老年人护理网络中的种族种族差异:对可能的解释的实证探索
1Department of Sociology and Demography, University of Texas at San Antonio, San Antonio, Texas, USA.
概括
老年护理安排的种族种族差异主要是由于家庭结构和社会经济地位等促成因素,而不仅仅是偏好或健康. 这影响了对少数民族老年人的照顾.
科学领域:
- 老年学是指老年学的学科.
- 健康和疾病的社会学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 以前的老年护理研究往往过度强调少数群体的思想因素 (价值观,信仰).
- 在解释护理安排中的种族种族差异方面,社会结构和健康因素的探索较少.
- 医疗保健使用行为模型为分析这些差异提供了一个框架.
研究的目的:
- 描述老年人护理的差异,根据种族-种族而定.
- 通过使用医疗保健使用行为模型来探索这些变化的解释.
- 确定影响护理网络种族种族差异的关键因素.
主要方法:
- 利用了2018年国家健康与衰老趋势研究 (NHATS) 的数据.
- 采用隐性类分析来创建护理网络类型学.
- 使用多项回归和调解分析来检查倾向性,启用性和需要因素.
主要成果:
- 黑人和西班牙裔老年人从亲戚那里得到照顾,而白人老年人更多地依赖配偶和技术自我照顾.
- 促成因素 (家庭结构,社会网络,社会经济地位) 主要介导了护理网络中的种族种族差异.
- 倾向性 (护理偏好) 和需要 (健康状况) 的因素起到了有限的作用.
结论:
- 老年护理网络中的种族种族差异在很大程度上受到促成因素的影响.
- 调查结果强调了针对社会不利的老年人进行有针对性的研究和政策干预的需要.
- 未来的干预措施应考虑老年护理中的社会结构和支持因素.
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