在过去十年中,白人,黑人和西班牙裔老年人中没有解决功能困难和护理支持
Jun Li1, Jinkyung Ha2, Geoffrey Hoffman3
1Department of Public Administration and International Affairs, Maxwell School of Citizenship & Public Affairs, Syracuse University.
Health affairs scholar
|January 26, 2024
概括
与白人相比,在健康老龄化方面种族和种族差异仍然存在,黑人和西班牙裔老年人经历了较高的未解决的功能困难率,并且比白人更依赖家庭护理,即使是在重大医疗改革之后.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 没有解决的功能困难加剧了老年人之间的健康差异.
- 负担得起的护理法案 (ACA) 旨在重塑长期护理,但其对不同老年人群的功能困难和护理使用的影响尚不清楚.
- 了解未满足护理需求的种族种族差异对于促进公平健康的老龄化至关重要.
研究的目的:
- 检查在ACA之前和之后缺乏照顾支持的功能困难的社区老年人患病率的种族种族差异.
- 调查ACA如何影响跨种族种族群体的功能困难的老年人使用家庭和正式护理.
- 识别老龄化需求和支持中持续存在的空白,黑人和西班牙裔老年人的差距.
主要方法:
- 利用来自健康和退休研究 (2008-2018) 的全国代表性数据.
- 分析了功能性困难 (自我照顾,流动性,家庭活动) 和缺乏帮助的种族种族差异.
- 在ACA实施之前和之后,在种族-民族群体中比较流行率和护理利用率 (家庭和正式).
主要成果:
- 具有功能障碍的人约占黑人和西班牙裔老年人的三分之一,而白人老年人的五分之一.
- 与白人相比,具有功能困难的黑人和西班牙裔个人缺乏护理支持的可能性是白人个人的1.5倍.
- 虽然正式的照顾是相似的,但黑人和西班牙裔老年人获得的家庭照顾多了50%;这些差异随着时间的推移而持续,只有在低收入家庭中才是统一的.
结论:
- 在社区居住的老年人中,尽管有重大医疗改革,但在老龄化需求和护理支持方面仍然存在显著的种族差距.
- 负担得起的医疗保健法案并没有消除跨种族族裔群体在未解决的功能困难或护理利用方面的差异.
- 需要有针对性的干预措施来解决少数民族老年人健康衰老支持的持续不平等问题.
相关概念视频
01:30Cognitive Development During Adulthood
111
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
111
01:29Documentation in Long-Term and Home Healthcare Setting
892
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
892
01:28Current Trends in Nursing I
1.5K
Current trends in nursing include:
1.5K
01:26Aging
51
Aging is a complex biological phenomenon influenced by various processes that affect cellular and systemic functions. Several prominent theories attempt to explain its mechanisms, highlighting cellular limitations, oxidative damage, and hormonal changes as central factors in aging.
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
51
02:55Stereotypes, Prejudice, and Discrimination
90.2K
Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who...
90.2K
02:16Surveys
14.8K
Often, psychologists develop surveys as a means of gathering data. Surveys are lists of questions to be answered by research participants, and can be delivered as paper-and-pencil questionnaires, administered electronically, or conducted verbally. Generally, the survey itself can be completed in a short time, and the ease of administering a survey makes it easy to collect data from a large number of people.
14.8K