BACKGROUND The U.S. population is aging and diversifying. Older Black Americans comprise the largest racial minority group and experience greater disability than White Americans. OBJECTIVES Within a long-standing, community-based research partnership, we explored the determinants of healthy aging in Flint Michigan, a low-income, predominantly Black American community recovering from a water crisis. METHODS Focus groups were conducted among older adults residing in Flint, Michigan. A grounded theory approach and constant comparison method was utilized for data analysis. RESULTS Five focus groups were conducted with 49 total participants. We identified four themes that impacted healthy aging: economic instability, health care access and quality, neighborhood and built environment, and social and community context. Economic instability heavily influenced the other themes. CONCLUSIONS Economic instability is a barrier to healthy aging. As a result, we are testing an innovative cross-sector partnership combining older adult affordable housing and health care.

中文翻译：

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探索老年人健康老龄化的健康社会决定因素：一项定性研究。

背景技术美国人口正在老龄化和多样化。年长的美国黑人是最大的少数族裔群体，他们比美国白人面临着更严重的残疾。目标 在长期的、基于社区的研究合作伙伴关系中，我们探索了密歇根州弗林特健康老龄化的决定因素，这是一个从水危机中恢复的低收入、以黑人为主的美国社区。方法 对居住在密歇根州弗林特的老年人进行焦点小组讨论。采用扎根理论方法和不断比较方法进行数据分析。结果 五个焦点小组共有 49 名参与者。我们确定了影响健康老龄化的四个主题：经济不稳定、医疗保健的获取和质量、邻里和建筑环境以及社会和社区环境。经济不稳定严重影响了其他主题。结论 经济不稳定是健康老龄化的障碍。因此，我们正在测试一种创新的跨部门合作伙伴关系，将老年人经济适用住房和医疗保健结合起来。