Health Disparities Among Immigrant and Non-immigrant Elders: The Association of Acculturation and Education
Health Disparities Among Immigrant and Non-immigrant Elders: The Association of Acculturation and Education
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DOI：
10.1007/s10903-008-9225-4
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发表时间：
2010-10-01
影响因子：
1.9
通讯作者：
Vanderaa, Julianne P.
中科院分区：
文献类型：
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作者：
Lum, Terry Y.;Vanderaa, Julianne P.
本研究以人力资本与文化涵化理论为指导，探讨老年人移民身份与身心健康结果、医疗服务利用及医疗保险覆盖率的关系。具体而言，它研究了移民身份，教育，文化适应，种族和民族对这些因变量的交互作用。该研究使用了来自第一波最年长研究（AHEAD）调查的7，345名美国老年人的全国代表性样本。我们使用逻辑回归和有序逻辑回归进行多变量分析。调查结果如下：（1）移民身份与抑郁程度、IADL困难数、健康保险种类呈负相关。移民身份仅与门诊手术服务利用有显著相关，而与其他卫生服务利用无显著相关。(2)有显着的交互作用，种族和民族和移民身份对这些因变量。调查结果支持双重危险存在于那些同时是移民和美国种族和少数民族群体成员的人中。(3)文化适应与健康保险覆盖率和IADL困难的数量有很强的关联。
Guided by the theories of human capital and acculturation, this study investigated the association of immigrant status among older people with their physical and mental health outcomes, health services utilization, and health insurance coverage. Specifically, it examined the interactive effects of immigrant status, education, acculturation, race, and ethnicity on these dependent variables. The study used a national representation sample of 7,345 older Americans from the first wave of the Asset and Health Dynamic of the Oldest Old study (AHEAD) survey. We used both logistic regression and ordered logit regression for our multivariate analyses. The findings are as follows: (1) immigrant status was negatively associated with level of depression, number of IADL difficulties, and on types of health insurance coverage. Immigrant status had a significant relationship only with the utilization of outpatient surgery, but not on other health services utilization. (2) There were significant interactive effects of race and ethnicity and immigrant status on these dependent variables. The findings support the existence of double jeopardy among those who are simultaneously an immigrant and a member of a racial and ethnic minority group in the United States. (3) Acculturation has strong associations with health insurance coverage and with number of difficulties with IADL.