Wallace Steven P, Padilla-Frausto D Imelda, Smith Susan E
Department of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, CA, USA,
J Cross Cult Gerontol. 2013 Sep;28(3):239-50. doi: 10.1007/s10823-013-9201-x.
The first official U.S. federal poverty line was developed in the 1960s; since the mid-1990s the scientific consensus has been that it has become outdated and inaccurate. This article explains the key elements of the current federal measure that are inaccurate for older adults in general and older Latinos specifically. An alternative is described that addresses the key failings of the current measure. The alternative, the Elder Economic Security Standard™ Index (Elder Index), adapts a national methodology to the basic costs of living in California for 2007 using data from the American Community Survey, and other public data sources. The results show that the amount needed for basic economic security in California is higher than the federal poverty level in all counties, and averages about twice the federal level. Housing costs are the largest component of costs in most counties, although health care is the largest component for couples in lower housing cost counties. Among singles and couples age 65 and over in California, almost 60% of Latinos have incomes below the Elder Index compared to one-quarter of non-Latino whites. The rates are higher among renters, and older Latinos are more likely than non-Latino whites to rent. Applying the Elder Index in California documents the disproportionate rates of economic insecurity among older Latinos. The findings indicate that changes to public programs such as Social Security and Medicare that decrease benefits or increase costs will have disproportionately negative impact on the ability of most older Latinos to pay for basic needs.
美国首个官方联邦贫困线于20世纪60年代制定;自20世纪90年代中期以来,科学界的共识是该贫困线已过时且不准确。本文解释了当前联邦衡量标准中对老年人总体而言,特别是对老年拉丁裔不准确的关键要素。文中描述了一种替代方案,该方案解决了当前衡量标准的主要缺陷。这种替代方案即老年经济安全标准指数(老年指数),它采用一种全国性方法,根据美国社区调查的数据以及其他公共数据源,计算出2007年加利福尼亚州的基本生活成本。结果显示,加利福尼亚州各县基本经济安全所需金额均高于联邦贫困水平,平均约为联邦水平的两倍。住房成本是大多数县成本的最大组成部分,不过在住房成本较低的县,医疗保健是夫妻成本的最大组成部分。在加利福尼亚州65岁及以上的单身和夫妻中,近60%的拉丁裔收入低于老年指数,而非拉丁裔白人的这一比例为四分之一。租房者中的这一比例更高,而且老年拉丁裔比非拉丁裔白人更有可能租房。在加利福尼亚州应用老年指数证明了老年拉丁裔中经济不安全的比例过高。研究结果表明,社会保障和医疗保险等公共项目的变化若减少福利或增加成本,将对大多数老年拉丁裔支付基本生活需求的能力产生 disproportionately 负面影响。 (注:disproportionately 这个词在这里直接保留英文,因为它在中文语境中没有完全对应的简洁词汇,直接保留更能准确传达原文意思)