This study aims to examine cross-cultural differences of persons age 65 and older in North Manhattan with respect to (1) Active Life Expectancy, (2) Frailty-related subjective and objective function and expanded qualities of life, (3) Transitions between non-frail and frail states, in predictors, determinants and sequences, (4) The course and outcome of frailty in relation to general and condition-specific frailty, (5) Service utilization, access to care, compliance, caregiver arrangements for the frail elderly over time. Among (1) The elderly (65 years and older), (2) From a defined geographic area (North Manhattan), (3) Consisting of representative samples of Hispanics, Blacks, and Whites, a majority of whom are women, (4) In large samples (between 1,000 and 2,000 in each of the three groups). Hypotheses to be tested are: The Hispanic and Black elderly have relative to white elderly (1) A shorter active life expectancy, (2) More impairments in objective (but not necessarily subjective) function and quality of life), A different distribution of frequencies of patterns of transitions between frail and non-frail status, (4) A different distribution of condition-specific frailty, (5) More restricted access to institutional and specialist care. We will: 1) Conduct follow-up assessments of previously identified representative samples, Hispanic, Black and White elderly, (2) One year and three years following their initial assessment by the NMAP Project 3) Using structured interviews, an established assessment team familiar with the community, (5) An established reporting network of health providers, (6) Measures of active life expectancy, and other frailty-related variables over time.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Project (R01)
Project #
5R01AG010489-03
Application #
3122377
Study Section
Neuroscience, Behavior and Sociology of Aging Review Committee (NBSA)
Project Start
1991-09-30
Project End
1996-06-30
Budget Start
1993-09-30
Budget End
1994-06-30
Support Year
3
Fiscal Year
1993
Total Cost
Indirect Cost
Name
Columbia University (N.Y.)
Department
Type
Schools of Medicine
DUNS #
064931884
City
New York
State
NY
Country
United States
Zip Code
10027
Gurland, Barry; Teresi, Jeanne A; Eimicke, Joseph P et al. (2014) Quality of life impacts on 16-year survival of an older ethnically diverse cohort. Int J Geriatr Psychiatry 29:533-45
Yancu, Cecile N (2011) Gender differences in affective suffering among racial/ethnically diverse, community-dwelling elders. Ethn Health 16:167-84
Pine, Zachary M; Gurland, Barry; Chren, Mary-Margaret (2002) Use of a cane for ambulation: marker and mitigator of impairment in older people who report no difficulty walking. J Am Geriatr Soc 50:263-8
Pine, Z M; Gurland, B; Chren, M M (2000) Report of having slowed down: evidence for the validity of a new way to inquire about mild disability in elders. J Gerontol A Biol Sci Med Sci 55:M378-83
Gurland, B J; Wilder, D E; Lantigua, R et al. (1999) Rates of dementia in three ethnoracial groups. Int J Geriatr Psychiatry 14:481-93
Gurland, B J; Toner, J A; Wilder, D E et al. (1994) Impairment of communication and adaptive functioning in community-residing elders with advanced dementia: assessment methods. Alzheimer Dis Assoc Disord 8 Suppl 1:S230-41