多种资源与不同种族和民族的老年女性的适应力:对健康结果和干预措施的启示。

Modifiable Resources and Resilience in Racially and Ethnically Diverse Older Women: Implications for Health Outcomes and Interventions.

机构信息

Department of Public Health Sciences, Parkinson School of Health Sciences and Public Health, Loyola University Chicago, Maywood, IL 60153, USA.

Department of Medicine, Stanford Center for Biomedical Informatics Research, Quantitative Sciences Unit, Stanford University, Palo Alto, CA 94304, USA.

出版信息

Int J Environ Res Public Health. 2022 Jun 9;19(12):7089. doi: 10.3390/ijerph19127089.

Abstract

: Resilience-which we define as the "ability to bounce back from stress"-can foster successful aging among older, racially and ethnically diverse women. This study investigated the association between psychological resilience in the Women's Health Initiative Extension Study (WHI-ES) and three constructs defined by Staudinger's 2015 model of resilience and aging: (1) perceived stress, (2) non-psychological resources, and (3) psychological resources. We further examined whether the relationship between resilience and key resources differed by race/ethnicity. : We conducted a secondary analysis on 77,395 women aged 62+ (4475 Black or African American; 69,448 non-Hispanic White; 1891 Hispanic/Latina; and 1581 Asian or Pacific Islanders) who enrolled in the WHI-ES, which was conducted in the United States. Participants completed a short version of the Brief Resilience Scale one-time in 2011. Guided by Staudinger's model, we used linear regression analysis to examine the relationships between resilience and resources, adjusting for age, race/ethnicity, and stressful life events. To identify the most significant associations, we applied elastic net regularization to our linear regression models. : On average, women who reported higher resilience were younger, had fewer stressful life events, and reported access to more resources. Black or African American women reported the highest resilience, followed by Hispanic/Latina, non-Hispanic White, and Asian or Pacific Islander women. The most important resilience-related resources were psychological, including control of beliefs, energy, personal growth, mild-to-no forgetfulness, and experiencing a sense of purpose. Race/ethnicity significantly modified the relationship between resilience and energy (overall interaction = 0.0017). : Increasing resilience among older women may require culturally informed stress reduction techniques and resource-building strategies, including empowerment to control the important things in life and exercises to boost energy levels.

摘要

韧性——我们将其定义为“从压力中恢复的能力”——可以促进老年、不同种族和族裔的女性成功衰老。本研究调查了妇女健康倡议扩展研究(WHI-ES)中的心理韧性与 Staudinger 2015 年韧性和衰老模型定义的三个结构之间的关联:(1)感知压力,(2)非心理资源,和(3)心理资源。我们进一步研究了韧性与关键资源之间的关系是否因种族/族裔而异。

我们对 77395 名年龄在 62 岁以上的女性(4475 名黑人和非裔美国人;69448 名非西班牙裔白人;1891 名西班牙裔/拉丁裔;和 1581 名亚洲或太平洋岛民)进行了二次分析,他们参加了在美国进行的 WHI-ES。参与者在 2011 年一次性完成了简短韧性量表的简短版本。根据 Staudinger 的模型,我们使用线性回归分析来检验韧性与资源之间的关系,调整了年龄、种族/族裔和压力性生活事件。为了确定最显著的关联,我们对线性回归模型应用了弹性网络正则化。

平均而言,报告韧性较高的女性较年轻,压力性生活事件较少,并且报告获得的资源较多。黑人和非裔美国人报告的韧性最高,其次是西班牙裔/拉丁裔、非西班牙裔白人和亚洲或太平洋岛民。与韧性相关的最重要资源是心理资源,包括控制信仰、能量、个人成长、轻度至无健忘症和体验目标感。种族/族裔显着改变了韧性与能量之间的关系(整体交互作用=0.0017)。

增加老年女性的韧性可能需要以文化为导向的减压技术和资源建设策略,包括控制生活中重要事物的赋权和提高能量水平的锻炼。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74cd/9223074/24625e1e2f24/ijerph-19-07089-g001.jpg

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