Life Course Stressors and Functional Limitations in Later Life Among White, Black, and Hispanic Adults: Deleterious, Hardening, or Benign?
Life Course Stressors and Functional Limitations in Later Life Among White, Black, and Hispanic Adults: Deleterious, Hardening, or Benign?
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白人、黑人和西班牙裔成年人晚年生活过程中的压力源和功能限制：有害、硬化还是良性？
DOI：
10.1093/geronb/gbab066
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Bauldry,Shawn
中科院分区：
文献类型：
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作者：
Sauerteig,MadisonR;Ferraro,KennethF;Bauldry,Shawn
虽然在健康的显着种族和民族的差异是在以后的生活中表现出来，他们可能植根于早期的生活暴露。根据累积不等式理论，我们调查生命过程中的压力源是否与以后的风险有关-生活功能限制以及这种关系是否因种族和ethnication.MethodsWe利用健康和退休研究的纵向数据来测试儿童和成人压力源是否预测老年人不同样本中功能限制的发生和严重程度的轨迹。与以后生活中功能限制的发生率和严重程度相关。中介作用分析揭示了儿童压力源通过成人压力源对功能受限的发生和严重程度的间接影响;然而，黑人和西班牙裔成年人的间接影响略强于他们的白色同龄人。DiscussionChild压力源本身并不增加黑人和西班牙裔人的功能限制，但与更大的成人压力暴露有关，使他们倾向于更多的功能限制。结果表明，儿童期的压力源与不同的社会途径之间的功能限制白色，黑人和西班牙裔老年人。
ObjectivesAlthough striking racial and ethnic disparities in health are manifest during later life, they may be rooted in early-life exposures. Drawing from cumulative inequality theory, we investigate whether life course stressors are associated with the risk of later-life functional limitations and whether this relationship differs by race and ethnicity.MethodsWe utilize longitudinal data from the Health and Retirement Study to test whether child and adult stressors predict trajectories of the occurrence and severity of functional limitations among a diverse sample of older adults.ResultsChild and adult stressors are associated with greater occurrence and severity of functional limitations during later life. Mediation analyses reveal the indirect influence of child stressors via adult stressors on occurrence and severity of functional limitations; however, the indirect effects are slightly stronger for Black and Hispanic adults than their White counterparts.DiscussionChild stressors, in and of themselves, do not increase functional limitations among Black and Hispanic people but are associated with greater adult stress exposure, predisposing them to more functional limitations. Results suggest that childhood stressors are associated with distinct social pathways to functional limitations among White, Black, and Hispanic older adults.