The proposed project will collect and analyze information on health conditions, living arrangements, transfers, and access to and use of health care among older adults (aged 60+) in Puerto Rico. We propose an island-wide, cross-sectional sample survey of target individuals and their surviving spouses or partners. The baseline survey will be complemented by (a) a single follow-up to take place two years after the baseline survey; (b) record linkages with Medicare and other insurance providers;(c) record linkage with certificates of decedents who die between in the inter-wave period; and, (d) a sample of targets' siblings for the analysis of paired survival times. The data the investigators propose to collect can be used to addresses the following goals: (i) to describe health conditions of adults 60+ in general, and of those 80+ in particular, with regard to self-reported health conditions, physical and mental impairment, and functional disability; (ii) to assess the effects of socioeconomic conditions and migration histories on health status, physical and mental impairment, functional disability, rates of institutionalization and mortality risks; (iii) to assess relations between self-reported chronic conditions, functional disability, mortality and institutionalization, and background conditions, including migration experience. (iv) to assess relations between individuals' history of illness, behavioral risks, and shared environments, on the one hand, and chronic diseases, disability, mortality and institutionalization, on the other; (v) to identify risk profiles based on functional limitations, self-reported conditions, and risky behavior and use them as inputs for short-term forecasting of age-patterns of morbidity, disability, and mortality, (vi) to evaluate elderly's access to and use of health care services, including those supplied outside the formal medical establishment; (vii) to investigate the sources, magnitude and direction of intergenerational support, as well as the activity of kin networks, as a function of elderly' health status; (ix) to establish comparisons with information about Puerto Ricans in the US and other Hispanics and, with proper modeling techniques based on spouse and siblings data, to obtain robust estimates of effects of socioeconomic effects and migration experience. This will help to shed light on the seemingly favorable health conditions of Hispanics living in the US (NRC1997).
| Palloni, Alberto; Beltrán-Sánchez, Hiram (2017) Discrete Barker Frailty and Warped Mortality Dynamics at Older Ages. Demography 54:655-671 |
| Beltrán-Sánchez, Hiram; Palloni, Alberto; Riosmena, Fernando et al. (2016) SES Gradients Among Mexicans in the United States and in Mexico: A New Twist to the Hispanic Paradox? Demography 53:1555-1581 |
| Palloni, Alberto; Novak, Beatriz; Pinto-Aguirre, Guido (2015) The enduring effects of smoking in Latin America. Am J Public Health 105:1246-53 |
| González-González, César; Palloni, Alberto; Wong, Rebeca (2015) Mortality and its association with chronic and infectious diseases in Mexico: A panel data analysis of the elderly. Salud Publica Mex 57 Suppl 1:S39-45 |
| Palloni, Alberto; Beltrán-Sánchez, Hiram; Novak, Beatriz et al. (2015) Adult obesity, disease and longevity in Mexico. Salud Publica Mex 57 Suppl 1:S22-30 |
| Beltrán-Sánchez, Hiram; Drumond-Andrade, Flávia Cristina; Riosmena, Fernando (2015) Contribution of socioeconomic factors and health care access to the awareness and treatment of diabetes and hypertension among older Mexican adults. Salud Publica Mex 57 Suppl 1:S6-14 |
| Rivas-Tumanyan, Sona; Campos, Maribel; Zevallos, Juan C et al. (2013) Periodontal disease, hypertension, and blood pressure among older adults in Puerto Rico. J Periodontol 84:203-11 |
| Aguilar, Maria L; Psoter, Walter J; Montero, Mauricio et al. (2013) The quality of removable prostheses in dentate, community-dwelling elderly residing in Puerto Rico. J Prosthodont 22:556-60 |
| Palloni, Alberto; Thomas, Jason R (2013) Estimation of covariate effects with current status data and differential mortality. Demography 50:521-44 |
| Palloni, Alberto; Souza, Laetícia (2013) THE FRAGILITY OF THE FUTURE AND THE TUG OF THE PAST: LONGEVITY IN LATIN AMERICA AND THE CARIBBEAN. Demogr Res 29:543-578 |
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