Division of Community Geriatrics, Department of Family & Community Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA.
J Am Med Dir Assoc. 2013 Mar;14(3):226.e1-4. doi: 10.1016/j.jamda.2012.12.006. Epub 2013 Jan 24.
The purpose of the current study was to describe the factors associated with Mexican American elders in the Southwestern United States who have spent time in a skilled nursing facility (SNF) compared with those who have not.
Data were collected on the Mexican American elders who reported an SNF stay within 10 years of baseline.
A probability sample of 3050 Mexican American elders from five Southwestern states followed from 1993 to 2005 were examined.
Variables examined included sociodemographics, language of interview, disabilities with instrumental activities of daily living, activities of daily living, self-reported health, cognitive status, and depression.
A total of 78 (3.9%) of 2020 subjects resided in SNFs. Using univariate analyses, older age, English-language interview, poorer cognitive status, and functional disabilities were independently associated with SNF admissions. Logistic regression analyses controlling for age revealed that SNF patients were older (OR = 1.08, P = .001), had an activities of daily living disability (OR = 4.94, P < .001), scored in the depressed range in the Geriatric Depression Scale (OR = 2.72, P = .001), and were more likely to interview in English (OR = 1.95, P = .042), when compared with community counterparts.
Mexican American elders who resided in an SNF at some point in the previous 10 years were older, and were more likely to be functionally impaired. They also were more likely to prefer English as their primary language, indicating they were more likely to agree to an SNF stay than their Spanish-speaking counterparts.
本研究旨在描述美国西南部墨西哥裔美国老年人中，入住养老院（SNF）和未入住养老院的相关因素。
数据收集于在基线 10 年内报告入住养老院的墨西哥裔美国老年人。
对来自美国西南部 5 个州的 3050 名墨西哥裔美国老年人进行了概率抽样，随访时间为 1993 年至 2005 年。
检查了社会人口统计学、访谈语言、日常生活活动的工具性残疾、日常生活活动、自我报告的健康状况、认知状态和抑郁等变量。
共有 78 名（3.9%）2020 名受试者居住在养老院。使用单变量分析，年龄较大、英语访谈、认知状态较差和功能障碍与养老院入院独立相关。控制年龄的逻辑回归分析显示，养老院患者年龄较大（OR=1.08，P=0.001），日常生活活动障碍（OR=4.94，P<0.001），在老年抑郁量表中处于抑郁范围（OR=2.72，P=0.001），并且更有可能用英语接受访谈（OR=1.95，P=0.042），与社区患者相比。
在过去 10 年中的某个时间居住在养老院的墨西哥裔美国老年人年龄较大，且更有可能存在功能障碍。他们也更有可能更喜欢英语作为他们的主要语言，这表明他们比讲西班牙语的同龄人更有可能同意入住养老院。
