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Subjective Control and Health Among Mexican-Origin Elders in Mexico and the United States: Structural Considerations in Comparative Research

Subjective Control and Health Among Mexican-Origin Elders in Mexico and the United States:... ObjectivesThis study examines the joint impact of psychological and structural factors on Mexican and Mexican American elders' sense of personal control over important aspects of their lives and health in Mexico and the United States.MethodsWe employ the Mexican Health and Aging Study (MHAS) and the Hispanic Established Populations for Epidemiologic Studies of the Elderly (H-EPESE) to explore patterns of association among structural factors, personal characteristics, indicators of material and physical vulnerability, and expressed locus of control.ResultsThe results suggest that an older individual's sense of personal control over important aspects of his or her life, including health, reflects real material and social resources in addition to individual predispositions. In Mexico, only the most privileged segment of the population has health insurance, and coverage increases one's sense of personal control. In the United States, on the other hand, Medicare guarantees basic coverage to the vast majority of Mexican Americans over 65, reducing its impact on one's sense of control.DiscussionPsychological characteristics affect older individuals' sense of personal control over aspects of their health, but the effects are mediated by the economic and health services context in which they are expressed. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png The Journals of Gerontology Series B: Psychological Sciences and Social Sciences Oxford University Press

Subjective Control and Health Among Mexican-Origin Elders in Mexico and the United States: Structural Considerations in Comparative Research

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References (52)

Publisher
Oxford University Press
Copyright
The Author 2009. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.
Subject
Journal of Gerontology: Social Sciences
ISSN
1079-5014
eISSN
1758-5368
DOI
10.1093/geronb/gbn029
pmid
19332436
Publisher site
See Article on Publisher Site

Abstract

ObjectivesThis study examines the joint impact of psychological and structural factors on Mexican and Mexican American elders' sense of personal control over important aspects of their lives and health in Mexico and the United States.MethodsWe employ the Mexican Health and Aging Study (MHAS) and the Hispanic Established Populations for Epidemiologic Studies of the Elderly (H-EPESE) to explore patterns of association among structural factors, personal characteristics, indicators of material and physical vulnerability, and expressed locus of control.ResultsThe results suggest that an older individual's sense of personal control over important aspects of his or her life, including health, reflects real material and social resources in addition to individual predispositions. In Mexico, only the most privileged segment of the population has health insurance, and coverage increases one's sense of personal control. In the United States, on the other hand, Medicare guarantees basic coverage to the vast majority of Mexican Americans over 65, reducing its impact on one's sense of control.DiscussionPsychological characteristics affect older individuals' sense of personal control over aspects of their health, but the effects are mediated by the economic and health services context in which they are expressed.

Journal

The Journals of Gerontology Series B: Psychological Sciences and Social SciencesOxford University Press

Published: Mar 30, 2009

Keywords: Mexico Mexican American Locus of control Health Poverty Health Systems

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