SOCIO-ECONOMIC STATUS AND HEALTH

社会经济状况和健康

• 批准号: 6883793
• 负责人: James Patrick Smith
• 金额: $ 13.94万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-12-01 至 2009-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6883793
• 关键词: British Isles; United States; academic achievement; aging; behavioral /social science research tag; clinical research; disease /disorder onset; health; health care; health disparity; health economics; health insurance; health services research tag; human data; immigrant; income; socioeconomics

The overall objective of this project is to investigate the reasons for the substantial and persistent gradient between socio-economic status (SES) and many dimensions of health status. The first aim will be to study the central pathway from SES to health by examining whether and why future onset of new chronic conditions are related to important SES markers--household income, wealth, and education. These markers will be measured in the recent and distant past so that long-run legacy effects can be measured. We will also explore the extent to which innovations in health affect economic status. This question will be explored by estimating the effect of new health events on a series of subsequent outcomes including out-of-pocket medical expenses, labor supply, wage rates and growth, household income, and wealth. The manner in which these feedback effects from health to SES vary across the complete life cycle will be a major area of inquiry. The third aim will be to examine the nature and determinants of health disparities among new immigrants to the United States. This research will analyze the sign and magnitude of the initial health selectivity of migrants and how that selectivity varies by attributes of country of origin, visa admission status, and personal attributes. Finally, we will compare in depth the nature of the SES health gradient in two countries--England and the United States. One advantage of selecting these two countries is that England has set up institutional arrangements whose goal is to isolate individuals from the economic consequences of poor health. Another advantage is that we will be able to use the recently fielded ELSA data so that England can be compared directly to the HRS.

该项目的总体目标是调查社会经济地位（SES）与健康状况许多维度之间存在巨大且持续的梯度的原因。第一个目标是通过研究未来新慢性病的发生是否以及为何与重要的社会经济地位标志（家庭收入、财富和教育）相关，来研究从社会经济地位到健康的核心途径。这些标记将在最近和遥远的过去进行测量，以便可以测量长期的遗留影响。我们还将探讨健康领域的创新对经济状况的影响程度。将通过估计新的健康事件对一系列后续结果的影响来探讨这个问题，包括 自付费用医疗费用、劳动力供应、工资率和增长率、家庭收入和财富。这些从健康到社会经济地位的反馈效应在整个生命周期中的变化方式将是一个主要的研究领域。第三个目标是研究美国新移民健康差异的性质和决定因素。本研究将分析移民初始健康选择性的迹象和程度，以及这种选择性如何随原籍国属性、签证准入状态和个人属性而变化。最后，我们将深入比较英国和美国两个国家社会经济地位健康梯度的性质。选择这两个国家的优势之一是英国已经建立了制度安排，其目标是将个人与健康状况不佳的经济后果隔离开来。另一个优点是我们将能够使用最近发布的 ELSA 数据，以便英格兰可以直接与 HRS 进行比较。