美国墨西哥裔老年人新入照顾角色后的文化适应与抑郁症状：西班牙裔 EPESE 研究结果。
Acculturation and depressive symptoms among Mexican American elders new to the caregiving role: results from the Hispanic-EPESE.
机构信息
University of South Florida, Tampa, FL, USA.
出版信息
J Aging Health. 2011 Apr;23(3):417-32. doi: 10.1177/0898264310380454. Epub 2010 Sep 17.
Abstract
OBJECTIVE
The purpose of this study was to identify characteristics associated with becoming a caregiver among Mexican American (MA) elders and to examine predictors of depressive symptoms among the new caregivers 2 years later.
METHOD
Drawn from the Hispanic Established Populations for Epidemiologic Studies of the Elderly (H-EPESE), 152 MA recent caregivers and 2,023 other MAs were compared. Residualized change regression analysis was conducted.
RESULTS
At baseline, MAs who had recently become caregivers exhibited a significantly greater number of depressive symptoms compared to those who had not. Controlling for background characteristics, physical health, social support, and baseline depressive symptoms, regression analysis revealed that 2 years later higher acculturation was related to a greater number of depressive symptoms among those who at baseline were new caregivers.
DISCUSSION
Better knowledge of the within-group differences among MA elderly caregivers, especially with respect to acculturation, may better inform interventions for this at-risk group.
摘要
目的
本研究旨在确定与墨西哥裔美国老年人成为照顾者相关的特征，并探讨 2 年后新照顾者出现抑郁症状的预测因素。
方法
本研究数据来自西班牙裔美国人健康与老龄化研究（H-EPESE），将 152 名近期成为照顾者的墨西哥裔美国人和 2023 名其他墨西哥裔美国人进行了比较。采用残差变化回归分析。
结果
在基线时，与未成为照顾者的人相比，最近成为照顾者的墨西哥裔美国人表现出更多的抑郁症状。在控制背景特征、身体健康、社会支持和基线抑郁症状后，回归分析显示，在基线时新照顾者的文化程度越高，2 年后的抑郁症状越多。
讨论
更好地了解墨西哥裔美国老年照顾者群体内的差异，特别是在文化方面，可能会为这一高危群体的干预措施提供更好的信息。
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