Legal Status Exposure, Health, and Kinship Networks among Latino Immigrants

拉丁裔移民的法律地位暴露、健康和亲属关系网络

• 批准号: 10803440
• 负责人: JENNIFER Van Hook
• 金额: $ 33.35万
• 依托单位: PENNSYLVANIA STATE UNIVERSITY, THE
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-30 至 2027-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10803440
• 关键词: Adult; Adult Children; Aging; Alzheimer' s Disease; American; Authorization documentation; Characteristics; Child; Childhood; Consultations; Data; Effectiveness; Elderly; Evidence based intervention; Exclusion; Exposure to; Family; Family member; Financial Hardship; Future; Geography; Goals; Growth; Health; Health Insurance; Health Policy; Health Promotion; Health Services Accessibility; Health Status; Health and Retirement Study; Healthcare; Immigrant; Immigrant community; Immigration; Impaired cognition; Individual; Inequality; Kinship Networks; Latino; Latino Population; Legal; Legal Status; Link; Measures; Mediating; Medicare/Medicaid; Mental Depression; Mental Health; Methods; Mexican; Modeling; Natural experiment; Older Population; Outcome; Pathway interactions; Personal Satisfaction; Play; Policies; Population; Public Health Applications Research; Puerto Rican; Research; Resources; Retirement; Return Migrations; Role; Sampling; Science; Source; Surveys; System; Testing; Time; Uncertainty; Uninsured; United States Social Security Administration; aging in place; allostatic load; authority; caregiving; comparison group; demographics; experience; health care availability; health care service utilization; improved; innovation; intergenerational; middle age; models and simulation; mortality risk; population health; poverty reduction; programs; safety net; simulation; social; socioeconomics; trend

Project Summary This project explores how immigrant legal status exposures impact the health and wellbeing of older (50+) Latino immigrants. The unauthorized Latino foreign-born population in the US is currently aging in place, leading to a growing number of older Latinos who experienced years of hardship throughout their adult lives and, as older adults, are excluded from the US social safety net system. The aging of the Latino population is thus likely accompanied by two related trends: (1) dramatic increases in the share of older Latinos without full access to the public programs that have been shown to considerably reduce poverty and increase access to health care among older American citizens, and (2) increased reliance by older Latinos on kinship networks – chiefly their middle-aged children – for daily financial and health care needs. Our goal is to document these trends and explore how they impact the health and wellbeing of older Latinos. The project has three specific aims. First, we will investigate how immigrant legal status exposures are related to older Latino immigrants’ health and their access and utilization of health care. Our key innovation is to use longitudinal Health and Retirement Survey (HRS) data that is linked to the Social Security Administration (SSA) and Medicare/Medicaid files. We will use information from linkages to these administrative data to measure immigrants’ legal status and time spent in each status and then model the relationship between legal status exposures and levels and trajectories in both physical (e.g. functional limitations, allostatic load, mortality risk) and mental health (e.g. depression, cognitive decline, Alzheimer's disease), and access/utilization of health care. Second, we will investigate the availability and effectiveness of kinship networks of older Latinos. We will use HRS data to explore questions related to (1) the characteristics of older Latinos' kinship networks by immigrant legal status, and (2) the relationship between the size/characteristics of older Latino's kinship networks and their unmet need for assistance, as well as their health and access/utilization of health care. Third, we will develop a microsimulation model to project the size and composition of older Latino immigrants and their kinship networks. The microsimulation will enable us to model health outcomes and the level of kinship support for Latinos as this population ages in place over the next decade. Additionally, we will use the model to compare the “status quo” scenario to multiple potential policy changes that would alter the level of support for older immigrants or offer a pathway to legalization and citizenship, and impact older Latinos. The proposed research will inform science and policy about access to care and contribute to building evidence- based interventions for promoting health and wellbeing among the aging Latino immigrant community.

项目概要 该项目探讨移民法律身份暴露如何影响老年人（50 岁以上）的健康和福祉 美国未经授权的拉丁裔移民目前正在老龄化， 导致越来越多的老年拉丁美洲人在成年后经历了多年的苦难 而且，作为老年人，他们被排除在美国社会安全网体系之外。 拉丁裔人口的老龄化正在加剧。 因此，可能会伴随着两个相关的趋势：（1）老年拉丁美洲人没有充分的权利的比例急剧增加 获得已证明可显着减少贫困并增加获得服务的公共计划的机会 老年美国公民的医疗保健，以及 (2) 老年拉丁美洲人对亲属关系网络的依赖增加 – 主要是他们的中年孩子——满足日常财务和医疗保健需求。我们的目标是记录这些需求。 趋势并探讨它们如何影响老年拉丁裔的健康和福祉 该项目有三个具体内容。 目标。 首先，我们将调查移民法律身份暴露与老年拉丁裔移民的健康有何关系 以及他们对医疗保健的获取和利用。我们的关键创新是使用纵向健康和退休。 链接到社会保障管理局 (SSA) 和医疗保险/医疗补助文件的调查 (HRS) 数据。 将使用这些行政数据的链接信息来衡量移民的合法身份和时间 在每个状态中花费，然后对法律状态风险和级别之间的关系进行建模 身体健康（例如功能限制、稳态负荷、死亡风险）和心理健康（例如健康）的轨迹 抑郁症、认知能力下降、阿尔茨海默病）以及医疗保健的获取/利用。 其次，我们将调查老年拉丁裔人的亲属关系网络的可用性和有效性。 HRS 数据探讨与 (1) 移民老年人亲属关系网络的特征相关的问题 法律地位，以及（2）老年拉丁裔亲属关系网络的规模/特征与 他们对援助的需求未得到满足，以及他们的健康状况和获得/利用医疗保健的情况。 第三，我们将开发一个微观模拟模型来预测老年拉丁裔移民的规模和构成 以及他们的亲属关系网络将使我们能够模拟健康结果和水平。 随着拉丁裔人口在未来十年内逐渐老龄化，我们将使用亲属关系支持。 模型将“现状”情景与多种可能改变经济水平的潜在政策变化进行比较 支持老年移民或提供合法化和公民身份的途径，并影响老年拉丁裔。 拟议的研究将为有关获得护理的科学和政策提供信息，并有助于建立证据- 旨在促进老龄化拉丁裔移民社区健康和福祉的干预措施。