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2
Diverse Aging and Health Inequality by Race and Ethnicity.不同种族和族裔群体在衰老及健康方面的差异与健康不平等
Innov Aging. 2017 Mar 1;1(1):igx002. doi: 10.1093/geroni/igx002. Epub 2017 May 26.
3
A comprehensive analysis of the mortality experience of hispanic subgroups in the United States: Variation by age, country of origin, and nativity.对美国西班牙裔亚群体死亡率经历的综合分析:按年龄、原籍国和出生地划分的差异
SSM Popul Health. 2017 Feb 2;3:245-254. doi: 10.1016/j.ssmph.2017.01.011. eCollection 2017 Dec.
4
United States Life Tables, 2014.《2014年美国生命表》
Natl Vital Stat Rep. 2017 Aug;66(4):1-64.
5
Age Trajectories of Physical Health Among Older Adults of Mexican Descent: Implications of Immigrant Status, Age at Immigration, and Gender.墨西哥裔老年人的身体健康轨迹:移民身份、移民年龄和性别带来的影响。
J Aging Health. 2019 Jan;31(1):3-36. doi: 10.1177/0898264317721823. Epub 2017 Jul 24.
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墨西哥裔美国老年人的死亡率在性别和年龄上的移民差异。

Gender and Age of Migration Differences in Mortality Among Older Mexican Americans.

机构信息

Cornell University, Policy Analysis and Management, Ithaca, New York.

University of Nebraska, Sociology and Institute of Ethnic Studies, Lincoln, Nebraska.

出版信息

J Gerontol B Psychol Sci Soc Sci. 2020 Sep 14;75(8):1707-1718. doi: 10.1093/geronb/gbz038.

DOI:10.1093/geronb/gbz038
PMID:30953078
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7489075/
Abstract

OBJECTIVES

Using a gendered life course perspective, we examine whether the relationship between age of migration and mortality is moderated by gender among a cohort of older Mexican Americans.

METHODS

Data from the Hispanic Established Populations for the Epidemiological Study of the Elderly and recently matched mortality data are used to estimate Cox proportional hazard models.

RESULTS

Our findings indicate that the relationship between age of migration and mortality is moderated by gender, suggesting a more nuanced perspective of the immigrant mortality paradox. Among men, midlife migrants exhibit an 18% lower risk of mortality compared to their U.S.-born co-ethnics, possibly due to immigrant selectivity at the time of migration. Conversely, late-life migrant women exhibit a 17% lower risk of mortality relative to U.S.-born women, attributed in part to socio-cultural characteristics that influence lifestyle risk factors across the life course.

DISCUSSION

Selection mechanisms and acculturation processes associated with the immigrant experience are contingent on both age and gender, suggesting the utility of an integrated life course approach to contextualize the mortality profiles of older immigrants. These findings demonstrate the heterogeneity among immigrants and highlight the need to understand gender differences in the migration process when assessing the immigrant mortality paradox.

摘要

目的

利用性别生命周期视角,我们检验了在一群老年墨西哥裔美国人中,迁移年龄与死亡率之间的关系是否受到性别因素的调节。

方法

使用西班牙裔美国人老龄化人口研究和最近匹配的死亡率数据,估计 Cox 比例风险模型。

结果

我们的研究结果表明,迁移年龄与死亡率之间的关系受到性别因素的调节,这表明移民死亡率悖论需要更细致的视角。在男性中,与在美国出生的同族人相比,中年移民的死亡率风险降低了 18%,这可能是由于移民在迁移时具有选择性。相反,与在美国出生的女性相比,晚年移民女性的死亡率风险降低了 17%,这部分归因于影响整个生命周期生活方式风险因素的社会文化特征。

讨论

与移民经历相关的选择机制和文化适应过程取决于年龄和性别,这表明需要采用综合的生命周期方法来描述老年移民的死亡率特征。这些发现表明移民之间存在异质性,并强调在评估移民死亡率悖论时,需要了解移民过程中的性别差异。