文化适应对老年墨西哥裔美国人脆弱性的影响。
The effect of acculturation on frailty among older Mexican Americans.
机构信息
University of Texas Medical Branch, Galveston, TX 77555-0434, USA.
出版信息
J Aging Health. 2011 Jun;23(4):704-13. doi: 10.1177/0898264310391786. Epub 2010 Dec 28.
OBJECTIVE
To determine the effect of acculturation on becoming frail and prefrail over a 10-year period among older Mexican Americans.
METHOD
A nationally representative sample of 2,049 Mexican Americans aged 67 to 108 was analyzed. Adjusted for sociodemographics and health, longitudinal multinomial mixed models examined the effects of English language and frequency of contact with Anglo-Americans on transitions among deceased, nonfrail, prefrail, and frail statuses.
RESULTS
Greater English language proficiency was associated with a 10% reduced likelihood of becoming prefrail (p < .05) and marginally associated with a reduced likelihood of becoming frail (relative risk = 0.88; p = .07). Frequent contact with Anglos was significantly associated with a reduced likelihood of becoming frail (relative risk = 0.87; p < .05).
DISCUSSION
Among older Mexican Americans, acculturation at baseline was protective of transitioning from a nonfrail or prefrail to a frail state. These findings suggest that increased acculturation may provide Mexican Americans with protection from health issues in old age.
目的
在 10 年期间，确定文化适应对老年墨西哥裔美国人衰弱和虚弱前期的影响。
方法
对 2049 名年龄在 67 岁至 108 岁的具有全国代表性的墨西哥裔美国人样本进行了分析。调整了社会人口统计学和健康因素后，纵向多项混合模型研究了英语水平和与盎格鲁美国人接触频率对死亡、非虚弱、虚弱前期和虚弱状态之间转变的影响。
结果
较高的英语水平与虚弱前期的发生几率降低 10%相关（p <.05），与虚弱的发生几率降低相关（相对风险=0.88；p =.07）。与盎格鲁人频繁接触与虚弱的发生几率降低显著相关（相对风险=0.87；p <.05）。
讨论
在老年墨西哥裔美国人中，基线时的文化适应对从不衰弱或虚弱前期向衰弱状态转变具有保护作用。这些发现表明，文化适应程度的提高可能为墨西哥裔美国人提供保护，使其免受老年健康问题的影响。
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