Rebeca Wong
Dados Biográficos
| ID | 139203 |
|---|---|
| NOME | Rebeca Wong |
| PRENOMES | Rebeca |
| SOBRENOME | Wong |
| ASSINATURA | WONG R |
| AFILIAÇÕES | The University of Texas Medical Branch at Galveston |
| ORCID | 0000-0001-7287-0660 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 52 |
| TOTAL DE CITAÇÕES | 280 |
| TOTAL COMO AUTOR | 52 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1992 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 9 |
Prevalence of dementia and mild cognitive impairment in the Mexican population
Leveraging the nationally-representative and comprehensive cognitive data in Mex-Cog, an algorithm-derived classification of dementia and MCI provided the prevalence of dementia and MCI in Mexico. Besides the association with cerebrovascular and cardiovascular disease, the effect of education, rural residence, and lack of health insurance suggests an unequal burden of MCI and dementia among the aging Mexican population
Economic Disadvantage During Childhood, Obesity, and Diabetes Across Three Birth Cohorts of Older Mexicans
High body weight across Mexican birth cohorts seemed to offset the potential benefits from improvements in childhood conditions on adult diabetes risk
Economic Resources and Health
Objectives: The paper offers an expanded framework for conducting empirical research on resilient aging. Methods: We review the conceptual frameworks for resilient aging and incorporate the role of economic factors as resources that contribute to resilience, in addition to social and psychological factors emphasized in the existing literature. Moreover, the idea of reinforcing cycles of resilience is incorporated in the framework. Existing empiri…
In the wake of a crisis
This study drew from nationally representative data to elucidate the disparate health and financial impacts of a crisis on Medicare beneficiaries who, despite health insurance coverage, displayed variability in foregone medication patterns. Our findings suggest that the onset of housing insecurity is most closely linked with unexpected acute economic shocks leading households with little time to adapt and forcing trade-offs in their prescription …
The Influence of Education and Occupation Type on Birth Cohort Differences in Cognitive Function of Mexican Older Adults
Cognitive functioning is higher among more recent birth cohorts of older adults in Mexico. These cohort differences are partially mediated by education but not main lifetime occupation. Additional factors may contribute to cohort differences in cognitive function for older adults in Mexico
Does a Reduction in Receiving Assistance With Daily Activities Among Older Adults in Mexico Indicate An Increase in Unmet Needs or a Decrease in Needs for Care
The declining percentage of older adults in Mexico with ADL disability receiving assistance may not reflect increasing unmet needs. However, the increased prevalence of ADL disability will increase the number of older adults needing informal care
Rural/urban dwelling across the life-course and late-life cognitive ability in Mexico
Early- and late-life urban dwelling may result in cognitive advantages for older Mexican adults. Clinicians should consider where individuals resided throughout life to better understand a patient's likelihood of experiencing poor cognitive outcomes
Health Shocks and Economic Well-Being of the Aging Population
Family help received by Mexican older adults across socioeconomic strata
Objective. To identify how patterns of family economic support help alleviate the cumulative effects of inequality, with focus on the financial support that children give their elderly parents. Methods. This paper uses data from two cross-sections, 2001 and 2012, of the Mexican Health and Aging Study for the 50 years and older population. Analysis includes descriptive statistics to estimate differences in economic support based on family and indi…
Social Engagement and Cognitive Function of Older Adults in Mexico and the United States
Our results suggest asymmetric patterns of actor-partner interdependence in Mexico, which may be reflective of the more traditional social role of women, and codependence within the couple. On the other hand, our results for the United States, where each spouse had significant actor effects but no partner effects, may suggest more independence within the couple
The Effect of Diabetes on the Cognitive Trajectory of Older Adults in Mexico and the United States
Despite the overall lower cognition in Mexico and different socioeconomic characteristics, the impact of diabetes on cognitive decline and the main risk and protective factors for poor cognition are similar in both countries
Racial/Ethnic and Nativity Differences in Cognitive Life Expectancies Among Older Adults in the United States
BACKGROUND AND OBJECTIVES: To document racial/ethnic and nativity differences by gender in cognitive life expectancies among older adults in the United States. RESEARCH DESIGN AND METHODS: Sullivan-based life tables were used to estimate cognitively normal, cognitively impaired/no dementia (CIND), and dementia life expectancies by gender for White, Black, U.S.-born Hispanic, and foreign-born Hispanic adults 50 years and older in the Health and Re…
Comparisons of the Association of Family and Social Factors With Functional Limitations Across the United States, Mexico, and South Korea
Objective: The association of family and social factors with the level of functional limitations was examined across the United States, Mexico, and Korea. Method: Participants included adults from the 2012 Health and Retirement Study ( n = 10,017), Mexican Health and Aging Study ( n = 6,367), and Korean Longitudinal Study of Aging ( n = 4,134). A common functional limitation scale was created based on Rasch analysis with a higher score indicating…
Expansion of disability across successive Mexican birth cohorts
BACKGROUND: Life expectancy (LE) in Mexico has risen rapidly since the 1950s. In high-income contexts, these increases have coincided with a compression of disability to later ages. However, little evidence on trends in disability-free LE (DFLE) exist from Mexico or elsewhere in Latin America. METHODS: Using data from the Mexican Health and Aging Study, we compare changes in LE and DFLE in ages 50-59, 60-69 and 70-79 using birth-cohort-specific m…
Cross-national health comparisons using the Rasch model
Health Care Expenditures and Utilization Among Older Mexican Adults
Objectives: Examine differences in health care utilization and out-of-pocket (OOP) expenditures among older Mexican adults in 2001 and 2012, and identify individual characteristics associated with utilization and expenditures in both years. Method: Data from the 2001 and 2012 cross-sections of the Mexican Health and Aging Study were utilized. Outcomes included nights spent in the hospital, medical/outpatient procedures, and OOP expenditures with …
Dynamics of Economic Security Among the Aging in Mexico
Indoor air pollution and cognitive function among older Mexican adults
BACKGROUND: A growing body of research suggests exposure to high levels of outdoor air pollution may negatively affect cognitive functioning in older adults, but less is known about the link between indoor sources of air pollution and cognitive functioning. We examine the association between exposure to indoor air pollution and cognitive function among older adults in Mexico, a developing country where combustion of biomass for domestic energy re…
Health Insurance and the Aging
Aimed at covering the large fraction of workers in the informal sector without access to a social security program, the Mexican public health insurance program Seguro Popular began in 2002 and now reaches more than 50 million individuals. We estimate impacts of Seguro Popular for the population aged 50 and older on a set of indicators related to health care including utilization, diagnostic/preventive tests, and treatment conditional on being ill…
The role of education in the association between race/ethnicity/nativity, cognitive impairment, and dementia among older adults in the United States
BACKGROUND: Older Black and Hispanic adults are more likely to be cognitively impaired than older White adults. Disadvantages in educational achievement for minority and immigrant populations may contribute to disparities in cognitive impairment. OBJECTIVE: Examine the role of education in racial/ethnic and nativity differences in cognitive impairment/no dementia (CIND) and dementia among older US adults. METHODS: Data comes from the 2012 Health …
Cohort Profile
The Mexican Health and Aging Study (MHAS) was designed to prospectively evaluate the impact of disease on the health, function and mortality of adults over the age of 50 in both urban and rural areas of Mexico. The overall goal of the study is to examine the ageing process and its disease and disability burden in a large representative panel of older Mexicans, using a wide socioeconomic perspective. The study protocols and survey instruments are …
Cognition and Context
Respondents residing in more rural areas were disadvantaged in terms of cognitive functioning compared with those residing in more urban areas. Poorer cognitive functioning in late life may be the result of historical educational disadvantage in rural areas or selection through migration from rural to urban regions for employment
Family size and old-age wellbeing
The present study aims to determine how family size affects psycho-social, economic and health wellbeing in old age differently across two cohorts with declining fertility. The data are from the 2012 Mexican Health and Ageing Study (MHAS) including respondents aged 50+ (N = 13,102). Poisson (standard and zero-inflated) and logistic regressions are used to model determinants of wellbeing in old age: psycho-social (depressive symptoms), economic (c…
Arthritis and Risk of Cognitive and Functional Impairment in Older Mexican Adults
Arthritis is associated with increased risk of functional impairment, but not with dementia after 11 years in older Mexicans
Self-Reported Health and Functional Characteristics of Mexican and Mexican American Adults Aged 80 and Over
The observed differences may reflect worse health for Mexican Americans, health care access, reporting bias, and more selective survival to very old age in Mexico
Migration Selection, Protection, and Acculturation in Health
In this article, we test for four potential explanations of the Hispanic Health Paradox (HHP): the “salmon bias,” emigration selection, and sociocultural protection originating in either destination or sending country. To reduce biases related to attrition by return migration typical of most U.S.-based surveys, we combine data from the Mexican Health and Aging Study in Mexico and the U.S. National Health Interview Survey to compare self-reported …
Do Mexican immigrants "import" social gradients in health to the US
Does the Hispanic Paradox in U.S. Adult Mortality Extend to Disability
Mexico-US Migration
Migration to the United States increased sharply in the 1980s and 1990s, raising political concerns. The immigrant flow from Mexico, both authorized and unauthorized, was particularly large. Good data would con-tribute to rational discussion of this politically charged issue, but data on immigration, particularly of the unauthorized, are notoriously poor. This article applies residual estimation techniques to data from the 1990 and 2000 populatio…
Wealth in Middle and Old Age in Mexico
This article examines the impact that past migration to the U.S. has on the current economic well-being of individuals in middle or old age who have returned to Mexico. A priori, the net effect of U.S. migration on wealth among return migrants is difficult to predict; there are counteracting factors that can affect wealth positively or negatively. Using data from the Mexican Health and Aging Study 2001 and correcting for selection factors, the lo…
The Tide to Come
This article introduces a conjecture and reviews partial evidence about peculiarities in the aging of populations in Latin America and the Caribbean (LAC) that may impact future elderly health status. Using Survey on Health and Well-Being of Elders data (SABE; n = 10,902), the authors estimated effects of early childhood conditions on adult diabetes and heart disease. Using Waaler-type surfaces, the authors obtained expected mortality risks for S…
The Effect of Household Structure on Women's Economic Activity and Fertility
Old-Age Disability and Wealth Among Return Mexican Migrants From the United States
Compared to current older adults, younger cohorts of Mexico-U.S. migrants increasingly include women, and more migrants seem likely to remain in the United States rather than return, thus more research will be needed on the old-age conditions of migrants of both countries
Survey Data for the Study of Aging in Latin America and the Caribbean
The article summarizes three of the data collection studies that can assist researchers in examining population aging processes in the Latin America and Caribbean region with an emphasis on cross-national comparisons, including the population of Mexican immigrants in the United States. These are the Survey on Health and Wellbeing of Elders conducted in seven urban centers of the region, the national Mexican Health and Aging Study, and the Hispani…
Cognition and Context
Respondents residing in more rural areas were disadvantaged in terms of cognitive functioning compared with those residing in more urban areas. Poorer cognitive functioning in late life may be the result of historical educational disadvantage in rural areas or selection through migration from rural to urban regions for employment
SES Gradients Among Mexicans in the United States and in Mexico
Recent empirical findings have suggested the existence of a twist in the Hispanic paradox, in which Mexican and other Hispanic foreign-born migrants living in the United States experience shallower socioeconomic status (SES) health disparities than those in the U.S. population. In this article, we seek to replicate this finding and test conjectures that could explain this new observed phenomenon using objective indicators of adult health by educa…
Financial Assistance From Middle-Aged Couples to Parents and Children
Future research on transfers should attempt to capture unmeasured noneconomic sources of variation proxied by the race-ethnicity indicator
Comorbidity and Disability in Elderly Mexican and Mexican American Adults
This article aims to compare the effects of morbid and comorbid medical conditions on disability in elderly Mexican and Mexican American adults. Data from the 2001 Mexican Health and Aging Study (N = 4,872) and 1993 to 1994 Hispanic Established Population for Epidemiologic Studies of the Elderly (N = 3,050) were analyzed. Prevalence of medical conditions and disability in activities of daily living were calculated and logistic models were used to…
Covariates of Household Extension in Rural India
The prevalence of extended households is still high in agrarian societies such as India relative to developed countries. The economic advantages to living in an extended household are many. First, an extended family may be better able than a nuclear family to support the aged, the ill, the widowed, and the disabled, since the cost is shared by a larger number of economically active members. Second, there are economies of scale associated with ext…
Childhood Poverty and Depressive Symptoms for Older Adults in Mexico
Social Engagement and Cognitive Function of Older Adults in Mexico and the United States
Our results suggest asymmetric patterns of actor-partner interdependence in Mexico, which may be reflective of the more traditional social role of women, and codependence within the couple. On the other hand, our results for the United States, where each spouse had significant actor effects but no partner effects, may suggest more independence within the couple
Health Insurance and the Aging
Aimed at covering the large fraction of workers in the informal sector without access to a social security program, the Mexican public health insurance program Seguro Popular began in 2002 and now reaches more than 50 million individuals. We estimate impacts of Seguro Popular for the population aged 50 and older on a set of indicators related to health care including utilization, diagnostic/preventive tests, and treatment conditional on being ill…
The role of education in the association between race/ethnicity/nativity, cognitive impairment, and dementia among older adults in the United States
BACKGROUND: Older Black and Hispanic adults are more likely to be cognitively impaired than older White adults. Disadvantages in educational achievement for minority and immigrant populations may contribute to disparities in cognitive impairment. OBJECTIVE: Examine the role of education in racial/ethnic and nativity differences in cognitive impairment/no dementia (CIND) and dementia among older US adults. METHODS: Data comes from the 2012 Health …
The Effect of Diabetes on the Cognitive Trajectory of Older Adults in Mexico and the United States
Despite the overall lower cognition in Mexico and different socioeconomic characteristics, the impact of diabetes on cognitive decline and the main risk and protective factors for poor cognition are similar in both countries
Dynamics of Economic Security Among the Aging in Mexico
Indoor air pollution and cognitive function among older Mexican adults
BACKGROUND: A growing body of research suggests exposure to high levels of outdoor air pollution may negatively affect cognitive functioning in older adults, but less is known about the link between indoor sources of air pollution and cognitive functioning. We examine the association between exposure to indoor air pollution and cognitive function among older adults in Mexico, a developing country where combustion of biomass for domestic energy re…
Differences in the Progression of Disability
Our model reflects the importance of ADLs in the disablement process in Mexico. We speculate that the difference in lifetime risk profiles and cultural context might be responsible for the divergence in the progression of disability by gender
Cross-National Differences in Disability Among Elders
The findings suggest that the current rate of disability in old age is lower for a less developed country compared with a developed society. We discuss implications, possible explanations, and likely future scenarios
Estructura del hogar como respuesta a los ajustes económicos
Este artículo presenta los resultados de un esfuerzo exploratorio para examinar los determinantes de la estructura de los hogares en algunas áreas urbanas dela República Mexicana.El análisis se centra en aquellos hogares en los que viven mujeres con hijos pequeños.En el trabajo se esboza un marco conceptual básico a la luz del cual se pueden analizar los determinantes de la estructura de los hogares en los países en vías de desarrollo; se describ…
Expansion of disability across successive Mexican birth cohorts
BACKGROUND: Life expectancy (LE) in Mexico has risen rapidly since the 1950s. In high-income contexts, these increases have coincided with a compression of disability to later ages. However, little evidence on trends in disability-free LE (DFLE) exist from Mexico or elsewhere in Latin America. METHODS: Using data from the Mexican Health and Aging Study, we compare changes in LE and DFLE in ages 50-59, 60-69 and 70-79 using birth-cohort-specific m…
Estructura del hogar como respuesta a los ajustes económicos
Este artículo presenta los resultados de un esfuerzo exploratorio para examinar los determinantes de la estructura de los hogares en algunas áreas urbanas dela República Mexicana.El análisis se centra en aquellos hogares en los que viven mujeres con hijos pequeños.En el trabajo se esboza un marco conceptual básico a la luz del cual se pueden analizar los determinantes de la estructura de los hogares en los países en vías de desarrollo; se describ…
The Effect of Household Structure on Women's Economic Activity and Fertility
Dependency in Urban Black Families Following the Birth of an Adolescent's Child
Correlates of change in short-term economic dependency are explored in households of 307 urban black adolescents, approximately half of whom bring babies into the family. Correlates of increased dependency differ with dependency defined as proportion of household members employed as opposed to dependency. The key explanatory variable with both definitions is the adolescent's employment status. Presence of her baby significantly affects an adolesc…
The Effects of Unit Self-Management on Hospital Nursesʼ Work Process, Work Satisfaction, and Retention
A number of innovative practice models have been introduced in an effort to resolve the hospital nursing shortage and improve the working conditions and retention of registered nurses. This study examines the effects of a unit-level self-management model (including salaried compensation and gainsharing) in a number of clinical areas at The Johns Hopkins Hospital in Baltimore, Maryland. In comparisons of nurses on self-managed and traditional nurs…
Covariates of Household Extension in Rural India
The prevalence of extended households is still high in agrarian societies such as India relative to developed countries. The economic advantages to living in an extended household are many. First, an extended family may be better able than a nuclear family to support the aged, the ill, the widowed, and the disabled, since the cost is shared by a larger number of economically active members. Second, there are economies of scale associated with ext…
Financial Assistance From Middle-Aged Couples to Parents and Children
Future research on transfers should attempt to capture unmeasured noneconomic sources of variation proxied by the race-ethnicity indicator
Sociodemografía del envejecimiento poblacional en México
En este número se presentan trabajos en sociodemografía del envejecimiento realizados por investigadores de múltiples disciplinas de las ciencias sociales (demógrafos formales, demógrafos sociales y económicos, antropólogos, y de políticas públicas), reconociendo que el envejecimiento poblacional se está estudiando desde una perspectiva multidisciplinaria. Además creemos que los estudios sobre el fenómeno del envejecimiento se enriquecen mediante…
Envejecimiento y salud en México
El propósito de este artículo es presentar un marco conceptual para estudiar la salud de la población en edad avanzada, junto con un comentario acerca de la necesidad de realizar estudios integrados con dicho propósito. Se incluye además un resumen de un nuevo proyecto, el Estudio Nacional sobre Salud y Envejecimiento en México y se mencionan otras bases de datos que pudieran coadyuvar al avance de dichos estudios
Autoinforme de salud general en adultos mayores de América Latina y el Caribe
The SRGH captured multiple facets of the health of the older adults, such as suffering from chronic diseases, the degree of satisfaction with the level of nutrition and with life, perception of memory, and any functional problems. More detailed studies should be undertaken to try to determine the role that the emotional health of older adults in Latin America and the Caribbean plays in the demand for health care, and to determine if there is some…
Mexico-US Migration
Migration to the United States increased sharply in the 1980s and 1990s, raising political concerns. The immigrant flow from Mexico, both authorized and unauthorized, was particularly large. Good data would con-tribute to rational discussion of this politically charged issue, but data on immigration, particularly of the unauthorized, are notoriously poor. This article applies residual estimation techniques to data from the 1990 and 2000 populatio…
The Tide to Come
This article introduces a conjecture and reviews partial evidence about peculiarities in the aging of populations in Latin America and the Caribbean (LAC) that may impact future elderly health status. Using Survey on Health and Well-Being of Elders data (SABE; n = 10,902), the authors estimated effects of early childhood conditions on adult diabetes and heart disease. Using Waaler-type surfaces, the authors obtained expected mortality risks for S…
Survey Data for the Study of Aging in Latin America and the Caribbean
The article summarizes three of the data collection studies that can assist researchers in examining population aging processes in the Latin America and Caribbean region with an emphasis on cross-national comparisons, including the population of Mexican immigrants in the United States. These are the Survey on Health and Wellbeing of Elders conducted in seven urban centers of the region, the national Mexican Health and Aging Study, and the Hispani…
Comorbidity and Disability in Elderly Mexican and Mexican American Adults
This article aims to compare the effects of morbid and comorbid medical conditions on disability in elderly Mexican and Mexican American adults. Data from the 2001 Mexican Health and Aging Study (N = 4,872) and 1993 to 1994 Hispanic Established Population for Epidemiologic Studies of the Elderly (N = 3,050) were analyzed. Prevalence of medical conditions and disability in activities of daily living were calculated and logistic models were used to…
Wealth in Middle and Old Age in Mexico
This article examines the impact that past migration to the U.S. has on the current economic well-being of individuals in middle or old age who have returned to Mexico. A priori, the net effect of U.S. migration on wealth among return migrants is difficult to predict; there are counteracting factors that can affect wealth positively or negatively. Using data from the Mexican Health and Aging Study 2001 and correcting for selection factors, the lo…
Does social status predict adult smoking and obesity? Results from the 2000 Mexican National Health Survey
Socioeconomic status is generally associated with better health, but recent evidence suggests that this 'social gradient' in health is far from universal. This study examines whether social gradients in smoking and obesity in Mexico - a country in the midst of rapid socioeconomic change - conform to or diverge from results for richer countries. Using a nationally representative sample of 39,129 Mexican adults, we calculate the odds of smoking and…
Old-Age Disability and Wealth Among Return Mexican Migrants From the United States
Compared to current older adults, younger cohorts of Mexico-U.S. migrants increasingly include women, and more migrants seem likely to remain in the United States rather than return, thus more research will be needed on the old-age conditions of migrants of both countries
Do Mexican immigrants "import" social gradients in health to the US
Biobehavioral Aspects of Health and Aging Among People of Mexican Origin
There is a growing interest in developing a deeper level of understanding of the complex phenomena that make up the aging process. Efforts to pursue questions using a multivariate and ecologically valid approaches that include biological and behavioral factors have led to significant advances in our knowledge. This special issue presents a collection of papers that represent this "biobehavioral" perspective. Little is known concerning the biobeha…
Rural‐Urban Differences in Health Services Utilization in the US‐Mexico Border Region
Purpose: Evaluate the association between driving distance to the US‐Mexico border and rural‐urban differences in the use of health services in Mexico by US border residents from Texas. Methods: Data for this study come from the Cross‐Border Utilization of Health Care Survey, a population‐based telephone survey conducted in the Texas border region in spring 2008. Driving distances to the border were estimated from the nearest border crossing stat…
Childhood Poverty and Depressive Symptoms for Older Adults in Mexico
Migration Selection, Protection, and Acculturation in Health
In this article, we test for four potential explanations of the Hispanic Health Paradox (HHP): the “salmon bias,” emigration selection, and sociocultural protection originating in either destination or sending country. To reduce biases related to attrition by return migration typical of most U.S.-based surveys, we combine data from the Mexican Health and Aging Study in Mexico and the U.S. National Health Interview Survey to compare self-reported …
Does the Hispanic Paradox in U.S. Adult Mortality Extend to Disability
Cross-National Differences in Disability Among Elders
The findings suggest that the current rate of disability in old age is lower for a less developed country compared with a developed society. We discuss implications, possible explanations, and likely future scenarios
Arthritis and Risk of Cognitive and Functional Impairment in Older Mexican Adults
Arthritis is associated with increased risk of functional impairment, but not with dementia after 11 years in older Mexicans
Self-Reported Health and Functional Characteristics of Mexican and Mexican American Adults Aged 80 and Over
The observed differences may reflect worse health for Mexican Americans, health care access, reporting bias, and more selective survival to very old age in Mexico
Medicine (42 obras) · Gerontology (35 obras) · Health disparities and outcomes (30 obras) · Demography (28 obras) · Demography (26 obras) · Population (25 obras) · Sociology (25 obras) · Psychology (24 obras) · Geography (18 obras) · Economics (15 obras)