压力暴露和晚年残疾的差异
Madison R Sauerteig-Rolston1,2, Kenneth F Ferraro1,2
1Department of Sociology, Purdue University, West Lafayette, Indiana, USA.
Innovation in aging
|May 30, 2024
概括
终身压力暴露显著增加了老年人出现残疾的风险. 累积的压力负担和歧视等特定压力因素加快了残疾,突出了解决结构性劣势的需要.
科学领域:
- 老年学是一门学科.
- 社会学 社会学 社会学
- 公共卫生 公共卫生
背景情况:
- 累积不平等理论和气候变化假设为研究生命过程压力提供了信息.
- 晚年出现残疾是老年人群日益关注的问题.
研究的目的:
- 检查累积和特定领域的终身压力暴露与残疾发病之间的关系.
- 在不同的种族和种族群体中调查这些关联,包括西班牙裔出生区别.
主要方法:
- 利用了全国代表性的健康和退休研究数据 (N=11,483).
- 用于残疾发生的逻辑回归和针对发病年龄的韦布尔加速失效时间模型.
- 通过种族,种族和西班牙裔出生来测试适度.
主要成果:
- 更高的累积压力负担 (CSB) 与增加残疾发生几率 (OR=4.93) 有关.
- 特定的压力因素,如童年财务压力,终身创伤,邻居的劣势和重大歧视,与残疾发生有关.
- CSB和几个特定的压力因素与早期的残疾发作有关,在美国出生的西班牙裔儿童中,童年创伤的显著相互作用.
结论:
- 解决与应激暴露相关的历史和结构性不利因素对于减少残疾差异至关重要.
- 圣诞节在分层过程中发挥着作用,影响种族和民族健康轨迹和残疾.
- 干预措施应考虑压力在整个生命周期的累积影响及其对不同人群的差异性影响.
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