Testing Healthy Immigrant Effects Among Late Life Immigrants in the United States: Using Multiple Indicators
Testing Healthy Immigrant Effects Among Late Life Immigrants in the United States: Using Multiple Indicators
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DOI：
10.1177/0898264311425596
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发表时间：
2012-04-01
影响因子：
2.8
通讯作者：
Choi, Sunha H.
中科院分区：
文献类型：
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作者：
Choi, Sunha H.
目的：本研究旨在探讨健康移民效应（HIE）和移民后期健康状况的变化。研究方法：使用第二次老化纵向研究的三个波（1994-2000）和2006年的关联死亡率文件，这项研究比较了（a）慢性健康状况，（B）自我评估健康的纵向轨迹，（c）功能障碍的纵向轨迹，和（d）三个组（年龄70岁以上）之间的死亡率：（i）在美国居住少于15年的晚年移民（n = 133），（ii）长期移民（n = 672），以及（iii）美国-出生个体（n = 8，642）。进行Logistic和Poisson回归、分层广义线性模型和生存分析。结果如下：晚期移民患癌症的可能性较小，基线时慢性病的数量较少，并且在12年随访期间显示出较低的死亡风险。然而，随着时间的推移，他们的自评健康和功能状态比他们的同行更差。结论：HIE在老年人中仅得到部分支持。
Objectives: This study tested a healthy immigrant effect (HIE) and postimmigration health status changes among late life immigrants. Methods: Using three waves of the Second Longitudinal Study of Aging (1994-2000) and the linked mortality file through 2006, this study compared (a) chronic health conditions, (b) longitudinal trajectories of self-rated health, (c) longitudinal trajectories of functional impairments, and (d) mortality between three groups (age 70+): (i) late life immigrants with less than 15 years in the United States (n = 133), (ii) longer term immigrants (n = 672), and (iii) U.S.-born individuals (n = 8,642). Logistic and Poisson regression, hierarchical generalized linear modeling, and survival analyses were conducted. Results: Late life immigrants were less likely to suffer from cancer, had lower numbers of chronic conditions at baseline, and displayed lower hazards of mortality during the 12-year follow-up. However, their self-rated health and functional status were worse than those of their counterparts over time. Conclusion: A HIE was only partially supported among older adults.