scholarly journals Longer Residence in the United States is Associated With More Physical Function Limitations in African Immigrant Older Adults

2020 ◽  
pp. 073346482097760
Author(s):  
Manka Nkimbeng ◽  
Yvonne Commodore-Mensah ◽  
Jacqueline L. Angel ◽  
Karen Bandeen-Roche ◽  
Roland J. Thorpe ◽  
...  
Keyword(s):  
United States ◽  
Older Adults ◽  
Confidence Interval ◽  
Physical Function ◽  
Racial Discrimination ◽  
African Immigrants ◽  
The United States ◽  
African Immigrant ◽  
High Discrimination ◽  
The Mean

Acculturation and racial discrimination have been independently associated with physical function limitations in immigrant and United States (U.S.)-born populations. This study examined the relationships among acculturation, racial discrimination, and physical function limitations in N = 165 African immigrant older adults using multiple linear regression. The mean age was 62 years ( SD = 8 years), and 61% were female. Older adults who resided in the United States for 10 years or more had more physical function limitations compared with those who resided here for less than 10 years ( b = −2.62, 95% confidence interval [CI] = [–5.01, –0.23]). Compared to lower discrimination, those with high discrimination had more physical function limitations ( b = −2.51, 95% CI = [–4.91, –0.17]), but this was no longer significant after controlling for length of residence and acculturation strategy. Residing in the United States for more than 10 years is associated with poorer physical function. Longitudinal studies with large, diverse samples of African immigrants are needed to confirm these associations.

scholarly journals EXPERIENCES OF DISCRIMINATION ARE ASSOCIATED WITH DECREASED FUNCTIONAL ABILITY IN AFRICAN IMMIGRANT OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S714-S715
Author(s):  
Manka Nkimbeng ◽  
Karen Bandeen-Roche ◽  
Hae Ra Han ◽  
Sarah L Szanton ◽  
Roland Thorpe
Keyword(s):  
Older Adults ◽  
Physical Function ◽  
Functional Ability ◽  
African Immigrants ◽  
The United States ◽  
Functional Health ◽  
Function Score ◽  
Convenience Sample ◽  
African Immigrant ◽  
The Mean

Abstract Discrimination impacts functional health outcomes of African Americans and other racial/ethnic minorities in the United States; yet this is understudied in African immigrants whose population has risen by 137% since 2000. We examined the relationship between discrimination and physical function with a convenience sample of first-generation African immigrants age 50+ recruited through community-based organizations (N=124). Discrimination was measured with the Everyday Discrimination scale with higher scores indicating more experiences of discrimination (range=0-23). High versus low levels of discrimination were categorized at the mean. Physical function was measured using the PROMIS Physical Function measure with high scores indicating greater functional ability (range=11-50). Raw function scores were converted to standardized T-scores with a population mean of 50 and standard deviation (SD) of 10. Linear regression was used for analyses. Mean age of the sample was 61.4(SD=7.9) years. About two-thirds (63%) were female, more than half (52.4%) immigrated in search of better opportunities and half of the sample had high levels of discrimination. The mean function score was 44.2(SD=8.3) indicating that this sample had functional ability 6 points less than the population average. After adjusting for demographic and migration factors, the mean physical function score was 2.5 points lower (b=-2.53, 95% CI= -5.04, -0.01) for participants with more experiences compared to those with fewer experiences of discrimination. In conclusion, discrimination was associated with poor physical function in African immigrant older adults after adjusting for covariates. Longitudinal studies of discrimination and physical functioning should be pursued in more diverse, larger samples of African immigrants.

scholarly journals Where to Retire? Experiences of Older African Immigrants in the United States

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 455-455
Author(s):  
Manka Nkimbeng ◽  
Alvine Akumbom ◽  
Marianne Granbom ◽  
Sarah Szanton ◽  
Tetyana Shippee ◽  
...  
Keyword(s):  
United States ◽  
Older Adults ◽  
African Immigrants ◽  
The United States ◽  
Political Climate ◽  
Structured Interviews ◽  
Family Responsibilities ◽  
Sociocultural Environment ◽  
Decision Making Factors ◽  
The U.S

Abstract The needs and conceptualization of age-friendliness likely vary for immigrant older adults compared to native-born older adults. For example, Hispanic immigrant older adults often return to their home country following the development of ill health. Doubling in size since the 1970’s, the aging needs of African immigrants are not fully understood. This qualitative study examined experiences of aging and retirement planning for African immigrant older adults in the United States (U.S.). Specifically, it explored the factors, processes, and ultimate decision of where these older adults planned to retire. We analyzed semi-structured interviews with 15 older African immigrants in the Baltimore-Washington Metropolitan area. Data were analyzed using thematic analyses in NVivo. The majority of participants were women, with a mean age of 64. We identified three overarching themes with ten sub-themes. The themes included: 1) cultural identity: indicating participant’s comfort with the U.S. society and culture; 2) decision making: factors that impact participants' choice of retirement location, and 3) decision made: the final choice of where participants would like to retire. Age-friendliness for immigrant older adults in the U.S. is complex and it includes the traditional domains such as physical and sociocultural environment (e.g. housing, transportation, and income). However, immigrant age-friendliness also needs to include wider contextual aspects such as political climate in their country of origin, immigrant status, family responsibilities, and acculturation in the U.S. More research is needed understand and facilitate age-friendly environments for transnational immigrant older adults.

scholarly journals Mental Health Issues in Adolescents and Young Adult African Immigrants

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Tolu Olupona ◽  
Oluwole Jegede ◽  
Clarety Keseke ◽  
Evaristo Akerele
Keyword(s):  
Mental Health ◽  
United States ◽  
Health Care ◽  
Young Adult ◽  
Mental Health Care ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
African Immigrants ◽  
The United States ◽  
African Immigrant

African Immigrants in the United States account for a rapidly growing population of immigrants in the country, constituting about four percent of the foreign-born population. The group has seen a significant population increase from 881,300 in 2010 to 1,606,914 in 2010. African immigrants are however not a monolithic population, as this number and diversity increases, there continues to be a growing need for mental health professionals to assess the peculiar mental health care needs and practices of this population. The primary African immigrant groups in the United States include Nigerians, Ethiopians, Egyptians, Ghanaians, and Kenyans. The delivery of optimal mental health care to this population involves a thorough comprehension of factors that influence mental health in African Immigrant populations. Such factors include the ethno-cultural background of families, the diversity of religions, immigration status, socio-economic status, language, family and sibling subsystems, identity issues and various forms of mental health stigma. Due to the complexity of these socioeconomic and cultural nuances, the mental illness presented by adolescents and young adult Africans are often atypical and their treatment requires appropriate cultural competence by physicians and mental health professionals. 

scholarly journals Understanding the healthcare experiences and needs of African immigrants in the United States: a scoping review

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ogbonnaya I. Omenka ◽  
Dennis P. Watson ◽  
Hugh C. Hendrie
Keyword(s):  
United States ◽  
Scoping Review ◽  
Immigrant Health ◽  
African Immigrants ◽  
The United States ◽  
Cost Of Care ◽  
African Immigrant ◽  
Healthcare Experiences ◽  
African Immigrant Health ◽  
The U.S

Abstract Background Africans immigrants in the United States are the least-studied immigrant group, despite the research and policy efforts to address health disparities within immigrant communities. Although their healthcare experiences and needs are unique, they are often included in the “black” category, along with other phenotypically-similar groups. This process makes utilizing research data to make critical healthcare decisions specifically targeting African immigrants, difficult. The purpose of this Scoping Review was to examine extant information about African immigrant health in the U.S., in order to develop lines of inquiry using the identified knowledge-gaps. Methods Literature published in the English language between 1980 and 2016 were reviewed in five stages: (1) identification of the question and (b) relevant studies, (c) screening, (d) data extraction and synthesis, and (e) results. Databases used included EBSCO, ProQuest, PubMed, and Google Scholar (hand-search). The articles were reviewed according to title and abstract, and studies deemed relevant were reviewed as full-text articles. Data was extracted from the selected articles using the inductive approach, which was based on the comprehensive reading and interpretive analysis of the organically emerging themes. Finally, the results from the selected articles were presented in a narrative format. Results Culture, religion, and spirituality were identified as intertwined key contributors to the healthcare experiences of African immigrants. In addition, lack of culturally-competent healthcare, distrust, and complexity, of the U.S. health system, and the exorbitant cost of care, were identified as major healthcare access barriers. Conclusion Knowledge about African immigrant health in the U.S. is scarce, with available literature mainly focusing on databases, which make it difficult to identify African immigrants. To our knowledge, this is the first Scoping Review pertaining to the healthcare experiences and needs of African immigrants in the U.S.

scholarly journals Comparisons of the Association of Family and Social Factors With Functional Limitations Across the United States, Mexico, and South Korea: Findings From the HRS Family of Surveys

2019 ◽  
Vol 32 (9) ◽  
pp. 1042-1051
Author(s):  
Ickpyo Hong ◽  
Loree Pryor ◽  
Rebeca Wong ◽  
Kenneth J. Ottenbacher ◽  
Timothy A. Reistetter
Keyword(s):  
United States ◽  
Older Adults ◽  
Physical Function ◽  
Social Factors ◽  
Functional Limitations ◽  
Functional Limitation ◽  
Population Level ◽  
The United States ◽  
The Individual ◽  
United States Mexico

Objective: The association of family and social factors with the level of functional limitations was examined across the United States, Mexico, and Korea. Method: Participants included adults from the 2012 Health and Retirement Study ( n = 10,017), Mexican Health and Aging Study ( n = 6,367), and Korean Longitudinal Study of Aging ( n = 4,134). A common functional limitation scale was created based on Rasch analysis with a higher score indicating better physical function. Results: The American older adults (3.65 logits) had better physical function compared with Mexican (2.81 logits) and Korean older adults (1.92 logits). There were different associations of family and social factors with functional limitations across the three countries. Discussion: The American older adults demonstrated less functional limitation compared with Mexican and Korean older adults at the population level. The findings indicate the need to interpret carefully the individual family and social factors associated with functional limitations within the unique context of each country.

The Relative Effects of Normative and Instrumental Models of Policing on Police Empowerment: Evidence From a Sample of Sub-Saharan African Immigrants

2016 ◽  
Vol 30 (3) ◽  
pp. 428-450 ◽  
Author(s):  
Daniel K. Pryce
Keyword(s):  
United States ◽  
Procedural Justice ◽  
African Immigrants ◽  
The United States ◽  
Immigrant Community ◽  
African Immigrant ◽  
Ghanaian Immigrants ◽  
Sub Saharan ◽  
And Gender ◽  
Using Data

This study examines the relative impacts of normative and instrumental models of policing on willingness to empower the police in a sample of sub-Saharan African immigrants in the United States. Using data from a survey of 304 Ghanaian immigrants, obligation to obey, procedural justice, effectiveness, and gender predicted police empowerment; legitimacy of Ghana police and risk of sanctioning did not. The results also show that obligation to obey may be distinct from legitimacy. The findings from the current study point to the importance of the process-based model of policing in different geopolitical contexts, including the sub-Saharan African immigrant community in the United States. Specifically, obligation to obey and procedural justice play pivotal roles in engendering willingness to empower the police in the sub-Saharan African immigrant community. The implications of these findings are discussed.

scholarly journals Comparing Estimates of Fall-Related Mortality Incidence Among Older Adults in the United States

2018 ◽  
Vol 74 (9) ◽  
pp. 1468-1474 ◽  
Author(s):  
Matthew C Lohman ◽  
Amanda J Sonnega ◽  
Emily J Nicklett ◽  
Lillian Estenson ◽  
Amanda N Leggett
Keyword(s):  
United States ◽  
Risk Factors ◽  
Older Adults ◽  
Confidence Interval ◽  
Incidence Rate ◽  
The United States ◽  
Incidence Rates ◽  
Mortality Incidence ◽  
Representative Cohort ◽  
Related Mortality

AbstractBackgroundFalls are the leading cause of injury-related mortality among older adults in the United States, but incidence and risk factors for fall-related mortality remain poorly understood. This study compared fall-related mortality incidence rate estimates from a nationally representative cohort with those from a national vital record database and identified correlates of fall-related mortality.MethodsCause-of-death data from the National Death Index (NDI; 1999–2011) were linked with eight waves from the Health and Retirement Study (HRS), a representative cohort of U.S. older adults (N = 20,639). Weighted fall-related mortality incidence rates were calculated and compared with estimates from the Centers for Disease Control and Prevention (CDC) vital record data. Fall-related deaths were identified using International Classification of Diseases (Version 10) codes. Person-time at risk was calculated from HRS entry until death or censoring. Cox proportional hazards models were used to identify individual-level factors associated with fall-related deaths.ResultsThe overall incidence rate of fall-related mortality was greater in HRS–NDI data (51.6 deaths per 100,000; 95% confidence interval: 42.04, 63.37) compared with CDC data (42.00 deaths per 100,000; 95% confidence interval: 41.80, 42.19). Estimated differences between the two data sources were greater for men and adults aged 85 years and older. Greater age, male gender, and self-reported fall history were identified as independent risk factors for fall-related mortality.ConclusionIncidence rates based on aggregate vital records may substantially underestimate the occurrence of and risk for fall-related mortality differentially in men, minorities, and relatively younger adults. Cohort-based estimates of individual fall-related mortality risk are important supplements to vital record estimates.

scholarly journals Understanding the Healthcare Experiences and Needs of African Immigrants in the United States: A Scoping Review

2019 ◽  
Author(s):  
Ogbonnaya Isaac Omenka ◽  
Dennis P. Watson ◽  
Hugh C. Hendrie
Keyword(s):  
United States ◽  
Scoping Review ◽  
Immigrant Health ◽  
African Immigrants ◽  
The United States ◽  
Cost Of Care ◽  
African Immigrant ◽  
Healthcare Experiences ◽  
African Immigrant Health ◽  
The U.S

Abstract Background: Africans immigrants in the United States are the least-studied immigrant group, despite the research and policy efforts to address health disparities within immigrant communities. Although their healthcare experiences and needs are unique, they are often included in the “black” category, along with other phenotypically-similar groups. This process makes utilizing research data to make critical healthcare decisions specifically targeting African immigrants, difficult. The purpose of this Scoping Review was to examine extant information about African immigrant health in the U.S., in order to develop lines of inquiry using the identified knowledge-gaps. Methods: Literature published in the English language between 1980 and 2016 were reviewed in five stages: (1) identification of the question and (b) relevant studies, (c) screening, (d) data extraction and synthesis, and (e) results. Databases used included EBSCO, ProQuest, PubMed, and Google Scholar (hand-search). The articles were reviewed according to title and abstract, and studies deemed relevant were reviewed as full-text articles. Data was extracted from the selected articles using the inductive approach, which was based on the comprehensive reading and interpretive analysis of the organically emerging themes. Finally, the results from the selected articles were presented in a narrative format. Results: Culture, religion, and spirituality were identified as intertwined key contributors to the healthcare experiences of African immigrants. In addition, lack of culturally-competent healthcare, distrust, and complexity, of the U.S. health system, and the exorbitant cost of care, were identified as major healthcare access barriers. Conclusion: Knowledge about African immigrant health in the U.S. is scarce, with available literature mainly focusing on databases, which make it difficult to identify African immigrants. To our knowledge, this is the first Scoping Review pertaining to the healthcare experiences and needs of African immigrants in the U.S.

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