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在高档化社区中就地老龄化:对身心健康的影响。

Aging in Place in Gentrifying Neighborhoods: Implications for Physical and Mental Health.

机构信息

Wayne State University, Michigan.

University of Maryland, Baltimore.

出版信息

Gerontologist. 2018 Jan 18;58(1):26-35. doi: 10.1093/geront/gnx105.

DOI:10.1093/geront/gnx105
PMID:28958016
Abstract

BACKGROUND AND OBJECTIVES

In the United States, the older adult population and the proportion of neighborhoods experiencing gentrification are both growing. However, there is limited scholarship on the effects of gentrification on older adults, with most work focusing on those who leave rather than stay. This study examines the effects of remaining in a gentrifying neighborhood on older adults' self-rated health and mental health, with particular attention to outcomes for those who are economically vulnerable.

RESEARCH DESIGN AND METHODS

Data are from 6,810 community-dwelling respondents in metropolitan areas from the first wave of the National Health & Aging Trends Study combined with the 1970-2010 National Neighborhood Change Database. We estimate the effects of gentrification on self-rated health and mental health separately using a quasi-experimental approach and comparing two methods: matching design and linear regression.

RESULTS

Economically vulnerable older adults in gentrifying neighborhoods reported higher self-rated health than economically vulnerable older adults in low-income neighborhoods. Both economically vulnerable and higher-income older adults in gentrifying neighborhoods had more depression and anxiety symptoms than those living in more affluent areas. Higher-income older adults in gentrifying neighborhoods had poorer mental health than their counterparts in low-income neighborhoods.

DISCUSSION AND IMPLICATIONS

Findings call attention to the complexity of gentrification, and the need for more research examining how the intersection of neighborhood and individual characteristics influences older adults' health. Results reinforce the need for neighborhood-level interventions as well as relocation support to promote health in later life and caution against an overemphasis on aging in place.

摘要

背景与目的

在美国,老年人口和经历绅士化的社区比例都在增长。然而,关于绅士化对老年人影响的研究甚少,大多数研究都集中在那些离开而不是留下的人身上。本研究考察了留在绅士化社区对老年人自评健康和心理健康的影响,特别关注那些经济脆弱的人的结果。

研究设计与方法

数据来自国家健康老龄化趋势研究第一波的 6810 名居住在大都市地区的社区居民,以及 1970-2010 年的国家邻里变化数据库。我们使用准实验方法分别估计绅士化对自评健康和心理健康的影响,并比较了两种方法:匹配设计和线性回归。

结果

处于绅士化社区的经济脆弱的老年人比处于低收入社区的经济脆弱的老年人自评健康更高。处于绅士化社区的经济脆弱和高收入老年人比生活在较富裕地区的老年人有更多的抑郁和焦虑症状。处于绅士化社区的高收入老年人的心理健康比低收入社区的同龄人更差。

讨论与意义

研究结果引起了对绅士化复杂性的关注,以及需要更多研究来考察邻里和个人特征的交叉如何影响老年人的健康。研究结果强调了需要进行邻里层面的干预以及搬迁支持,以促进老年人的健康,并提醒人们不要过分强调就地老龄化。

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