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The contribution of social location and milieu to disparate patterns of health among disabled elderly.

紀錄類型:	書目-電子資源 : 單行本
正題名/作者:	The contribution of social location and milieu to disparate patterns of health among disabled elderly./
作者:	Fonda, Stephanie Jo.
面頁冊數:	164 p.
附註:	Source: Dissertation Abstracts International, Volume: 59-08, Section: A, page: 3220.
Contained By:	Dissertation Abstracts International59-08A.
標題:	Gerontology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9903810
ISBN:	9780599010802

The contribution of social location and milieu to disparate patterns of health among disabled elderly.
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100 1 $a Fonda, Stephanie Jo. $3 1000006447
245 1 4 $a The contribution of social location and milieu to disparate patterns of health among disabled elderly.
300 $a 164 p.
500 $a Source: Dissertation Abstracts International, Volume: 59-08, Section: A, page: 3220.
500 $a Supervisor: Joel Smith.
502 $a Thesis (Ph.D.)--Duke University, 1998.
520 $a Although a growing body literature suggests that aging is a dynamic, heterogeneous process, most of it has focused on older adults who are aging well and the onset of impairments, overlooking what happens to people after they have experienced illnesses, impairments, or both; i.e., people who seem to be aging comparatively "unsuccessfully." Once older adults develop these difficulties, can good health be regained? This dissertation attempts to improve understanding of the long-term health dynamics of initially impaired older adults. Several interrogative frameworks inform this study--the life course perspective, social causation perspectives, and environmental models of health and aging. This study identifies the varied patterns of health of impaired older adults and then examines how their social locations, particularly their socioeconomic status (SES), contribute to those patterns. It then examines how older adults' social and housing environments affect their disparate patterns of health and mediate the effects of social location. The orienting hypothesis is that people who are of advanced age, nonwhite, with lower SES, and unsupportive social and housing environments will have higher probabilities of institutional placement, death, dependency, and/or deterioration in functional status. Moreover, the effects of social and housing environment will moderate the effects of social location.
520 $a The hypotheses are addressed by an analysis of panel data extracted from the first three waves of the National Long Term Care Survey, which is a longitudinal sample of the national population of community-dwelling Americans, 65 years of age and older, who had at least a minimum degree of disability in personal and home-care tasks at baseline. The explanatory variables that I examine include age, gender, race, income, education, and such aspects of social and housing environments as marital status, type of housing, and assistive devices. Mantel-Haenszel tests of association and logistic regression were the analytic strategies used. Additionally, due to pronounced loss of the panel members, a method originally developed by Heckman (1976) was used to adjust for selective sample attrition.
520 $a The results of this examination indicated that the probabilities of institutional placement, death, dependency, and conditional changes in functional status were often related to the panel members' age, gender, and race, but much less so to their SES. In most instances, aspects of the panel members' social environments--but not their housing environments--affected their health in expected ways. The support for the hypothesis that environment mediated the effects of social location on health was limited, however. The concluding remarks focus on the implications of these findings for conceptualizations of "health" and its determinants among impaired older adults.
590 $a School code: 0066.
650 4 $a Gerontology. $3 168436
650 4 $a Sociology, Demography. $3 1000006448
690 $a 0351
690 $a 0938
710 2 $a Duke University. $3 1000005970
773 0 $t Dissertation Abstracts International $g 59-08A.
790 1 0 $a Smith, Joel, $e advisor
790 $a 0066
791 $a Ph.D.
792 $a 1998
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9903810