Reyes-Ortiz Carlos A, Camacho María E, Eschbach Karl, Markides Kyriakos S
Profesor Asistente y Científico Investigador, División de Geriatría, División de Ciencias de Rehabilitación, Universidad de Texas Medical Branch, Galveston, Texas, USA.
Profesor Asistente, División de Geriatría, Centro de Envejecimiento Sealy, Universidad de Texas Medical Branch, Galveston, Texas.
Colomb Med (Cali). 2006;37(Supl 1):45-49.
In this article, the roles of the family and the neighborhood on the health of Mexican American older people of the Hispanic EPESE () are discussed. The epidemiologic paradox consists on, in despite of socioeconomic disadvantage; Hispanic older people have a relatively low mortality than white older people. This is especially true when the older people live in neighborhoods with high percentages of Mexican Americans. The family has also an important role in these older people for decreasing the risk of institutionalization or morbidity. On the other hand, stress from economic problems or family dependency among older Mexican immigrants can overcome capacity for coping stress, this may affect the health of Mexican American older people.
本文讨论了家庭和社区对西班牙裔老年人流行病学研究中的墨西哥裔美国老年人健康的作用。流行病学悖论在于，尽管存在社会经济劣势，但西班牙裔老年人的死亡率相对低于白人老年人。当老年人生活在墨西哥裔美国人比例较高的社区时，情况尤其如此。家庭在降低这些老年人入住养老院或患病风险方面也发挥着重要作用。另一方面，墨西哥老年移民面临的经济问题或家庭依赖带来的压力可能会超过其应对压力的能力，这可能会影响墨西哥裔美国老年人的健康。
