Comparative Study of Health Transitions in Later Life

晚年健康转变的比较研究

• 批准号: 6415057
• 负责人: MARY BETH OFSTEDAL
• 金额: $ 22.65万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-09-30 至 2004-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6415057
• 关键词: Asia; Asians; aging; chronic disease /disorder; epidemiology; family structure /dynamics; functional ability; health care service utilization; human data; longevity; mathematical model; model design /development; outcomes research; social support network; socioeconomics

DESCRIPTION (provided by applicant): This proposal is one of two parallel submissions from separate institutions constituting a single project. The Principal Investigators are: Zachary Zimmer, Population Council, and Mary Beth Ofstedal, University of Michigan. The overall goal of the project is to describe and analyze health transitions and health care utilization patterns in four Asian countries undergoing rapid population aging and social and economic change. The study involves comparative analyses of recent panel surveys of older populations in Taiwan (1989-1999), Indonesia (1993, 1997, 1998), the Philippines (1996, 2000-2001), and Singapore (1995, 1999). The Asian panel surveys represent the first nationally-representative, longitudinal data available on the older population for these countries, which span a continuum of socioeconomic development. The comparative approach allows for estimates of how the potential demand for care and support varies between countries (i.e., prevalence and transitions in health outcomes) and how generalizable the links are between socioeconomic status, social support and health that have been observed in many developed nations in the West. The project has three specific aims: (1) to estimate population prevalence levels of health outcomes (functional limitation, chronic conditions, and self-assessed health status), examine recent trends in prevalence levels within countries, determine individual-level transition rates in health status, and estimate active life expectancy; (2) to investigate the effects of socioeconomic status and family network characteristics and social support on health status transitions among older adults; and (3) to assess the roles of access and need as determinants of health care utilization by examining individual-level and community resource characteristics. A variety of analytic techniques will be employed depending on the form of the dependent variable and the goal of the particular analysis. Logistic regression models will be utilized in analyses of prevalence of health outcomes and changes in prevalence levels, and a combination of logistic and linear regression techniques will be used in analyses of health care utilization. Multinomial logit models will be used for analyses of health transitions; active life expectancy will be examined using multistate life tables for different population subgroups, and structural equation models will be used to test for cross-lagged effects of socioeconomic status and health.

描述（由申请人提供）：此提案是两个平行的 构成一个单个项目的单独机构的提交。这 主要调查人员是：Zachary Zimmer，人口委员会和玛丽·贝丝（Mary Beth） 密歇根大学Ofstedal。该项目的总体目标是 描述和分析健康过渡和医疗保健利用模式 四个亚洲国家正在经历人口迅速衰老，社会和经济 改变。该研究涉及对最近的面板调查的比较分析 台湾的老年人（1989-1999），印度尼西亚（1993，1997，1998）， 菲律宾（1996，2000-2001）和新加坡（1995，1999）。亚洲小组 调查代表了第一个国家代表性的纵向数据 这些国家的老年人口可用于跨越连续的国家 社会经济发展。比较方法允许估计 国家之间对护理和支持的潜在需求如何变化（即 健康结果的流行和过渡）以及链接的推广方式 在社会经济地位，社会支持和健康之间 在西方的许多发达国家中观察到。该项目有三个特定的 目的：（1）估计人口流行率的健康结果水平 （功能限制，慢性病和自我评估的健康状况）， 检查国家内患病率水平的最新趋势，确定 健康状况的个人级过渡率，并估计活跃的生活 期待； （2）调查社会经济地位和家庭的影响 网络特征和社会支持对健康状况过渡的社会支持 老年人； （3）评估访问和需求的作用 通过检查个人级别和社区资源来利用医疗保健利用 特征。根据 因变量的形式和特定分析的目标。 逻辑回归模型将用于健康流行的分析 结果和患病率的变化，以及逻辑和 线性回归技术将用于医疗保健分析 利用率。多项式logit模型将用于健康分析 过渡；积极的预期寿命将使用多阶层生活进行检查 不同人口亚组的表和结构方程模型将 用于测试社会经济地位和健康的跨滞后作用。