LONGITUDINAL STUDY OF MEXICAN AMERICAN ELDERLY HEALTH

资金要求进行两个人的后续行动的西班牙裔 老年人流行病学研究的既定人群 总共有四次接触（1993-4，1995-6，1998-9， （2000-2001年）。 这项研究的最初目的是提供关于 墨西哥裔美国老年人的健康和保健需求 美国西南部。 3,050名受试者的基线队列为 两年后跟进。 额外的后续行动要求在 五年和七年，以便能够评估健康和 幸福随着时间的推移。 主要健康结果包括死亡率、身体状况、 功能和抑郁症 特别令人感兴趣的是， 随着时间的推移，三种结果相互关联， 以及预测死亡率。 除了调查 变化的轨迹，我们研究如何医疗条件，如 糖尿病、肥胖症和关节炎，以及社会因素，如移民 社会地位、社会支持和文化适应与 随着时间的推移，健康状况。 我们两年的随访数据表明， 很少有老年墨西哥裔美国人进入养老院，尽管有 身体残疾、认知功能障碍和 萧条因此，许多残疾的老年墨西哥裔美国人得到照顾， 在家里。 除了调查在何种情况下， 随着时间的推移，一些墨西哥裔美国人被送进了收容所，我们计划 评估家庭在照顾残疾老人方面的作用， 家中 所要求的第三和第四波数据收集将 关键健康结果和预测变量的重复访谈测量 以及包括血压在内的家庭医疗评估， 身高和体重的测量，以及身体的性能测量， 功能 计划采取各种统计程序， 分析健康结果的变化轨迹，以及这些变化是如何发生的， 变化与医疗条件和社会因素有关， 时间 纵向研究建议将提供必要的 满足老年人保健需求所需的信息 墨西哥裔美国人。

Funds are requested to conduct two in-person follow-ups of the Hispanic EPESE (Established Populations for Epidemiologic Studies of the Elderly) giving us a total of four contacts (1993-4, 1995-6, 1998-9, and 2000-2001). The study's original aims were to provide basic data on the health and health care needs of Mexican American elderly in the Southwestern United States. The baseline cohort of 3,050 subjects was followed up two years later. Additional follow-ups are requested at five and seven years to enable the assessment of changes in health and well-being over time. Key health outcomes include mortality, physical functioning, and depression. Of particular interest is how the latter three outcomes are interrelated in predicting each other over time as well as predicting mortality over time. In addition to investigating trajectories of change, we examine how medical conditions, such as diabetes, obesity and arthritis, and social factors, such as migration status, social support and acculturation are associated with changes in health outcomes over time. Our two-year follow-up data indicate that very few elderly Mexican Americans enter nursing homes despite having high rates of physical disability, cognitive dysfunction, and depression. Thus, many disabled elderly Mexican Americans are cared for in the home. In addition to investigating circumstances under which some Mexican Americans become institutionalized over time, we plan to assess the role of the family in caring for disabled elderly members in the home. The third and fourth waves of data collection requested will repeat interview measures on key health outcomes and predictor variables as well as in-home medical assessments that include blood pressures, measures of height and weight, and performance measures of physical functioning. A variety of statistical procedures are planned for analyzing trajectories of change in health outcomes and how these changes are associated with medical conditions and social factors over time. The longitudinal research proposed will provide essential information necessary for addressing the health care needs of older Mexican Americans.