The impact of COVID-19 on the well-being and cognition of older adults living in the United States and Latin America.

The impact of COVID-19 on the well-being and cognition of older adults living in the United States and Latin America.
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DOI:
10.1016/j.eclinm.2021.100848
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发表时间:
2021-05
期刊:
影响因子:
15.1
通讯作者:
Quiroz YT
Quiroz YT
中科院分区:
医学1区
文献类型:
--
作者:
Babulal GM;Torres VL;Acosta D;Agüero C;Aguilar-Navarro S;Amariglio R;Ussui JA;Baena A;Bocanegra Y;Brucki SMD;Bustin J;Cabrera DM;Custodio N;Diaz MM;Peñailillo LD;Franco I;Gatchel JR;Garza-Naveda AP;González Lara M;Gutiérrez-Gutiérrez L;Guzmán-Vélez E;Hanseeuw BJ;Jimenez-Velazquez IZ;Rodríguez TL;Llibre-Guerra J;Marquine MJ;Martinez J;Medina LD;Miranda-Castillo C;Morlett Paredes A;Munera D;Nuñez-Herrera A;de Oliveira MO;Palmer-Cancel SJ;Pardilla-Delgado E;Perales-Puchalt J;Pluim C;Ramirez-Gomez L;Rentz DM;Rivera-Fernández C;Rosselli M;Serrano CM;Suing-Ortega MJ;Slachevsky A;Soto-Añari M;Sperling RA;Torrente F;Thumala D;Vannini P;Vila-Castelar C;Yañez-Escalante T;Quiroz YT

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在 COVID-19 大流行中,弱势民族群体的老年人面临着很高的感染、住院和死亡风险。我们的目的是探讨这一流行病对居住在美国、阿根廷、智利、墨西哥和秘鲁的老年人的福祉和认知的影响。 2020 年 5 月至 9 月期间,来自美国和四个拉丁美洲国家的 1,608 名年龄≥ 55 岁的人(646 名白人、852 名拉丁裔、77 名黑人、33 名亚洲人;72% 为女性)完成了一项有关大流行期间福祉和认知的在线调查。结果变量(大流行影响、歧视、孤独、生活目的、主观认知问题)对美国四个族裔群体和居住在美国的老年人进行了比较阿根廷、智利、墨西哥和秘鲁。所有参与者的平均年龄为 66.7 (SD = 7.7) 岁,平均受教育程度为 15.4 (SD = 2.7) 年。与白人相比,生活在美国的拉美裔人报告的经济影响更大(p < .001,ηp2 = 0.031);而黑人则更常遭受歧视(p < .001,ηp2 = 0.050)。黑人和拉丁裔报告了更积极的应对方式(p < .001,ηp2 = 0.040)。与居住在美国的拉美裔人相比,智利、墨西哥和秘鲁的拉美裔人报告了疫情影响更大,墨西哥和秘鲁的拉美裔人报告了更积极的应对方式,阿根廷、墨西哥和秘鲁的拉美裔人报告了更大的经济影响,阿根廷、智利和秘鲁的拉美人报告了更少的歧视。 COVID-19 大流行对美国和拉丁美洲不同种族老年人的福祉产生了不同程度的影响。未来的研究应该研究收入和应对技能等中介因素如何改变大流行的影响。马萨诸塞州总医院精神病学部。
In the COVID-19 pandemic, older adults from vulnerable ethnoracial groups are at high risk of infection, hospitalization, and death. We aimed to explore the pandemic's impact on the well-being and cognition of older adults living in the United States (US), Argentina, Chile, Mexico, and Peru. 1,608 (646 White, 852 Latino, 77 Black, 33 Asian; 72% female) individuals from the US and four Latin American countries aged ≥ 55 years completed an online survey regarding well-being and cognition during the pandemic between May and September 2020. Outcome variables (pandemic impact, discrimination, loneliness, purpose of life, subjective cognitive concerns) were compared across four US ethnoracial groups and older adults living in Argentina, Chile, Mexico, and Peru. Mean age for all participants was 66.7 (SD = 7.7) years and mean education was 15.4 (SD = 2.7) years. Compared to Whites, Latinos living in the US reported greater economic impact (p < .001, ηp2 = 0.031); while Blacks reported experiencing discrimination more often (p < .001, ηp2 = 0.050). Blacks and Latinos reported more positive coping (p < .001, ηp2 = 0.040). Compared to Latinos living in the US, Latinos in Chile, Mexico, and Peru reported greater pandemic impact, Latinos in Mexico and Peru reported more positive coping, Latinos in Argentina, Mexico, and Peru had greater economic impact, and Latinos in Argentina, Chile, and Peru reported less discrimination. The COVID-19 pandemic has differentially impacted the well-being of older ethnically diverse individuals in the US and Latin America. Future studies should examine how mediators like income and coping skills modify the pandemic's impact. Massachusetts General Hospital Department of Psychiatry.
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