This proposal seeks to understand the relationship between disease occurrence, and psychosocial socioeconomic, nutritional and other risk factors on the development of functional impairment: disability, health care use, and mortality in a unique cohort of rural elderly Hispanic and non-Hispanic white (NHW) subjects in southern Colorado. We propose to expand a previously identified representative cohort of elderly Hispanic and NHW persons who live in two rural counties, and to determine the prevalence and subsequent incidence of physical and mental disability and those disease and psychosocial characteristics that may predict them. We will test several descriptive hypotheses: 1) -older Hispanics will have a greater prevalence of all measures of functional limitation and cognitive impairment than NHWs; 2) poorer overall nutrition will lead to greater disability; 3) health care utilization will be lower among Hispanics than NHWs at each age; 4) the incidence of functional limitation, disability, and institutionalization will be higher among Hispanics than NHWs. We will also test several analytic hypotheses that examine the role of specific mediating factors such as acculturation, social networks and social support, and nutrition. These data will help alleviate the paucity of descriptive and analytic information on elderly Hispanics in the southwestern U.S. This regional Hispanic population is heterogeneous, and there are virtually no data on those Hispanics who self-identify as """"""""other Hispanic"""""""", rather than the more urban and border-related 'Mexican-American"""""""" subgroup. This proposal will provide data for health policy and services planning, and improve the understanding of disease and disability relationships in the rural Hispanic elderly.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Project (R01)
Project #
5R01AG010940-04
Application #
2052155
Study Section
Neuroscience, Behavior and Sociology of Aging Review Committee (NBSA)
Project Start
1992-08-01
Project End
1997-06-30
Budget Start
1995-07-01
Budget End
1996-06-30
Support Year
4
Fiscal Year
1995
Total Cost
Indirect Cost
Name
University of Colorado Denver
Department
Public Health & Prev Medicine
Type
Schools of Medicine
DUNS #
065391526
City
Aurora
State
CO
Country
United States
Zip Code
80045
Tran, Dinh; Baxter, Judith; Hamman, Richard F et al. (2014) Impairment of executive cognitive control in type 2 diabetes, and its effects on health-related behavior and use of health services. J Behav Med 37:414-22
Amirian, E; Baxter, Judith; Grigsby, Jim et al. (2010) Executive function (capacity for behavioral self-regulation) and decline predicted mortality in a longitudinal study in Southern Colorado. J Clin Epidemiol 63:307-14
Bryant, Lucinda L; Grigsby, Jim; Swenson, Carolyn et al. (2007) Chronic pain increases the risk of decreasing physical performance in older adults: the San Luis Valley Health and Aging Study. J Gerontol A Biol Sci Med Sci 62:989-96
Belanger, Heather G; Wilder-Willis, Kelly; Malloy, Paul et al. (2005) Assessing motor and cognitive regulation in AD, MCI, and controls using the Behavioral Dyscontrol Scale. Arch Clin Neuropsychol 20:183-9
Grigsby, Jim; Kaye, Kaye; Shetterly, Susan M et al. (2002) Prevalence of disorders of executive cognitive functioning among the elderly: findings from the San Luis Valley Health and Aging Study. Neuroepidemiology 21:213-20
Bryant, Lucinda L; Shetterly, Susan M; Baxter, Judith et al. (2002) Changing functional status in a biethnic rural population: the San Luis Valley Health and Aging Study. Am J Epidemiol 155:361-7
Bryant, Lucinda L; Shetterly, Susan M; Baxter, Judith et al. (2002) Modifiable risks of incident functional dependence in Hispanic and non-Hispanic white elders: the San Luis Valley Health and Aging Study. Gerontologist 42:690-7
Swenson, C J; Baxter, J; Shetterly, S M et al. (2000) Depressive symptoms in Hispanic and non-Hispanic White rural elderly: the San Luis Valley Health and Aging Study. Am J Epidemiol 152:1048-55
Hamman, R F; Mulgrew, C L; Baxter, J et al. (1999) Methods and prevalence of ADL limitations in Hispanic and non-Hispanic white subjects in rural Colorado: the San Luis Valley Health and Aging Study. Ann Epidemiol 9:225-35
Mulgrew, C L; Morgenstern, N; Shetterly, S M et al. (1999) Cognitive functioning and impairment among rural elderly Hispanics and non-Hispanic whites as assessed by the Mini-Mental State Examination. J Gerontol B Psychol Sci Soc Sci 54:P223-30

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