Disparities in the Prevalence and Correlates of Disability in Older Immigrants in the USA: a Systematic Review of the Literature.
Disparities in the Prevalence and Correlates of Disability in Older Immigrants in the USA: a Systematic Review of the Literature.
复制标题
美国老年移民残疾患病率的差异及其相关性：文献的系统回顾。
DOI：
10.1007/s40615-018-00554-9
复制
发表时间：
2019
影响因子：
3.9
通讯作者：
Szanton,SarahL
中科院分区：
文献类型：
--
作者：
Nkimbeng,Manka;Cudjoe,Joycelyn;Turkson-Ocran,Ruth-Alma;Commodore-Mensah,Yvonne;ThorpeJr,RolandJ;Szanton,SarahL
背景老年人的残疾导致生活质量差，对卫生系统来说是昂贵的，并且是死亡的风险。鲜为人知的是，残疾的老年移民到USA. ObjectiveSynthesis的患病率和残疾的老年人immigration.MethodsWe相关因素的证据进行了搜索PubMed，Embase，累积索引护理和盟军健康文献（CINAHL），和Scopus。残疾被定义为难以进行基本或工具性日常生活活动。老年人定义为65岁及以上。移民身份被定义为出生在美国以外的人。Results 18篇文章符合纳入标准。七个研究西班牙裔/拉丁裔移民，六个研究亚洲移民，四个研究不同的老年移民样本，一个研究欧洲移民。亚洲人的残疾患病率为2%至49%，西班牙裔/拉丁裔为3%至58.1%。在一个多样化的移民样本中，残疾患病率为19.3%。残疾的相关因素包括女性、低收入、受教育程度有限、单身、成年后期移民、肥胖、关节炎和糖尿病。老年移民残疾的保护因素是文化适应，在年轻时迁移，运动，酒精摄入量，和教会attendance.ConclusionDisability患病率普遍较低的亚洲移民相比，西班牙裔/拉丁裔移民。确定老年移民中与残疾相关的确切比率和因素，可以为这一人群的健康干预提供信息。
BackgroundDisability in older adults leads to poor quality of life, is costly for the health system, and is a risk for mortality. Little is known about disability in older immigrants to the USA.ObjectiveTo synthesize the evidence on the prevalence and factors associated with disability in older adult immigrants.MethodsWe conducted searches in PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Scopus. Disability was defined as difficulty in performing basic or instrumental activities of daily living. Older adult was defined as 65 years and older. Immigrant status was defined as someone born outside of the USA.ResultsEighteen articles met the inclusion criteria. Seven studied Hispanic/Latino immigrants, six studied Asian immigrants, four studied diverse older immigrant samples, and one studied European immigrants. Prevalence of disability ranged from 2 to 49% in Asians and 3 to 58.1% in Hispanic/Latinos. In a diverse sample of immigrants, the prevalence of disability was 19.3%. Correlates of disability included female gender, low income, limited education, single status, migration in late adulthood, obesity, arthritis, and diabetes. Factors protective against disability in older adult immigrants were acculturation, migrating at a younger age, exercise, alcohol intake, and church attendance.ConclusionDisability prevalence was generally lower in Asian immigrants compared to Hispanic/Latino immigrants. Identification of the precise rates and factors associated with disability in older immigrants can inform health interventions for this population.