成功老龄化如何适用于黑人女性?潜类分析

IF 4.6 2区 医学 Q1 GERONTOLOGY Gerontologist Pub Date : 2024-08-16 DOI:10.1093/geront/gnae111
Joshua C J Lewis, Patricia Drentea, David F Warner
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引用次数: 0

摘要

背景和目的:尽管之前的研究已经发现了成功老龄化(SA)中的种族/民族和性别差异,但对群体内部的异质性研究却很少。因此,我们探讨了黑人老年妇女的各种老龄化经历:我们使用了 2010/2012 年美国健康与退休研究(U.S. Health and Retirement Study)的数据,分析对象仅限于填写了社会心理留守问卷的黑人妇女(N = 1,186 人)。我们使用身体健康、心理健康、社会支持/压力和社会参与指标进行了潜类分析(LCA):结果:我们确定了六个 SA 潜在类别,并根据它们的显著特征对其进行了标注:体弱多病、孤立无援、疲于奔命、独立、活泼和健壮。体弱类的健康状况普遍较差,而孤立类的身体健康状况较差,但也缺乏社会关系。虽然这两个阶层的身体健康和心理健康水平都很一般,但与高支持(和无伴侣)的独立阶层相比,纳税阶层的社会支持和社会压力水平都很高。活泼和稳健阶层表现出较高的身体健康和心理健康水平、较高的社会支持/较低的社会压力以及较高的社会参与度,但活泼的女性(23% 的受访者)没有伴侣,而稳健的女性(16% 的受访者)有伴侣。在所有阶层中,健壮阶层的身心健康程度最高,社会关系最好:通过使用具有全国代表性的数据,我们揭示了黑人妇女老龄化经历的显著异质性。虽然许多人面临着艰难的老龄化经历,但 39% 的老年黑人妇女非常符合 SA 框架。未来的工作应认识到,黑人妇女的老龄化经历并非千篇一律。
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How Does Successful Aging Apply To Black Women?: A Latent Class Analysis.

Background and objectives: Although prior research has identified racial/ethnic and gender differences in successful aging (SA), heterogeneity within groups has been little examined. We consequently explore the variety of aging experiences among older Black women.

Research design and methods: We used the 2010/2012 U.S. Health and Retirement Study, limiting analyses to Black women who completed the Psychosocial Leave-Behind Questionnaire (N = 1,186). We conducted latent class analysis (LCA) using indicators of physical health, psychological well-being, social support/strain, and social engagement.

Results: Six SA latent classes were identified and labeled according to their distinctive characteristics: infirm, isolated, taxed, independent, vivacious, and robust. The infirm class had uniformly poor health, while the isolated class was in poor physical health but also lacked social relations. Although both had average physical health and psychological well-being, the taxed class experienced high levels of social support and social strain compared to the high support (and unpartnered) independent class. The vivacious and robust classes exhibited high physical health and psychological well-being, high social support/low social strain, and high social engagement, but vivacious women (23% of respondents) were unpartnered and robust women (16% of respondents) were partnered. The robust class had the highest physical and psychological well-being, and best social relations across all classes.

Discussion and implications: Using nationally representative data, we reveal significant heterogeneity in Black women's aging experiences. Although many face difficult aging experiences, 39% of older Black women fit the SA framework well. Future work should recognize that Black women's aging experiences are not homogenous.

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来源期刊
Gerontologist
Gerontologist GERONTOLOGY-
CiteScore
11.00
自引率
8.80%
发文量
171
期刊介绍: The Gerontologist, published since 1961, is a bimonthly journal of The Gerontological Society of America that provides a multidisciplinary perspective on human aging by publishing research and analysis on applied social issues. It informs the broad community of disciplines and professions involved in understanding the aging process and providing care to older people. Articles should include a conceptual framework and testable hypotheses. Implications for policy or practice should be highlighted. The Gerontologist publishes quantitative and qualitative research and encourages manuscript submissions of various types including: research articles, intervention research, review articles, measurement articles, forums, and brief reports. Book and media reviews, International Spotlights, and award-winning lectures are commissioned by the editors.
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