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社区居住的美国华裔老年人的家庭关系与认知功能。

Family Relationships and Cognitive Function Among Community-Dwelling U.S. Chinese Older Adults.

机构信息

Institute for Health, Health Care Policy and Aging Research, School of Nursing, 242612Rutgers, The State University of New Jersey, New Brunswick, NJ, USA.

School of Nursing, 12330University of Texas at Austin, TX, USA.

出版信息

Res Aging. 2021 Jan;43(1):37-46. doi: 10.1177/0164027520939250. Epub 2020 Jul 16.

Abstract

A broad literature has explored racial disparities in cognitive aging. Research incorporating sociocultural factors would provide a more comprehensive understanding of minority aging. This study aims to investigate the role of family typology in cognition among U.S. Chinese immigrants. Data were derived from the Population Study of Chinese Elderly in Chicago (PINE). Family typology included tight-knit, unobligated ambivalent, commanding conflicted, and detached typologies. Cognition was evaluated by global cognition, episodic memory, working memory, executive function, and mini-mental state examination (MMSE). Linear and quantile regressions were used. Older adults with detached and commanding conflicted typologies reported lower global cognition than those with unobligated ambivalent typology. Detached, commanding conflicted, and tight-knit typologies were associated with poorer performance in episodic memory, working memory and MMSE than unobligated ambivalent typology, respectively. Social service providers could be aware of multifaceted family relationships when developing interventions for cognitive function and understand family typology as a whole.

摘要

广泛的文献探讨了认知老化中的种族差异。纳入社会文化因素的研究将为少数族裔的老龄化提供更全面的理解。本研究旨在探讨美籍华人家庭类型学在认知中的作用。数据来自芝加哥华人老年人口研究(PINE)。家庭类型学包括紧密型、无义务矛盾型、命令冲突型和分离型。认知通过整体认知、情景记忆、工作记忆、执行功能和简易精神状态检查(MMSE)来评估。使用线性和分位数回归。与无义务矛盾型相比,具有分离型和命令冲突型的老年人整体认知较低。与无义务矛盾型相比,分离型、命令冲突型和紧密型分别与情景记忆、工作记忆和 MMSE 表现较差相关。社会服务提供者在制定认知功能干预措施时可以意识到多方面的家庭关系,并将家庭类型学作为一个整体来理解。

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