Early Life Influences on Elderly Health in the Developing World

早期生活对发展中国家老年人健康的影响

• 批准号: 7294263
• 负责人: MARY C MCENIRY
• 金额: $ 14.45万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-30 至 2011-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7294263
• 关键词: Adult; Africa; African; Aging; American; Asia; Asians; Bangladesh; Benchmarking; Birth; Businesses; Caribbean natives; Caribbean region; Characteristics; Childhood; China; Chronic; Chronic Disease; Condition; Costa Rica; Country; Data; Demography; Developed Countries; Developing Countries; Development; Diabetes Mellitus; Diet; Disease; Doctor of Philosophy; Economics; Education; Elderly; Engineering; Epidemiology; Evolution; Exposure to; Finches; Future; Ghana; Goals; HGS gene; Health; Health Status; Health Transition; Healthcare; Heart Diseases; Height; Income; India; Individual; Indonesia; Inequality; Intervention; Keratectomy, Subepithelial, Laser-Assisted; Knee; Latin America; Learning; Life; Life Style; Living Standards; Mentors; Mexico; Morbidity - disease rate; Mortality Decline; Multivariate Analysis; Nature; Obesity; Outcome; Patient Self-Report; Population; Principal Investigator; Procedures; Public Health; Puerto Rico; Relative (related person); Reporting; Research; Research Personnel; Risk; Seasons; Smoking; Social Security; Socioeconomic Status; Speed; Stimulus; Surface; System; Taiwan; Testing; Time; Work; career; disability; drinking; early childhood; experience; frailty; mortality; socioeconomics

DESCRIPTION (provided by applicant): Differences in the evolution of mortality in the developing world during the 20th century will have important implications for elderly health status for at least the next 20 to 30 years. Due to the particular nature of mortality decline in the developing world, we hypothesize that early life conditions have important effects on later adult health in these countries and that the effects are more salient in some types of demographic regimes than in others. The proposed research assesses the relation between early childhood conditions and adult morbidity and mortality among different demographic regimes in Latin American and Caribbean (LAC), Asian and African elderly populations, using as benchmarks data from relevant industrialized elderly populations such as the US, UK and Taiwan. The research builds upon preliminary results obtained among the LAC elderly. Continuing with this work, we test guiding hypotheses using comparable cross national and panel data in health outcomes (self-reported health, functional limitations, obesity, chronic conditions such as diabetes and heart disease, and mortality), early childhood conditions (height, knee height, month of birth, SES during childhood, childhood health), adult SES (income, education) and adult lifestyle (smoking, diet, drinking). We use multivariate analyses to examine health profiles, determinants of health status and individual health transitions. We also incorporate procedures such as vignettes to adjust for under (over) reporting of health; try new estimation procedures for the over (under) reporting of health conditions and procedures to adjust for differential survival in chronic diseases; and use Waaler-type surfaces to estimate expected relative mortality risk. This 5-year K25 project provides support for a PhD industrial engineer to make a successful career transition from applied public and business sectors to future independent research in health demography among aging populations in the developing world and/or in cross-cultural U.S. settings. K25 provides the stimulus to meet the candidate's specific aims in career development: (1) learn from the extensive experience of a committee of seasoned mentors from UW-Madison's CDE/CDHA in health demography and economics in aging populations through timely cross-national research; (2) augment competency in advanced quantitative health demography and epidemiology through formalized study.

描述（由申请人提供）：20 世纪发展中国家死亡率演变的差异将至少在未来 20 至 30 年内对老年人的健康状况产生重要影响。由于发展中国家死亡率下降的特殊性，我们假设早期生活状况对这些国家成年后的健康有重要影响，并且这种影响在某些类型的人口制度中比其他人口制度中更为显着。拟议的研究以美国、英国和印度等相关工业化老年人口的数据为基准，评估了拉丁美洲和加勒比地区（LAC）、亚洲和非洲老年人口不同人口结构中的幼儿期状况与成人发病率和死亡率之间的关系。台湾。该研究建立在拉美地区老年人中获得的初步结果的基础上。继续这项工作，我们使用健康结果（自我报告的健康状况、功能限制、肥胖、糖尿病和心脏病等慢性疾病以及死亡率）、儿童早期疾病（身高、膝盖）方面的可比跨国数据和面板数据来测试指导假设。身高、出生月份、童年时期的社会经济地位、儿童健康）、成人社会经济地位（收入、教育）和成人生活方式（吸烟、饮食、饮酒）。我们使用多变量分析来检查健康状况、健康状况的决定因素和个人健康转变。我们还纳入了诸如小插图之类的程序，以调整健康报告的不足（过度）；尝试新的健康状况报告估计程序和调整慢性病差异生存的程序；并使用 Waaler 型表面来估计预期的相对死亡风险。这个为期 5 年的 K25 项目为博士工业工程师提供支持，帮助他们从应用公共和商业部门成功实现职业转型，从事发展中国家和/或美国跨文化环境中老龄化人口健康人口统计学的未来独立研究。 K25 为满足候选人职业发展的特定目标提供激励：（1）通过及时的跨国研究，学习来自威斯康辛大学麦迪逊分校 CDE/CDHA 的经验丰富的导师委员会在健康人口统计学和老龄化人口经济学方面的丰富经验； (2) 通过正式研究增强高级定量健康人口统计学和流行病学的能力。