Older immigrants perceived health after migration to the United States: Influence of age and level of acculturation.
Older immigrants perceived health after migration to the United States: Influence of age and level of acculturation.
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DOI：
10.1111/jgs.17363
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发表时间：
2021-09
影响因子：
6.3
通讯作者：
Nunez-Smith M
中科院分区：
文献类型：
--
作者：
Kang G;Hajduk A;Marottoli R;Nunez-Smith M
确定中晚期移民的文化适应水平与移民后健康状况变化的认知之间的年龄相关差异。调查结果是健康状况的感知变化，由调查问题决定，“与你最近来美国生活之前的健康状况相比，你认为你现在的健康状况更好，大致相同还是更差？”主要预测因子包括年龄组（50-64岁、65-74岁和≥75岁），次要变量为文化适应水平。根据人口统计学特征、医学和功能合并症对分析进行调整。与50-64岁的移民相比，年龄≥75岁的移民更有可能报告移民后健康状况较差[RRR 1.93, 95% CI (1.17, 3.17), p<0.01]，但在调整后的模型中，这种差异无统计学意义。与未适应文化的参与者相比，适应文化水平与报告较差健康状况的可能性增加相关，[RRR 2.10, (1.02, 4.35), p<0.05]对于部分适应文化的参与者，[RRR 2.55, (1.10, 5.88), p<0.05]对于大多数适应文化的参与者。年龄最大的移民组（≥75岁）更有可能报告移民后健康状况恶化，但在考虑了文化适应水平和其他协变量后，这种关联不再显著。今后应开展工作，确定老年移民年龄组的具体健康需求，并确定对健康产生负面影响的异文化压力因素。
To determine the age-related differences in the association between level of acculturation and perceptions about change in health status after migration in mid- to late life immigrants. Cross-sectional study Nationally representative cohort of legal US immigrants Legal immigrants ≥50 years of age The outcome was perceived change in health status, determined by the survey question, “compared with your health right before you most recently came to the United States to live, would you say that your health is better now, about the same or worse?” The main predictor included age group (50-64 years, 65-74 years, and ≥75 years) and secondary variable of interest was level of acculturation. Analyses were adjusted for demographic characteristics, medical, and functional comorbidities. Immigrants age ≥75 years were more likely to report worse health after migration [RRR 1.93, 95% CI (1.17, 3.17), p<0.01] compared to immigrants 50-64 years, but this difference was not statistically significant in the adjusted model. Acculturation level was associated with increased likelihood of reporting worse health status, [RRR 2.10, (1.02, 4.35), p<0.05] for somewhat acculturated and [RRR 2.55, (1.10, 5.88), p<0.05] for most acculturated, compared to participants who were not acculturated. The oldest immigrant group (≥75 years) was more likely to report worse health after migration, but this association was no longer significant after accounting for acculturation level and other covariates. Future work should be undertaken to identify specific health needs across older immigrant age groups and identify acculturative stressors that negatively impact health.
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DOI：
10.1093/geronb/gbu049
发表时间：
2015-03-01
影响因子：
6.2
作者：
Gubernskaya, Zoya
通讯作者：
Gubernskaya, Zoya
DOI：
10.1093/gerona/glw174
发表时间：
2017-07-01
影响因子：
5.1
作者：
Li, Lydia W.;Dong, XinQi
通讯作者：
Dong, XinQi
影响因子：
7
作者：
Mui, AC;Kang, SY;Domanski, MD
通讯作者：
Domanski, MD
影响因子：
7.2
作者：
Madley-Dowd, Paul;Hughes, Rachael;Heron, Jon
通讯作者：
Heron, Jon
影响因子：
2.8
作者：
Choi, Sunha H.
通讯作者：
Choi, Sunha H.