principal investigators: james s. house, ph.d. paula m. lantz, ph.d
TRANSCRIPT
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Principal Investigators:James S. House, Ph.D.Paula M. Lantz, Ph.D.
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Original Team at U-M :◦ James House◦ James Lepkowski, Ron Kessler, Regula Herzog et
al.
Funded by NIA (NIH) and Robert Wood Johnson Foundation
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To increase understanding of how individual, household and contextual socioeconomic and psychosocial factors combine to create health and health disparities across the adult life course.
Driven by societal goals:◦ Reducing social inequalities in health◦ Postponing morbidity and functional limitations
into closing years of the life span (compression of morbidity)
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Longitudinal cohort study Stratified multistage area probability
sample:◦ Age 25 and older (non-institutionalized)◦ Contiguous U.S.◦ Over-sampled 2:1 people 60+ and Blacks
Representative of July, 1986 U.S. population by sex, age and region
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1986 Face-to-face interviews (~86 minutes)N=3,617Response rate: 70% households
68% individuals
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1989 Face-to-face interviews N=2,867Response rate: 83% of survivors
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1994Telephone InterviewsN=2,562Response rate: 83% of survivors
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2001-2002Telephone InterviewsN=1,787Response rate: 77% of survivors
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MortalitySelf-rated health (5 category)Functional impairment (physical)Chronic ConditionsCognitive impairmentDepressive symptoms
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Annual searches using National Death IndexProbable matches are certified with death
certificates from statesCause of death coded from death certificates
(ICD-9 and ICD-10)
Death by Wave 4: 1,184 respondents32.7% of weighted sample21.4% of unweighted sample
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Wave 1:Excellent/Very good 64.2%Good 20.6%Fair/Poor 15.2%
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No limitation 84.7% (weighted)
Difficult/unable to do heavywork around house (Low) 6.8%
Difficult/unable to climb stairsor walk a few blocks (Moderate) 5.3%
Confined to bed or chair (Severe) 3.2%
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Life Threatening and Debilitating
0 46.6% (weighted)
1 26.0%2 14.5%3 7.7%4+ 5.4%
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Income R and spouse Education Wave 1 only Wealth Work status Occupation
Sociodemographics
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Variable Weighted %
MaleFemale
47.1%52.9%
WhiteOther
83.5%16.5%
Education: 0-11 years 12-15 years 16+ years
25.6%54.7%14.7%
Income: <$10,000 $10,000 – 29,999 $30,000+
19.2%40.5%40.3%
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Cigarette smoking Alcohol use Body Mass Index Physical Activity
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Variable Weighted %
Smoking: Current Former Never
30.4%27.5%42.1%
Alcohol: None Moderate High
41.2%54.5% 4.3%
BMI: Underweight Normal Overweight Obese
2.3%49.0%34.3%14.4%
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Social integration (informal and formal) Life Satisfaction Social Relationships and Supports Marital Relationships and Events Personality Traits Productive Activities Paid/Unpaid Work
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Stress: job, financial, marital, parental Negative Life Events Religion and World Views Perceptions of Discrimination Physical/Social Environment Residential History
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Non-public at this point Addresses at all 4 waves geocoded and
linked to ◦ 60+ census tract variables for Census before
and after wave◦ Environmental Protection Agency Toxic Release
Inventory (TRI) geocoded data of polluting and hazardous waste business es and sites
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Burgard SA. Brand JE. House JS. Toward a better estimation of the effect of job loss on health. Journal of Health & Social Behavior. 48(4):369-84, 2007
Herd P. Goesling B. House JS. Socioeconomic position and health: the differential effects of education versus income on the onset versus progression of health problems. Journal of Health & Social Behavior. 48(3):223-38, 2007
Robert SA. Ruel E. Racial segregation and health disparities between Black and White older adults. Journals of Gerontology Series B-Psychological Sciences & Social Sciences. 61(4):S203-11, 2006
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Lantz PM. House JS. Mero RP. Williams DR. Stress, life events, and socioeconomic disparities in health. Journal of Health & Social Behavior. 46(3):274-88, 2005
House JS. Lantz PM. Herd P. Continuity and change in the social stratification of aging and health over the life course. Journals of Gerontology Series B-Psychological Sciences & Social Sciences. 60 Spec No 2:15-26, 2005
Everson-Rose SA. House JS. Mero RP. Depressive symptoms and mortality risk in a national sample: confounding effects of health status. Psychosomatic Medicine. 66(6):823-30, 2004
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Shultz KS. Wang M. The influence of specific physical health conditions on retirement decisions. International Journal of Aging & Human Development. 65(2):149-61, 2007
Schnittker J. Look (closely) at all the lonely people: age and the social psychology of social support. Journal of Aging & Health. 19(4):659-82, 2007
Hinterlong JE. Race disparities in health among older adults: examining the role of productive engagement. Health & Social Work. 31(4):275-88, 2006 Nov.
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Burr JA. Choi NG. Mutchler JE. Caro FG. Caregiving and volunteering: are private and public helping behaviors linked? Journals of Gerontology Series B-Psychological Sciences & Social Sciences. 60(5):S247-56, 2005
Collins AL. Smyer MA. The resilience of self-esteem in late adulthood. Journal of Aging & Health. 17(4):471-89, 2005
McKee SA. Maciejewski PK. Falba T. Mazure CM. Sex differences in the effects of stressful life events on changes in smoking status. Addiction. 98(6):847-55, 2003
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25 35 45 55 65 75 85 95
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Low EducMed EducHigh Educ