Examining social determinants in use of assistive technology for race/ethnic groups of older adults.
Examining social determinants in use of assistive technology for race/ethnic groups of older adults.
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DOI：
10.1080/17483107.2020.1814430
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发表时间：
2022-08
期刊：
影响因子：
--
通讯作者：
Marsack-Topolewski C
中科院分区：
文献类型：
--
作者：
Chan KT;Marsack-Topolewski C
辅助技术（AT）可以弥补活动限制和身体功能的丧失。关于少数老年人随着年龄的增长时的使用方式鲜为人知。这项研究检查了美国国家代表性的老年人样本中使用种族和种族差异。
使用2012年行为风险因素监视系统（BRFSS）进行加权逻辑回归分析，该系统每年由疾病控制与预防中心（CDC）收集。该研究样本包括282,825个非西班牙裔白人，非裔美国人，亚洲和非白人西班牙裔老年人。分析中包括活动限制，医疗保健访问，整体健康状况和社会人口统计学特征。进行了相互作用分析，以检查种族/民族对使用时社会决定因素的调节作用。
结果表明，有13.5％的老年人报告使用了AT。非裔美国人老年人的使用百分比最高（21.0％），而亚洲老年人的使用率最低（5.1％）。那些85岁以上的人报告了一个活动限制，未婚，健康状况不佳。拥有健康保险与非西班牙裔白人（OR = 1.66，p <0.001）和非白人西班牙裔（OR = 1.98，p <0.01）的使用量显着相关，但不是非裔美国人和亚洲人。
卫生专业人员可以促进使用时的访问和解决障碍，尤其是在少数族裔老年人中的可及性和可接受性方面。
Assistive technologies (AT) can compensate for activity limitations and loss of physical functioning. Little is known regarding how minority older adults differ in AT use as they age. This study examined race and ethnic differences in AT use among a nationally representative sample of older adults in the United States. Weighted logistic regression analyses were conducted using the 2012 Behavioral Risk Factor Surveillance System (BRFSS), collected annually by the Centers for Disease Control and Prevention (CDC). The study sample included 282,825 non-Hispanic White, African American, Asian, and non-White Hispanic older adults. Activity limitation, health care access, overall health status and sociodemographic characteristics were included as variables in the analysis. Interaction analyses were conducted to examine the moderating effect of race/ethnicity on social determinants with AT use. Results indicated that 13.5% of older adults reported use of an AT. African American older adults had the highest percentage of AT use (21.0%), and Asian older adults had the lowest (5.1%). Those who were 85 years and older, reported an activity limitation, were unmarried and in poor health were most likely to use an AT. Having health insurance was significantly associated with higher AT use for non-Hispanic Whites (OR = 1.66, p < 0.001) and non-White Hispanics (OR = 1.98, p < 0.01), but not African Americans and Asians. Health professionals can promote access and address barriers in AT use, particularly in regard to accessibility and acceptability among minority older adults.
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