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衰老认知对老年土耳其移民的幸福感很重要,尤其是在慢性病患者中。

Aging perceptions matter for the well-being of elderly Turkish migrants, especially among the chronically ill.

机构信息

Department of Socio-Medical Sciences, Erasmus School of Health Policy & Management (ESHPM) of the Erasmus University Rotterdam (EUR), P.O. Box 1738, 3000, DR, Rotterdam, The Netherlands.

出版信息

BMC Geriatr. 2018 Sep 26;18(1):229. doi: 10.1186/s12877-018-0902-4.

Abstract

BACKGROUND

Research on cultural ideology with respect to aging perceptions leading to poorer health and well-being is necessary to improve the quality and effectiveness of (preventive) healthcare delivery in reaching immigrant elderly people and delivering care tailored to their needs. Despite the potential benefits of positive aging perceptions on well-being, there is a lack of empirical quantitative research on aging perceptions among elderly Turkish migrants. Therefore, the current study aimed to identify the importance of aging perceptions for the well-being of Turkish elderly in Rotterdam.

METHODS

The current research is a large-scale quantitative study aimed at investigating the contribution of aging perceptions to well-being among elderly Turkish migrants in Rotterdam. All Turkish people aged > 65 years were identified using the Rotterdam municipal register and invited to participate in the study. In total, 680 Turkish respondents returned completed questionnaires (32% response rate).

RESULTS

The average respondent age was 72.90 (SD, 5.02) (range, 66-95) years and approximately half of the respondents (47.6%) were women. The majority of the respondents was of a low education (80.3%) and reported a low income level (83.4%). The mean number of chronic diseases among study participants was 2.68 (SD, 1.87) (range, 0-10). Being female (p ≤ 0.01), being single (p ≤ 0.01), having a low education level (p ≤ 0.01) and number of chronic diseases (p ≤ 0.001) were negatively associated with well-being. In addition, negative perceptions on aging were negatively associated with well-being while positive perceptions on aging were positively associated with well-being. Stepwise regression analyses showed a mediating effect of perceptions of aging on the relationship between the number of chronic diseases and the well-being of study participants.

CONCLUSIONS

Aging perceptions, especially perceived consequences of aging (both positive and negative), feelings of control (both positive and negative), and emotional representations are important to the well-being of Turkish elderly residing in the Netherlands. These results indicate the importance of the development of interventions in the perceptions on aging in the elderly Turkish population in Western Europe.

摘要

背景

研究文化观念对衰老认知的影响,对于改善(预防)医疗保健的质量和效果至关重要,这有助于接触移民老年人并提供符合他们需求的护理。尽管积极的衰老认知对幸福感有潜在的好处,但关于老年土耳其移民衰老认知的实证定量研究却很少。因此,本研究旨在确定衰老认知对鹿特丹老年土耳其人的幸福感的重要性。

方法

本研究是一项大规模的定量研究,旨在调查衰老认知对鹿特丹老年土耳其移民幸福感的贡献。使用鹿特丹市登记册确定所有年龄大于 65 岁的土耳其人,并邀请他们参加研究。共有 680 名土耳其受访者返回了完整的问卷(回应率为 32%)。

结果

受访者的平均年龄为 72.90 岁(标准差 5.02 岁)(年龄范围为 66-95 岁),约一半(47.6%)为女性。大多数受访者的教育程度较低(80.3%),收入水平较低(83.4%)。研究参与者的慢性病平均数量为 2.68(标准差 1.87)(范围 0-10)。女性(p≤0.01)、单身(p≤0.01)、教育程度低(p≤0.01)和慢性病数量多(p≤0.001)与幸福感呈负相关。此外,消极的衰老认知与幸福感呈负相关,而积极的衰老认知与幸福感呈正相关。逐步回归分析显示,衰老认知对慢性病数量与研究参与者幸福感之间关系存在中介效应。

结论

衰老认知,尤其是对衰老的感知后果(积极和消极的)、控制感(积极和消极的)和情绪表达,对居住在荷兰的土耳其老年人的幸福感很重要。这些结果表明,在西欧的老年土耳其人群中开展衰老认知干预的重要性。

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