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原地差异衰老与抑郁症状:时间、收入和老年住房之间的相互作用

Differential Aging in Place and Depressive Symptoms: Interplay Among Time, Income, and Senior Housing.

作者信息

Park Sojung, Kim BoRin, Han Yoonsun

机构信息

1 George Warren Brown School of Social Work, Washington University in Saint Louis, St. Louis, MO, USA .

2 University of New Hampshire, Durham, NH, USA.

出版信息

Res Aging. 2018 Mar;40(3):207-231. doi: 10.1177/0164027517697106. Epub 2017 Mar 20.

Abstract

OBJECTIVE

We examined cumulative and differential experiences of aging in place.

METHOD

Data came from the 2002 and 2010 wave of the Health Retirement Study. We modeled the trajectory of later-life depressive symptoms, and how senior-housing environments moderate the negative association between economic disadvantages and depressive symptoms.

RESULTS

At baseline, economically disadvantaged older adults were more likely to exhibit depressive symptoms. However, detrimental effects of income group (non-low income vs. moderate income; non-low income vs. low income) on depressive symptoms did not significantly change over time. The age-leveler hypothesis may account for nonsignificant effects of disadvantaged income groups over time.

DISCUSSION

Findings suggest that moderate-income seniors may experience positive differentials if they age in place in a supportive senior-housing environment. Moderate-income seniors may have broader opportunities in senior housing compared to private-home peers. Senior housing might partially counter risks such as low mental health, emerging from life-course disadvantage.

摘要

目的

我们研究了居家养老的累积和差异体验。

方法

数据来自2002年和2010年的健康与退休研究。我们对晚年抑郁症状的轨迹以及老年住房环境如何调节经济劣势与抑郁症状之间的负相关关系进行了建模。

结果

在基线时,经济上处于劣势的老年人更有可能表现出抑郁症状。然而,收入组(非低收入与中等收入;非低收入与低收入)对抑郁症状的不利影响并未随时间显著变化。年龄平等化假说可能解释了弱势收入群体随时间产生的不显著影响。

讨论

研究结果表明,如果中等收入的老年人在支持性的老年住房环境中居家养老,他们可能会经历积极的差异。与居住在私人住宅的同龄人相比,中等收入的老年人在老年住房中可能有更广泛的机会。老年住房可能会部分抵消因人生历程劣势而产生的心理健康低下等风险。

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