Bernard M A
Department of Medicine, University of Oklahoma Health Sciences Center, Oklahoma Memorial Hospital, Oklahoma City 73190.
J Natl Med Assoc. 1993 Jul;85(7):521-8.
This article reviews the health status of African-American elderly, based on a computerized search of the medical literature from 1987 to 1991, as well as careful review of the report of the Secretary of Health's Task Force on Black and Minority Health. Black Americans have a higher prevalence of malignancies, diabetes, hypertension, obesity, homicide, and unintentional injury than white Americans. These problems contribute to a high mortality rate in young blacks and a greater prevalence of problems with activities of daily living in elderly blacks. Despite the high disease burden among young blacks, blacks are living progressively longer. As the number of elderly blacks increases, health-care practitioners will need to increase risk factor reduction in young-old blacks. Additionally, there will be a need for increased support of physical functioning in elderly African American.
本文基于对1987年至1991年医学文献的计算机检索以及对卫生部长黑人与少数族裔健康问题特别工作组报告的仔细审查,回顾了非裔美国老年人的健康状况。与美国白人相比,美国黑人患恶性肿瘤、糖尿病、高血压、肥胖症、凶杀和意外伤害的患病率更高。这些问题导致年轻黑人的死亡率较高,老年黑人日常生活活动问题的患病率也更高。尽管年轻黑人的疾病负担很重,但黑人的寿命却在逐渐延长。随着老年黑人数量的增加,医疗保健从业者将需要加大对年轻老年黑人降低风险因素的力度。此外,还需要增加对非裔美国老年人身体机能的支持。