Department of Psychology, University of Alabama at Birmingham.
Department of Mental Health, Johns Hopkins University, Baltimore, Maryland.
J Gerontol B Psychol Sci Soc Sci. 2018 Jan 11;73(2):258-266. doi: 10.1093/geronb/gbx090.
African American (AA) men battling multiple morbidities are tasked with managing the components of each condition and are at greater risk for adverse outcomes such as poor health-related quality of life (QOL), disability, and higher mortality rates.
Baseline data for AA men from the University of Alabama at Birmingham Study of Aging were utilized. Factor analysis was used to categorize medical conditions and create factor scores. Covariate-adjusted regression models assessed the relationships between categories of conditions and physical and mental health-related QOL as assessed by the SF-12.
The mean age of the sample of 247 AA men was 75.36 years and 49% lived in rural areas. Medical conditions fit into three factors: metabolic syndrome, kidney failure and neurological complications, and COPD and heart disease. Covariate-adjusted models revealed that low education, higher levels of income difficulty, and higher scores on metabolic syndrome and COPD and heart disease factors were associated with lower scores on physical health-related QOL, p's < .05. Higher levels of income difficulty were also associated with lower scores on mental health-related QOL.
These findings suggest the importance of examining clusters of comorbid medical conditions and their relationships to outcomes within older African American men.
与多种疾病作斗争的非裔美国男性（AA）需要管理每种疾病的组成部分，他们面临着不良后果的风险更高，如健康相关生活质量（QOL）差、残疾和更高的死亡率。
利用阿拉巴马大学伯明翰分校老龄化研究中 AA 男性的基线数据。采用因子分析对医疗状况进行分类，并创建因子得分。协变量调整后的回归模型评估了疾病类别与 SF-12 评估的身体和心理健康相关 QOL 之间的关系。
247 名 AA 男性样本的平均年龄为 75.36 岁，49%居住在农村地区。医疗状况分为三个因素：代谢综合征、肾衰竭和神经并发症以及 COPD 和心脏病。协变量调整后的模型显示，受教育程度较低、收入困难程度较高、代谢综合征和 COPD 以及心脏病因素得分较高与身体健康相关 QOL 得分较低相关，p 值均<.05。较高的收入困难程度也与心理健康相关 QOL 得分较低相关。
这些发现表明，检查老年非裔美国男性多种合并症的集群及其与结果的关系非常重要。
