Healthy Aging in Older Chinese Americans: Associations With Immigrant Experiences.
Healthy Aging in Older Chinese Americans: Associations With Immigrant Experiences.
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DOI：
10.1177/0898264319889122
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发表时间：
2020-10
影响因子：
2.8
通讯作者：
Zhang, Jiaan
中科院分区：
文献类型：
--
作者：
Li, Lydia W.;McLaughlin, Sara J.;Zhang, Jiaan
我们研究了移民经验的各个方面的相关性，包括文化适应、邻里归属感和歧视感，以及华裔美国老年人的健康老龄化，并探讨了这些相关性是否因年龄和性别而异。该样本包括3，056名老年华裔美国人。健康老龄化定义为无残疾、无认知障碍和高身体功能，采用二分编码（1 =符合所有标准，0 =其他）。文化适应，邻里归属感和感知歧视进行了测量，使用标准化量表。大约31%的样本经历了健康的衰老。文化适应与健康老龄化呈正相关，在老年人和女性中有更强的关联。更大的邻里归属感与更高的健康老龄化几率相关;歧视的经历与更低的几率相关。需要采取干预措施促进华裔美国人的健康老龄化。支持文化适应水平低的移民，加强移民与邻居的联系，促进包容性的计划可能会改善人口健康。
We examined the associations of aspects of the immigrant experience—acculturation, neighborhood belonging, and perceived discrimination—with healthy aging in older Chinese Americans and explored whether the associations vary by age and gender. The sample included 3,056 older Chinese Americans. Healthy aging was defined as no disability, no cognitive impairment, and high physical functioning, coded dichotomously (1 = meets all criteria, 0 = otherwise). Acculturation, neighborhood belonging, and perceived discrimination were measured using standardized scales. About 31% of the sample experienced healthy aging. Acculturation was positively associated with healthy aging, with stronger associations in older age and women. A greater sense of neighborhood belonging was associated with higher odds of healthy aging; experiences of discrimination were associated with lower odds. Interventions to promote healthy aging in Chinese Americans are needed. Programs that support immigrants with low acculturation levels, strengthen immigrants’ connectedness to their neighbors, and promote inclusiveness may improve population health.
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