Using longitudinal data, the proposed study will investigate the direct and indirect effects of continuing and evolving family, social, and economic conditions on physical and psychological well-being in a cohort of African American women originally recruited in 1966 when their children were first graders. The data come from a community epidemiological study of children and their families initiated in the 1960s in Woodlawn, a poor African American community on the south side of Chicago. The children and their mothers were followed over time, and the proposed study focuses on the mothers (n=1136). The women were interviewed at three time points over 25 years: 1967, when their children were in first grade (median age of 30); 1975, when their children were adolescents; and 1997, when their children were adults. In 1997, 1008 (89%) of the original cohort of women were located, and their ages ranged from 49 to 79 with a median age of 60. Most of the women were past the traditional childrearing stage of life and were approaching or had made the transition to retirement. They reported a wide array of physical and psychological health conditions as well as a number of functional limitations and other disabilities. Our conceptual framework is based on a life course developmental perspective that focuses on roles within major social fields across the life course. The focus of the proposed study is to delineate the patterns of roles across the major social fields of family, work, and community, and to identify the pathways from these roles in early (median age 31, 1967) and mid adulthood (median age 39, 1975), to physical and psychological well being in later life (median age 61, 1997). The proposed research will require several different analytic approaches. We will begin with exploratory analyses to describe univariate distributions then we will conduct bivariate analyses to assess relationships among the variables. Our multivariate techniques will include regression analysis, survival analysis, transition analysis (latent class and latent transitional modeling), structural equation modeling, latent variable mixture modeling, and generalized estimating equations (GEE). We will study how family, work, and community in early and mid adulthood influence health of older women. Little is known about family and social influences on later health. This study will provide knowledge about African American women, an understudied group. ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Project (R01)
Project #
1R01AG027051-01
Application #
7008646
Study Section
Special Emphasis Panel (ZRG1-HOP-R (50))
Program Officer
Stahl, Sidney M
Project Start
2006-02-15
Project End
2010-01-31
Budget Start
2006-02-15
Budget End
2007-01-31
Support Year
1
Fiscal Year
2006
Total Cost
$334,747
Indirect Cost
Name
Johns Hopkins University
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21218
Fothergill, Kate E; Ensminger, Margaret E; Robertson, Judy et al. (2011) Effects of social integration on health: A prospective study of community engagement among African American women. Soc Sci Med 72:291-8
Juon, Hee-Soon; Green, Kerry M; Fothergill, Kate E et al. (2010) Welfare receipt trajectories of African-American women followed for 30 years. J Urban Health 87:76-94
Fothergill, Kate E; Ensminger, Margaret E; Green, Kerry M et al. (2009) Living Arrangements during Childrearing Years and Later Health of African American Mothers. J Marriage Fam 71:848-861
Ensminger, Margaret E; Juon, Hee-Soon; Lee, Rosalyn et al. (2009) Social Connections in the Inner City: Examination across the Life Course. Longit Life Course Stud 1:11-26
Kasper, Judith D; Ensminger, Margaret E; Green, Kerry M et al. (2008) Effects of poverty and family stress over three decades on the functional status of older African American women. J Gerontol B Psychol Sci Soc Sci 63:S201-S210