Bowles J, Brooks T, Hayes-Reams P, Butts T, Myers H, Allen W, Kington R S
Sepulveda VA, USA.
J Health Care Poor Underserved. 2000 Feb;11(1):87-99. doi: 10.1353/hpu.2010.0533.
A community-based survey of 507 African Americans aged 60 and older from South Central Los Angeles was conducted to estimate the prevalence of frailty and describe the correlation between frailty, social support from family and church, and use of community services. Persons were considered frail if they met criteria for any of four conditions: functional impairment, depression, urinary incontinence, falls. Sixty-seven percent met criteria for frailty. Analyses revealed that frail elderly were significantly less likely to report feeling very close to family. Family contact, feeling that church was important, and receiving church support were similar for the frail and nonfrail. Frail elderly were more likely to use community services. These findings suggest that frail elderly in this population may not receive more support from family and church than nonfrail elderly. There is a need for caution when assuming families and churches in urban African American communities are able to support the most vulnerable elderly.
对来自洛杉矶中南部的507名60岁及以上非裔美国人进行了一项基于社区的调查，以估计衰弱的患病率，并描述衰弱、来自家庭和教会的社会支持以及社区服务使用情况之间的相关性。如果个体符合以下四种情况中任何一种的标准，即被认为是衰弱的：功能障碍、抑郁、尿失禁、跌倒。67%的人符合衰弱标准。分析表明，体弱的老年人报告与家人关系非常亲密的可能性显著较低。体弱和非体弱的老年人在家庭联系、认为教会很重要以及获得教会支持方面相似。体弱的老年人更有可能使用社区服务。这些发现表明，这一人群中的体弱老年人可能并不比非体弱老年人从家庭和教会获得更多支持。在假设城市非裔美国人社区中的家庭和教会能够支持最脆弱的老年人时，需要谨慎。
