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美国低收入、少数族裔老年群体在慢性病护理和健康研究中的代际沟通和社会支持的回顾与启示。

Review and Implications of Intergenerational Communication and Social Support in Chronic Disease Care and Participation in Health Research of Low-Income, Minority Older Adults in the United States.

机构信息

Department of Dietetics and Nutrition, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, United States.

Nichole Wertheim College of Nursing and Health Sciences, Florida International University, Miami, FL, United States.

出版信息

Front Public Health. 2021 Dec 15;9:769731. doi: 10.3389/fpubh.2021.769731. eCollection 2021.

Abstract

Health disparities disproportionally affect Black and Hispanic older US adults. Health research is needed to understand and eliminate these disparities; however, older adults, and particularly Black and Hispanic/Latino older adults are underrepresented in health research. Adult children have influenced health behavior and health outcomes of their older parents in several demographics in the US. Analysis of these studies can lead to a model for the development of interventions aimed at improving health and healthcare participation of older Black and Hispanic US adults. To review the role of intergenerational communication and social support in health behavior, health research, and health outcomes for older adults and to apply these findings toward a model for health interventions for Black and Hispanic US older adults. An analytical narrative review and application toward an intervention model. Key topic areas were reviewed and analyzed by examining studies that applied forms of intergenerational communication and/or intergenerational social support with the goal of either improving health, disease management and/or participation in health research in populations world-wide. Next, a model for providing health interventions in older Black and Hispanic US adults was developed using strategies gleaned from the findings. A model for health intervention for Black and Hispanic/Latino US older adults was presented based on an analytical review and intergenerational communication and/or social support. Qualitative data are necessary to understand the enablers and barriers of intergenerational communication and social support to improve health outcomes in these populations.

摘要

健康差距不成比例地影响美国的黑人和西班牙裔老年人。需要进行健康研究,以了解和消除这些差距;然而,老年人,特别是黑人和西班牙裔/拉丁裔老年人在健康研究中代表性不足。在美国的几个人群中,成年子女已经影响了他们年老父母的健康行为和健康结果。对这些研究的分析可以为制定旨在改善美国黑人和西班牙裔老年人健康和医疗保健参与度的干预措施提供模型。 审查代际沟通和社会支持在老年人健康行为、健康研究和健康结果中的作用,并将这些发现应用于针对美国黑人和西班牙裔老年人的健康干预模型。 分析性叙述性综述和对干预模型的应用。 通过检查应用代际沟通和/或代际社会支持形式的研究,审查和分析了关键主题领域,目的是改善全球人口的健康、疾病管理和/或参与健康研究。接下来,使用从研究结果中获得的策略,为美国的黑人和西班牙裔老年人提供健康干预措施制定了一个模型。 根据分析性综述以及代际沟通和/或社会支持,提出了一个针对美国黑人和西班牙裔/拉丁裔老年人群体的健康干预模型。需要定性数据来了解代际沟通和社会支持促进这些人群健康结果的促进因素和障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28e0/8728749/4c872ca3ed68/fpubh-09-769731-g0001.jpg

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