Longitudinal Study of Mexican American Elderly Health

描述(由申请者提供)：本申请寻求资金，以便在2015-16年期间对西班牙裔EPESE(老年人流行病学研究的既定人群)再进行一次面对面跟踪。基线最初是在1993-94年间进行的，当时有代表性的3050名65岁及以上的墨西哥裔美国人居住在美国西南部(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)。在2004-05年的第五次调查中，共有1167名当时年龄在75岁及以上的受试者被重新访问，另有902名同样年龄在75岁及以上的受试者通过类似程序从同一地区抽取的新样本被重新访问。对合并的队列进行了2007年(第7波，N=1542)、2010-11年(N=1078)和2012-13年(第8波，N=744)的随访，当时他们都在82岁及以上。在2010-11年度，我们还采访了925名受试者的告密者/照顾者，其中三分之二是他们的成年子女。我们计划在2015-16年度重新采访幸存的受试者，预计至少有500名85岁及以上的受试者。我们还计划为每个主题重新采访一名线人/护理员，他们中的大多数人在2010-11年度接受了采访。因此，除了跟踪我们的受试者，调查死亡率、残疾、认知功能变化和制度化的预测因素外，我们还计划预测五年内照看安排的变化。我们特别感兴趣的是，老年受试者病情的下降将如何与照顾者安排的变化以及照顾者的身体和心理健康相关联。正如在2010-11年度的接触中，我们计划首先联系老年人，然后再联系他们的近亲，我们当时采访了他们。对于已故的受试者，我们将从近亲家庭成员那里获得代理采访，他们中的大多数可能是我们采访过的照顾者。正如我们在整个研究中所做的那样，这些报告将得到国家死亡指数(NDI)数据的证实。我们的研究解决了墨西哥裔美国家庭照顾者文献中的一个空白，该文献大多局限于小的横截面样本。正如我们过去所做的那样，我们将继续将我们的数据归档到NACDA(国家老龄化数据计算机化档案)，并鼓励德克萨斯大学医学分校、德克萨斯大学奥斯汀分校和其他机构的学生和同事在NIA和其他机构的博士论文、同行评议出版物和R03、R01和其他应用程序中使用这些数据。

DESCRIPTION (provided by applicant): This application seeks funds to conduct one more in-person follow-up of the Hispanic EPESE (Established Population for the Epidemiological Study of the Elderly) during 2015-16. The baseline was originally conducted in 1993-94 when a representative sample of 3050 Mexican Americans aged 65 and over residing in the Southwestern United States (Texas, New Mexico, Colorado, Arizona and California). At Wave 5 in 2004-05, a total of 1167 subjects then aged 75 and over were re-interview along with a new sample of 902 subjects also aged 75 and over drawn from the same region using similar procedures. The combined cohorts were followed up in 2007 (Wave 7, N=1542), 2010-11 (N=1078), and 2012-13 (Wave 8, N=744) when they were 82 and over. In 2010-11 we also interviewed 925 informants/caregivers of our subjects, two-thirds of whom were their adult children. We plan to re-interview the surviving subjects in 2015-16 and expect to have at least 500 aged 85 and over. We also plan to re-interview an informant/caregiver for each subject most of whom were interviewed in 2010-11. Thus in addition to following up our subjects to investigate predictors of mortality, disability, change in cognitive function, and institutionalizaion we plan to predict changes in caregiving arrangements over a five-year period. We are especially interested in how declines in the condition of the older subjects will be associated with changes in caregiving arrangements as well as the physical and psychological well-being of the caregiver. As in the 2010-11 contact we plan to contact the elderly subjects first and then their close family members we interviewed at that time. For deceased subjects we will obtain proxy interviews from close family members, most of whom are likely the caregivers we had interviewed. These reports will be confirmed with National Death Index (NDI) data as we have done throughout the study. Our study addresses a gap in the Mexican American family caregiver literature which has been mostly limited to small cross-sectional samples. As we have done in the past we will continue archiving our data with NACDA (National Archives of Computerized Data on Aging) and to encourage their use for doctoral dissertations, peer review publications and R03, R01, and other applications to NIA and other institutes by students and colleagues here at the University of Texas Medical Branch, the University of Texas at Austin, and at other institutions.