Department of Socio-Medical Sciences, Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Burgemeester Oudlaan 50, 3000, DR, Rotterdam, the Netherlands.
BMC Geriatr. 2021 Mar 18;21(1):190. doi: 10.1186/s12877-021-02119-8.
This study assessed the extent to which persistent differences in self-rated health (SRH) between older immigrants and natives are attributable to negative and positive ageing perceptions.
The study was conducted with three population groups in Rotterdam, the Netherlands: native Dutch people aged ≥70 years (n = 1150), Turkish immigrants aged ≥65 years (n = 680) and Moroccan immigrants aged ≥65 years (n = 292). To assess participants' internal ageing representations, we used the short Aging Perceptions Questionnaire, which distinguishes negative (consequences, chronic and cyclical timeline awareness, and emotional representations) and positive (positive consequences, positive and negative control) dimensions and has been validated in native and immigrant populations. We analysed differences in ageing perceptions between immigrants and natives and the associations of ageing perceptions with SRH. We used Karlson-Holm-Breen decomposition to assess ageing perceptions' mediation of the relationship between migration background and SRH.
Older immigrants had stronger negative and weaker positive ageing perceptions (excepting the positive consequences of ageing) than did Dutch natives. Ageing perceptions mediated the relationship between migration background and SRH. SRH differences between Turkish immigrants and native Dutch older persons were explained mainly by differences in negative consequences and cyclical timeline awareness. SRH differences between Moroccan immigrants and native Dutch older persons were attributable mainly to differences in negative consequences and positive control.
Differences in positive and negative ageing perceptions between older immigrants and natives in the Netherlands largely explained SRH differences between these population groups.
本研究评估了老年人自评健康（SRH）在多大程度上归因于对衰老的消极和积极看法的持续差异。
本研究在荷兰鹿特丹的三个人群组中进行：≥70 岁的荷兰本地人（n=1150）、≥65 岁的土耳其移民（n=680）和≥65 岁的摩洛哥移民（n=292）。为了评估参与者的内在衰老表现，我们使用了简短的衰老感知问卷，该问卷区分了消极（后果、慢性和周期性时间线意识以及情感表现）和积极（积极后果、积极和消极控制）维度，并已在本地人和移民人口中得到验证。我们分析了移民和本地人之间的衰老观念差异以及衰老观念与 SRH 的关联。我们使用 Karlson-Holm-Breen 分解来评估衰老观念在移民背景与 SRH 之间关系中的中介作用。
与荷兰本地人相比，老年移民的消极衰老观念较强，而积极衰老观念较弱（除了对衰老的积极后果）。衰老观念在移民背景与 SRH 之间的关系中起中介作用。土耳其移民和荷兰本地老年人之间的 SRH 差异主要归因于消极后果和周期性时间线意识的差异。摩洛哥移民和荷兰本地老年人之间的 SRH 差异主要归因于消极后果和积极控制的差异。
荷兰老年移民和本地人之间积极和消极衰老观念的差异在很大程度上解释了这些人群组之间的 SRH 差异。
