Department of Psychology, University of California, Los Angeles.
David Geffen School of Medicine at University of California, Los Angeles.
Gerontologist. 2017 Aug 1;57(suppl_2):S138-S148. doi: 10.1093/geront/gnx078.
The study identifies differences in age-expectations between older adults from Korean, Chinese, Latino, and African American backgrounds living in the United States.
This study uses baseline demographic, age-expectation, social, and health data from 229 racial/ethnic minority seniors in a stroke-prevention intervention trial. Unadjusted regression models and pair-wise comparisons tested for racial/ethnic differences in age-expectations, overall, and across domain subscales (e.g., physical-health expectations). Adjusted regression models tested whether age-expectations differed across racial/ethnic groups after controlling for demographic, social, and health variables. Regression and negative binomial models tested whether age-expectations were consistently associated with health and well-being across racial/ethnic groups.
Age-expectations differed by race/ethnicity, overall and for each subscale. African American participants expected the least age-related functional decline and Chinese American participants expected the most decline. Although African American participants expected less decline than Latino participants in unadjusted models, they had comparable expectations adjusting for education. Latino and African American participants consistently expected less decline than Korean and Chinese Americans. Acculturation was not consistently related to age-expectations among immigrant participants over and above ethnicity. Although some previously observed links between expectations and health replicated across racial/ethnic groups, in adjusted models age-expectations were only related to depression for Latino participants.
With a growing racial/ethnic minority older population in the United States, it is important to note older adults' age-expectations differ by race/ethnicity. Moreover, expectation-health associations may not always generalize across diverse samples.
本研究旨在识别生活在美国的韩国、中国、拉丁裔和非裔美国老年人在年龄期望方面的差异。
本研究使用了一项中风预防干预试验中 229 名少数族裔老年人的基线人口统计学、年龄期望、社会和健康数据。未调整的回归模型和两两比较检验了年龄期望在总体和各领域子量表（例如身体预期）上的种族/民族差异。调整后的回归模型检验了在控制人口统计学、社会和健康变量后，年龄期望是否在不同种族/族裔群体中存在差异。回归和负二项式模型检验了年龄期望是否在不同种族/族裔群体中与健康和幸福感一致相关。
年龄期望因种族/民族而异，总体上和每个子量表都是如此。非裔美国参与者预计与年龄相关的功能下降最少，而华裔美国参与者预计下降最多。尽管在未调整的模型中，非裔美国参与者的预期下降幅度小于拉丁裔参与者，但在调整教育因素后，他们的预期与拉丁裔参与者相当。拉丁裔和非裔美国参与者的预期下降幅度始终低于韩国和华裔美国人。在移民参与者中，除了族裔之外，文化适应与年龄期望之间的关系并不总是一致。尽管期望与健康之间的一些先前观察到的联系在不同的种族/族裔群体中得到了复制，但在调整后的模型中，年龄期望仅与拉丁裔参与者的抑郁有关。
随着美国少数族裔老年人口的增长，注意到不同种族/族裔的老年人的年龄期望存在差异非常重要。此外，期望与健康的关联可能并不总是在不同的样本中普遍存在。
