Longitudinal Study of Mexican American Elderly Health

描述：(由申请人提供)本申请寻求资金，用于对西班牙裔EPESE(老年流行病学研究的既定人口)进行两次面对面跟踪，这是对居住在德克萨斯州、新墨西哥州、科罗拉多州、亚利桑那州和加利福尼亚州的3050名65岁及以上的墨西哥裔美国人进行的纵向研究，在12年期间(1993-4、1995-6、1998-9、2000-1、2003-4和2005-6)共提供6次接触。我们预计，在第一次新的后续行动中(2003-2004年)，我们将能够(亲自或由代理人)重新采访至少1000名年龄在75岁及以上的受试者。我们还建议增加另外1000名75岁及以上的墨西哥裔美国人的样本，他们的平均教育水平高于幸存的队列。到目前为止，我们的发现是基于来自墨西哥裔美国人聚居区的受教育程度较低的人群(平均受教育年限为5.1年)。有了受过更好教育和经济状况更好的新样本，我们将能够更好地检验社会阶层对我们的健康结果的兴趣-死亡率、身体功能、情感功能、认知功能和生活安排/制度化的差异。在2003至2004年期间接受访问的2000名受试者的综合队列将在两年后的2005至2006年进行跟踪调查。到目前为止，我们的具体目标源于我们的调查结果(见进度报告/初步研究)。其他后续行动为审查较长期的变化提供了机会。使我们75岁及以上的人群多样化，将使我们能够更好地了解社会经济和文化变化对人口中迅速增长的一部分--75岁及以上的墨西哥裔美国人--的生活和健康的影响。这种理解对于规划为以后的老年墨西哥裔美国人提供服务至关重要，这些老年墨西哥裔美国人的教育水平高于目前的老年墨西哥裔美国人。

DESCRIPTION: (provided by applicant) This application seeks funds to conduct two in-person follow-ups of the Hispanic EPESE (Established Population for Epidemiologic Study of the Elderly), a longitudinal study of a representative sample of 3,050 Mexican Americans aged 65 and over residing in Texas, New Mexico, Colorado, Arizona and California providing for a total of six contacts over a twelve-year period (1993-4, 1995-6, 1998-9, 2000-1, 2003-4, and 2005-6). We expect that at the first new follow-up (2003-4) we will be able to reinterview (in person or by proxy) at least 1,000 subjects, aged 75 and over. We also propose to add a sample of another 1,000 Mexican Americans aged 75 and over that has a higher average level of education than the surviving cohort. Our findings thus far have been based on a poorly educated cohort (mean of 5.1 years of education) from heavily Mexican American areas. With a better-educated and financially better off new sample, we will be better able to examine social class variation in our health outcomes of interest - mortality, physical function, emotional function, cognitive function and living arrangements/institutionalization. The combined cohort of 2,000 subjects interviewed during 2003-4 will be followed-up two years later in 2005-6. Our specific aims grow out of our findings thus far (see Progress Report/Preliminary Studies). Additional follow-ups provide opportunities for examining longer-term changes. Diversifying our cohort of persons 75 and over will enable us to better understand the influence of socioeconomic and cultural variation on the lives and health of a rapidly growing segment of the population, Mexican Americans aged 75 and over. Such understanding is critical to planning services for subsequent cohorts of older Mexican Americans whose level of education is higher than current older Mexican Americans.