Education and disability trends of older Americans, 2000-2014.

Background Trends in disability among older Americans has declined since the 1980s. The study examines whether the trend continues to decline and whether educational disparities exist in the prevalence of functional limitations. Methods I used the 2000--2014 National Health Interview Survey and incl...

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Publicado en:Journal of Public Health Vol. 39; no. 3; pp. 447 - 455
Autor principal: Yuping Tsai
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Sep2017
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Education and disability trends of older Americans, 2000-2014.
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        au: Yuping Tsai
        affil: National Center for Immunization and Respiratory Diseases (NCIRD), Centers for Disease Control and Prevention (CDC), 1600 Clifton Road NE, MS A19, Atlanta, GA 30329, USA
      sug:
        subj:
          Functional Status Trends
          Educational Status In Old Age
          Human
          Americas
          United States
          Aged
          Survey Research
          Geriatric Functional Assessment
          Activities of Daily Living In Old Age
          Logistic Regression
          P-Value
          Descriptive Statistics
          Social Determinants of Health
          Cross Sectional Studies
          Questionnaires
          Interviews
          Aged, 80 and Over
          Male
          Female
          Data Analysis Software
          Secondary Analysis
          Community Living In Old Age
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Background Trends in disability among older Americans has declined since the 1980s. The study examines whether the trend continues to decline and whether educational disparities exist in the prevalence of functional limitations. Methods I used the 2000--2014 National Health Interview Survey and included adults aged ≥65 years. Functional limitations was measured by three outcomes: the need for help with activities of daily living (ADLs) or instrumental activities of daily living (IADLs) and physical function limitations. I used a set of logistic models to estimate the average annual change rate of functional limitations. I examined whether the annual rate of change differed by education, age group and sex. Results During 2000--2014, the annual increase rate of ADL limitations was 1.7% (P < 0.001) and was 2.0% (P < 0.001) for physical function limitations; IADL limitation did not change significantly. All subgroups experienced an increase in ADL and physical function limitations except for adults with a more than high school education. The lower-educated group had a higher proportion and a higher annual rate of increase in all outcomes. Increasing trends in chronic conditions may contribute to the increasing trend in functional limitations. Conclusions The study highlighted a large educational disparity in late-life disability among older Americans.
      pubtype: Academic Journal
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        research
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      ougenre: Article
    language: English
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