Multiple Chronic Conditions and Disability among Vietnamese Older Adults: Results from the Vietnamese Aging and Care Survey (VACS).
Multiple Chronic Conditions and Disability among Vietnamese Older Adults: Results from the Vietnamese Aging and Care Survey (VACS).
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越南老年人的多种慢性病和残疾：越南老龄化和护理调查 (VACS) 的结果。
DOI：
10.1007/s40615-023-01652-z
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发表时间：
2023
影响因子：
3.9
通讯作者：
Markides,KyriakosS
中科院分区：
文献类型：
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作者：
Miyawaki,ChristinaE;Garcia,JoshuaM;Nguyen,KimN;Park,VanTa;Markides,KyriakosS
使用德克萨斯州休斯敦地区越南裔老年移民/难民的数据，我们评估了他们的总体健康、慢性病、残疾、抑郁症状和认知障碍，并通过共病聚类检验了他们的慢性病和残疾之间的关系。样本的平均年龄为76岁。大多数人的婚姻健康状况一般/较差，患有几种慢性病和残疾，并与低收入家庭的家庭生活在一起。高血压和关节炎是最常见的健康状况，但认知障碍对他们的残疾影响最大。他们经历了与其他美国老年人相似的健康状况，但抑郁症状和认知障碍的发生率更高，可能是因为文化因素可能推迟了精神健康治疗。建议为移民到美国寻求更好生活的移民/难民提供由政策制定者、医疗保健专业人员和当地社会服务机构在文化和语言上量身定做的服务。
Using data from Vietnamese-origin older immigrants/refugees in the Houston, Texas area, we assessed their overall health, chronic conditions, disability, depressive symptoms, and cognitive impairment, and examined the association between their chronic conditions and disability by comorbidity clusters. The mean age of the sample was 76 years old. The majority were married in fair/poor health with several chronic conditions and disabilities and lived with families in low-income households. Hypertension and arthritis were the most common health conditions, but cognitive impairment had the most significant impact on their disability. They experienced similar health conditions to other older Americans but had higher rates of depressive symptoms and cognitive impairment possibly due to cultural factors that may have delayed mental health treatment. Culturally and linguistically tailored services created by policymakers, healthcare professionals, and local social service agencies are recommended for the well-being of immigrants/refugees who migrated to the U.S. for a better life.