Suzanne Dworak-Peck School of Social Work, Edward R. Roybal Institute on Aging, University of Southern California, 669 West 34th Street, Los Angeles, CA, 90089-0411, USA.
Leonard Davis School of Gerontology, University of Southern California, Los Angeles, USA.
J Immigr Minor Health. 2021 Aug;23(4):689-698. doi: 10.1007/s10903-020-01087-2. Epub 2020 Sep 29.
Guided by the models of health assessment and social determinants of health, we examined predictors of self-rated physical, mental, oral, and cognitive health of older Korean immigrants. Data came from the Study of Older Korean Americans (SOKA; N = 2,061, Mean age = 73.2). Multivariate regression models of self-ratings of health were tested with health indicators (both domain-specific and other health indicators including chronic disease, functional disability, mental distress, problems with teeth or gums, and cognitive function) and sociocultural factors (acculturation, social network, and ethnic community social cohesion). For self-rated physical, mental, and oral health, indicators specific to the targeted domain played a primary role, with those of other health domains playing a secondary role. Acculturation and social network were significant predictors of all four measures. Findings highlight the importance of holistic health assessment that considers a wide range of health domains as well as sociocultural contexts.
本研究以健康评估模型和健康的社会决定因素模型为指导，考察了影响老年韩国移民自评身体、心理、口腔和认知健康的因素。数据来自美国老年韩国人研究（SOKA；N=2061，平均年龄 73.2 岁）。采用健康指标（特定领域和其他健康指标，包括慢性疾病、功能障碍、精神困扰、牙齿或牙龈问题以及认知功能）和社会文化因素（文化适应、社会网络和族裔社区社会凝聚力）对健康自评进行多变量回归模型检验。对于自评身体、心理和口腔健康，特定于目标领域的指标起着主要作用，而其他健康领域的指标起着次要作用。文化适应和社会网络是所有四项措施的重要预测因素。研究结果强调了进行整体健康评估的重要性，这种评估需要考虑广泛的健康领域以及社会文化背景。
