This application seeks funds to conduct one more in-person follow-up of the Hispanic EPESE (Established Population for the Epidemiological Study of the Elderly) during 2015-16. The baseline was originally conducted in 1993-94 when a representative sample of 3050 Mexican Americans aged 65 and over residing in the Southwestern United States (Texas, New Mexico, Colorado, Arizona and California). At Wave 5 in 2004-05, a total of 1167 subjects then aged 75 and over were re-interview along with a new sample of 902 subjects also aged 75 and over drawn from the same region using similar procedures. The combined cohorts were followed up in 2007 (Wave 7, N=1542), 2010-11 (N=1078), and 2012-13 (Wave 8, N=744) when they were 82 and over. In 2010-11 we also interviewed 925 informants/caregivers of our subjects, two-thirds of whom were their adult children. We plan to re-interview the surviving subjects in 2015-16 and expect to have at least 500 aged 85 and over. We also plan to re-interview an informant/caregiver for each subject most of whom were interviewed in 2010-11. Thus in addition to following up our subjects to investigate predictors of mortality, disability, change in cognitive function, and institutionalizaion we plan to predict changes in caregiving arrangements over a five-year period. We are especially interested in how declines in the condition of the older subjects will be associated with changes in caregiving arrangements as well as the physical and psychological well-being of the caregiver. As in the 2010-11 contact we plan to contact the elderly subjects first and then their close family members we interviewed at that time. For deceased subjects we will obtain proxy interviews from close family members, most of whom are likely the caregivers we had interviewed. These reports will be confirmed with National Death Index (NDI) data as we have done throughout the study. Our study addresses a gap in the Mexican American family caregiver literature which has been mostly limited to small cross-sectional samples. As we have done in the past we will continue archiving our data with NACDA (National Archives of Computerized Data on Aging) and to encourage their use for doctoral dissertations, peer review publications and R03, R01, and other applications to NIA and other institutes by students and colleagues here at the University of Texas Medical Branch, the University of Texas at Austin, and at other institutions.

Public Health Relevance

The Hispanic EPESE is an on-going study of older Mexican Americans residing in the five Southwestern states: Texas, New Mexico, Colorado, Arizona, and California. Information obtained has relevance to health and social policy aimed at maintaining or improving the quality of lifer of older Mexican Americans.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Project (R01)
Project #
2R01AG010939-21
Application #
8817107
Study Section
Community Influences on Health Behavior (CIHB)
Program Officer
Patmios, Georgeanne E
Project Start
1992-09-30
Project End
2018-12-31
Budget Start
2015-01-01
Budget End
2015-12-31
Support Year
21
Fiscal Year
2015
Total Cost
$576,525
Indirect Cost
$132,123
Name
University of Texas Medical Br Galveston
Department
Public Health & Prev Medicine
Type
Schools of Medicine
DUNS #
800771149
City
Galveston
State
TX
Country
United States
Zip Code
77555
Garcia, Marc A; Saenz, Joseph L; Downer, Brian et al. (2018) Age of Migration Differentials in Life Expectancy With Cognitive Impairment: 20-Year Findings From the Hispanic-EPESE. Gerontologist 58:894-903
Downer, Brian; Garcia, Marc A; Saenz, Joseph et al. (2018) The Role of Education in the Relationship Between Age of Migration to the United States and Risk of Cognitive Impairment Among Older Mexican Americans. Res Aging 40:411-431
Downer, Brian; Al Snih, Soham; Howrey, Bret T et al. (2018) Combined effects of cognitive impairment and pre-frailty on future frailty and death in older Mexican Americans. Aging Ment Health :1-8
Jarvis, Jessica M; Downer, Brian; Baillargeon, Jacques et al. (2018) The modifying effect of positive emotion on the relationship between cognitive impairment and disability among older Mexican Americans: a cohort study. Disabil Rehabil :1-8
Salinas, Jennifer J; Gonzalez, Jennifer M Reingle; Al Snih, Soham (2018) Type 2 diabetes, depressive symptoms and disability over a 15-year follow-up period in older Mexican Americans living in the southwestern United States. J Diabetes Complications 32:75-82
Collins, Diane M; Downer, Brian; Kumar, Amit et al. (2018) Impact of Multiple Chronic Conditions on Activity Limitations Among Older Mexican-American Care Recipients. Prev Chronic Dis 15:E51
GarcĂ­a, Catherine; Garcia, Marc A; Chiu, Chi-Tsun et al. (2018) Life Expectancies With Depression by Age of Migration and Gender Among Older Mexican Americans. Gerontologist :
Howrey, Bret T; Al Snih, Soham; Markides, Kyriakos S et al. (2018) Frailty and diabetes among Mexican American older adults. Ann Epidemiol 28:421-426.e1
Mutambudzi, Miriam; Chen, Nai-Wei; Howrey, Bret et al. (2018) Physical Performance Trajectories and Mortality among Older Mexican Americans. J Gerontol A Biol Sci Med Sci :
Garcia, Marc A; Reyes, Adriana M (2018) Physical Functioning and Disability Trajectories by Age of Migration Among Mexican Elders in the United States. J Gerontol B Psychol Sci Soc Sci 73:1292-1302

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