Health in the Neighborhood and Household Contexts Among Older Chinese Americans.

Health in the Neighborhood and Household Contexts Among Older Chinese Americans.
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DOI:
10.1177/0898264316661829
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发表时间:
2017-12
影响因子:
2.8
通讯作者:
Dong, Xinqi
Dong, Xinqi
中科院分区:
医学3区
文献类型:
--
作者:
Tang, Fengyan;Xu, Ling;Chi, Iris;Dong, Xinqi

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本研究考察了美国华裔老年人的社区特征和居住安排与身心健康的关系。在大芝加哥地区,3159名居住在社区的中国老年人提供了健康、社会人口特征、生活安排、社会凝聚力和邻里混乱的报告。我们使用多项逻辑、泊松和负二项回归分析。邻里关系紊乱一直与负面健康指标相关,包括自我报告的健康状况不佳、慢性病较多、抑郁症状和焦虑症状。关于社会凝聚力与健康指标之间关系的调查结果喜忧参半。与只与配偶生活在一起的人相比,与配偶、子女和/或孙辈生活在一起的人,社会凝聚力对心理健康的影响更为显著。需要政策和干预措施来改善社区的物质和社会环境,并促进中国老年人和一般人群的健康老龄化。
This study examined the associations of neighborhood characteristics and living arrangements with physical and mental health among older Chinese Americans. A sample of 3,159 community-dwelling Chinese older adults in the Greater Chicago area provided reports of health, socio-demographic characteristics, living arrangements, social cohesion, and neighborhood disorder. We used multinomial logistic, Poisson, and negative binominal regression analyses. Neighborhood disorder was consistently associated with negative health indicators, including poor self-reported health, more chronic conditions, depressive symptoms, and anxiety symptoms. Findings about the relationships between social cohesion and health indicators were mixed. Social cohesion was more salient to mental health for those living with spouse, children, and/or grandchildren relative to those living with spouse only. Policies and interventions are needed to improve the physical and social environments of neighborhoods and to promote healthy aging among Chinese older adults and in the general population as well.
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