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临终前老年非裔美国人所经历的差异与种族主义

Disparities and Racism Experienced Among Older African Americans Nearing End of Life.

作者信息

Aaron Siobhan P, Gazaway Shena B, Harrell Erin R, Elk Ronit

机构信息

College of Nursing, University of Utah, 10 2000 E, Salt Lake City, UT 84112 U.S.A.

School of Nursing, University of Alabama Birmingham, Birmingham, AL U.S.A.

出版信息

Curr Geriatr Rep. 2021;10(4):157-166. doi: 10.1007/s13670-021-00366-6. Epub 2021 Dec 14.

Abstract

PURPOSE OF REVIEW

The purpose of this review is to examine racism in healthcare as it relates to older African American adults. We focus on health disparities in old age and medical mismanagement throughout their lifespan.

RECENT FINDINGS

In the United States there have been extensive medical advances over the past several decades. Individuals are living longer, and illnesses that were deemed terminal in the past are now considered chronic illnesses. While most individuals living with chronic illness have experienced better quality of life, this is not the case for many African American older adults.

SUMMARY

Older African American adults are less likely to have their chronic illness sufficiently managed and are more likely to die from chronic illnesses that are well controlled in Whites. African American older adults also continue to suffer from poorer healthcare outcomes throughout the lifespan to end-of-life.

摘要

综述目的

本综述旨在探讨医疗保健领域中与老年非裔美国成年人相关的种族主义问题。我们关注他们老年时期的健康差异以及整个生命周期中的医疗管理不善情况。

最新发现

在过去几十年里,美国在医学方面取得了广泛进展。人们的寿命延长了,过去被视为绝症的疾病现在被认为是慢性病。虽然大多数慢性病患者的生活质量有所提高,但许多老年非裔美国成年人并非如此。

总结

老年非裔美国成年人的慢性病得到充分管理的可能性较小,死于在白人中得到良好控制的慢性病的可能性更大。非裔美国老年人在整个生命周期直至生命终结时,医疗保健结果也持续较差。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b79b/8685164/e12133cae536/13670_2021_366_Fig1_HTML.jpg

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