Longitudinal Study of Mexican American Elderly Health

描述（由申请人提供）：该申请寻求资金，用于在2015-16年期间对西班牙裔EPESE（老年人流行病学研究的既定人口）进行一次面对面随访。基线最初是在1993- 1994年进行的，当时有3050名65岁及以上居住在美国西南部（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）的墨西哥裔美国人的代表性样本。在2004- 2005年的第五次调查中，共有1167名年龄在75岁及以上的调查对象和902名年龄在75岁及以上的调查对象通过类似的程序从同一地区抽取。随访时间分别为2007年（第7期，N=1542）、2010-11年（N=1078）和2012-13年（第8期，N=744），随访时间均为82岁及以上。在2010-11年，我们还采访了925名受试者的举报人/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。我们还计划对每个受试者重新采访一名举报人/照顾者，其中大多数受试者在2010-11年接受了采访。因此，除了跟踪我们的研究对象以调查死亡率、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期间护理安排的变化。我们特别感兴趣的是，老年受试者的病情下降与护理安排的变化以及护理者的身心健康之间的关系。与2010-11年的联系一样，我们计划先联系老年受试者，然后再联系当时我们采访的他们的近亲属。对于已故的研究对象，我们将从亲密的家庭成员那里获得代理访谈，他们中的大多数可能是我们采访过的照顾者。这些报告将与我们在整个研究过程中所做的一样，用国家死亡指数（NDI）数据加以证实。我们的研究解决了墨西哥裔美国家庭照顾者文献中的空白，这些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存档于NACDA（国家老龄化计算机数据档案），并鼓励得克萨斯大学医学分部、得克萨斯大学奥斯汀分校和其他机构的学生和同事将这些数据用于博士论文、同行评审出版物和R03、R01，以及向NIA和其他研究所提出的其他申请。

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.