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南非老年人中种族、就业与自评健康之间的关系：探讨广泛性焦虑的中介作用。

The relationships between race, employment, and self-rated health among older South Africans: exploring the mediating role of generalized anxiety.

作者信息

Yunus Adams, Zhou Lulin, Jamatutu Seidu Abdulai, Tackie Evelyn Agba

机构信息

School of Management, Jiangsu University, Zhenjiang, Jiangsu, China.

School of Economics and Management, Nanjing University of Science and Technology, Nanjing, Jiangsu, China.

出版信息

Front Public Health. 2024 Nov 20;12:1398705. doi: 10.3389/fpubh.2024.1398705. eCollection 2024.

DOI:10.3389/fpubh.2024.1398705
PMID:39635210
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11614727/
Abstract

OBJECTIVE

This study explores the impact of race and employment status on self-rated health among older adults in South Africa. It reveals new insights by examining the mediating role of generalized anxiety. The findings highlight the importance of addressing these factors to improve the wellbeing of older adults.

METHODS

Drawing from Wave 5 of the National Income Dynamics Study-Coronavirus Rapid Mobile Survey, a cross-sectional survey encompassing a nationally representative cohort of South African adults, this research employs a sophisticated blend of logistic regression and structural equation modeling techniques.

RESULTS

The study reveals that race is strongly linked to self-rated health. Individuals of Colored and White backgrounds have lower odds of favorable self-rated health. Retirement has a positive impact on self-rated health. Generalized anxiety mediates the complex relationship between race and self-rated health.

CONCLUSIONS

Addressing the imperative need to mitigate racial disparities in self-rated health and advance equitable healthcare access for older adults, targeted interventions are undeniably warranted.

摘要

目的

本研究探讨种族和就业状况对南非老年人自评健康的影响。通过考察广泛性焦虑的中介作用，揭示了新的见解。研究结果强调了解决这些因素对改善老年人福祉的重要性。

方法

本研究借鉴了《国民收入动态研究-冠状病毒快速移动调查》第5波的数据，这是一项涵盖具有全国代表性的南非成年人队列的横断面调查，采用了逻辑回归和结构方程建模技术的复杂组合。

结果

研究表明，种族与自评健康密切相关。有色人种和白人背景的个体自评健康状况良好的几率较低。退休对自评健康有积极影响。广泛性焦虑在种族与自评健康之间的复杂关系中起中介作用。

结论

鉴于迫切需要减少自评健康方面的种族差异，并促进老年人公平获得医疗保健，无疑有必要采取针对性干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48e8/11614727/0bb17a6eda78/fpubh-12-1398705-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48e8/11614727/42afe8797616/fpubh-12-1398705-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48e8/11614727/0bb17a6eda78/fpubh-12-1398705-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48e8/11614727/42afe8797616/fpubh-12-1398705-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48e8/11614727/0bb17a6eda78/fpubh-12-1398705-g0002.jpg

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本文引用的文献

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Perceived discrimination as a mediator between cultural identity and mental health symptoms among racial/ethnic minority adults in the United States: insights from the Health Information National Trends Survey 6.在美国少数族裔成年人中，感知到的歧视作为文化认同与心理健康症状之间的中介变量：来自健康信息国家趋势调查6的见解
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The Relationship Between Social Capital and Sleep Duration Among Older Adults in Ghana: A Cross-Sectional Study.加纳老年人社会资本与睡眠时间的关系：一项横断面研究。
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Determinants of Deteriorated Self-Perceived Health Status among Informal Settlement Dwellers in South Africa.
南非非正规住区居民自我感知健康状况恶化的决定因素。
Int J Environ Res Public Health. 2023 Feb 26;20(5):4174. doi: 10.3390/ijerph20054174.
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The prevalence of anxiety and its key influencing factors among the elderly in China.中国老年人焦虑症的患病率及其主要影响因素
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SSM Popul Health. 2022 Dec 20;21:101313. doi: 10.1016/j.ssmph.2022.101313. eCollection 2023 Mar.
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