Review and Implications of Intergenerational Communication and Social Support in Chronic Disease Care and Participation in Health Research of Low-Income, Minority Older Adults in the United States.

Review and Implications of Intergenerational Communication and Social Support in Chronic Disease Care and Participation in Health Research of Low-Income, Minority Older Adults in the United States.
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DOI:
10.3389/fpubh.2021.769731
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发表时间:
2021
影响因子:
5.2
通讯作者:
Marsilli RL
Marsilli RL
中科院分区:
医学3区
文献类型:
--
作者:
Vaccaro JA;Gaillard TR;Marsilli RL

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背景:健康差距对黑人和西班牙裔美国老年人的影响不成比例。需要健康研究来了解和消除这些差异;然而,老年人,特别是黑人和西班牙裔/拉丁裔老年人在健康研究中的代表性不足。在美国的几个人口统计中,成年子女已经影响了他们年长父母的健康行为和健康结果。对这些研究的分析可以为旨在改善老年黑人和西班牙裔美国成年人的健康和医疗保健参与度的干预措施的开发提供一个模型。目的:回顾代际沟通和社会支持在老年人健康行为、健康研究和健康结果中的作用,并将这些发现应用于美国黑人和西班牙裔老年人健康干预的模式。方法:分析性叙事回顾和对干预模型的应用。结果:通过审查应用代际沟通和/或代际社会支持形式的研究,以改善世界各地人口的健康、疾病管理和/或参与健康研究为目标,对关键主题领域进行了审查和分析。接下来,使用从研究结果中收集的策略,开发了一个在美国黑人和西班牙裔老年成年人中提供健康干预的模型。结论:基于分析综述和代际沟通和/或社会支持,提出了一种针对黑人和西班牙裔/拉丁裔美国老年人的健康干预模式。定性数据对于了解代际沟通和社会支持改善这些人群的健康结果的推动因素和障碍是必要的。
Background: Health disparities disproportionally affect Black and Hispanic older US adults. Health research is needed to understand and eliminate these disparities; however, older adults, and particularly Black and Hispanic/Latino older adults are underrepresented in health research. Adult children have influenced health behavior and health outcomes of their older parents in several demographics in the US. Analysis of these studies can lead to a model for the development of interventions aimed at improving health and healthcare participation of older Black and Hispanic US adults. Objectives: To review the role of intergenerational communication and social support in health behavior, health research, and health outcomes for older adults and to apply these findings toward a model for health interventions for Black and Hispanic US older adults. Methods: An analytical narrative review and application toward an intervention model. Results: Key topic areas were reviewed and analyzed by examining studies that applied forms of intergenerational communication and/or intergenerational social support with the goal of either improving health, disease management and/or participation in health research in populations world-wide. Next, a model for providing health interventions in older Black and Hispanic US adults was developed using strategies gleaned from the findings. Conclusion: A model for health intervention for Black and Hispanic/Latino US older adults was presented based on an analytical review and intergenerational communication and/or social support. Qualitative data are necessary to understand the enablers and barriers of intergenerational communication and social support to improve health outcomes in these populations.
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