美国有超过700万成年移民,这个数字预计还会增加。美国的老年移民有影响其健康的独特因素。
在这篇综合评论中,我们系统地回顾了20年关于障碍的同行评审文献(即隔离,缺乏英语语言能力,健康素养低,缺乏SES资源,歧视)和促进者(即英语语言能力和维护母语,社会支持,文化敏感的提供者,医疗保健服务)是美国老年成年移民的健康。
我们发现了“老年人”一词的不同用法,强调老年成年移民之间缺乏同质性,社会支持和孤立是老年人移民健康的重要障碍和促进者,以及文化适应的使用和定义不一致。我们还研究了文献中的相关理论。在文献综述的基础上,专注于文化适应理论,社会认知理论,和成功的衰老理论,将这三种理论与文献中的发现相结合,创建了老年人移民适应健康促进模型。
公共卫生致力于促进健康和预防不良健康结果。我们的综合综述不仅系统地、彻底地阐述了20年的文献,但是老年人移民适应健康促进模式,为未来的研究和干预提供指导。
There are over seven million older adult immigrants in the United States, and that number is expected to increase. Older adult immigrants in the United States have unique factors that influence their health.
In this integrative
review, we systematically
review 20 years of peer-reviewed literature on the barriers (i.e. isolation, lack of English Language Proficiency, low health literacy, lack of SES resources, discrimination) and facilitators (i.e. English Language Proficiency and maintaining ones native language, social support, culturally sensitive providers, healthcare access) of health among older adult immigrants in the United States.
We found differing uses of the term \'older adult\', emphasis on the lack of homogeneity among older adult immigrants, social support and isolation as significant barriers and facilitators of older adult immigrant health, and inconsistencies in uses and definitions of acculturation. We also examined relevant theories in the literature. Based on the literature
review, focusing on Acculturation Theory, Social Cognitive Theory, and Successful Aging Theory, combining these three theories with findings from the literature to create the Older Adult Immigrant Adapted Model for Health Promotion.
Public health strives to promote health and prevent adverse health outcomes. Our integrative
review not only systematically and thoroughly explicates 20 years of literature, but the Older Adult Immigrant Adapted Model for Health Promotion, provides guidance for future research and interventions.