FROM INDEPENDENCE TO DEPENDENCE AMONG THE OLDEST OLD

从独立到对最年长老人的依赖

• 批准号: 3120928
• 负责人: GAY BECKER
• 金额: $ 15.79万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 1991
• 资助国家: 美国
• 起止时间: 1991-09-15 至 1994-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3120928
• 关键词: aging; behavior test; computer data analysis; education; emotional dependency; ethnic group; functional ability; gender difference; human very old age (85+); income; longitudinal human study; religion; self help; social support network

The goal of this 3-year, anthropological research is to examine the health-related factors that affect the transition from living along successfully to increased dependence among the oldest old. The study has 3 specific aims, to be carried out by studying 100 persons over the age of 80 for one year each, using primarily qualitative methods and some quantitative measures: 1) to examine the personal meanings and experience of living independently in advanced old age; 2) to examine the losses associated with the health problems, hospitalization, and changes in living arrangements; 3) to examine the full range of this experience by studying 4 groups of 25 respondents each, as follows: a) those successfully living alone; b) those living alone at the time of a hospital admission during year 01; c) those referred to a geriatric assessment service due to problems living alone; d) those discharged from a hospital in the year preceding year 01. The study population will be selected from 5 sources at Mt. Zion Hospital and Medical Center, S.F. Data will be collected via semi-structured interviews, participant-observation, standardized measures, and assessment of functional status. In data analysis, the four groups (a-d) above will be treated as four analytic cells. From an ethnographic standpoint, they represent different stages in the transition from independence to dependence. Variables that impinge upon the transition process, autonomy, and its meanings may include: living arrangements, availability of social support, availability of care, gender, ethnic background, religious affiliation, income, education, health status, and extent of utilization of community services. In this study of process, analysis of qualitative data (90%) will include: cross-sectional comparison, thematic analysis, frequencies of response, representational analysis using Ethnograph, and the case study approach. Quantitative analysis (10%) will be complementary to and interactive with qualitative approaches.

这项三年的人类学研究的目的是检查 与健康相关的因素，影响从生活的过渡 成功地增加了最古老的老年人。 该研究有 3个具体目标，可以通过研究100人以上的人来实现 每人80，主要使用定性方法和一些 定量措施：1）检查个人含义和经验 在高龄独立生活； 2）检查损失 与健康问题，住院和生活变化有关 安排； 3）通过研究来检查这种体验的全部范围 每个25个受访者中的4组，如下：a）成功生活的人 独自的; b）在住院期间住院时独自生活的人 01年; c）那些提到老年评估服务的人 独自生活的问题； d）那些从医院出院的人 前01年。研究人群将从5个来源中选出 S.F.锡安医院和医疗中心数据将通过 半结构化访谈，参与者观察，标准化措施， 和功能状态的评估。 在数据分析中，上面的四组（A-D）将被视为四个 分析细胞。 从人种学的角度来看，它们代表不同的 从独立到依赖性的过渡中的阶段。 变量 影响过渡过程，自主权及其含义可能 包括：生活安排，社会支持的可用性，可用性 护理，性别，种族背景，宗教信仰，收入， 教育，健康状况和社区服务利用范围。 在这项过程中，对定性数据的分析（90％）将包括： 横断面比较，主题分析，响应频率， 使用民族志和案例研究方法的代表性分析。 定量分析（10％）将与 定性方法。