AGE AND ILLNESS MANAGEMENT IN LATER LIFE

晚年的年龄和疾病管理

• 批准号: 6168885
• 负责人: GAY BECKER
• 金额: $ 33.61万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-08-01 至 2003-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6168885
• 关键词: African American; Asian Americans; Hispanic Americans; behavioral /social science research tag; belief; caucasian American; chronic disease /disorder; clinical research; culture; disease /disorder onset; family structure /dynamics; friendships; health behavior; health care service utilization; health services research tag; human subject; injury /disease stressor; interview; lifestyle; longitudinal human study; psychological aspect of aging; racial /ethnic difference; sign /symptom; social support network; socioeconomics

The overall aim of this anthropological research is to explore the experience of chronic illness, including the bodily distress caused by the onset or exacerbation of a chronic illness in later life and the cultural meanings that people who have a chronic illness attach to their illness. A series of interrelated domains are explored: 1) interpretations of illness, including use of biomedicine and other systems of medical belief and practice; 2) cultural beliefs about age and illness; 3) participation of family and friends in illness management, and 4) access to and utilization of health care resources, both formal and informal, including the effect of economic status and resources on illness management. Focusing on these domains facilitates an examination of illness experience and bodily distress within its social, cultural, and economic context, and pinpoints social, cultural, and economic differences within and between groups. We will examine the All range of this experience by studying 200 individuals age 50 and over longitudinally, 50 in each of the following groups: African Americans, Latinos, Filipino Americans, and whites/Euro-Americans over a period of one year (3 interviews each at 6-month intervals). Qualitative analysis will be undertaken in a systematic progression of steps and will be supported by quantitative analysis of health measurement data, measures, and qualitatively-derived data.

这项人类学研究的总体目标是探索慢性病的经历，包括晚年慢性病发作或恶化所造成的身体不适，以及慢性病患者对其疾病的文化意义。探索了一系列相互关联的领域：1）对疾病的解释，包括生物医学和其他医学信仰和实践系统的使用； 2）关于年龄和疾病的文化信念； 3) 家人和朋友参与疾病管理，以及 4) 获得和利用正式和非正式的医疗保健资源，包括经济状况和资源对疾病管理的影响。关注这些领域有助于在其社会、文化和经济背景下检查疾病经历和身体不适，并查明群体内部和群体之间的社会、文化和经济差异。 我们将通过纵向研究 200 名 50 岁及以上的人，在一年的时间内，对以下各组各 50 名个人进行全面考察：非洲裔美国人、拉丁裔、菲律宾裔美国人和白人/欧洲裔美国人（3 次访谈）每次间隔 6 个月）。定性分析将按系统的步骤进行，并得到健康测量数据、措施和定性数据的定量分析的支持。