LONG-TERM CARE--SOCIAL NETWORKS AND AMERICAN INDIAN AGE

长期护理——社交网络和美洲印第安人年龄

• 批准号: 2052374
• 负责人: ELIZABETH CHAPLESKI
• 金额: $ 26.01万
• 依托单位: WAYNE STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1992
• 资助国家: 美国
• 起止时间: 1992-09-30 至 1996-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2052374
• 关键词: Native Americans; aging; attitude; extended care; health care service utilization; human old age (65+); human population study; human subject; interview; social support network

This four year study will compare patterns of informal support networks among older urban, rural and reservation based American Indians; 2)examine the influence of the informal social network on the long-term care sought and obtained by older Native Americans and 3) examine determinants, including culturally related attitudes, preferences and structural factors that enable or inhibit utilization of both informal and formal long-term care among American Indians. The research will involve American Indians in Michigan. Research about urban and rural non-reservation American Indians, as well as tribes living east of the Mississippi, has been limited. Building on recent needs assessment and health risk projects, the research will interview 120 older Native Americans living in urban communities, 120 from rural areas, and 120 from reservations. Each respondent will be interviewed twice, with the interviews separated by an 18 month interval. These two interviews will allow the assessment of changes in the informal social network, long-term care assistance from network members and formal assistance to meet long-term care needs. Open ended probes will be used extensively in the interviews to understand the expectations of respondents about formal and informal long-term care. In addition, focus groups will be held after completion of the interviews and preliminary analysis of the data. Two focus groups will be held with older American Indians from urban communities, two with rural and two with reservation-based older American Indians. Two focus groups will also be held with, American Indian tribal leaders. The focus groups will provide an opportunity to explore and probe with older American Indians the results of the surveys. The focus groups with Michigan's tribal leaders will also provide an opportunity to discuss possible future changes in informal social networks,attitudes among older Native Americans in urban, rural and reservation areas and the impact of these changes on long-term care issues.

这项四年的研究将比较非正式支持网络的模式 在较老的城市，农村和保留地的美国印第安人中； 2）长期检查非正式社交网络的影响 照顾好美国原住民的人，3）检查 决定因素，包括与文化相关的态度，偏好和 能够或抑制非正式利用的结构因素 和美国印第安人的正式长期护理。 这项研究将涉及密歇根州的美洲印第安人。 研究 城市和农村非保留美国印第安人以及部落 居住在密西西比州以东，受到限制。 建立在最近的基础上 需要评估和健康风险项目，研究将面试 120名居住在城市社区的年长的美国原住民，120名农村 区域和120个预订。 每个受访者将接受采访 两次，采访间隔了18个月。 这两个 访谈将允许评估非正式社会的变化 网络，网络成员的长期护理协助和正式的 协助满足长期护理需求。 将使用开放式探针 在采访中广泛了解的期望 受访者关于正式和非正式的长期护理。 另外，重点 小组将在访谈和初步完成后举行 数据分析。 将与年长的美国人举行两个焦点小组 来自城市社区的印第安人，两个有农村和两个 以预订为基础的美国印第安人。 两个焦点小组也将是 与美洲印第安部落领导人一起举行。 焦点小组将提供 与年长的美国印第安人探索和调查的机会 调查结果。 密歇根州部落领导人的焦点小组 还将提供一个机会，讨论未来可能的变化 非正式的社交网络，年龄较大的态度 城市，农村和预订区的美洲原住民，以及 这些关于长期护理问题的变化。