Understanding physical function in older African immigrants: the roles of acculturation and racial discrimination

了解非洲老年移民的身体机能：文化适应和种族歧视的作用

• 批准号: 9757587
• 负责人: Manka Nkimbeng
• 金额: $ 2.11万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-07-01 至 2019-08-15
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9757587
• 关键词: Acculturation; Affect; Africa; African; Age; Aging; Area; Baltimore; Bathing; Berry; Communities; Data Set; Development; Disease; Educational Background; Elderly; Environment; Future; Gender; General Population; Goals; Health; Health Status; Health behavior; Health system; Immigrant; Immigration; Income; Individual; Inflammatory; Information Systems; Intervention; Knowledge; Length of Stay; Life Style; Measurement; Measures; Medical; Methods; Minority; Modeling; National Institute on Aging; Native-Born; Outcome; Pain; Participant; Patient Outcomes Assessments; Physical Function; Population; Prevalence; Process; Proxy; Public Health; Quality of life; Race; Reporting; Research; Research Personnel; Role; Sampling; United States; Walking; Washington; age related; base; community organizations; cooking; cost; design; disability; ethnic minority population; experience; health disparity; improved; metropolitan; migration; named group; negative affect; physical conditioning; prevent; psychologic; racial and ethnic; racial discrimination; recruit; stressor; theories; young adult

Abstract Physical function is an important public health concern in older African immigrants because poor physical function leads to worse health outcomes, affects quality of life and is costly to the health system. Physical function difficulties are prevalent in older adults; 33-40% of community dwelling older adults report at least one difficulty. African immigrants are one of the fastest growing immigrant groups and nearly 20% of them are older than 55 years. To prevent future disability and improve quality of life for this population, there is a need to understand the experience of physical function difficulty in older African immigrants. Acculturation and racial discrimination are associated with poorer physical function in other racial/ethnic immigrant groups and native born Blacks. Older African immigrants experience acculturation and high rates of racial discrimination; however, it is not known if these affect physical function in African immigrants. Guided by Berry’s acculturation theory and the Disablement process model, the purpose of the proposed study is to understand older African immigrants’ experiences of living with physical function difficulties; in particular the roles of acculturation and racial discrimination. A mixed methods design will be used to get an in-depth understanding of these concepts and relationships in this population. Older African immigrants (≥55years) will be recruited through community based organizations that serve African immigrants in the Baltimore- Washington Metropolitan area. We will utilize the 20 item Patient-Reported Outcomes Measurement Information System Physical Function (PROMIS-PF20) to assess participants’ difficulties in performing daily tasks such as bending, carrying groceries and bathing. Use of the PROMIS PF20 measure in this population will enable us to compare participants’ physical function results to the general population, since scores using this scale are normed the general population. The specific aims of this study are 1) Examine the relationship between acculturation and physical function difficulties in older African immigrants. 2) Determine the relationship between racial discrimination and physical function difficulties in older African immigrants. 3) Describe the physical function of older African immigrants and explore whether acculturation and racial discrimination affect physical function difficulties. This study aligns with the National Institute on Aging’s objective to understand the differences and health inequities experienced by older minority populations. Findings from this study can contribute to the development of culturally tailored interventions to decrease physical function difficulties in older African immigrants, towards the goal of decreasing inequities in the burden of physical function difficulties in foreign born Blacks.

抽象的 身体机能是年龄较大的非洲移民的重要公共卫生问题，因为身体机能差。 更糟糕的是健康结果，影响生活质量，对卫生系统的昂贵。身体功能困难是 在老年人中流行； 33-40％的社区住宅老年人至少报告了一个困难。非洲移民 是成长最快的移民群体之一，其中几乎20％的年龄超过55岁。防止未来 残疾和改善该人群的生活质量，有必要了解身体的经验 非洲老年移民的功能很困难。适应和种族歧视与较差有关 其他种族/族裔移民群体和本地黑人的身体机能。年长的非洲移民经验 适应和高种族歧视率；但是，尚不清楚这些是否影响非洲的身体机能 移民。在贝瑞的文化学理论和残疾过程模型的指导下，该提议的目的 研究是了解年长的非洲移民在身体机能难度上生活的经历；特别是 培养和种族歧视的作用。混合方法设计将用于深入了解 在这个人群中的这些概念和关系中。将通过招募年长的非洲移民（≥55岁） 基于社区的组织，为巴尔的摩 - 华盛顿大都市地区的非洲移民提供服务。我们将 利用20项患者报告的结果测量信息系统的身体功能（Promis-PF20） 评估参与者在执行日常任务（例如弯曲，携带杂货和沐浴）方面的困难。使用 该人群中的Promis PF20测量将使我们能够将参与者的身体机能结果与一般性结果进行比较 人口，因为使用此量表的分数是规范的一般人群。这项研究的具体目的是1） 检查培养和身体机能困难之间的关系。 2） 确定年龄较大的非洲移民的种族歧视与身体机能困难之间的关系。 3）描述年长的非洲移民的身体机能，并探讨培养和种族化是否 歧视会影响身体功能困难。这项研究与国家老化的目标一致 了解少数族裔少数族裔遇到的差异和健康不平等。这项研究的结果 可以有助于发展文化量身定制的干预措施，以减少老年人的身体功能难度 非洲移民的目的是减少外国身体功能难度燃烧的不平等 天生的黑人。

项目成果

"So I am Stuck, but it´s OK": Residential Reasoning and Housing Decision-Making of Low-Income Older Adults with Disabilities in Baltimore, Maryland.

• DOI: 10.1080/08882746.2020.1816782
• 发表时间: 2021
• 期刊: Housing and society
• 作者: Granbom M;Nkimbeng M;Roberts LC;Gitlin LN;Taylor JL;Szanton SL
• 通讯作者: Szanton SL

"All I know is that there is a lot of discrimination": Older African immigrants' experiences of discrimination in the United States.

• DOI: 10.1016/j.gerinurse.2020.08.002
• 发表时间: 2021-01
• 期刊: GERIATRIC NURSING
• 影响因子: 2.7
• 作者: Nkimbeng, Manka;Taylor, Janiece L.;Roberts, Laken;Winch, Peter J.;Commodore-Mensah, Yvonne;Thorpe, Roland J.;Han, Hae-Ra;Szanton, Sarah L.
• 通讯作者: Szanton, Sarah L.

Longer Residence in the United States is Associated With More Physical Function Limitations in African Immigrant Older Adults.

• DOI: 10.1177/0733464820977608
• 发表时间: 2022-03
• 期刊: Journal of applied gerontology : the official journal of the Southern Gerontological Society
• 作者: Nkimbeng M;Commodore-Mensah Y;Angel JL;Bandeen-Roche K;Thorpe RJ Jr;Han HR;Winch PJ;Szanton SL
• 通讯作者: Szanton SL

Associations between symptoms of pain, insomnia and depression, and frailty in older adults: A cross-sectional analysis of a cohort study.

• DOI: 10.1016/j.ijnurstu.2021.103873
• 发表时间: 2021-05
• 期刊: INTERNATIONAL JOURNAL OF NURSING STUDIES
• 影响因子: 8.1
• 作者: Liu, Minhui;Hou, Tianxue;Nkimbeng, Manka;Li, Yuxiao;Taylor, Janiece L.;Sun, Xiaocao;Tang, Siyuan;Szanton, Sarah L.
• 通讯作者: Szanton, Sarah L.