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Racism, place, and health of urban black elders.

紀錄類型:	書目-電子資源 : 單行本
正題名/作者:	Racism, place, and health of urban black elders./
著者:	Ryder, Priscilla Tankersley.
記述:	237 p.
注記:	Source: Dissertation Abstracts International, Volume: 68-04, Section: B, page: 2227.
含まれています:	Dissertation Abstracts International68-04B.
主題:	Gerontology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoeng/servlet/advanced?query=3261585

Racism, place, and health of urban black elders.
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100 1 $a Ryder, Priscilla Tankersley. $3 1000006637
245 1 0 $a Racism, place, and health of urban black elders.
300 $a 237 p.
500 $a Source: Dissertation Abstracts International, Volume: 68-04, Section: B, page: 2227.
500 $a Adviser: Ann L. Gruber-Baldini.
502 $a Thesis (Ph.D.)--University of Maryland, Baltimore, 2007.
520 $a It has been found that older African Americans have more co-morbidity and lower physical function than European Americans of similar ages. They are also more likely to have been exposed to a lifetime of unfair race-based treatment, and to live in deprived neighborhoods. This investigation examines self-rated health (SRH) of urban African American elders using their reactions to unfair treatment and neighborhood health effects as study variables.
520 $a Ninety-five community-dwelling, English-speaking, self-identified African Americans ages 60 years and older were recruited from neighborhoods in western Baltimore, using random digit dialing (RDD) and community outreach. Participants were largely poor, high comorbidity, reporting an average of six out of 25 diagnoses, but with high function and high health optimism. A majority (69.5%) reported a history of unfair race-based treatment, most frequently at work (43.0%) or while shopping (40.4%). Forty-four (46.3%) were classified as having an active response to unfair treatment (confronting the person who was treating him/her unfairly), and 17 (17.6%) as denying unfair treatment (reported never thinking of own race in the previous year and not ever experiencing discrimination).
520 $a SRH was not related to any reaction-to-unfair treatment variable. In two-way analysis using chi2 and t-tests, higher SRH was associated with older age, frequent church attendance, fewer annual health care visits, higher life satisfaction, reporting fewer diagnoses, less bodily pain and depression, higher physical or social function and vitality, and less food insufficiency.
520 $a In the best individual-level logistic regression model, higher SRH was significantly associated with lower modified CES-D scores (OR=0.89, 95% CI 0.83, 0.95), higher age in years (OR=1.01, 95% CI 1.01, 1.19), male gender (OR=0.24, 95% CI 0.06, 0.95), and more healthcare visits (OR=0.92, 95% CI 0.85, 0.99), adjusting for bodily pain. Although neighborhood deprivation was significantly associated with SRH (OR=0.987, 95% CI 0.978, 0.997), its effect was attenuated when individual-level factors were included in a multilevel logistic regression model. We were unable to demonstrate independent neighborhood health effects; it is likely that neighborhood effects are mediated indirectly through other SRH determinants (e.g., depression, bodily pain). Null results may be due to the small number of participants that were recruited.
590 $a School code: 0373.
650 4 $a Gerontology. $3 168436
650 4 $a Health Sciences, Epidemiology. $3 1000006403
690 $a 0351
690 $a 0766
710 2 $a University of Maryland, Baltimore. $3 1000006537
773 0 $t Dissertation Abstracts International $g 68-04B.
790 1 0 $a Gruber-Baldini, Ann L., $e advisor
790 $a 0373
791 $a Ph.D.
792 $a 2007
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoeng/servlet/advanced?query=3261585