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.

该项目的总体目的是调查社会经济地位（SES）和许多健康状况方面之间实质和持久梯度的原因。第一个目的是通过研究新慢性病的未来发作是否与重要的SES标记（房屋收入，财富和教育）相关，研究从SES到健康的中心途径。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产效应。我们还将探讨健康创新影响经济状况的程度。将通过估算新健康事件对一系列随后的结果的影响来探讨这个问题 自付费用的医疗费用，劳动力供应，工资率和增长，家庭收入和财富。整个生命周期中，这些反馈对SES的反馈影响各不相同，这将是一个主要的询问领域。第三个目的是检查美国新移民的健康差异的性质和决定因素。这项研究将分析移民最初的健康选择性的迹象和幅度，以及该选择性如何因原产国，签证录取状况和个人属性而变化。最后，我们将在两个国家（英格兰和美国）中比较SES健康梯度的性质。选择这两个国家的一个优点是，英格兰建立了机构安排，其目标是使个人摆脱不良健康的经济后果。另一个优点是，我们将能够使用最近进行的ELSA数据，以便可以将英格兰直接与HRS进行比较。