出生地和居住地在波多黎各健康差异中的作用:来自群岛与大陆出生的波多黎各人之间残疾患病率的证据。

IF 2.2 3区 医学 Q2 GERONTOLOGY Journal of Aging and Health Pub Date : 2024-01-01 Epub Date: 2023-04-28 DOI:10.1177/08982643231172643
Mara Getz Sheftel, Frank W Heiland
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引用次数: 0

摘要

目的:本文提供了40岁及以上的波多黎各群岛和大陆居民的残疾患病率的新估计,并按出生地和居住地比较残疾情况,以调查中老年健康的驱动因素。方法:使用2013年至2017年美国社区调查和波多黎各社区调查数据中具有全国代表性的大型样本,估计在群岛出生/在群岛居住、在群岛出生/在大陆居住、在大陆出生/在大陆居住的波多黎各人的年龄特异性残疾患病率。结果:大陆出生/居住在大陆的波多黎各人的年龄调整残疾率最低,而群岛出生/居住在群岛的波多黎各人的残疾率最高。教育上的差异可以部分解释这种差异。讨论:根据一个人的出生地点而不是目前居住地,残疾患病率的相似性最大,这表明早年生活是残疾过程中对晚年健康至关重要的时期。群岛早年的社会经济劣势可能对群岛出生的波多黎各人晚年的残疾发生率产生持久影响。
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The Role of Place of Birth and Residence in Puerto Rican Health Disparities: Evidence From Disability Prevalence Among Archipelago- Vs. Mainland-Born Puerto Ricans.

Objectives: This paper provides new estimates of disability prevalence for the archipelago and mainland-residing Puerto Rican populations ages 40 and above and compares disability by place of birth and place of residence to investigate drivers of middle and older age health. Methods: Large nationally representative samples from 2013 to 2017 American Community Survey and Puerto Rico Community Survey data are used to estimate age-specific disability prevalence for archipelago-born/archipelago-residing, archipelago-born/mainland-residing, mainland-born/mainland-residing Puerto Ricans. Results: Mainland-born/mainland-residing Puerto Ricans have the lowest age-adjusted disability rates and archipelago-born/archipelago-residing Puerto Ricans have the highest rates. Differences in education explain part of this disparity. Discussion: Similarities in disability prevalence are strongest based on where one was born as opposed to current residence, pointing to early life as a critical period in the disablement process for later-life health. Early life socio-economic disadvantage on the archipelago may have an enduring impact on later-life disability prevalence for archipelago-born Puerto Ricans.

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来源期刊
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.
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