Can the family still cope? Social support and health as determinants of nursing home use in the older Mexican-origin population
Can the family still cope? Social support and health as determinants of nursing home use in the older Mexican-origin population
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DOI：
10.1177/0898264304264203
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发表时间：
2004-06-01
影响因子：
2.8
通讯作者：
Miles, TP
中科院分区：
文献类型：
--
作者：
Angel, JL;Angel, RJ;Miles, TP
目的：本文探讨了残疾，认知状况和社会支持对老年墨西哥裔美国人样本中的养老院使用的影响。方法：我们使用了四波西班牙裔老年人流行病学研究人群（H-EPESE），这是一项对1993年至1994年最初接触的3,050名生活在西南部的墨西哥裔美国人进行的纵向研究。结果如下：研究结果显示，高龄、身为男性、日常生活活动能力障碍、认知障碍是收容机构和死亡的强预测因子。与家人住在一起，在晚年到达美国，并获得社会支持，独立地降低了在养老院死亡的概率。讨论内容：虽然充分的社会支持显然可以使残疾老年人留在社区，但严重的残疾最终可能会使支助网络不堪重负，导致残疾老年人被送入机构。
Objectives: This article examines the impact of disability, cognitive status, and social support on nursing home use in a sample of older Mexican Americans. Method: We used four waves of the Hispanic Established Populations for Epidemiologic Studies of the Elderly (H-EPESE), a longitudinal study of 3,050 older Mexican Americans living in the Southwest initially contacted in 1993 to 1994. Results: The findings reveal that advanced age, being a man, activities of daily living disability, and cognitive impairment are strong predictors of institutionalization and death. Living with family, arriving in the United States in late life, and access to social support independently decreased the probability of dying in a nursing home. Discussion: Although it is clear that adequate social support can make it possible for an impaired older person to remain in the community serious impairment can eventually overwhelm even a supportive network and result in the institutionalization of an impaired older person.