HEALTH AND LIVING ARRANGEMENTS OF MINORITY ELDERS

在这个项目中，我们将分析以下人群的健康和生活安排 美国少数族裔老年人(1)衡量虚弱和 不同少数民族的老年人与亲属同居，(2) 评估在生活安排中观察到的差异与 人口和社会经济因素、健康状况、获得和 对健康和老龄服务的使用，以及对依赖的文化偏好 以及(3)评估这些模式的含义，以及 预计少数族裔老年人在机构和家庭护理方面的增长 从1990年到2030年。 这项研究的数据来自老年人的公共使用微量样本 1990年美国人口普查提供了足够大的样本 少数族裔长老允许审查居住安排(居住 独居、与配偶同住、与其他亲属同住、与非亲人同住 在非裔美国人、亚洲人、太平洋岛民、 西班牙裔和美洲原住民长老。研究将使用多项式 用Logistic回归模型检验与生活的关系 国籍、出生身份、英语语言的安排 熟练程度、性别、年龄、教育水平、婚姻状况(以及 妇女、曾经出生的孩子数量)、自我报告的健康状况、 城市/农村居住地，以及获得保健服务的地理位置。 探讨客观健康风险在生活安排中的作用 来自国民健康和营养中心的服务利用数据 检查调查将被用来描述疾病的流行情况， 以及在非裔美国人中使用正式的卫生和社会服务 还有西班牙裔。这些研究中的详细信息将使 多项Logistic回归模型的估计 这些因素在少数民族群体差异中的中介作用 与亲属同居。晚年依赖亲属的偏好将是 使用以前对亚洲人进行的调查中的数据进行了检查 美国的人口以及非裔美国人和西班牙裔群体。 使用按各少数民族的年龄和性别分列的1990年人口统计 以及特别得出的年龄和性别特定死亡率、婚姻、 婚姻解体和生育时间表，在 每个少数民族按年龄和家庭状况以及健康状况分组 预计。目前依赖家庭同居的比率和 每类人士的院舍生活安排将为 应用以获取每一年的长者人数的整体推算 少数群体，他们将依靠家庭和制度化的照顾 从1990年到2030年。

In this project, we will analyze the health and living arrangements among minority elders in the U.S. to (1) measure the extent to which frail and well elders in different minority populations coreside with kin, (2) evaluate how observed differences in living arrangements are related to demographic and socioeconomic factors, health conditions, access to and use of health and aging services, and cultural preferences for reliance on kin, and (3) assess the implications of these patterns, and of projected increases in minority elders, on institutional and home care from 1990-2030. Data for the study are drawn from the Public Use MicroSample of Older Persons for the 1990 U.S. Census which provides large enough samples of minority elders to permit the examination of living arrangements (living alone, living with spouse, living with other kin, living with nonkin, and institutional residence) among African American, Asian, Pacific Islander, Hispanic, and Native American elders. The study will use multinomial logistic regression models to examine the association with living arrangements of national origin, nativity status, English language proficiency, gender, age, educational level, marital status (and, for women, number of children ever born), self-reported health status, urban/rural residence, and geographic access to health care services. To explore the role in living arrangements of objective health risks and service utilization data from the National Health and Nutrition Examination Surveys will be used to describe the prevalence of illnesses, and the use of formal health and social services among African-Americans and Hispanics. The detailed information in these studies will permit the estimation of multinomial logistic regression models that assess the mediating effects of these factors on minority group differences in coresidence with kin. Preferences for reliance on kin in old age will be examined using data from previously conducted surveys of Asian populations and of African American and Hispanic groups in the U.S. Using 1990 population counts of persons by age and sex in each minority group, and specially-derived age- and sex- specific mortality, marriage, marital dissolution, and fertility schedules, the number of persons in each minority group by age and family status, and health status will be projected. Current rates of reliance on family coresidence and institutional living arrangements for persons in each category will be applied to obtain overall projections of the number of elders in each minority group who will rely on family and institutionalized care for the period 1990 to 2030.