Racial/ethnic differences in the development of disability among older adults.
OBJECTIVES: We investigated differences in the development of disability in activities of daily living among non-Hispanic Whites, African Americans, Hispanics interviewed in Spanish, and Hispanics interviewed in English. METHODS: We estimated 6-year risk for disability development among 8161 partici...
| Publicado en: | American Journal of Public Health Vol. 97; no. 12; pp. 2209 - 2216 |
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| Autores principales: | , , , , |
| Formato: | research Journal Article |
| Publicado: |
American Public Health Association
Dec2007
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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=105943894&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105943894 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Dec2007 vid: 97 iid: 12 pid: 44 pub: American Public Health Association place: Washington, District of Columbia artinfo: ui: 105943894 28073639 2009759117 10.2105/AJPH.2006.106047 NLM17971548 105943894 ppf: 2209 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Racial/ethnic differences in the development of disability among older adults. aug: au: Dunlop DD Song J Manheim LM Daviglus ML Chang RW sug: subj: African Americans Persons with Disabilities Hispanic Americans White Persons Activities of Daily Living Aged Cox Proportional Hazards Model Female Health Behavior Male Prevalence Prospective Studies Relative Risk Socioeconomic Factors Surveys Survival Analysis United States Human Aged: 65+ years Female Male ab: OBJECTIVES: We investigated differences in the development of disability in activities of daily living among non-Hispanic Whites, African Americans, Hispanics interviewed in Spanish, and Hispanics interviewed in English. METHODS: We estimated 6-year risk for disability development among 8161 participants 65 years or older and free of baseline disability. We evaluated mediating factors amenable to clinical and public health intervention on racial/ethnic difference. RESULTS: The risk for developing disability among Hispanics interviewed in English was similar to that among Whites (hazard ratio [HR]=0.99; 95% confidence interval [CI] = 0.6, 1.4) but was substantially higher among African Americans (HR=1.6; 95% CI=1.3, 1.9) and Hispanics interviewed in Spanish (HR=1.8; 95% CI=1.4, 2.1). Adjustment for demographics, health, and socioeconomic status reduced a large portion of those disparities (African American adjusted HR=1.1, Spanish-interviewed Hispanic adjusted HR=1.2). CONCLUSIONS: Higher risks for developing disability among older African Americans, and Hispanics interviewed in Spanish compared with Whites were largely attenuated by health and socioeconomic differences. Language- and culture-specific programs to increase physical activity and promote weight maintenance may reduce rates of disability in activities of daily living and reduce racial/ethnic disparities in disability. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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