Racial Burden of Chronic Disease

描述(由申请人提供)：寿命长短和质量 在美国，人们的生活是按种族/民族划分的。黑人 可以预期比白人和西班牙裔少活几年。他们可以 有致残的健康问题，预计会有更多的寿命。赤裸裸的 相比之下，西班牙裔美国人可以预期在残疾的情况下活几年 健康状况。这些种族/民族差异在有无年限中 残疾指出了调查慢性病患者差异的重要性 疾病--导致残疾和死亡的健康问题。在上面绘制 健康和退休调查，拟议的研究将利用 12年的观察期，跟踪患者的发病情况 致命的慢性疾病，发展为合并症，并最终死于 主要原因。我们将使用这些信息来开发人口统计模型 慢性病经验量化种族/民族差异的范围和 出现差异的生命周期过程。人口统计数据 反过来，模型又为开发分析模型奠定了非常必要的基础 包括社会经济条件、生活方式行为、医疗保健使用、 和生物医学因素在解释种族/民族差异方面的作用 疾病过程。 具体地说，该项目的目标是： 开发种族/民族健康差异的人口统计模型，使我们能够 量化： 慢性病经历中的种族/民族差异如何导致 慢性病负担的差异(即 没有疾病)。 慢性病经历中的性别差异是否一致 种族/民族，同样，在长期的教育梯度中 疾病在不同种族/民族之间是一致的。 建立慢性阻塞性肺疾病种族/民族差异的多元分析模型 疾病过程(即疾病发病率、并发性和死亡率)， 重点关注从童年到老年的社会经济资源的作用。 关键问题包括： 在慢性病发病率和发病率方面，种族/民族差异有多大 死亡率根源于社会经济资源的种族/民族分层？ 社会经济资源在多大程度上平等地惠及每一个人的健康 主要的种族/民族？ 拟议的研究代表着在量化方面向前迈出了实质性的一步 慢性病经历和检查范围广泛的SES的差异 影响老年黑人发病率和死亡率的机制， 白人和西班牙裔美国人。

DESCRIPTION (provided by applicant): Both the length of life and the quality of life lived are stratified along race/ethnic lines in the United States. Blacks can expect to live fewer years than whites and Hispanics. and they can anticipate more years of life with a disabling health problem. In stark contrast, Hispanics can expect to live remarkably few years with a disabling health condition. These race/ethnic differences in years with and without disability point to the importance of investigating disparities in chronic diseases -- the health problems that underlie disability and death. Drawing on the Health and Retirement Survey, the proposed study will take advantage of a 12-year observation period to follow persons as they experience the onset of fatal chronic conditions, develop co-morbid conditions, and ultimately die from major causes. We will use this information to develop demographic models of chronic disease experience quantifying the scope of race/ethnic disparities and the lifecycle processes through which disparities arise. The demographic models, in turn, lay a much needed foundation for developing analytic models incorporating socioeconomic conditions, lifestyle behaviors, health care use, and biomedical factors in accounting for race/ethnic differences in chronic disease processes. Specifically, the aims of this project are to: Develop demographic models of race/ethnic disparities in health allowing us to quantify: How race/ethnic differences in chronic disease experience give rise to disparities in the burden of chronic disease (i.e., the years lived with and without disease). Whether sex differences in chronic disease experience are consistent across race/ethnic groups, and similarly, whether the educational gradient in chronic disease is consistent across race/ethnic groups. Develop multivariate analytic models of race/ethnic differences in chronic disease processes (i.e., disease incidence, co-morbidity, and mortality), focusing on the role of socioeconomic resources from childhood through old age. Key questions are: To what degree are race/ethnic differences in chronic disease morbidity and mortality rooted in the race/ethnic stratification of socioeconomic resources? To what degree do socioeconomic resources equally benefit the health of each of the major race/ethnic groups? The proposed study represents a substantial step forward in quantifying disparities in chronic disease experience and in examining a broad range of SES mechanisms influencing the morbidity and mortality experiences of older blacks, whites, and Hispanics.