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老年人在 COVID-19 大流行期间的韧性和麻烦轨迹。

Resilience and Hassles Trajectories Among Older Adults During the COVID-19 Pandemic.

机构信息

School of Human Development and Family Sciences, Oregon State University, Corvallis, Oregon, USA.

Center for Healthy Aging, Penn State University, University Park, Pennsylvania, USA.

出版信息

J Gerontol B Psychol Sci Soc Sci. 2024 Oct 1;79(10). doi: 10.1093/geronb/gbae145.

Abstract

OBJECTIVES

Despite higher physical vulnerability to coronavirus disease 2019 (COVID-19), older adults reported less psychological stress than younger and midlife adults during the pandemic. However, little is known about age differences in stress within later life, and most COVID-19 studies have been cross-sectional. We examined weekly hassles exposure and severity trajectories and whether these trajectories differed by age, resilience factors (higher trait resilience and education), and vulnerability factors (identifying as a woman, being a person of color, and having chronic health conditions).

METHODS

Community-dwelling adults aged 50+ in Oregon (Mage = 71.1, standard deviation = 7.3; 74% women, 89% non-Hispanic White) completed weekly online surveys across 8 weeks (April 28-June 22, 2020) during the COVID-19 stay-at-home mandate. A 2-part model estimated how age, resilience, and vulnerability factors predicted weekly odds of any hassle exposure and level of severity.

RESULTS

Across time, hassles exposure decreased and the rate of severity declined, but these patterns differed by age and other demographics. The old-old (estimated at age 78) remained stable in odds of any exposure, whereas the young-old (estimated at age 64) evidenced a J-shaped curve; age did not moderate the severity slopes. Furthermore, both resilience factors were associated with exposure trajectories, whereas vulnerability factors (race/ethnicity and chronic illness) were associated with levels of hassles severity.

DISCUSSION

There were age differences in patterns of hassles during the COVID-19 pandemic. Furthermore, resilience and vulnerability factors also showed complex patterns, underscoring the need for future studies to focus on age differences in well-being in later life.

摘要

目的

尽管老年人在感染 2019 冠状病毒病(COVID-19)时身体更容易受到伤害,但在大流行期间,他们报告的心理压力却比年轻和中年成年人要小。然而,对于老年人在压力方面的年龄差异知之甚少,并且大多数 COVID-19 研究都是横断面研究。我们检查了每周的困扰暴露和严重程度轨迹,以及这些轨迹是否因年龄、韧性因素(较高的特质韧性和教育)和脆弱性因素(自认为是女性、有色人种以及患有慢性健康状况)而不同。

方法

俄勒冈州的 50 岁以上的社区居民(平均年龄 71.1 岁,标准差 7.3 岁;74%为女性,89%为非西班牙裔白人)在 COVID-19 居家令期间(2020 年 4 月 28 日至 6 月 22 日)完成了 8 周的每周在线调查。采用两部分模型来估计年龄、韧性和脆弱性因素如何预测每周困扰暴露的几率和严重程度。

结果

随着时间的推移,困扰暴露的情况减少,严重程度的下降速度也在加快,但这些模式因年龄和其他人口统计学因素而异。高龄老年人(估计为 78 岁)在任何暴露的几率方面保持稳定,而低龄老年人(估计为 64 岁)则呈现出 J 形曲线;年龄并没有调节严重程度的斜率。此外,两个韧性因素都与暴露轨迹有关,而脆弱性因素(种族/民族和慢性疾病)与困扰严重程度有关。

讨论

在 COVID-19 大流行期间,困扰的模式存在年龄差异。此外,韧性和脆弱性因素也表现出复杂的模式,这凸显了未来研究需要关注老年人在晚年的幸福感方面的年龄差异。

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