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成年黑人男性慢性病患者的总体幸福感。

General Well-Being in Adult Black Males With Chronic Illness.

作者信息

Esiaka Darlingtina, Naemi Pegah, Kuofie Araba, Hess Riley

机构信息

University of Kansas, Lawrence, USA.

Univeristy of Georgia, Athens, USA.

出版信息

Gerontol Geriatr Med. 2019 Jun 27;5:2333721419855664. doi: 10.1177/2333721419855664. eCollection 2019 Jan-Dec.

Abstract

As individuals age, they witness a decline in physical health and functional capacities. The presence of one or more chronic illnesses challenges their quality of life and general well-being, thus, impacting their abilities to function physically, psychologically, and socially. We investigated reports of general well-being in older Black males with chronic illness(es) in a study of = 145 participants, aged 35 to 63, and identified as Black/African American male. Participants responded to items assessing general well-being; ethnic identity; self-esteem; active coping; the presence of chronic illness(es); and additional demographic, social and ecological characteristics. Analyses of responses indicated that marital status (β = -.17, < .05), ethnic identity (β = -.34, = .00), self-esteem (β = .22, = .03) are significant determinants of general well-being in Black males with chronic illness(es). Data further showed active coping ( = -.41 = .09) to be negatively correlated with well-being. We discuss the implications of results for the understanding of health outcomes among this marginalized population.

摘要

随着个体年龄的增长,他们的身体健康和功能能力会出现下降。一种或多种慢性疾病的存在会对他们的生活质量和总体幸福感构成挑战,从而影响他们在身体、心理和社会方面的功能能力。在一项针对145名年龄在35至63岁之间、被认定为黑人/非裔美国男性的慢性疾病患者的研究中,我们调查了老年黑人男性的总体幸福感报告。参与者对评估总体幸福感、种族认同、自尊、积极应对方式、慢性疾病的存在以及其他人口统计学、社会和生态特征的项目做出了回应。对回应的分析表明,婚姻状况(β = -0.17,p < 0.05)、种族认同(β = -0.34,p = 0.00)、自尊(β = 0.22,p = 0.03)是患有慢性疾病的黑人男性总体幸福感的重要决定因素。数据还显示,积极应对方式(r = -0.41,p = 0.09)与幸福感呈负相关。我们讨论了这些结果对于理解这一边缘化人群健康状况的意义。

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