Examining social determinants in use of assistive technology for race/ethnic groups of older adults.

Assistive technologies (AT) can compensate for activity limitations and loss of physical functioning. Little is known regarding how minority older adults differ in AT use as they age. This study examined race and ethnic differences in AT use among a nationally representative sample of older adults i...

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Publicado en:Disability & Rehabilitation: Assistive Technology Vol. 17; no. 6; pp. 703 - 712
Autores principales: Chan, Keith Tsz-Kit, Marsack-Topolewski, Christina
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Aug2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2022
      vid: 17
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/17483107.2020.1814430
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        atl: Examining social determinants in use of assistive technology for race/ethnic groups of older adults.
      aug:
        au:
          Chan, Keith Tsz-Kit
          Marsack-Topolewski, Christina
        affil: Silberman School of Social Work, Hunter College, City University of New York, New York, NY, USA
      sug:
        subj:
          Assistive Technology In Old Age
          Social Determinants of Health
          Race Factors
          United States
          Funding Source
          Human
          Female
          Male
          Aged
          Aged, 80 and Over
          Multiple Logistic Regression
          Odds Ratio
          Insurance, Health
          Health Services Accessibility
          Clinical Assessment Tools
          Descriptive Statistics
          Aged: 65+ years
          Aged, 80 & over
          Female
          Male
      ab: Assistive technologies (AT) can compensate for activity limitations and loss of physical functioning. Little is known regarding how minority older adults differ in AT use as they age. This study examined race and ethnic differences in AT use among a nationally representative sample of older adults in the United States. Weighted logistic regression analyses were conducted using the 2012 Behavioural Risk Factor Surveillance System (BRFSS), collected annually by the Centres for Disease Control and Prevention (CDC). The study sample included 282,825 non-Hispanic White, African American, Asian and non-White Hispanic older adults. Activity limitation, health care access, overall health status and sociodemographic characteristics were included as variables in the analysis. Interaction analyses were conducted to examine the moderating effect of race/ethnicity on social determinants with AT use. Results indicated that 13.5% of older adults reported the use of an AT. African American older adults had the highest percentage of AT use (21.0%), and Asian older adults had the lowest (5.1%). Those who were 85 years and older, reported an activity limitation, were unmarried and in poor health were most likely to use an AT. Having health insurance was significantly associated with higher AT use for non-Hispanic Whites (OR = 1.66, p < 0.001) and non-White Hispanics (OR = 1.98, p < 0.01), but not African Americans and Asians. Health professionals can promote access and address barriers in AT use, particularly in regard to accessibility and acceptability among minority older adults. African-Americans older adults were most likely to use ATs, and Asian older adults the least Older adults who were 85 years and older, reported an activity limitation, were unmarried and in poor health were most likely to use an AT Different social determinants to AT use were found among race/ethnic groups, highlighting the need to promote access and address barriers to health care utilization
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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