This application is a request for a Mentored Research Scientist Development Award in Aging (K01). The overall aim of the proposal is to provide the candidate, William T. Gallo, Ph.D., with a supervised training and research experience that will enable him to become an independent investigator focusing on the effect of involuntary job loss among workers nearing retirement on adverse health changes and mortality. Dr. Gallo, an economist whose multidisciplinary research encompasses the fields of economics, social epidemiology, and gerontology, is currently a faculty member in the Division of Health Policy and Administration at the Yale University School of Medicine. The K01 award, and the supportive research environment at Yale, will provide Dr. Gallo with the scientific tools necessary for successful career development. The specific objectives of the career development plan will be achieved by undertaking relevant didactic and substantive training. The didactic training will develop an understanding of the health dynamics of older individuals, explore the role of behavioral and psychosocial factors in health, elucidate the etiology and epidemiology of the health outcomes to be examined, and provide rigorous statistical training in the methods used to analyze longitudinal and survival data. The research will be explored within the framework of a well-established model of geriatric health, developed by Dr. Gallo's sponsor, Dr. Mary Tinetti, which posits declines in the health of older people as a multifactorial process, determined by both predisposition and precipitating, or situational, events, such as involuntary job loss. The proposed research will investigate the role of involuntary job loss as a precipitating event for adverse changes in physical functioning and depressive symptoms, and the onset of myocardial infarction and stroke among predisposed older workers; and will identify the subgroup(s) of older persons who are particularly vulnerable to these outcomes in the setting of job loss. Identifying vulnerable subgroups is a necessary step in designing targeted interventions to prevent declines in health following job loss. The research is based on data from five waves of the Health Retirement Survey (HRS), a NIA-funded, nationally representative sample of older adults in the United States. The estimated analytic sample for this research will include approximately 4,990 individuals, nearly 500 of which experience involuntary job loss.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Scientist Development Award - Research & Training (K01)
Project #
1K01AG021983-01
Application #
6600103
Study Section
National Institute on Aging Initial Review Group (NIA)
Program Officer
Stahl, Sidney M
Project Start
2003-06-01
Project End
2008-04-30
Budget Start
2003-06-01
Budget End
2004-04-30
Support Year
1
Fiscal Year
2003
Total Cost
$123,216
Indirect Cost
Name
Yale University
Department
Public Health & Prev Medicine
Type
Schools of Medicine
DUNS #
043207562
City
New Haven
State
CT
Country
United States
Zip Code
06520
Gueorguieva, Ralitza; Sindelar, Jody L; Falba, Tracy A et al. (2009) The impact of occupation on self-rated health: cross-sectional and longitudinal evidence from the health and retirement survey. J Gerontol B Psychol Sci Soc Sci 64:118-24
Gallo, William T; Brand, Jennie E; Teng, Hsun-Mei et al. (2009) Differential Impact of Involuntary Job Loss on Physical Disability Among Older Workers Does Predisposition Matter? Res Aging 31:345-360
Henkens, Kene; van Solinge, Hanna; Gallo, William T (2008) Effects of retirement voluntariness on changes in smoking, drinking and physical activity among Dutch older workers. Eur J Public Health 18:644-9
Ross, Joseph S; Bernheim, Susannah M; Bradley, Elizabeth H et al. (2007) Use of preventive care by the working poor in the United States. Prev Med 44:254-9
Walke, Lisa M; Byers, Amy L; Gallo, William T et al. (2007) The association of symptoms with health outcomes in chronically ill adults. J Pain Symptom Manage 33:58-66
Vetter, Stefan; Endrass, Jerome; Schweizer, Ivo et al. (2006) The effects of economic deprivation on psychological well-being among the working population of Switzerland. BMC Public Health 6:223
Gallo, William T; Bradley, Elizabeth H; Teng, Hsun-Mei et al. (2006) The effect of recurrent involuntary job loss on the depressive symptoms of older US workers. Int Arch Occup Environ Health 80:109-16
Gallo, William T; Bradley, Elizabeth H; Dubin, Joel A et al. (2006) The persistence of depressive symptoms in older workers who experience involuntary job loss: results from the health and retirement survey. J Gerontol B Psychol Sci Soc Sci 61:S221-8
Gallo, W T; Teng, H M; Falba, T A et al. (2006) The impact of late career job loss on myocardial infarction and stroke: a 10 year follow up using the health and retirement survey. Occup Environ Med 63:683-7
Lee, Yoon G; Teng, Hsun-Mei; Lim, Sin-How et al. (2005) Older Workers: Who are the working poor in the U.S.? Hallym Int J Aging HIJA 7:95-113

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