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农村地区原住民老年人心理健康和福祉的社会梯度:与智利农村非原住民人口的横断面比较。

The Social Gradient in Mental Health and Well-Being for Indigenous Older Adults Living in Rural Areas: A Cross-Sectional Comparison With Rural Non-indigenous Population in Chile.

机构信息

Department of Sociology, Methods and Theory, Research Institute on Development and Cooperation (IUDC-UCM), 16734Universidad Complutense de Madrid, Spain.

School of Social Work, 28067Universidad de Tarapacá, Arica, Chile.

出版信息

J Aging Health. 2021 Jun-Jul;33(5-6):287-299. doi: 10.1177/0898264320979201. Epub 2020 Dec 19.

DOI:10.1177/0898264320979201
PMID:33345673
Abstract

To compare differences in depression, loneliness and personal well-being in a sample made up of indigenous (Aymara and Mapuche) and non-indigenous older people resident in original rural territories. A cross-sectional study involving 800 older adults living in a rural context in Chile, of whom 201 were Aymara, 368 Mapuche and 231 non-indigenous. Validated instruments were included for depression, loneliness and personal well-being (outcome variables). Ordinary least squares regression analyses were performed. Membership of an indigenous group was significantly associated with lower scores for depression and loneliness and higher scores for personal well-being. The interactions of severe deprivation and housing deprivation with indigenous group membership were significantly associated with lower loneliness scores and higher personal well-being scores for Aymara and Mapuche participants. Native rural settings and territories may offer a degree of protection to indigenous peoples. Cultural continuity enhanced by rural areas would produce a culturally constructed resilience against deprivation.

摘要

比较由原住民(艾马拉和马普切)和非原住民老年人组成的样本中抑郁、孤独和个人幸福感的差异,这些老年人居住在智利原始农村地区。这是一项涉及 800 名生活在智利农村环境中的老年人的横断面研究,其中 201 名是艾马拉人,368 名是马普切人,231 名是非原住民。研究纳入了经过验证的抑郁、孤独和个人幸福感(结局变量)量表。进行了普通最小二乘法回归分析。属于原住民群体与抑郁和孤独得分较低以及个人幸福感得分较高显著相关。严重贫困和住房贫困与原住民群体成员资格的相互作用与艾马拉和马普切参与者的孤独感得分降低和个人幸福感得分升高显著相关。原住民的农村环境和领地可能为原住民提供一定程度的保护。农村地区增强的文化延续性将产生一种抵御贫困的文化构建的韧性。

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