黑人与白人老年群体中的多位家庭成员离世与心血管代谢健康
Multiple Family Member Deaths and Cardiometabolic Health among Black and White Older Adults.
机构信息
Vanderbilt University, Nashville, TN, USA.
University of Texas at Austin, Austin, TX, USA.
出版信息
J Health Soc Behav. 2022 Dec;63(4):610-625. doi: 10.1177/00221465221114485. Epub 2022 Aug 5.
Although the bereavement literature is voluminous, we know very little about how exposure to multiple family member deaths across the life course shapes health trajectories as people age and whether unequal exposure to bereavement contributes to racial inequities in cardiometabolic health. We use longitudinal data from the Health and Retirement Study (1992-2016) to consider how multiple family member deaths before midlife shape trajectories of cardiometabolic health after age 50 for Black and white adults (n = 22,974). Results show that multiple family member deaths prior to age 50 are associated with more cardiometabolic conditions at age 50 and a faster increase in conditions with advancing age. Moreover, Black adults are significantly disadvantaged by a greater risk of bereavement and more cardiometabolic conditions regardless of bereavement status. The life course trauma of exposure to multiple family member deaths uniquely contributes to the cardiometabolic risk of Black Americans.
尽管丧亲文学作品丰富，但我们对于一生中多次经历亲人离世会如何影响人们的健康轨迹，以及丧亲经历的不平等是否导致心血管代谢健康方面的种族不平等，知之甚少。我们使用健康与退休研究（1992-2016 年）的纵向数据，来探讨中年前多次经历亲人离世会如何塑造黑人和白人成年人（n=22974）50 岁以后的心血管代谢健康轨迹。结果表明，50 岁前经历多次亲人离世与 50 岁时出现更多心血管代谢疾病以及随着年龄增长疾病状况恶化的速度更快有关。此外，无论是否经历过丧亲，黑人成年人都面临更大的丧亲风险和更多的心血管代谢疾病，处于明显不利地位。一生中多次经历亲人离世所带来的创伤，是导致美国黑人心血管代谢风险的独特因素。
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