Abstract
This chapter addresses the influence of cultural and ethnic factors on health among minority group older persons. Because of the existence of more extensive national data (Stanford & Du Bois, 1992), we focus primarily on Hispanic American, African American, and American Indian elderly. We realize that these three groups do not capture the full diversity of material, social, and life experiences among the vast array of minority elderly groups (J. S. Jackson, Albright, et al., 1995). They are, however, a sizable subset of the rapidly growing population of minority older adults. We are unable in the space allotted for this chapter to examine the complicated heterogeneity among even these three groups. Thus, we direct our attention primarily to common factors that may increase risk of, or enhance resilience to, poor physical health and mental health outcomes. Specifically, we examine the meaning and significance of minority group status to physical and psychological health and suggest that a culturally sensitive theoretical framework for research and interventions with ethnic minority older persons must attend to (1) sociohistorical context, (2) significance of minority group status, and (3) cultural reality of life among ethnic and racial minorities. These three recommendations evolve from assuming a life-course perspective on aging. A life-course perspective considers the unfolding of lives through time (J. S. Jackson & Sellers, 1997). This perspective is particularly important for considering the lives of ethnic minority older persons in whom experiences in adolescence and early adulthood, as well as cohort and period events, influence health trajectories, health behaviors, and attitudes toward health professionals (Riley, 1996).
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References
Adebimpe, V. (1981). Overview: White norms and psychiatric diagnosis of black patients. American Journal of Psychiatry, 138 279–285.
Andrews, J., Lynos, B., & Rowland, D. (1992). Life satisfaction and peace of mind: A comparative analysis of elderly Hispanic and other elderly Americans. Clinical Gerontologist, 11 21–42.
Angel, J., & Hogan, D. (1994). The demography of minority aging populations. In J. S. Jackson, J. Albright, T. P. Miles, M. R. Miranda, C. Nunez, E. P. Stanford, B. W. K. Yee, D. L. Yee, & G. Yeo (Eds.), Minority elderly: Five goals toward building a public policy base (2nd ed., pp. 9–12). Washington, DC: Gerontological Society of America.
Angel, R., Angel, J., & Hirnes, C. (1992). Minority group status, health transitions, and community living arrangements among the elderly. Research on Aging, 14 496–521.
Baker, F. M. (1994). Psychiatric treatment of older African Americans. Hospital and Community Psychiatry, 45(1), 32–37.
Baker, F. M., & Lightfoot, O. (1995). Psychiatric care of ethnic elderly. In A. Gaw (Ed.), Culture, ethnicity, and mental illness (pp. 517–552). Washington, DC: American Psychiatric Press.
Blauner, R. (1972). Racial oppression in America. New York: Harper & Row.
Brown, D. R., Milburn, N. G., & Gary, L. E. (1992). Symptoms of depression among older African-Americans: An analysis of gender differences. Gerontologist, 32(6), 789–795.
Brown, D. R., Ahmed, F., Gary, L. E., & Milburn, N. G. (1995). Major depression in a community sample of African Americans. American Journal of Psychiatry, 152(3), 373–378.
Browne, C., & Broaderick, A. (1994). Asian and Pacific island elderly: Issues for social work practice and education. Social Work, 39 252–259.
Chadiha, L., Morrow-Howell, N., Darkwa, O., & MicGillick, J. (1994). Targeting the black church and clergy for disseminating knowledge about Alzheimer’s disease and caregivers’s support services. American Journal of Alzheimer’s Care and Related Disorders and Research, 9 17–20.
Chatters, L. M., & Taylor, R. J. (1989). Age differences in religious participation among black adults. Journal of Gerontology: Social Sciences, 44 S183–S189.
Chen, Y. P. (1995). Improving the economic security of minority persons as they enter old age. In J. S. Jackson, J. Albright, T. Miles, M. Miranda, C. Nunez, E. Stanford, B. Yee, D. Yee, & G. Yeo (Eds.), Minority elders: Five goals toward building a public policy (2nd ed., pp. 22–31). Washington, DC: Gerontological Society of America.
Cohen, R. A., & Van Nostrand, J. F. (1995). Trends in the health of older Americans: United States, 1994. Washington, DC: National Center for Health Statistics.
Dressler, W. (1991). Stress and adaptation in the context of culture: Depression in a southern black community. New York: State University of New York Press.
Evans, D., Funkenstein, H., & Albert, M. (1989). Prevalence of Alzheimer’s disease in a community population of older persons higher than previously reported. Journal of the American Medical Association, 262 2251–2556.
Gaines, A. D. (1992). From DSM-I to II-R; Voices of self, mastery and the other: A cultural construc-tivist reading of U.S. psychiatric classification. Social Science and Medicine, 35(1), 3–24.
Garcia, A. (1991). The changing demographic face of Hispanics in the United States. In M. Sotomayor (Ed.), Empowering Hispanic families: A critical issue for the 90’s. (pp. 21–38). Milwaukee, WI: Family Service America.
George, L. (1993). Economic status and subjective well-being: A review of the literature and an agenda for future research. In N. Culter, D. Gregg, & M. P. Lawton (Eds.), Aging, money and life satisfaction (pp. 69–99). New York: Springer.
Gibson, R. C., & Jackson, J. S. (1992). The black oldest old: Health, functioning and informal support. In R. M. Suzman, D. P. Willis, & K. G. Manton (Eds.), The oldest old (pp. 321–340). New York: Oxford University Press.
Griffith, E., & Baker, F. M. (1995). Psychiatric care of African Americans. In A. Gaw (Ed.), Culture, ethnicity, and mental illness (pp. 147–173). Washington, DC: American Psychiatric Press.
Henderson, J., Guiterrez-Mayka, M., & Garcia, J. (1993). A model of Alzheimer’s disease support group development in African-American and Hispanic populations. Gerontologist, 33 409–414.
Herzog, R. (1989). Physical and mental health in older women: Selected research issues and data sources. In A. R. Herzog, K. Holden, & M. Seltzer (Eds.), Health and economic status of older women (pp. 35–91). Amityville, NY: Baywood.
Indian Health Service. (1991). Trends in Indian health. U.S. Department of Health and Human Services, Public Health Services. Washington, DC: U.S. Government Printing Office.
Jackson, J. J. (1985). Race, national origin, ethnicity, and aging. In R. B. Binstock & E. Shanas (Eds.), Handbook of aging and the social sciences (pp. 264–303). New York: Van Nostrand Reinhold.
Jackson, J. S., & Neighbors, W. (1996). Changes in African American resources and mental health 1979 to 1992. In H. Neighbors & J. Jackson (Eds), Mental health in Black America (pp. 189–212). Thousand Oaks, CA: Sage.
Jackson, J. S., & Sellers, S. L. (1997). Psychological, social, and cultural perspectives on minority health in adolescence: A life-course framework. In D. Wilson, J. Rodrigue, & W. Taylor (Eds.), Health-promoting and health-compromising behaviors among minority adolescents (pp. 29–54). Washington, DC: American Psychological Association.
Jackson, J. S., & Wolford, M. L. (1992). Changes from 1979 to 1987 in mental health status and help-seeking among African Americans. Journal of Geriatric Psychiatry, 25 15–67.
Jackson, J. S., Burns, C., & Gibson, R. (1992). An overview of geriatric care in ethnic and racial minority groups. In E. Calkins, P. J. Davis, A. B. Ford, & P. R. Katz (Eds.), Practice of Geriatrics (2nd ed., pp. 57–64). Philadelphia: Harcourt Brace Jovanovich.
Jackson, J. S., Albright, J., Miles, T. P., Miranda, M. R., Nunez, C., Stanford, E. P., Yee, B. W. K., Yee, D. L., & Yeo, G. (Eds.). (1995). Minority elderly: Five goals toward building a public policy base (2nd ed.). Washington, DC: Gerontological Society of America.
Jackson, J. S., Antonucci, T. C., & Gibson, R. C. (1995). Ethnic and cultural factors in research on aging and mental health: A life-course perspective. In D. K. Padgett (Ed.), Handbook on ethnicity, aging and mental health (pp. 22–46). New York: Greenwood/Praeger.
Jackson, J. S., Brown, T., Williams, D., Torres, M., Sellers, S., & Brown, K. (1996). Perceptions and experiences of racism and the physical and mental health status of African Americans: A thirteen-year national panel study. Ethnicity and Disease, 6 132–147.
James, S., Hartnett, S., & Kalsbeek, W. (1983). John Henryism and blood pressure differences among black men. Journal of Behavioral Medicine, 6 259–278.
James, S., Strogatz, D., Wing, S., & Ramsey, D. (1987). Socioeconomic status, John Henryism, and hypertension in blacks and whites. American Journal of Epidemiology, 126 664–673.
Jeste, D. V., Naimark, D., Halpain, M. C., & Lindamer, L. A. (1995). Strengths and limitations of research on late-life psychoses. In M. Gatz (Ed.), Emerging issues in mental health (pp. 72–96). Washington, DC: American Psychological Association.
John, R. (1994). The state of research on American Indian elders’ health, income security, and social support networks. In J. S. Jackson, J. Albright, T. Miles, M. Miranda, C. Nunez, E. Stanford, B. Yee, D. Yee, & G. Yeo (Eds.), Minority elders: Five goals toward building a public policy base (2nd ed., pp. 46–58). Washington, DC: Gerontological Society of America.
Johnson, F., Cook, E., Foxall, M., Kelleher, E., Kentopp, E., & Mannlein, E. (1986). Life satisfaction of the elderly American Indian. International Journal of Nursing Studies, 23(3), 265–273.
Kasl, S., & Berkman, L. (1981). Some psychosocial influences on the health status of the elderly: The perspective of social epidemiology. In J. L. McGaugh & S. B. Kiesler (Eds.), Aging, biology and behavior (pp. 345–385). New York: Academic.
King, C., & Williams, D. (1995). Race and health: A multidimensional approach to African-American health. In C. Benjamin, I. Amick, S. Levin, A. R. Tarlov, & D. C. Walsh (Eds.), Society and Health (pp. 93–130). New York: Oxford University Press.
Knight, B., Santos, J., Teri, L., & Lawton, M. P. (1995). Introduction: The development of training in clinical geropsychology. In B. Knight, L. Teri, P. Wohlford, & J. Santos (Eds.), Mental health services for older adults (pp. 1–8). Washington, DC: American Psychological Association.
Lebowitz, B. D., & Niederehe, G. (1992). Concepts and issues in mental health and aging. In J. E. Birren, R. B. Sloane, & G. D. Cohen (Eds.), Handbook of mental health and aging (2nd ed., pp. 3–26). New York: Academic.
Levine, J., & Lawlor, B. (1991). Family counseling and legal issues in Alzheimer’s disease. Psychiatric Clinics of North America, 14 385–396.
Levine, R., & Gaw, A. (1995). Culture-bound syndrones. Culture Psychiatry, 18(3), 523–536.
Littlewood, R. (1992). Psychiatric diagnosis and racial bias: Empirical and interpretative approaches. Social Science & Medicine, 34 141–149.
Lockery, S. (1991). Family and social support: Caregiving among racial and ethnic minority elderly. Generations, 15 58–62.
Lopez, C., & Aguilera, E. (1991). On the sidelines: Hispanic elderly and the continuum of care. Washington, DC: National Council of La Raza.
Lopez-Aqueres, A., Keep, B., Plopper, M., Staples, F., & Brummel-Smith, K. (1984). Health needs of the Hispanic elderly. Journal of the American Geriatric Society, 32 191–198.
Manson, S., & Callaway, D. (1988). Health and aging among American Indians. Issues and challenges for the biobehavioral sciences. In S. M. Mason & N. Dinges (Eds.), Health and behavior: A research agenda for American Indians (pp. 160–210). Denver: University of Colorado Health Sciences Center.
Manson, S., Shore, J., & Bloom, J. (1985). The depressive experience in American Indian communities: A challenge for psychiatric theory and diagnosis. In A. Kleinman & Y. Good (Eds.), Culture and depression (pp. 331–368). Berkeley, CA: University of California Press.
Manton, K., Poss, S., & Wing, S. (1979). The black/white mortality crossover: Investigation from the perspective of the components of aging. Gerontologist, 19 291–300.
Markides, K., & Krause, N. (1986). Older Mexican Americans. Generations, 10 31–34.
Markides, K., Boldt, J., & Ray, L. (1986). Sources of helping and intergenerational solidarity: A three generation study of Mexican Americans. Journals of Gerontology, 41 506–511.
McCabe, M., & Cuellar, J. (1994). Aging and health: American Indian/Alaska native elderly (2nd ed.). Working Paper Series No. 6. Palo Alto, CA: Stanford Geriatric Education Center.
Miranda, M. (1991). Mental health services and the Hispanic elderly. In M. Sotomayor (Ed.), Empowering Hispanic families: A critical issue for the ′90s. (141–154). Milwaukee, WI: Family Service America.
Morrison, B. (1995). A research and policy agenda on predictors of institutional placement among minority elderly. Journal of Gerontological Social Work, 24 17–28.
Neighbors, H. (1984). The distribution of psychiatric morbidity in African Americans: A review and suggestions for research. Community Mental Health Journal. 20, 5–18.
Office of Minority Health Resource Center. (1988). Closing the gap: Cancer and minorities. Office of Minority Health, Public Health Service. Washington, DC: U.S. Department of Health and Human Services.
Padgett, D. (1995). Concluding remarks and suggestions for research and service delivery. In D. Padgett (Ed.), Handbook on ethnicity, aging, and mental health (pp. 304–319). Westport, CT: Greenwood.
Rabins, P. (1992). Prevention of mental disorder in the elderly: Current perspectives and future prospectus. Journal of the American Geriatrics Society, 40 727–733.
Richardson, J. (1990). Aging and health: Black American elderly. Stanford, CA: Stanford Geriatric Education Center Working Paper Series No 4. Ethnogeriatic Reviews.
Riley, M. (1992). Aging in the twenty-first century. In N. Culter, D. Gregg, & M. P. Lawton (Eds.), Aging, money and life satisfaction (pp. 23–36). New York: Springer.
Riley, M. (1996). Age stratification. In J. E. Birren (Ed.), Encyclopedia of gerontology: Age, aging and the aged (pp. 81–92). New York: Academic.
Rodgers, W. (1982). Trends in reported happiness within demographically defined subgroups, 1957-78. Social Forces, 60 826–842.
Rosenwaike, I. (1987). Mortality differentials among persons bom in Cuba, Mexico, and Puerto Rico residing in the United States, 1979–1981. American Journal of Public Health, 77 603–606.
Ruiz, D. (1995). Profile of ethnic elderly. In D. Padgett (Ed.), Handbook on ethnicity, aging, and mental health (pp. 3–21). Westport, CT: Greenwood.
Ryder, N. (1965). The cohort as a concept in the study of social change. American Sociological Review, 30 843–861.
Snow, L. F. (1983). Traditional health beliefs and practices among lower class black Americans. Western Journal of Medicine, 139(6), 820–828.
Stanford, E. P., & Du Bois, B. C. (1992). Gender and ethnicity patterns. In J. E. Birren, R. B. Sloane, & G. D. Cohen (Eds.), Handbook of mental health and aging (2nd ed., pp. 99–117). New York: Academic.
Swidler, A. (1986). Culture in action: Symbols and strategies. American Sociological Review, 51 273–286.
Taeuber, C. (1992). Income and poverty trends for the elderly. Population Division, Bureau of the Census, U.S. Department of Commerce. Washington, DC: U.S. Government Printing Office.
Turnbull, J., & Mui, A. (1995). Mental health status and needs of black and white elderly: Differences in depression. In D. Padgett (Ed.), Handbook on ethnicity, aging, and mental health (pp. 73–98). Westport, CT: Greenwood.
U.S. Bureau of the Census. (1990). Population estimates by age, sex, race, and Hispanic origin: 1980 to 1988. Current population reports. (Series P-25, No. 1045). Washington, DC: U.S. Government Printing Office.
U.S. Bureau of the Census. (1996). Population projections of the United States by age, sex, race, and Hispanic origin: 1995 to 2050. Current population reports. (Series P-25, No. 1130). Washington, DC: U.S. Government Printing Office.
Vega, W., & Rumbaut, R. (1991). Ethnic minorities and mental health. Annual Review of Sociology, 17, 351–383.
Villa, M., Cuellar, J., Gamel, N., & Yeo, G. (1993). Aging and health: Hispanic American elderly (2nd ed.) SGEC Working Paper Series Number 5 Ethnogeratic Reviews. Stanford, CA: Stanford Geriatric Education Centers.
Wade, J. (1993). Institutional racism: An analysis of the mental health system. American Journal of Psychiatry, 127 329–355.
White-Means, S. I., & Thornton, M. C. (1990). Ethic differences in the production of informal home health care. Gerontologist, 30(6), 758–768.
Wirth, L. (1945). The problem of minority groups. In R. Linton (Ed.), The science of man in the world crisis (pp. 99–117). New York: Columbia University Press.
Worobey, J., & Angel, R. (1990). Functional capacity and living arrangements of unmarried elderly persons. Journal of Gerontology: Social Sciences, 45 95–101.
Wykle, M., & Kaskel, B. (1991). Increasing the longevity of minority older adults through improved health status. In J. S. Jackson, J. Albright, T. Miles, M. Miranda, C. Nunez, E. Stanford, B. Yee, D. Yee, & G. Yeo (Eds.), Minority elders: Five goals toward building a public policy base (2nd ed., pp. 32–39). Washington, DC: Gerontological Society of America.
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Sellers, S.L., Jackson, J.S., Hardison, C.B. (1998). Minority Issues. In: Hersen, M., Van Hasselt, V.B. (eds) Handbook of Clinical Geropsychology. The Springer Series in Adult Development and Aging. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0130-9_23
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