Forrester Sarah N, Taylor Janiece L, Whitfield Keith E, Thorpe Roland J
Division of Epidemiology, Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School.
Johns Hopkins School of Nursing.
Curr Epidemiol Rep. 2020 Jun;7(2):59-67. doi: 10.1007/s40471-020-00234-5. Epub 2020 Apr 29.
The purpose was to discuss appropriate methods for advancing our understanding of health disparities or minority aging including life-course perspectives, biological measures, pain measurement, and generational approaches.
Life course perspectives provide an orientation for studying older minorities that concomitantly captures exposures and stressors that may lead to earlier onset of disease and premature mortality. The use of biological markers to study health disparities in older minorities is necessary in order to identify pathways between psychosocial factors and health outcomes. Work focusing on pain disparities should include explorations of relationships between psychosocial factors, and subjective and objective measures of pain. Studying families can provide insight into genetic associations and coping styles in older minorities.
Methodological approaches that take life course, biology, and social factors into account may help identify causal pathways between social determinants of health and health outcomes among older minorities. Once these causal pathways have been identified, more strategies and interventions that strive toward health equity across older adults of all race/ethnic groups can be developed.
本文旨在探讨增进我们对健康差异或少数族裔老龄化理解的适当方法,包括生命历程视角、生物学测量、疼痛测量和代际方法。
生命历程视角为研究老年少数族裔提供了一个方向,同时捕捉可能导致疾病早发和过早死亡的暴露因素和压力源。使用生物标志物研究老年少数族裔的健康差异对于确定心理社会因素与健康结果之间的途径是必要的。关注疼痛差异的研究应包括探索心理社会因素与疼痛主观和客观测量之间的关系。研究家庭可以深入了解老年少数族裔的遗传关联和应对方式。
考虑生命历程、生物学和社会因素的方法学途径可能有助于确定老年少数族裔健康的社会决定因素与健康结果之间的因果途径。一旦确定了这些因果途径,就可以制定更多旨在实现所有种族/族裔老年人群体健康公平的策略和干预措施。