Health Management Occupations During COVID-19: Experiences of Older African Americans With Multimorbidity.
Health Management Occupations During COVID-19: Experiences of Older African Americans With Multimorbidity.
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DOI：
10.1177/15394492211068214
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发表时间：
2023-01
影响因子：
1.4
通讯作者：
Cutchin, Malcolm P.
中科院分区：
文献类型：
--
作者：
Fritz, Heather;Jones, Ryan;Cutchin, Malcolm P.
由于年龄、慢性疾病负担和健康的社会决定因素所带来的协同风险，患有多重抑郁症的老年非裔美国人发生不良后果的风险特别高。慢性病自我管理是老年非裔美国人可以使用健康管理职业和锻炼机构来降低他们患重病的风险以及在持续的COVID-19大流行期间感染的风险的一种方式。这项研究的目的是了解COVID-19大流行如何影响老年非裔美国人的健康管理职业。对30名65岁及以上的非裔美国人进行了深入的定性访谈，他们报告有两种或两种以上的慢性疾病。采用专题分析法对数据进行分析。数据表明，关键的健康管理职业（获得护理;管理药物，营养和身体活动;以及社会和情感健康的促进和维护）是如何被利用的，也是如何被大流行病塑造的。另一项重要调查结果是，人们认为这一流行病对健康和福祉有好处。
Older African Americans with multimorbidity are at an especially high risk of adverse outcomes due to synergistic risks conferred by age, chronic disease burden and social determinants of health. Chronic condition self-management is one way older African Americans can use health management occupations and exercise agency to reduce their risk of becoming severely ill, and during the ongoing pandemic, of COVID-19 infection. The objective of this study was to understand how the COVID-19 pandemic shaped health management occupations of older African Americans. In-depth qualitative interviews were conducted with 30 African Americans aged 65 and older who reported having two or more chronic conditions. Data were analyzed using thematic analysis. Data suggest how key health management occupations (accessing care; managing medications, nutrition, and physical activity; and social and emotional health promotion and maintenance) were utilized and also shaped by the pandemic. Another key finding was perceived benefits of the pandemic on health and well-being.
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