Integrating the TILDA Health Assessments into the SHARE Policy Background

说明(申请人提供)：该项目的长期实质性目标是将复杂的客观健康测量与国际范围内的经济和社会数据结合起来，以便更好地了解老年人的健康结果如何与经济和社会政策环境有关。具体地说，该项目将探索爱尔兰蒂尔达研究在大规模人口调查中衡量健康状况的方法创新是否以及如何有效地被越来越多的国际可比老龄化调查所采用，包括美国健康和退休研究(HRS)。爱尔兰蒂尔达研究开发了一套使用高科技工具和分析方法的创新健康评估。与此同时，Share的爱尔兰分部在2007年收集了一波数据，这些数据与其他19个Share国家严格可比，目前正在收集同一样本中的生活史，涵盖从童年到今天的健康、就业、收入和家族史。拟议项目的核心技术成果将是一种最先进的调查工具，有可能广泛适用于其他老龄化调查。这将通过五套综合活动来实现：1.将所有爱尔兰Share样本成员送到Tilda健康评估中心或应用Tilda开发的家庭健康评估程序；2.探索选定的哪一套便携式Tilda健康评估最适合在其他Share国家应用；3.将从Tilda健康评估、生活史和第一波中获得的爱尔兰Share样本数据合并为前所未有的丰富数据集；4.通过协调社会经济领域的两个调查工具，确保Share-爱尔兰和Tilda在未来几波中更加紧密地结合；5.探讨这些合并数据在分析2008/09年金融危机后按财务损失的类型和程度分类的健康变化时是否有用。该项目团队汇集了三个机构在经济学、调查方法和老年医学领域的多名公认专家。拟议的研究设计将为包括美国和英国在内的所有关注人口老龄化影响的国家提供重要的方法论和实质性见解。 公共卫生相关性：该项目的长期实质性目标是将复杂的客观健康衡量与国际范围内的经济和社会数据结合起来，以便更好地了解老年人的健康结果如何与经济和社会政策环境有关。

DESCRIPTION (provided by applicant): The long-run substantive aim of this project is to combine sophisticated objective health measurements with economic and social data on an international scale in order to better understand how health outcomes in older ages are related to the economic and social policy environment. Specifically, the project will explore whether and how methodological innovations in measuring health in large-scale population surveys, which have been made by the Irish TILDA study, can be usefully employed by the growing set of internationally comparable aging surveys, including the US Health and Retirement Study (HRS). The Irish TILDA study has developed a set of innovative health assessments using hi-tech instruments and analytic methods. In parallel, the Irish branch of SHARE has collected one wave of data in 2007 that is strictly comparable to the other 19 SHARE countries and is currently in the process of collecting life histories in that same sample covering the health, employment, earnings and family history from childhood to today. The core technical outcome of the proposed project will be a state-of-the-art survey instrument with the potential of being widely applicable to other aging surveys. This will be achieved by five integrated sets of activities: 1. Sending all Irish SHARE sample members to the TILDA health assessment centers or applying the in-home health assessment procedures developed by TILDA; 2. Exploring which selected set of portable TILDA health assessments is most suitable for application in other SHARE countries; 3. Merging the Irish SHARE sample data obtained from the TILDA health assessments, the life- histories, and the first wave into an unprecedentedly rich dataset; 4. Ensuring much closer alignment in future waves of SHARE-Ireland and TILDA by harmonizing the two survey instruments in the socio-economic fields; 5. Exploring the usefulness of such merged data in an analysis of health changes stratified by type and extent of financial losses in the wake of the 2008/09 financial crisis. The project team brings together a number of recognized experts in the fields of economics, survey methods and geriatric medicine in three institutions. The proposed research design will provide important insights, both methodological and substantive, for all countries, including the US and UK, concerned with understanding the implications of population aging. PUBLIC HEALTH RELEVANCE: The long-run substantive aim of this project is to combine sophisticated objective health measurements with economic and social data on an international scale in order to better understand how health outcomes in older ages are related to the economic and social policy environment.