有残疾的老年人在 COVID-19 方面的种族差异。

IF 2.2 3区医学 Q2 GERONTOLOGY Journal of Aging and Health Pub Date : 2024-06-01 Epub Date: 2023-07-01 DOI:10.1177/08982643231185689

Marisa Shenk, Bernadette Hicks, Ana Quiñones, Amal Harrati

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摘要

目的：本文研究了 COVID-19 大流行期间患有残疾的老年人在健康、工作和经济方面的经历。本文还探讨了县级和州级条件在这些经历中的作用：利用 2020 年健康与退休研究（2020 Health and Retirement Study）的数据，我们估算了回归模型，以评估患有和未患有失能症的老年人之间以及不同种族/民族之间的结果差异。我们使用多层次模型来评估县或州的因素是否以及如何与这些影响的差异相关联：与无残疾的老年人相比，残疾老年人更有可能报告其经历了经济困难、推迟了医疗保健和影响了工作；这些差异在种族和民族之间更为明显。残疾老年人更有可能生活在社会脆弱性更大的县：这项工作强调了制定一个强有力的、兼顾残疾问题的公共卫生对策以保护老年人的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Racial Disparities in COVID-19 Experiences Among Older Adults With Disabling Conditions.

Objectives: This paper examines the health, work, and financial experiences of older adults with disabling conditions during the COVID-19 pandemic. It also explores the role of county- and state-level conditions in these experiences.

Methods: Using data from the 2020 Health and Retirement Study, we estimated regression models to assess differences in outcomes between those with and without disabling conditions and by race/ethnicity. We used multilevel modeling to assess whether and how county or state factors might be associated with the differences in these effects.

Results: Older adults with disabilities were more likely to report experiencing financial hardships, delaying health care, and experiencing effects on work than those without disabilities; these differences are heighted between race and ethnicity. Older adults with disabilities were more likely to live in counties with greater social vulnerability.

Discussion: This work underscores the importance of developing a robust, disability-inclusive public health response that protects older adults.

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来源期刊

Journal of Aging and Health Multiple-

CiteScore

5.60

自引率

3.60%

发文量

113

期刊介绍： The Journal of Aging and Health is an interdisciplinary forum for the presentation of research findings and scholarly exchange in the area of aging and health. Manuscripts are sought that deal with social and behavioral factors related to health and aging. Disciplines represented include the behavioral and social sciences, public health, epidemiology, demography, health services research, nursing, social work, medicine, and related disciplines. Although preference is given to manuscripts presenting the findings of original research, review and methodological pieces will also be considered.