The research described in this proposal seeks to continue and expand upon the Americans' Changing Lives (ACL) Study. The ACL, which was started in 1986, is a nationally-representative longitudinal study of a broad range of behavioral and psychosocial determinants of population health, and the role of these factors in understanding and reducing social inequalities in health. This proposal extends the ACL study beyond its recently-completed 4th wave of data collection into exciting new avenues of analysis, including new analytic opportunities using merged individual data and contextual data regarding the social environment. The six specific aims of this proposal are: 1) to extend mortality follow-up and tracking of the ACL study sample to 20 years using the National Death Index; 2) to extend longitudinal analyses of ACL data across its 4 waves, including analyses of the ability of socioeconomic and psychosocial risk factors to explain mortality, health change and health disparities over time, and investigation of the extent to which people of differing social position are approaching a """"""""compression of morbidity""""""""; 3) to perform cross-sectional analyses of the association of new measures added to the recent 4th wave with socioeconomic differentials in health, and prospective analyses of the relationship between these new measures and subsequent mortality; 4) to conduct focused analyses of cancer and cardiovascular disease as major causes of death; 5) to achieve a better understanding of how certain aspects of the social environment, including community socioeconomic status and concentrated disadvantage, contribute to population health and health disparities; and 6) to perform focused analyses of racial differences in health status and in the psychosocial determinants of health. In sum, this proposal seeks to further enhance the ACL study by extending mortality follow-up to over 20 years, by linking ACL data with a social environment data (from U.S. decennial Censuses), and by performing a large number of analyses to investigate the socioeconomic and psychosocial determinants of health and health disparities, and the ways in which health changes with age over the adult life course. Much of the proposed research represents the first long-term prospective investigation of these issues in a national sample.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Project (R01)
Project #
2R01AG018418-04A2
Application #
6927705
Study Section
Social Sciences and Population Studies Study Section (SSPS)
Program Officer
Patmios, Georgeanne E
Project Start
2000-08-01
Project End
2009-06-30
Budget Start
2005-07-15
Budget End
2006-06-30
Support Year
4
Fiscal Year
2005
Total Cost
$403,227
Indirect Cost
Name
University of Michigan Ann Arbor
Department
Biostatistics & Other Math Sci
Type
Organized Research Units
DUNS #
073133571
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109
Moghani Lankarani, Maryam; Assari, Shervin (2017) Diabetes, hypertension, obesity, and long-term risk of renal disease mortality: Racial and socioeconomic differences. J Diabetes Investig 8:590-599
Burgard, Sarah A; Seelye, Sarah (2017) Histories of Perceived Job Insecurity and Psychological Distress Among Older U.S. Adults. Soc Ment Health 7:21-35
Assari, Shervin (2017) Neuroticism Predicts Subsequent Risk of Major Depression for Whites but Not Blacks. Behav Sci (Basel) 7:
Leggett, Amanda; Assari, Shervin; Burgard, Sarah et al. (2017) The Effect of Sleep Disturbance on the Association between Chronic Medical Conditions and Depressive Symptoms Over Time. Longit Life Course Stud 8:138-151
Leggett, Amanda; Clarke, Philippa; Zivin, Kara et al. (2017) Recent Improvements in Cognitive Functioning Among Older U.S. Adults: How Much Does Increasing Educational Attainment Explain? J Gerontol B Psychol Sci Soc Sci :
Latham-Mintus, Kenzie; Clarke, Philippa J (2017) Linking Mastery Across the Life Course to Mobility Device Use in Later Life. J Gerontol B Psychol Sci Soc Sci :
Ailshire, Jennifer; Karraker, Amelia; Clarke, Philippa (2017) Neighborhood social stressors, fine particulate matter air pollution, and cognitive function among older U.S. adults. Soc Sci Med 172:56-63
Assari, Shervin; Sonnega, Amanda; Pepin, Renee et al. (2017) Residual Effects of Restless Sleep over Depressive Symptoms on Chronic Medical Conditions: Race by Gender Differences. J Racial Ethn Health Disparities 4:59-69
Moazen-Zadeh, Ehsan; Assari, Shervin (2016) Depressive Symptoms Predict Major Depressive Disorder after 15 Years among Whites but Not Blacks. Front Public Health 4:13
Assari, Shervin; Lankarani, Maryam Moghani (2016) Race and Urbanity Alter the Protective Effect of Education but not Income on Mortality. Front Public Health 4:100

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