Burns Shane D, Baker Elizabeth H, Sheehan Connor M, Markides Kyriakos S
Population Studies Center, University of Michigan, Ann Arbor, MI, USA.
Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
J Aging Health. 2025 Jul 12:8982643251359389. doi: 10.1177/08982643251359389.
ObjectivesUnited States (U.S.) immigrants are rapidly aging, although little is known on how acculturation influences their disability risk.MethodsWe pooled 2000-2018 data ( = 50,075) from the National Health Interview Survey (NHIS) to examine odds of activities of daily living (ADL) disability among middle aged (40-64) and older (65+) immigrants based on three acculturation indicators while accounting for various measures.ResultsAmong middle aged immigrants, citizenship was associated with odds of ADL disability after accounting for socioeconomic factors. Among both middle aged and older immigrants, English proficiency was associated with odds of ADL disability until accounting for socioeconomic factors. Among older immigrants, ADL disability odds were observed among those with English proficiency greater U.S. duration.DiscussionAcculturation had heterogenous influences on ADL disability risk among aging U.S. immigrants, while the interplay of these mechanisms shaped varied outcomes.
目标
美国移民正在迅速老龄化，尽管对于文化适应如何影响他们的残疾风险知之甚少。
方法
我们汇总了2000年至2018年美国国家健康访谈调查（NHIS）的数据（n = 50,075），以根据三个文化适应指标，同时考虑各种因素，研究中年（40 - 64岁）及老年（65岁及以上）移民日常生活活动（ADL）残疾的几率。
结果
在中年移民中，在考虑社会经济因素后，公民身份与ADL残疾几率相关。在中年和老年移民中，在考虑社会经济因素之前，英语熟练程度与ADL残疾几率相关。在老年移民中，英语熟练程度较高且在美国居住时间较长的人群中观察到较高的ADL残疾几率。
讨论
文化适应对美国老年移民的ADL残疾风险有不同影响，而这些机制的相互作用塑造了不同的结果。
