Dynamics of economic well-being and health in a rapidly-aging society: the case of Mexico

快速老龄化社会中经济福祉和健康的动态：墨西哥的案例

• 批准号: 8796484
• 负责人: Rebeca Wong
• 金额: $ 14.75万
• 依托单位: UNIVERSITY OF TEXAS MED BR GALVESTON
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-30 至 2016-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8796484
• 关键词: Address; Adult; Affect; Age; Aging; Area; Asia; Behavioral; Chronic Disease; Cognitive; Country; Data; Data Analyses; Data Set; Data Sources; Demography; Developed Countries; Developing Countries; Dimensions; Economics; Elderly; Epidemiology; Exhibits; Family; Funding; Goals; Health; Health Insurance; Income; Individual; Knowledge; Latin America; Life; Life Cycle Stages; Link; Longitudinal Studies; Longitudinal Surveys; Measures; Mexican; Mexico; Modeling; National Institute on Aging; Pattern; Pensions; Personal Satisfaction; Play; Positioning Attribute; Quality of life; Relative (related person); Retirement; Role; Secure; Series; Social Change; Social Psychology; Societies; Sociology; Source; Techniques; Time; United States National Institutes of Health; Work; age difference; aged; cohort; economic impact; economic outcome; health economics; public health relevance; safety net; social; social inequality

DESCRIPTION (provided by applicant): The close relation between health and economic status plays a prominent role in our current knowledge of disparities in quality of life over the lfe course. However, what we know about this important association comes from developed countries; much less is known about whether these relations are universal or how these forces work in poor, developing societies in which institutional safety nets are scarce or non-existent. I this proposed work, our goal is to identify how various dimensions of health affect economic well being for different groups in a rapidly aging country, Mexico. The proposed project has the following specific aims: 1) Identify the sources of economic wellbeing in old age in Mexico by different age cohorts and their changes in time. We examine the relative importance of labor earnings, pensions, family support and institutional aid towards economic wellbeing among older adults. 2) Assess the extent to which health impacts economic well-being among various groups defined by the safety nets available to them. Our over-arching hypothesis is that those with fewer safety net options will exhibit a stronger link from health to economic well-being. We use longitudinal data and measure how a variety of health dimensions including chronic disease, functionality, and cognitive ability affect later economic wellbeing using economic outcomes such as income and wealth. The proposed R03 project entails secondary data analysis using descriptive and multivariate longitudinal data techniques. The data comes from the Mexican Health and Aging Study, a longitudinal survey of adults aged 50 and over in Mexico, and highly comparable to the U.S. Health and Retirement Study. We examine differences by age cohorts, and time changes through three waves of the study covering the period 2001-2012, which spans over important structural and social changes occurred in Mexico, such as a move towards universal health insurance. The results of this study will contribute to subsequent work to build a model of long term health and economic relations for a rapidly-aging developing country, and contribute to understanding globally the sources of disparities in old-age well-being.

描述（由申请人提供）：健康与经济状况之间的密切关系在我们目前对生命历程中生活质量差异的认识中发挥着重要作用。然而，我们对这个重要协会的了解来自于发达国家；对于这些关系是否具有普遍性，或者这些力量如何在机构安全网稀缺或根本不存在的贫穷、发展中社会中发挥作用，人们知之甚少。在这项拟议的工作中，我们的目标是确定健康的各个方面如何影响墨西哥这个快速老龄化国家中不同群体的经济福祉。拟议项目有以下具体目标： 1）确定墨西哥不同年龄段老年人经济福祉的来源及其随时间的变化。我们研究了劳动收入、养老金、家庭支持和机构援助对老年人经济福祉的相对重要性。 2) 评估健康对由可用安全网定义的不同群体的经济福祉的影响程度。我们的首要假设是，那些安全网选择较少的人将表现出健康与经济福祉之间更紧密的联系。我们使用纵向数据，并使用收入和财富等经济结果来衡量各种健康维度（包括慢性病、功能和认知能力）如何影响以后的经济福祉。拟议的 R03 项目需要使用描述性和多元纵向数据技术进行二次数据分析。该数据来自墨西哥健康与老龄化研究，这是一项针对墨西哥50岁及以上成年人的纵向调查，与美国健康与退休研究高度相似。我们通过涵盖 2001 年至 2012 年期间的三波研究，考察了按年龄组划分的差异和时间变化，这涵盖了墨西哥发生的重要结构和社会变化，例如全民健康保险的发展。这项研究的结果将有助于后续工作，为快速老龄化的发展中国家建立长期健康和经济关系模型，并有助于了解全球老年福祉差异的根源。