少的研究评估了降生的影响，如 以及最近的危险因素，对纵向健康和 成年西班牙裔和非西班牙裔白人的残疾状况。 使用健康和退休调查(HRS)的三波，这项研究 检查健康状况是否下降(例如，自我评估健康状况和 日常生活活动能力下降)与前 西班牙裔和非西班牙裔白人的退休年龄。我们还探索了 文化变化和社会阶层的指标是否会相互作用 影响HRS中1,106名移民的健康结果，特别是 墨西哥血统的人。一般来说，我们假设这些差异 在疾病方面，移民的情况取决于 外国出生的个人经历的文化和社会经济因素 要进入并保持美国社会的经济主流， 这些相互作用可能会影响低收入群体的健康 比高收入群体更负面。这项研究将揭示 论老龄化进程在特定文化和社会中的本质 背景，并将通过发展公共和私人部门为社会政策提供信息 部门倡议，解决如何提高数量和 拉美裔移民及其家人的生活质量。

The United States is becoming increasingly a multicultural nation, and this fact has important implications for public policy dealing with the health and medical care needs of minority and immigrant populations. Although burgeoning evidence documents the economic correlates of racial and ethnic differentials in health and illness for individuals across the life course, fewer studies have assessed the impact of nativity, as well as proximate risk factors, on the longitudinal health and disability status of mature adult Hispanics and non-Hispanic whites. Using three waves of the Health and Retirement Survey (HRS), this study examines whether diminished health (e.g., self-assessed health and declines in activity of daily living functioning) is comparable for pre- retirement age Hispanics and non-Hispanic whites. We also explore whether indicators of cultural change and social class interact to influence health outcomes of 1,106 immigrants in the HRS, especially those of Mexican origin. In general, we hypothesize that differences in illness profiles among immigrants depend upon the interaction of cultural and socioeconomic factors that foreign-born individuals undergo to move into and stay in the economic mainstream of American society, and that these interactions may affect the health of lower-income groups more negatively than higher-income groups. The study will shed light on the nature of the aging process in specific cultural and social contexts, and will inform social policy by developing public and private sector initiatives that address ways to improve both the quantity and quality of life for Hispanic immigrants and their families.