Racial and Ethnic Differences in the Development of Disability Among Older Adults

TitleRacial and Ethnic Differences in the Development of Disability Among Older Adults
Publication TypeJournal Article
Year of Publication2007
AuthorsDunlop, DD, Song, J, Manheim, LM, Daviglus, ML, Chang, RW
JournalAmerican Journal of Public Health
Volume97
Issue12
Pagination2209-15
KeywordsDemographics, Disabilities, Health Conditions and Status
Abstract

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 reducing racial/ethnic disparities in disability.

Endnote Keywords

aging/Chronic Disease/DISABILITY/DISABILITY/Racial Differences

Endnote ID

18500

Citation Key7175