Influence of living arrangements on the management and control of hypertension: a mixed-methods study of Korean American elderly.

Influence of living arrangements on the management and control of hypertension: a mixed-methods study of Korean American elderly.
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DOI:
10.1007/s10903-012-9679-2
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发表时间:
2013-10
影响因子:
1.9
通讯作者:
Kim, Miyong T.
Kim, Miyong T.
中科院分区:
医学4区
文献类型:
--
作者:
Han, Hae-Ra;Song, Youngshin;Song, Hee-Jung;Kim, Miyong T.

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与与配偶和/或子女同住的老年人相比,独居老人的健康状况可能更差。利用一项促进韩国老年人高血压(HBP)控制的随机试验的基线数据(N=440),我们研究了生活安排与HBP控制之间的关系。我们还采访了一个子样本,以更好地了解与不同类型的生活安排相关的社会互动模式。五分之一的人独居;这一群体往往是年龄较大的女性,居住在老年群体住房中。即使在控制了研究协变量之后,独居者控制血压的可能性是有配偶者的两倍(OR=2.08; 95% CI 1.09-3.97)。那些住在老年集体住房里的人有频繁的社会互动,包括围绕健康的对话、鼓励服用药物和分享健康信息。综上所述,独立生活的韩国老年人既没有社会孤立,也没有增加血压控制不良的风险。
Elders living alone may experience worse health outcomes than do those living with spouse and/or children. Using baseline data from a randomized trial to promote high blood pressure (HBP) control in Korean elders (N=440), we examined the relationship between living arrangements and HBP control. We also interviewed a sub-sample to better understand the patterns of social interactions associated with different types of living arrangements. One in five reported living alone; this group tended to be older and female, and resided in senior group housing. Those living alone were twice as likely as those living with a spouse to have controlled BP (OR=2.08; 95% CI 1.09–3.97), even after controlling for study covariates. Those in senior group housing had frequent social interactions that involved conversations around health, encouragement concerning medication taking, and health information sharing. In conclusion, Korean elders living independently are neither socially-isolated nor at increased risk for poor BP control.
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