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比较不同年龄段的差异,了解非裔美国人的长寿现象。

A Comparison of Variances in Age Cohorts to Understand Longevity in African Americans.

机构信息

Wayne State University, Detroit, Michigan.

Quantitative Health Sciences, University of Massachusetts Medical School, Worcester.

出版信息

J Gerontol A Biol Sci Med Sci. 2019 Nov 13;74(Suppl_1):S27-S31. doi: 10.1093/gerona/glz214.

Abstract

BACKGROUND

African American life expectancy at age 65 is about 2 years less than that of Caucasians, but by age 85, African Americans may have a longevity advantage. One possible explanation for this cross-over effect is that African Americans who make it to the oldest ages have done so by handling stressful contextual and health disadvantages. The purpose of this study was to examine possible within group cohort differences that lead to exceptional longevity among older African Americans.

METHODS

Data came from three cohorts of older African Americans: the Carolina African American Twin Study of Aging (CAATSA), the Baltimore Study of Black Aging-Patterns of Cognitive Aging (BSBA-PCA), and the Study of Longevity and Stress in African American Families (SOLSAA). Of the 533 participants, we compared two age cohorts (60-79 and 80+) with an average age of 73.2 (SD = 8.33) and 26.3% are men. Variables included measures of stress, depression, coping, cognition, and health indicators.

RESULTS

The variance for depression and average peak expiratory flow (APEF) was significantly larger for the older cohort but after controlling for demographic factors, the measure of depressive symptoms was not. The Alpha Span test showed a significant difference with the older cohort having larger variances after controlling for demographic factors.

CONCLUSIONS

The findings suggest that there are changes in the characteristics of who makes it to later life, but counter to our hypothesis, there was greater variability in the oldest group relative to the younger.

摘要

背景

非洲裔美国人在 65 岁时的预期寿命比白种人短约 2 年,但到 85 岁时,非洲裔美国人可能具有长寿优势。这种交叉效应的一个可能解释是,那些活到最年长年龄的非裔美国人通过应对压力大的环境和健康劣势做到了这一点。本研究的目的是检查导致老年非裔美国人异常长寿的可能的同组队列差异。

方法

数据来自三个老年非裔美国人队列:卡罗莱纳非裔美国双胞胎衰老研究(CAATSA)、巴尔的摩非裔美国人衰老研究-认知衰老模式(BSBA-PCA)和非裔美国家庭长寿与压力研究(SOLSAA)。在 533 名参与者中,我们比较了两个年龄队列(60-79 岁和 80+岁),平均年龄为 73.2(SD=8.33),26.3%为男性。变量包括压力、抑郁、应对、认知和健康指标的测量。

结果

抑郁和平均呼气峰流速(APEF)的方差在老年队列中显著更大,但在控制人口统计学因素后,抑郁症状的测量值并不如此。阿尔法跨度测试显示,在控制人口统计学因素后,老年队列的方差有显著差异。

结论

研究结果表明,能够进入晚年的人的特征发生了变化,但与我们的假设相反,最年长的组的变异性大于年轻组。

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