Mexican Health and Aging Study - MHAS

拟议的项目旨在在墨西哥再设计和部署两波调查数据收集， 扩展和改进墨西哥健康和老龄化研究(MHAS)。这是一个全国性的，多功能的， 对50岁及以上的成年人进行的基于社区的纵向队列研究。两个新的浪潮将被派往 2018年和2021年，完成了自2001年第一波部署以来的20年周期。也在寻求资金 继续存档、记录和传播新的浪潮以及由此产生的 包含所有六个波的综合数据库。自成立以来，移动一直致力于创建一个纵向的 墨西哥老龄化的前瞻性研究，从全国样本(n=15,000)开始，使用研究方案和 调查工具与美国健康和退休研究具有高度可比性。此外，这项研究还 设计旨在促进检查对健康和老龄化的长期影响 墨西哥-美国移民潮。因此，样本设计包括了墨西哥州的超额样本， 移民到美国的人数达到了历史最高水平。新的浪潮将复制和改进这些和 前几轮的其他独特之处。新的重点领域将是：环境健康；生活史； 健康素养；小组中对损失和死亡的评估。我们还将继续强调文化 多代墨西哥-美国移民及其对老龄化的后果；以及 墨西哥的结构性变化，如2003年开始的卫生部门改革和经济衰退 2009年。我们的目标是：1)进行第五波和第六波，保留MHA的原有物质，并添加 新内容，跟随第一波到第四波的幸存者，并刷新第五波中的样本以再次产生 墨西哥50岁及以上人口的代表性部分；和2)加强数据联系， 数据分发、传播和外联活动，并扩大对数据的了解和使用 由此产生的六波MHAS的集合和乘积。我们将继续以人性化的网络为基础 加强公众获取数据和项目文件的平台和教育材料 刺激了越野和其他研究。 新的MHAS数据的分析意义将是异常的，产生全国纵向 对老龄化的研究跨越20年，这对于一个发展中国家来说是独一无二的。数据平台将 加强对老龄化和相关人口变化的研究：身心健康、身心健康和 认知功能、环境风险、健康行为和保健使用、家庭支持、老龄化和 发展中国家的生命历程、财富、收入、劳动力和退休、移民和老年以及死亡率 老龄化迅速，对老年个人的机构支持有限，并与以下方面有密切的社会和经济联系 美国。这些数据将使健康和老龄化的跨时期和跨队列分析成为可能，并将 继续与发达国家和发展中国家的其他类似研究具有高度可比性，加强 跨国视角的老龄化与健康研究。

The proposed project aims to design and field two more waves of survey data collection in Mexico, extending and improving the Mexican Health and Aging Study (MHAS). This is a national, multi-purpose, community-based, longitudinal cohort study of adults aged 50 and older. The two new waves will be fielded in 2018 and 2021, completing a cycle of 20 years since the first wave was fielded in 2001. Funds are also sought to continue to archive, document, and disseminate for public use the new waves as well as the resulting integrated data base containing all six waves. Since its inception, MHAS aimed to create a longitudinal prospective study of Mexican aging, starting with a national sample (n=15,000), using study protocols and survey instruments that were highly comparable to the U.S. Health and Retirement Study. In addition, the study design sought to facilitate the examination of long term implications for health and aging of the massive Mexico-U.S. migration flows. Thus, the sample design included an over-sample in states of Mexico with historically high levels of migration to the United States. The new waves will replicate and improve these and other unique features of previous rounds. New emphasis areas will be: environmental health; life histories; health literacy; evaluation of losses and deaths in the panel. We will also continue an emphasis on the culture of multi-generational Mexico-U.S. migration and its consequences for aging; and the impact for older adults of structural changes in Mexico such as the health sector reform that started in 2003 and the economic recession of 2009. Our aims are: 1) To carry out Waves 5 and 6 retaining the original substance of MHAS and adding new content, following the survivors of Waves 1 through 4, and refreshing the sample in Wave 5 to yield again a representative cross section of the Mexican population aged 50 and over; and 2) To enhance data linkages, data distribution, dissemination, and outreach activities and to expand knowledge about and use of the data sets and products of the resulting six waves of the MHAS. We will continue the user-friendly web-based platforms and educational materials whose enhanced public access to the data and project documentation have stimulated cross-country and other studies. The analytical significance of the new MHAS data will be exceptional, producing a national longitudinal study of aging that span over twenty years, which is unique for a developing country. The data platform will enhance research on aging and related population changes: of physical and mental health, physical and cognitive functionality, environmental risks, health behaviors and health care use, family support, aging and the life course, wealth, income, labor and retirement, migration and old age, and mortality, in a developing country aging fast with limited institutional support for individuals in old age, and with close social and economic ties to the United States. The data will enable cross-period and cross-cohort analyses of health and aging, and will continue to be highly comparable with other similar studies in developed and developing countries, enhancing the study of aging and health with a cross-national perspective.