Socioeconomic and Ethnic Differences in Disease Burden and Disparities in Physical Function in Older Adults.
Objectives. We investigated whether a greater burden of disease among poorer individuals and ethnic minorities accounted for socioeconomic and racial disparities in self-reported physical functioning among older adults. Methods. We used data from adults aged 60 years or older (n=5556) in the Third N...
| Publicado en: | American Journal of Public Health Vol. 101; no. 7; pp. 1322 - 1330 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Public Health Association
Jul2011
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104647257&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104647257 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Jul2011 vid: 101 iid: 7 pid: 44 pub: American Public Health Association place: Washington, District of Columbia artinfo: ui: 104647257 61353891 61353891 10.2105/AJPH.2010.199455 NLM21164082 104647257 ppf: 1322 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Socioeconomic and Ethnic Differences in Disease Burden and Disparities in Physical Function in Older Adults. aug: au: Louie, Grant H. Ward, Michael M. affil: Intramural Research Program, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, US Department of Health and Human Services, Bethesda, MD sug: subj: Socioeconomic Factors Ethnic Groups Chronic Disease Functional Status Age Factors Human Funding Source Self Report Surveys Secondary Analysis Middle Age Aged Correlational Studies Educational Status Activities of Daily Living Poverty Black Persons White Persons Hispanic Americans Odds Ratio Logistic Regression Confidence Intervals Middle Aged: 45-64 years Aged: 65+ years ab: Objectives. We investigated whether a greater burden of disease among poorer individuals and ethnic minorities accounted for socioeconomic and racial disparities in self-reported physical functioning among older adults. Methods. We used data from adults aged 60 years or older (n=5556) in the Third National Health and Nutrition Examination Survey, 1988-1994 to test associations between education level, poverty index, and race/ethnicity and limitations in 11 functions. We adjusted for demographic features and measures of disease burden (comorbid conditions, smoking, hemoglobin level, serum albumin level, knee pain, body mass index, and skeletal muscle index). Results. Associations between education and functional limitations were attenuated after adjustment, but those with 0-8 years of education were more likely than those with 13 or more years of education to have limitations in 3 functions. Poverty was associated with a higher likelihood of limitations despite adjustment. The likelihood of limitations among non-Hispanic Blacks and Mexican Americans was similar to that of non-Hispanic Whites after adjustment. Conclusions. Socioeconomic disparities in functional limitations among older Americans exist independent of disease burden, whereas socioeconomic differences and disease burden account for racial disparities. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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