Investigators of the Piedmont Health Survey of the Elderly (Established Populations for Epidemiologic Studies of the Elderly/Duke) propose to perform a ten-year, fourth in-person follow-up of the North Carolina Piedmont cohort initially interviewed in 1986/87. Of the original 4,162 community-dwelling elders 65+ years of age, equally distributed between urban versus rural residence and Black versus non-Black race/ethnicity, it is anticipated that 2,060 subjects or proxy respondents will be available for interview. The purpose of this follow-up study is to obtain information on four primary outcome variables (cognitive status, depression, functional status, and mortality) and four primary independent variables (social support, social class, social location, and chronic illness). By using data from four in-person interviews across the ten years of follow-up, investigators will be able to characterize trajectories of the major dependent variables and their relationship to the independent variables over time. This will provide valuable information about change and stability, as well as heterogeneity in the dynamics of change. The major goal is to examine the relationships between social factors and chronic disease on the one hand, and health outcomes on the other. In order to examine both intraindividual change and the effects of variables that differ across individuals, hierarchical linear models (HLM) will be the primary method of analysis. Data gathered at four points in time across ten years will permit sophisticated analytic techniques to be applied to a data set of superior quality, from a diverse racial/ethnic and geographically- distributed sample which exhibits appreciable variation over time in the areas listed above.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Project (R01)
Project #
5R01AG012765-03
Application #
2517004
Study Section
Epidemiology and Disease Control Subcommittee 2 (EDC)
Project Start
1995-09-25
Project End
1999-08-31
Budget Start
1997-09-01
Budget End
1998-08-31
Support Year
3
Fiscal Year
1997
Total Cost
Indirect Cost
Name
Duke University
Department
Surgery
Type
Schools of Medicine
DUNS #
071723621
City
Durham
State
NC
Country
United States
Zip Code
27705
Kuchibhatla, Maragatha N; Fillenbaum, Gerda G; Kraus, William E et al. (2013) Trajectory classes of body mass index in a representative elderly community sample. J Gerontol A Biol Sci Med Sci 68:699-704
Kuchibhatla, M N; Fillenbaum, G G; Hybels, C F et al. (2012) Trajectory classes of depressive symptoms in a community sample of older adults. Acta Psychiatr Scand 125:492-501
Ganguli, Mary; Blacker, Deborah; Blazer, Dan G et al. (2011) Classification of neurocognitive disorders in DSM-5: a work in progress. Am J Geriatr Psychiatry 19:205-10
Fillenbaum, Gerda G; Kuchibhatla, Maragatha N; Whitson, Heather E et al. (2010) Accuracy of self-reported height and weight in a community-based sample of older African Americans and whites. J Gerontol A Biol Sci Med Sci 65:1123-9
Hybels, C F; Pieper, C F; Blazer, D G (2009) The complex relationship between depressive symptoms and functional limitations in community-dwelling older adults: the impact of subthreshold depression. Psychol Med 39:1677-88
Clark, Cheryl R; Kawachi, Ichiro; Ryan, Louise et al. (2009) Perceived neighborhood safety and incident mobility disability among elders: the hazards of poverty. BMC Public Health 9:162
Fillenbaum, Gerda G; Burchett, Bruce M; Blazer, Dan G (2009) Identifying a national death index match. Am J Epidemiol 170:515-8
Hastings, S Nicole; George, Linda K; Fillenbaum, Gerda G et al. (2008) Does lack of social support lead to more ED visits for older adults? Am J Emerg Med 26:454-61
Ewbank, Douglas C (2007) Differences in the association between apolipoprotein E genotype and mortality across populations. J Gerontol A Biol Sci Med Sci 62:899-907
Fillenbaum, Gerda G; Burchett, Bruce M; Kuchibhatla, Maragatha N et al. (2007) Effect of cancer screening and desirable health behaviors on functional status, self-rated health, health service use and mortality. J Am Geriatr Soc 55:66-74

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