자료유형  

 학위논문

Control Number  

0016934287

International Standard Book Number  

9798380160155

Dewey Decimal Classification Number  

301

Main Entry-Personal Name  

Lai, Wenhua.

Publication, Distribution, etc. (Imprint  

[S.l.] : Michigan State University., 2023

Publication, Distribution, etc. (Imprint  

Ann Arbor : ProQuest Dissertations & Theses, 2023

Physical Description  

1 online resource(132 p.)

General Note  

Source: Dissertations Abstracts International, Volume: 85-03, Section: B.

General Note  

Advisor: Ning Hsieh, Ning.

Dissertation Note  

Thesis (Ph.D.)--Michigan State University, 2023.

Restrictions on Access Note  

This item must not be sold to any third party vendors.

Summary, Etc.  

요약Racial/ethnic health disparities in late life are a significant concern as the U.S. aging population becomes more diverse. While studies have focused on Black-White mental and cognitive health gaps, many disparities remain unexplained. The contributors to mental and cognitive health inequalities among other minority older adults, such as Hispanics, are not well understood. Guiding by the stress process model, this dissertation examines two potential pathways: differential exposure to stressors and access to protective resources and the differential effects of these factors in contributing to mental and cognitive health disparities among minority older adults. Using data from the Health and Retirement Study (HRS), three empirical studies were comprised to address research gaps. The first study investigates racial/ethnic disparities in late-life mental health, focusing on financial circumstances and social relationships. This study reveals that older Black and Latinx adults experience more depressive symptoms, partially due to their greater exposure to financial disadvantages and strained relationships, than whites. Despite receiving more relationship support than their White counterparts, Black and Latinx older adults derive less protection against depression from spousal and children's relationship support. The second study examines the impact of everyday discrimination on cognitive health, finding that discrimination is associated with lower baseline cognitive levels and a faster decline among older adults generally. However, the effect varies across racial and ethnic groups, with older white and Black adults declining more rapidly, while no association is observed among older Latinx adults. Finally, the third study explores the structural and qualitative aspects of friendships and cognitive health, suggesting that frequency of contact and relationship strain with friends impact cognitive function across all racial, ethnic, nativity, and gender groups. However, older Black men and foreign-born Latinas experience a diminished health return of contact frequency on cognition relative to older white men. This dissertation uncovers racial/ethnic patterns of stress exposures and social relationships, illuminating the role of psychosocial factors in health disparities. It explores the complex interplay of these factors with race/ethnicity, nativity, and gender as they shape mental and cognitive health disparities among older adults. By providing population-based evidence, this research paves the way for developing interventions and programs that promote healthy mental and cognitive aging while reducing health disparities in the diverse older population.

Subject Added Entry-Topical Term  

Sociology.

Subject Added Entry-Topical Term  

Gerontology.

Subject Added Entry-Topical Term  

Mental health.

Index Term-Uncontrolled  

Cognitive health

Index Term-Uncontrolled  

Depression

Index Term-Uncontrolled  

Disparities

Index Term-Uncontrolled  

Older adults

Index Term-Uncontrolled  

Race/ethnicity

Index Term-Uncontrolled  

Social relationship

Added Entry-Corporate Name  

Michigan State University Sociology - Doctor of Philosophy

Host Item Entry  

Dissertations Abstracts International. 85-03B.

Host Item Entry  

Dissertation Abstract International

Electronic Location and Access  

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Control Number  

joongbu:642952