A comparison of the health of older Hispanics in the United States and Mexico - Methodological challenges

A comparison of the health of older Hispanics in the United States and Mexico - Methodological challenges
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DOI:
10.1177/0898264307309924
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发表时间:
2008-02-01
影响因子:
2.8
通讯作者:
Hill, Terrence D.
Hill, Terrence D.
中科院分区:
医学3区
文献类型:
--
作者:
Angel, Ronald J.;Angel, Jacqueline L.;Hill, Terrence D.

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目的:这项研究比较了美国和墨西哥的墨西哥裔老年人的身体和情绪健康的各个方面。方法:这些样本来自墨西哥健康与老龄化研究(MHAS)和西班牙裔老年人流行病学研究(H-EPESE),包括3,875名没有美国居住史的墨西哥居民和2,734名居住在美国西南部的65岁及以上的墨西哥裔个体。结果如下:在美国,移民和土生土长的墨西哥裔老年人报告的慢性病比墨西哥老年人多,但他们报告的心理困扰症状较少。在美国居住时间越长,身体质量指数得分越高。讨论内容:讨论涉及的可能性,获得护理的影响报告的诊断条件,并触及跨文化研究的可比性问题,并在明确区分文化和系统一级的因素,在生产和测量健康的困难。
Objectives: This study compares various dimensions of physical and emotional health between older Mexican-origin individuals in the United States and in Mexico. Method: The samples are drawn from the Mexican Health and Aging Study (MHAS) and the Hispanic Established Epidemiologic Study of the Elderly (H-EPESE) and include 3,875 Mexican residents with no history of residence in the United States and 2,734 Mexican-origin individuals 65 and older who live in the southwestern United States. Results: Both immigrant and native-born Mexican-origin elders in the United States report more chronic conditions than elderly Mexicans, but they report fewer symptoms of psychological distress. Longer residence in the United States is associated with higher body mass index scores. Discussion: The discussion addresses the possibility that access to care influences reports of diagnosed conditions and touches on issues of comparability in cross-cultural research and the difficulty in clearly distinguishing cultural and system-level factors in the production and measurement of health.