Disability trends among older Americans: National Health And Nutrition Examination Surveys, 1988-1994 and 1999-2004.

OBJECTIVES: We investigated trends in disability among older Americans from 1988 through 2004 to test the hypothesis that more recent cohorts show increased burdens of disability. METHODS: We used data from 2 National Health and Nutrition Examination Surveys (1988-1994 and 1999-2004) to assess time...

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Publicado en:American Journal of Public Health Vol. 100; no. 1; pp. 100 - 108
Autores principales: Seeman TE, Merkin SS, Crimmins EM, Karlamangla AS
Formato: research tables/charts Journal Article
Publicado: American Public Health Association Jan2010
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2010
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      pub: American Public Health Association
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        atl: Disability trends among older Americans: National Health And Nutrition Examination Surveys, 1988-1994 and 1999-2004.
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          Seeman TE
          Merkin SS
          Crimmins EM
          Karlamangla AS
        affil: Division of Geriatrics, David Geffen School of Medicine, University of California, Los Angeles, 10945 Le Conte Ave, Los Angeles, CA 90095, USA. tseeman@mednet.ucla.edu
      sug:
        subj:
          Persons with Disabilities Statistics and Numerical Data
          Health Status
          Activities of Daily Living
          Aged
          Aged, 80 and Over
          Body Mass Index
          Confidence Intervals
          Data Analysis Software
          Descriptive Statistics
          Female
          Funding Source
          Health Behavior
          Human
          Logistic Regression
          Male
          Middle Age
          Odds Ratio
          Prevalence
          Questionnaires
          Retrospective Design
          Socioeconomic Factors
          Two-Tailed Test
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: OBJECTIVES: We investigated trends in disability among older Americans from 1988 through 2004 to test the hypothesis that more recent cohorts show increased burdens of disability. METHODS: We used data from 2 National Health and Nutrition Examination Surveys (1988-1994 and 1999-2004) to assess time trends in basic activities of daily living, instrumental activities, mobility, and functional limitations for adults aged 60 years and older. We assessed whether changes could be explained by sociodemographic, body weight, or behavioral factors. RESULTS: With the exception of functional limitations, significant increases in each type of disability were seen over time among respondents aged 60 to 69 years, independent of sociodemographic characteristics, health status, relative weight, and health behaviors. Significantly greater increases occurred among non-Whites and persons who were obese or overweight (2 of the fastest-growing subgroups within this population). We detected no significant trends among respondents aged 70 to 79 years; in the oldest group (aged>or=80 years), time trends suggested lower prevalence of functional limitations among more recent cohorts. CONCLUSIONS: Our results have significant and sobering implications: older Americans face increased disability, and society faces increased costs to meet the health care needs of these disabled Americans.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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